The 4 common drugs you should NEVER take with alcohol.
If you're suffering from an illness and taking drugs, it's important to know whether or not you can safely have a drink whilst on them. Mixing booze with medication can be a dangerous combination, here one expert reveals the dos and don'ts
Prescribed or over-the counter medicines should come with a patient information leaflet (PIL).
This tells you exactly how you should take it and how often, so it's important that you read through this thoroughly before you start taking it.
This is even more important if you're planning on having alcohol, as alcohol can alter blood pressure, temperature and hydration levels - which could be dangerous if you've taken medication.
When it comes to mixing drugs with alcohol, there are some rules that you should always abide by.
For example, you shouldn't drink on medication that makes you feel drowsy, can alter your blood sugar or anything taken for high blood pressure.
You should also stay away from alcohol if you are prescribed painkillers - especially opiates, medications for mental health conditions and any that are broken down in the liver.
This is because drinking can cause less of the medication to be broken down so levels become higher.
Pharmacist Scott McDougall, co-founder of The Independent Pharmacy warned patients often need to be treated for side effects caused by mixing medication with alcohol consumption.
He explained: "It’s vital that patients take medication dosages seriously and follow their doctor or pharmacist's advice on whether or not they can consume alcohol alongside their medication.
"Remember, it’s always best to treat any medical issues you’re facing quickly and effectively with the appropriate medication and following the guidelines to the letter.”
Elderly patients should also take extra care and should assess their medication needs and alcohol consumption with their GP or pharmacist.
Mc Dougall listed the four most common medications you shouldn't consume alcohol with, but you should always check the label of any medication you are prescribed.
1. Propranolol
Propranolol is a prescription-only, beta-blocker medication used to treat and provide symptom relief for a range of health conditions, including anxiety, heart problems and migraines, Mc Dougall says.
"Propranolol is designed to lower your blood pressure, slow your heart rate down and reduce the force of each beat.
"Alcohol can also lower your blood pressure, so mixing Propranolol and alcohol is not advised as it can cause a sudden drop in blood pressure, dizziness, nausea, light-headedness and even fainting.
"Health professionals advise avoiding alcohol when on Propranolol. If you are taking Propranolol, speak to your GP or pharmacist to see whether you need to avoid alcohol completely or if you need a unit limit depending on the type of prescription you are taking", Mc Dougall added.
2. Antibiotics
It is advised to avoid drinking alcohol when taking antibiotics, particularly if you’re feeling unwell as alcohol consumption may slow down the speed of your recovery. "There are a few antibiotics that require you to avoid drinking alcohol completely when taking them. Metronidazole, which is typically prescribed for dental treatment or to clear infected ulcers, and Tinidazole which is often prescribed to clear infections and tackle unwanted gut bacteria. Combining alcohol with these two antibiotics can have painful side effects including stomach pain, vomiting, hot flushes and a fast or irregular heartbeat."
MC Dougall added that you should also be wary of Linezolid and Doxycycline.
However, he added that it is unlikely that alcohol consumption will cause problems if you are taking the most common antibiotics so check with your doctor or pharmacist when collecting your prescription if you’re okay to drink alcohol in moderation while taking the medication.
If you have consumed alcohol while taking additional medication and experienced an adverse response, then you should seek additional medical advice
Some common reactions include: Severe nausea and vomiting, Severe headaches, Drowsiness, Dizziness, Fainting, Changes in blood pressure, Abnormal behavior, Loss of coordination, Accidents and Depression
3. Cold & Flu medication:
Mc Dougall says over the counter cold and flu medication can react with alcohol and could cause intense drowsiness and dizziness. "This is especially important if you intend on driving. Of course, you should never drive when over the legal limit, but drinking alongside taking cold and flu medication (even a single drink) could compromise your usual alertness and reaction time as both substances can cause drowsiness and a lack of concentration."
4. Heartburn medications: Zantac: One of the most common over the counter medications, heartburn tablets, gels or liquids should not be consumed with caution when drinking alcohol, Mc Dougall says. “This is because when mixed with alcohol some medications can cause tachycardia (rapid heart beating) and sudden changes in blood pressure. "Certain heartburn medications, such as Zantac (ranitidine), can also make the effects of alcohol more intense and impair the judgement of the individual."
Until next time, Stay Safe and Stay Healthy
James A Vito, D.M.D.