Mixing Certain Medications with Alcohol

Gillian May

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I’m a former nurse and recovering alcoholic, and I’ve been very concerned by the lack of health education given to the general public about the dangers of mixing alcohol with certain medications. The common practice is to place warnings on medications that they should not be combined with alcohol. Doctors will also provide warnings and some education, but not always. The reason is that the dangers of alcohol withdrawal sometimes outweigh the risks of mixing alcohol with medications.

However, very little education has been done to explain why certain medications are dangerous when mixed with alcohol. The more people become aware of these issues, the more they can make informed choices about their health and alcohol use.

The following medications are the riskiest to mix with alcohol. If you take these medications, you may want to reconsider how much alcohol you consume. I’ll also explain why they are risky and what health issues happen when these medications are taken with alcohol.

Painkillers

Most potent painkillers contain some kind of opioid-type ingredients. Combining alcohol with these medications can increase toxicity and cause respiratory depression. By toxicity, I mean that both alcohol and painkillers, when taken together, increase the potency of both medicines, causing a potential for overdose. Also, the toxicity of this combination dramatically increases the risk for organ damage, especially for the liver and brain. Respiratory depression means that breathing slows down considerably and can even stop altogether.

Another painkiller that is not an opioid, and should also not be mixed with alcohol is Tylenol or acetaminophen. Both alcohol and Tylenol are hard on the liver and can increase liver damage when taken together. Usually, adverse effects happen over a long period of use for both alcohol and Tylenol.

Benzodiazepines

Benzodiazepines are medications like Xanax and Ativan that are usually taken to calm anxiety. Both alcohol and benzodiazepines cause a similar action in the nervous system. Therefore, when mixed together, they can increase the effect of both substances, causing an increase in side effects like drowsiness, respiratory depression, blackouts, and dangerous withdrawal.

Cough and cold medication

Whether it’s over the counter or prescribed by a doctor, cough and cold medications can be hazardous when mixed with alcohol. The reasons are pretty similar to what happens with painkillers. When taken together, these medications can cause an increase in overdoses and severe toxicity to the brain and organs.

Diabetes and cholesterol medications

Medications like Insulin and Metformin are hard on the liver — unfortunately, so is alcohol. When these medications are taken with alcohol, it can increase the potential for liver disease, especially when combined over a long period of time. Often, doctors will say it’s ok to have a drink or two, here and there. However, when alcohol consumption goes past a drink or two, the probability of liver problems increases.

The same can be said about combining cholesterol-lowering medications and alcohol. Medications like rosuvastatin and atorvastatin are hard on the liver, so when combined with alcohol, can increase liver problems. It’s also worth mentioning that both of these conditions, diabetes and high cholesterol, can also increase problems with the liver and are associated with liver damage.

Mental health medications

Almost all medications for mental illness, whether it’s depression or psychosis, should not be taken with a lot of alcohol. For one, some of these medications are hard on the organs, so combining them with alcohol can increase damage to some bodily organs.

And for two, alcohol can often decrease the effectiveness of these medications when taken together. Mental illness is associated with substance abuse, so this combination can increase the symptoms of mental illness, making abuse of substances like alcohol more likely. In a sense, it can become a vicious cycle.

These are the most common and important medications that should not be mixed with alcohol. The combinations either cause serious drowsiness and a high potential for overdose or increase damage to the organs, especially the liver. Some of these issues happen immediately, while others happen over years of combining alcohol and medications. The critical issue is to know more about which medicines are problematic and why. The more that people understand this, the better decisions they can make. This is the goal of public health education, and I’m committed to providing this for the general population.

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I'm a former nurse turned freelance writer. I have extensive experience in administration, frontline care, and education in mental health, public health, and geriatrics. However, after 20 years, I needed a change and always wanted to write. I have personal and family experience in mental health and addictions, so I'm passionate about advocacy and education in those areas. I'm also a traveler, photographer, and artist. I funnel all my various expertise into my writing and hope to provide valuable content that is entertaining and educational. Join my email list if you want to read more of my work - https://upbeat-trader-4181.ck.page/839d0ab3f9. I also have a book on Alcoholic Liver Disease coming out in 2021.

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