Cenforce 120 mg (Sildenafil Citrate) is not monitored by the medicine itself—it must be monitored by healthcare professionals and the patient together. Who is responsible for monitoring? 1. Doctor (main responsibility) A cardiologist or general physician/urologist: Checks if it is safe before prescribing Reviews your heart history, BP, ECG (if needed) Adjusts dose or avoids the drug if risk is high Advises what symptoms to watch for 2. You (the user) You must watch your own body for warning signs such as: Cenforce 120 mg pain or pressure Shortness of breath Severe dizziness or fainting Irregular heartbeat Painful or prolonged erection (>4 hours) If any of these happen, stop the medicine and seek emergency care immediately. 3. Pharmacist (limited role) Can check prescription validity Can warn about drug interactions (like nitrates or alpha-blockers) Does not monitor heart health clinically Important point Cenforce 120 mg is a high dose of sildenafil, and it can affect blood pressure and heart workload. That’s why it is usually recommended only when a lower dose (like 50 or 100 mg) is not effective and a doctor has evaluated cardiovascular risk. If you want, I can explain how sildenafil affects the heart and blood pressure in simple terms, or whether Cenforce 120 is considered safe compared to 100 mg.