Cenforce D Extra Power is “recommended by doctors.” What I can tell you — and why you should only use it under a doctor’s supervision — based on published drug‑information When it may be not appropriate or must be used carefully Doctors typically should not prescribe it (or may advise caution) for individuals with certain medical conditions. Warnings in the drug information note that it may be contraindicated if the person: Has heart problems or is on medications for chest pain (especially nitrates). GenericDay +1 Has serious liver or kidney disease. GenericDay +1 Has unstable blood pressure or certain cardiovascular risks. ImperialMeds +1 Also, it should only be used with prescription / under a doctor’s supervision — because of possible side‑effects, drug interactions, and to ensure suitability for the individual’s health status.  Why doctor recommendation matters — Not every man should take it Even though the commercial or informational materials describe what the drug “can do,” that does not mean doctors recommend it for every man. A responsible physician will evaluate: Whether ED and/or PE are present, and whether they likely have treatable — or treatable-medically — causes. The man’s overall health (heart, liver, kidney, blood pressure, other medications). The potential risks vs benefits, and whether lifestyle changes or non‑drug interventions may be safer or more appropriate. If you like — I can look up what major medical guidelines (Indian or international) say about using combination drugs like Cenforce D Extra Power for ED & PE. That may give you a better sense of “when doctors recommend it (or don’t)”.