The active ingredient in Cenforce 200 Mg tablets is sildenafil citrate, which acts by blocking the phosphodiesterase type 5 (PDE5) enzyme in the penis' erectile tissue. Cyclic guanosine monophosphate (cGMP), which relaxes smooth muscles and dilates blood vessels in the penis to enable increased blood flow and the development of erections during sexual stimulation, is elevated as a result of this inhibition.