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Cenforce 200 mg is a higher-than-standard dose, usually prescribed only when lower doses do not produce the desired effect. Sexual stimulation is still required, as the medicine does not cause an automatic erection. It is typically taken about 30 to 60 minutes before sexual activity with water, and the effects can last around 4 to 6 hours, depending on age, metabolism, and overall health. Only one dose should be used in a 24-hour period.