Cenforce 200 mg, which contains sildenafil, can lower blood pressure even in healthy adults because it relaxes blood vessels and increases blood flow. This effect is usually temporary, but it may cause dizziness, headache, flushing, lightheadedness, or fainting in some people. At 200 mg, the dose is higher than the usual maximum recommended dose of 100 mg for erectile dysfunction, which may increase the risk of side effects. The blood pressure drop can be particularly dangerous when sildenafil is combined with nitrate medications, such as nitroglycerin, or recreational nitrates known as poppers. Even if you have normal blood pressure, you should not take Cenforce 200 mg without medical supervision.