The effects of Cenforce 200 can last for up to 4 to 6 hours after ingestion, providing a sufficient window of opportunity for sexual activity. However, the duration may vary based on individual factors. While Cenforce 200 is generally safe and well-tolerated, it may cause side effects such as headache, flushing, indigestion, nasal congestion, dizziness, and changes in vision. Serious side effects are rare but should be monitored, especially in individuals with certain medical conditions or taking specific medications.