Malegra DXT (which typically contains Sildenafil and Dapoxetine) with alcohol can increase the risk and severity of certain side effects. Here are symptoms you might experience if you combine them: Possible Symptoms from Mixing Malegra DXT with Alcohol: Increased dizziness or lightheadedness — alcohol can lower blood pressure, and Sildenafil also causes vasodilation, so together they can cause a significant drop in blood pressure. Fainting or feeling faint  due to the combined blood pressure-lowering effects. Headache — both alcohol and Sildenafil can trigger headaches, making it worse. Flushing  common with Sildenafil and may be intensified by alcohol. Nausea or upset stomach  alcohol irritates the stomach lining and can increase gastrointestinal discomfort. Blurred vision or visual disturbances  side effects of Sildenafil that may be worsened by alcohol. Impaired judgment or delayed reaction time  both alcohol and Malegra DXT affect the nervous system, potentially impairing coordination and decision-making. Increased risk of prolonged erection though rare, vasodilation effects can be intensified. Increased heart rate or palpitations — alcohol and Dapoxetine can both affect heart rhythm. Important: Alcohol may reduce the effectiveness of Malegra DXT. Mixing them can increase the chance of side effects and can be dangerous, especially if you have heart conditions or low blood pressure. Always talk to your doctor or pharmacist before using Malegra DXT if you plan to drink alcohol. If you experience severe symptoms like chest pain, sudden vision loss, severe dizziness, or fainting, seek medical attention immediately.