Cenforce 200 usually starts working within 30 to 60 minutes, but some men begin feeling its effects as early as 20–25 minutes, depending on metabolism and stomach contents. Because it contains a higher strength of sildenafil, it relies on proper absorption to deliver a strong erection when sexual stimulation occurs. Taking it on an empty stomach or after a light meal helps it kick in faster, while heavy or fatty meals can delay the onset by slowing absorption. Once active, the effects can last 4 to 6 hours, although some men report noticeable firmness for a bit longer due to improved blood flow. Factors like age, stress, alcohol consumption, and overall health also influence how quickly Cenforce 200 begins to work. Men with high stress or anxiety may feel a delay, while those with good circulation may notice faster results. Overall, Cenforce 200 is considered a fast-acting, high-potency option for those who need stronger, quicker erectile support—but it should always be taken responsibly, no more than once per 24 hours, and ideally under medical guidance.