Take Cenforce 200 between 30 and 60 minutes prior to engaging in sexual activity to feel its effects for four to six hours. A Cenforce 200 pill may be taken either with food or on an empty stomach. You must take it precisely as directed by your doctor. Take a pause an hour before your scheduled sexual activity. Depending on the person, work may demand a variable amount of time, but it often lasts between 30 and an hour.