Individuals with heart issues should use Cenforce D with caution and under medical supervision. Cenforce D includes sildenafil and dapoxetine, both of which can raise blood pressure. Sildenafil may induce a brief reduction in blood pressure, potentially worsening pre-existing heart disorders or combining with heart-related drugs like nitrates. Dapoxetine, a medication for premature ejaculation, may also affect cardiovascular health. If you have cardiac difficulties, you should visit a healthcare expert before using Cenforce D. Your doctor can analyze the risks, offer appropriate advice, and alter therapy as needed to guarantee your safety.