Cenforce D, which contains both sildenafil citrate and dapoxetine, is used to treat erectile dysfunction and premature ejaculation. While it can be effective, combining it with herbal supplements should be approached with caution. Certain herbal supplements like ginseng, ginkgo biloba, yohimbine, or horny goat weed may have similar effects on blood flow or interact with neurotransmitters, potentially intensifying side effects such as headaches, dizziness, low blood pressure, or heart palpitations. Additionally, herbs that affect liver enzymes may alter how Cenforce D is metabolized, leading to reduced effectiveness or increased risk of adverse effects. Always consult a healthcare provider before combining Cenforce D with any herbal supplements to avoid harmful interactions and ensure safe, coordinated treatment. Self-medicating with both pharmaceutical and natural remedies can be risky without professional guidance.