Cenforce 100 should not be taken with other ED medications such as Tadalafil (Cialis), Vardenafil (Levitra), or Avanafil (Stendra). Combining these drugs can significantly increase the risk of serious side effects like dangerously low blood pressure, fainting, heart palpitations, or prolonged erections (priapism). Using multiple ED medications does not enhance performance and can instead pose severe health risks, especially for individuals with heart conditions or those taking nitrates. If Cenforce 100 is not effective, consult a healthcare provider for proper evaluation and alternative treatments rather than self-medicating with multiple ED drugs.