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The Cenforce D (Sildenafil and Dapoxetine) medicine comes in an oral tablet and has to be swallowed whole as a tablet. It does not have to be broken or crushed and is not recommended to chew. One tablet of the medicine has to be swallowed with or without water before participating in sexual activities. It is suggested that the user take the Cenforce D (Sildenafil and Dapoxetine) tablet approximately 60 minutes before sexual intercourse. The drug takes about 30 minutes to begin working and shows an effect.