Cenforce Professional (which contains sildenafil) can be used in older adults, but whether it's “safe” depends a lot on the person’s overall health, especially their heart, blood pressure, and other medical conditions. Multiple studies (double‑blind trials, postmarketing data) show that sildenafil (50–100 mg) is generally well tolerated in men aged 65+ and even 75+, with no major new safety concerns. PMC In a real‑world practice study of men over 60, common side effects in older groups were similar (headache, flushing, dyspepsia) and there were no major cardiovascular events reported just from sildenafil. While some sources say older patients may clear sildenafil more slowly, standard sildenafil dosing often does not need adjustment solely because of age. For Cenforce Professional  , in Viagra’s product info, no age‑based dose reduction is required for ≥ 65 years. Amazon Web Services, Inc. For Cenforce Professional, which is a sublingual (under-the-tongue) form, it's important to follow the prescribed dose strictly (doctor might start more cautiously in older adults). According to manufacturer‑type guidelines, the max is 1 tablet (100mg) in 24 hours for that version. iMedix: Your Personal Health Advisor. Older adults are more likely to have kidney or liver impairments, which can affect drug clearance. This needs evaluation. Eye risk: Sildenafil has a rare risk of non-arteritic anterior ischemic optic neuropathy (NAION); if someone already has eye issues, caution is needed. Blood pressure: Since sildenafil causes mild vasodilation, in older adults on anti-hypertensive therapy (or with low baseline BP), there's a risk of hypotension. PubMed