Cenforce LD should not be taken with nitrates, certain heart medications, or excessive alcohol, as this can cause dangerous drops in blood pressure. Medical supervision is essential to ensure safe and effective use, particularly for men with cardiovascular conditions. Common side effects include headache, flushing, dizziness, nasal congestion, nausea, or mild stomach upset. Serious side effects such as chest pain, prolonged erections (priapism), fainting, or sudden changes in vision or hearing require immediate medical attention.

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