Cenforce 200 is popular in the USA due to its effectiveness and affordability compared to brand-name alternatives. However, it is crucial to use this medication under medical supervision, as it can have side effects like headaches, flushing, indigestion, and in rare cases, more serious cardiovascular issues. Patients with underlying health conditions or those taking certain medications should consult their doctor before using Cenforce 200 to ensure it is safe for them.