While Cenforce 100 mg (sildenafil citrate) is generally safe and effective for most individuals with erectile dysfunction (ED), there are certain populations who should use caution or avoid taking this medication altogether. These populations include:

Individuals with Cardiovascular Conditions: Cenforce 100 mg can cause a temporary decrease in blood pressure, particularly when taken with other medications that lower blood pressure or with recreational drugs like poppers (nitrites). Therefore, individuals with pre-existing cardiovascular conditions such as heart disease, angina, history of heart attack or stroke, or uncontrolled hypertension should use caution and consult with a healthcare provider before taking Cenforce 100 mg.

Those Taking Nitrates: Cenforce 100 mg should not be taken concomitantly with nitrates, including nitroglycerin and certain medications used to treat chest pain (angina). The combination of sildenafil citrate and nitrates can cause a severe drop in blood pressure, leading to dizziness, fainting, or even a heart attack. If you are taking nitrates for a heart condition, you should not use Cenforce 100 mg without consulting your healthcare provider.

Individuals with Liver or Kidney Impairment: Cenforce 100 mg should be used with caution in individuals with liver or kidney impairment, as these conditions can affect the metabolism and excretion of the medication. Your healthcare provider may need to adjust the dosage of Cenforce 100 mg based on the severity of liver or kidney dysfunction.

Those with Retinal Disorders: Sildenafil citrate, the active ingredient in Cenforce 100 mg, may rarely cause changes in color vision or visual disturbances. Individuals with retinal disorders such as retinitis pigmentosa should use caution when taking Cenforce 100 mg and report any changes in vision to their healthcare provider promptly.

Hypersensitivity or Allergy to Sildenafil Citrate: Individuals who have a known hypersensitivity or allergy to sildenafil citrate or any of the inactive ingredients in Cenforce 100 mg should avoid taking this medication.

Men Under 18 Years of Age: Cenforce 100 mg is not indicated for use in individuals under the age of 18, as its safety and efficacy have not been established in this population.

It's essential to consult with a healthcare provider before starting treatment with Cenforce 100 mg, especially if you have any underlying medical conditions or are taking other medications. Your healthcare provider can assess your individual risk factors and determine if Cenforce 100 mg is appropriate for you.