Malegra 120 mg (a high-dose sildenafil formulation) should be used with caution if alcohol is consumed, and here’s why: Key Points on Malegra 120 mg and Alcohol Blood pressure effects Both sildenafil and alcohol can lower blood pressure. Drinking alcohol while taking a high dose like 120 mg may increase dizziness, fainting, or lightheadedness. Reduced effectiveness Alcohol can impair sexual performance itself, counteracting the benefits of Malegra. Heavy drinking may reduce the ability to achieve an erection even with the medication. Side effects may increase Common side effects of sildenafil (headache, flushing, nasal congestion, rapid heartbeat) may worsen with alcohol. Nausea, dizziness, and drowsiness are more likely. Moderation is key Malegra 120 mg amounts of alcohol (1–2 drinks) are usually safe for most men, but avoid excessive drinking when planning sexual activity. Special caution with high doses Malegra 120 mg is higher than standard sildenafil doses. At this dose, the risk of blood pressure drops, heart strain, or prolonged erections increases if combined with alcohol.   Practical Advice Take Malegra 120 mg with water at least 30–60 minutes before sexual activity. Limit alcohol to 1–2 standard drinks or less, or avoid completely. Avoid using if you have heart disease, uncontrolled blood pressure, or other cardiovascular issues. If you experience dizziness, fainting, or chest pain, seek medical help immediately.   Bottom line: Malegra 120 mg can be taken with alcohol in moderation, but heavy drinking is unsafe and increases the risk of side effects, especially at this high dose.