Raj K. Verified
Paris · 14 Jul 2026
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KAM4U10Sildenafil 200 mg, twice the 100 mg EU maximum (Viagra EPAR); only on a doctor's explicit instruction.
| Active ingredient & strength | Sildenafil 200 mg |
|---|---|
| Format | Tablet |
| Legal status | Prescription-only medicine in the EU/EEA |
| EU reference medicine | Viagra — EMA product information (EPAR) |
| EU dose limit | 200 mg is above the 100 mg maximum recommended dose in the EU product information — only on a doctor's explicit instruction |
| Price | From €44.00 (20 pills) · from €1.95 per pill (100 pills) |
| Delivery | 3–5 working days to most EU/EEA countries (2–7 by country) |
| Availability | In stock |
Generic Sildenafil — Cenforce 200. Available in multiple pack sizes.
Price range
Dispatched within one working day of payment
Pack size & pricing
4 · click to add
€2.20 per unit
€44.00
€2.15 per unit
€64.50
€2.05 per unit
€102.50
€1.95 per unit
€195.00
Unsure which medicine suits you? Start a free doctor consultation on WhatsApp.
Why buyers trust this order
Sealed manufacturer packs
Sealed manufacturer blisters or sachets with the batch number and expiry date printed, and the patient information leaflet in every box.
Tracked, with a lost-parcel policy
Tracked shipping on every parcel. If a parcel is lost, we investigate with the courier and resolve it with a replacement shipment or another appropriate solution (see our delivery policy).
Discreet end to end
Plain unbranded box, neutral sender, and a bank statement that shows only your order reference — never a product name.
A person answers, 7 days a week
Questions about ordering, delivery or payment are answered by a person on WhatsApp & Telegram, within our opening hours.
What happens after you order
Order & pay — order and payment confirmed by email
We pack — sealed packs, plain outer box
Dispatched within 1 working day of payment — tracking number emailed
Delivered — 3–5 working days to most EU/EEA countries (2–7 by country), nothing on the outside
Sildenafil 200 mg, twice the 100 mg EU maximum (Viagra EPAR); only on a doctor's explicit instruction.
What makes Cenforce 200 distinct
Cenforce 200 contains sildenafil 200 mg, twice the 100 mg maximum recommended dose in the EU product information for Viagra, which reports that 200 mg doses did not increase efficacy but did increase side effects. It is for use only on a doctor's explicit instruction.
It contains a larger amount of the same sildenafil found in the lower strengths, so medical oversight, and respecting the nitrate warning, matter all the more.
Part of our Erectile Dysfunction range.
Cenforce 200 is a sildenafil citrate tablet made by Centurion Laboratories, with 200 mg of sildenafil in each tablet. That is twice the 100 mg maximum recommended dose in the EU product information for Viagra, the EU reference medicine for sildenafil, where the recommended dose is 50 mg, adjusted to 25 mg or up to 100 mg and taken no more than once a day (EMA: Viagra). The same product information reports that in studies, doses of 200 mg did not increase efficacy, while headache, flushing, dizziness, indigestion, nasal congestion and altered vision became more common. Cenforce has no EU marketing authorisation, and sildenafil is a prescription-only medicine in the EU/EEA. Only a doctor can decide whether any strength above 100 mg is appropriate, and Cenforce 200 is for use only on a doctor's explicit instruction. If a sildenafil medicine isn't working as expected, our sildenafil guide covers the common reasons to raise with a doctor.
The dose does not change sildenafil's timing. The EU product information for Viagra says sildenafil is taken as needed about one hour before sexual activity, that a heavy meal can delay its effect and that it works only with sexual stimulation; in a clinical study, erections in response to stimulation were seen up to 4–5 hours after a dose (EMA: Viagra). Duration follows the drug's half-life, so 200 mg does not add hours, and claims of an "all-night" effect have no basis in the EU data. What a higher dose changes is the amount of sildenafil in the blood, and with it the likelihood of side effects. How and when to take any sildenafil medicine is set by your doctor and the package leaflet.
Every Cenforce tablet contains the same active ingredient, sildenafil; only the amount per tablet differs. Cenforce 50mg matches the recommended dose in the EU product information for Viagra and Cenforce 100mg its maximum. Cenforce 120mg, Cenforce 130mg, Cenforce 150mg and Cenforce 200 are all above that maximum, and none of them is a strength to aim for: at 200 mg the EU data show no added efficacy, only more side effects. Timing, the 4–5 hour window and the once-a-day limit are the same at every strength. If a sildenafil medicine hasn't worked for you, the right route is a doctor's review rather than a higher strength; the doctor may also discuss a different medicine, as our Kamagra and Cialis comparison explains.
Never take Cenforce 200 with a nitrate medicine (glyceryl trinitrate sprays or tablets, isosorbide mononitrate or dinitrate) or with recreational poppers: the combination can cause a dangerous fall in blood pressure. Riociguat, used for pulmonary hypertension, is excluded for the same reason. Don't combine it with any other sildenafil or erectile-dysfunction medicine, and never take more than one dose in 24 hours. The EU product information for Viagra asks for caution with alpha-blockers and notes that medicines which block the CYP3A4 enzyme, such as ritonavir, ketoconazole or erythromycin, raise sildenafil levels, as grapefruit juice can modestly; at 200 mg those increases start from twice the maximum dose. Its package leaflet adds that drinking alcohol can temporarily make an erection harder to get. Men with heart disease or uncontrolled blood pressure need a doctor's assessment first, and erectile dysfunction can itself be an early sign of heart problems.
Whatever the strength, the checks are on the pack itself. Kam4eu supplies Cenforce 200 in sealed manufacturer blister strips with the batch number and expiry date printed, and the patient information leaflet is included in every parcel. Orders are dispatched within one working day of payment in plain, unbranded packaging, and standard delivery takes 3–5 working days to most EU and EEA countries (2–7 by country), free on orders over €110. Packs start at €44.00 for 20 pills. Our team on WhatsApp answers questions about ordering and delivery; whether this strength is appropriate for you is a question for a doctor.
Cenforce 200 carries the side effects of sildenafil, and the Viagra EU product information reports that at 200 mg they were more frequent than at lower doses, without any gain in efficacy. Common effects include headache, facial flushing, a blocked nose, indigestion, dizziness, back or muscle aches, and visual disturbances such as blue-tinted or blurred vision. Rare but serious reactions include priapism (a painful erection lasting more than four hours, which can permanently damage the penis), sudden loss of vision or hearing, chest pain, irregular heartbeat and fainting; for any of these, stop and call 112 or get emergency care. Because 200 mg is twice the EU maximum recommended dose, it should be used only on a doctor's explicit instruction.
The exclusions for sildenafil apply in full at 200 mg. Never combine Cenforce 200 with nitrates, poppers or riociguat: the fall in blood pressure can be fatal. It is unsuitable after a recent heart attack or stroke, and with severe heart failure, unstable angina, very low blood pressure, severe liver disease, or an inherited retinal disorder such as retinitis pigmentosa. Alpha-blockers, other blood-pressure medicines and CYP3A4 inhibitors such as ritonavir, ketoconazole or erythromycin all need a doctor's review first. Kidney or liver impairment changes how sildenafil is cleared, which a doctor needs to assess. Men with sickle cell disease, leukaemia, multiple myeloma, penile deformity or a bleeding disorder should not use it without specialist advice. It is not for women or anyone under 18.
Keep Cenforce 200 in its original blister and carton, below 30°C, in a dry place away from direct sunlight — never in a bathroom cabinet or car glovebox — and strictly out of children's reach; at this strength accidental ingestion is a genuine emergency. Genuine packs carry factory-sealed blister foil with no lifted corners, a batch number and expiry date printed on both the blister strip and the outer box that match exactly, a full patient leaflet, and an intact, sharply printed carton. Tablets should be uniform in colour and marking. Reject anything with mismatched dates, broken seals, or damaged packaging.
Current prices: 20 pills for €44.00 (€2.20 per pill), 30 pills for €64.50 (€2.15 per pill), 50 pills for €102.50 (€2.05 per pill) and 100 pills for €195.00 (€1.95 per pill). Buying 100 pills works out 11% cheaper per pill than the smallest pack. Which strength is right is a medical question rather than a price one, so buy only a quantity you will use before the expiry date.
General information about the active ingredient in Cenforce 200.
See the full Sildenafil guide & all Sildenafil productsSildenafil is the active substance of Viagra and a prescription-only medicine in the EU/EEA, used for erectile dysfunction in adult men: difficulty getting or keeping an erection firm enough for sex. It is a phosphodiesterase type 5 (PDE5) inhibitor, like tadalafil, vardenafil and avanafil. The EU product information sets 100 mg as the maximum dose, at most once a day, and it only works with sexual stimulation.
Sildenafil works by blocking the PDE5 enzyme, which allows levels of a substance called cyclic guanosine monophosphate (cGMP) to rise in the tissues of the penis. This helps relax the blood vessels and improve blood flow when a man is sexually stimulated. Sexual arousal is still needed for the medicine to take effect; it does not cause an erection on its own. The EU product information says to take it about 1 hour before sexual activity; in a clinical study it still produced erections 4 to 5 hours after a dose.
Sildenafil is taken by mouth about one hour before sexual activity, at the dose your doctor prescribes. It can be taken with or without food, although taking it with food may delay the start of its effect. No more than one dose should be taken in any 24-hour period. Always follow the instructions in the patient information leaflet and the advice of your doctor or pharmacist.
Common (usually mild and temporary):
Stop and seek medical help if you experience:
Store in the original packaging below 30°C, out of the sight and reach of children, and do not use after the expiry date.
The EU product information for the reference medicine (Viagra) says to take it about 1 hour before sexual activity. Taking it with food may delay the start of its effect, and timing varies between individuals. Check the patient information leaflet for guidance.
It can be taken with or without food, but a large or high-fat meal may delay the onset of its effect. Your doctor or pharmacist can advise on timing.
Sildenafil is the active ingredient and the generic equivalent of the branded medicine Viagra; both contain the same active substance and work in the same way.
Important: This information is general and not a substitute for medical advice. Always read the patient information leaflet supplied with your medicine and consult a doctor or pharmacist before use — especially if you have existing health conditions or take other medication.
The larger the pack, the lower the price per unit.
Cenforce options that contain sildenafil alone, with their current list prices. A higher strength is not better value: the EU product information has a doctor set the dose by how the medicine works for you and how well you tolerate it. Strengths above 100 mg — the maximum dose in the EU product information for Viagra — are marked.
| Cenforce | From | Lowest per unit |
|---|---|---|
| Cenforce 50mg50 mg | €37.001 strip/10 pill | €1.21 per pill |
| Cenforce 100mg100 mg | €39.0020 pills | €1.70 per pill |
| Cenforce Soft 100100 mg · Soft tablet | €42.0020 pills | €1.85 per pill |
| Cenforce 120mg120 mg · above the 100 mg EU maximum dose | €25.001 Strip/6 pills | €3.17 per pill |
| Cenforce 130mg130 mg · above the 100 mg EU maximum dose | €41.0020 pills | €1.80 per pill |
| Cenforce 150mg150 mg · above the 100 mg EU maximum dose | €42.0020 pills | €1.85 per pill |
| Cenforce 200 (this page)200 mg · above the 100 mg EU maximum dose | €44.0020 pills | €1.95 per pill |
| Cenforce Professional | €42.0020 pills | €1.85 per pill |
Cenforce 200 isn't stocked on European high-street pharmacy shelves — it's an imported generic, so buying happens online. Kam4eu ships sealed Cenforce 200 from €44.00 (4 pack sizes, lower per-unit price on larger packs) to all 27 EU + 3 EEA countries. Orders dispatch within one working day of payment; standard delivery takes 3–5 working days to most EU/EEA countries (2–7 by country), free over €110.00. Unsure about the legal side? Our honest legality answers explains the brand-vs-ingredient distinction plainly.
Country-specific delivery detail: Germany · France · Spain · Poland · Ireland · all countries →
Both contain sildenafil, the active ingredient in Viagra. The difference is the amount per dose: Kamagra 100mg tablets and Kamagra Oral Jelly contain 100 mg — the maximum recommended dose in the EU product information for Viagra — while each Cenforce 200 tablet contains 200 mg, twice that maximum. Cenforce is made by Centurion Laboratories and Kamagra by Ajanta Pharma. Side effects become more likely as the dose rises, so 200 mg is only for use on a doctor's explicit instruction.
Cenforce 200 comes in sealed manufacturer blisters with the batch number and expiry date. We sell packs of 20, 30, 50 or 100 pills, shipped in plain, unbranded outer packaging — nothing on the outside indicates the contents.
Cenforce 200 starts from €44.00. Several pack sizes are available — the larger the pack, the lower the per-unit price. European delivery is free on orders over €110, otherwise €20 standard (3–5 working days to most countries, 2–7 by country).
Orders ship in plain, unbranded packaging from our European fulfilment hub, usually within one working day of payment clearing. Standard delivery reaches all 27 EU + 3 EEA countries in 3–5 working days to most of them (2–7 depending on the country); express (1–2 working days) is also available. For EU orders, VAT and duties are settled at checkout via IOSS, so there are no surprise bills on arrival.
The active ingredient in Cenforce 200 is Sildenafil. Always read the patient information leaflet and consult a doctor or pharmacist before first use.
Choose your method at checkout: secure bank/SEPA transfer or PayPal. You'll receive clear payment confirmation by email, and we dispatch within one working day of payment clearing.
Yes. Every order ships in plain, unbranded outer packaging — nothing on the outside indicates the contents or the pharmacy.
It is above the EU maximum. The EU product information for Viagra sets 100 mg as the maximum recommended sildenafil dose and reports no added efficacy at 200 mg, only more side effects. Cenforce 200 should be used only on a doctor's explicit instruction, and any change of dose is the doctor's decision.
No. Duration follows sildenafil's half-life, not the dose: the EU product information reports erections with stimulation up to 4–5 hours after a dose, whatever the strength. Which medicine suits you is a doctor's decision; see tadalafil vs sildenafil for how the two differ.
The standard sildenafil list — headache, flushing, nasal congestion, indigestion, dizziness, temporary blue-tinged vision — but at their most frequent and intense at this dose. Seek emergency care for chest pain, sudden vision or hearing loss, fainting, or an erection lasting over four hours (priapism).
Not without a doctor's explicit approval. Sildenafil lowers blood pressure, and at 200mg the additive effect with antihypertensives or alpha-blockers can cause dizziness or fainting. With nitrate medicines the combination is outright dangerous and absolutely contraindicated. Bring your full medication list to a doctor first.
Current prices: 20 pills for €44.00 (€2.20 per pill), 30 pills for €64.50 (€2.15 per pill), 50 pills for €102.50 (€2.05 per pill) and 100 pills for €195.00 (€1.95 per pill). Buying 100 pills works out 11% cheaper per pill than the smallest pack. Dose choice should follow medical need, never price.
The Viagra package leaflet says drinking alcohol can temporarily make it harder to get an erection, and advises against drinking excessive amounts before taking sildenafil. Alcohol and sildenafil can each make you dizzy. Ask your doctor what is sensible for you.
No. The tablets aren't scored, so a half would not be a reliable 100 mg dose. If a doctor prescribes sildenafil 100 mg, it is made as a 100 mg tablet. Never take more than one dose in 24 hours.
Don't take another tablet: one dose in 24 hours is the limit, and the EU data show no added efficacy at 200 mg. Sildenafil works only with sexual stimulation, and a heavy meal can delay it. If it doesn't work as you expect, see a doctor rather than repeating or increasing the dose; erection problems that don't respond to treatment need a medical assessment.
The working window is around four to five hours, though at 200 mg residual effects and side effects can linger longer than with lower doses. Sildenafil is largely cleared within 24 hours in healthy men. Never take more than one tablet in any 24-hour period.
The EU product information for Viagra says sildenafil can be taken with or without food, but a heavy meal may delay its effect. How and when to take it is set by your doctor and the package leaflet.
No. The EU product information for Viagra (sildenafil) recommends 50 mg, allows adjustment down to 25 mg or up to a maximum of 100 mg, and allows at most one dose a day. Each Cenforce 200 tablet contains twice that maximum, so it should be used only on a doctor's explicit instruction.
Cenforce 200 is manufactured by Centurion Laboratories. The manufacturer's name, the batch number and the expiry date are printed on the blister strip and the carton — check that they are present and match before taking any tablet.
Yes. A stuffy nose, flushing, headache and temporary changes in colour vision (such as a blue tint) are known sildenafil side effects, and they become more likely as the dose rises. Sudden loss or dimming of vision in one or both eyes is different: stop taking it and call 112 or get emergency care.
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Raj K. Verified
Paris · 14 Jul 2026
Fastest delivery and genuine product
Reviewed by the Kam4eu editorial teamMedicine information reviewed 13 August 2026Next review due 13 August 2027
Sources for the medical information on this page
This page is general product and medicine information, not a prescription or a substitute for medical advice. Always read the patient information leaflet supplied with your medicine, and speak to a doctor or pharmacist before starting Cenforce 200 — especially if you take other medicines or have a heart, liver or kidney condition.