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There has already been a documented case where the use of Kamagra led to a patient being poisoned. If the patient is already taking tadalafil, the alpha-blocker should be started at the lowest dose. If you would like to join the Kamagra Kaufen team, please click here to create an account and get started. In such situations, tadalafil should be started at the lowest dose. Tadalafil should be used cautiously in patients with bleeding disorders or active ulcers. PDE5 inhibitors may affect platelet function and therefore prolong bleeding. A lowering of dose may be considered if it is not well-tolerated. In patients who take nitrates for angina, tadalafil could cause heart pain or possibly even a heart attack by exaggerating the increase in heart rate and the lowering of blood pressure. Tadalafil and alcohol both lower blood pressure. Therefore, combining tadalafil with alcohol may cause excessive drops in blood pressure and cause dizziness, headaches, and increased heart rate. It is unsafe to consume alcohol with Kamagra 100mg Tablet.