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Who should avoid Cenforce D Extra Power ?

If Cenforce D Extra Power contains sildenafil plus dapoxetine, people who should avoid it or use it only after medical evaluation include: Anyone taking nitrate medicines for chest pain, such as nitroglycerin, because sildenafil can cause a dangerous drop in blood pressure when combined with nitrates. People taking Cenforce D Extra Power , because combining it with sildenafil can excessively lower blood pressure. People with serious heart problems, particularly when sexual activity itself may be unsafe, or those who have recently had a heart attack or stroke. People with very low blood pressure or significant blood-pressure problems should be assessed by a clinician first. Anyone allergic to sildenafil or another ingredient in the product. People taking interacting medicines, including some alpha-blockers or blood-pressure medicines, may require medical supervision because of additive blood-pressure lowering. Because Cenforce D products can differ in their exact formulation, check the active ingredients and strengths on your specific package before using it. One commonly marketed Cenforce D formulation contains sildenafil 100 mg plus dapoxetine 60 mg. If you're taking heart, blood-pressure, antidepressant, or other regular medicines, it's particularly important to have a pharmacist or doctor check for interactions before using it.