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Yes, there are various drug interactions to consider when taking Cenforce d. To avoid potential interactions, tell your doctor about all of your current medications, including prescription prescriptions, over-the-counter medications, vitamins, and supplements. Cenforce 200 mg may interact with the following medications: 1. Nitrates: Taking Cenforce D with nitrates or nitric oxide donors (such as nitroglycerin) used to treat chest discomfort (angina) or heart disorders might result in a fast reduction in blood pressure, which can induce dizziness, fainting, or possibly a heart attack or stroke. 2. Alpha-blockers: Alpha-blockers used to treat high blood pressure or prostate issues can lower blood pressure when coupled with vidalista 40 mg, causing dizziness, lightheadedness, or fainting.