If Cenforce 130 mg contains sildenafil 130 mg, age matters because older adults can clear sildenafil more slowly, resulting in higher drug levels and potentially more side effects. The current sildenafil prescribing information recommends considering a starting dose of 25 mg in people over 65. D DailyMed +1 Importantly, 130 mg is above the standard maximum recommended sildenafil dose of 100 mg once daily. D DailyMed By age Cenforce 130 Mg usual starting dose is 50 mg; adjustment depends on response and tolerability. 65 or older: 25 mg is generally considered as the starting dose because exposure is higher. Older age plus kidney/liver problems or certain medicines: the risk of excessive sildenafil levels can be greater. Also, sildenafil must not be combined with nitrate medicines such as nitroglycerin or isosorbide because blood pressure can fall dangerously. D DailyMed If you tell me your age and whether Cenforce 130 actually says “sildenafil 130 mg” on the package, I can give you a more specific safety assessment.