Black Viagra 200mg is an effective treatment for erectile dysfunction (ED) that contains sildenafil, a phosphodiesterase type 5 (PDE5) inhibitor. Sildenafil works by blocking the PDE5 enzyme, which enhances the effects of nitric oxide, a substance that increases blood flow to the penis. This increased blood flow helps achieve and maintain an erection in response to sexual stimulation. Cenforce typically begins to work within 30 to 60 minutes and its effects last for up to 4 to 6 hours. For best results, it should be taken on an empty stomach or with a light meal. Always follow your healthcare provider’s instructions for use.