Cenforce 130 mg, which contains sildenafil citrate, may be used by individuals with high blood pressure, but only under a doctor’s supervision. Cenforce 130 mg can interact with blood pressure medications, particularly nitrates, causing a dangerous drop in blood pressure. If you're on antihypertensive drugs like beta-blockers, ACE inhibitors, or calcium channel blockers, caution is essential. While sildenafil may actually help improve endothelial function in some hypertensive patients, the high 130 mg dose increases the risk of side effects such as dizziness, fainting, or heart palpitations. It’s crucial to undergo a cardiovascular evaluation before using Cenforce 130 mg, especially if you have uncontrolled or severe hypertension.