Cenforce 150 is a high-dose sildenafil tablet used to treat erectile dysfunction (ED) by increasing blood flow to the penis. However, its effectiveness can be influenced by lifestyle factors, including heavy smoking. Smoking is known to damage blood vessels, reduce nitric oxide levels, and impair overall circulation—all of which are critical for achieving and maintaining an erection. As a result, heavy smokers may experience a reduced response to Cenforce 150MG compared to non-smokers. While the medication may still work, it might not be as effective or reliable. Combining Cenforce 150 with smoking cessation, regular exercise, and a healthy diet can significantly improve outcomes and overall sexual performance. Heavy smokers should also consult a doctor before use, as smoking increases the risk of cardiovascular side effects, which can be exacerbated by sildenafil.