Cenforce 200 mg contains sildenafil, alcohol can add to its blood-pressure-lowering effects. Although studies with 50 mg sildenafil in healthy volunteers did not show a major additional blood-pressure effect with alcohol, the study did not evaluate 200 mg. D DailyMed +1 More importantly, Cenforce 200 mg  sildenafil is above the usual maximum recommended dose of 100 mg. Taking that dose with alcohol may increase the chance of dizziness, headache, flushing, rapid heartbeat, or low blood pressure. D DailyMed Safest approach: avoid or minimize alcohol when taking sildenafil, and don't take more than the prescribed dose. If you've already taken Cenforce 200 mg with alcohol, tell me approximately how much alcohol and when you took each, and I can explain what to watch for.