Prescription and over-the-counter medicines that you should never mix with alcohol (2023)

If you take any medications, including over-the-counter (OTC) products, you should know that alcohol consumption can affect the performance of your medications. Mixing alcohol and medication can even be dangerous.

If you drink excessively or regularly, you increase your risk of adverse drug reactions. The combination of drugs and alcohol can have serious health consequences, including overdose and even death.

Here's what you need to know about potentially dangerous interactions between alcohol and common prescription and over-the-counter drugs.

Prescription and over-the-counter medicines that you should never mix with alcohol (1)

Why Drugs and Alcohol Don't Mix

According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), there are a number of reasons why mixing medication and alcohol can be harmful. The ways that drugs and alcohol interact in your body can go both ways: alcohol can change the way a medication works, and certain drugs can change the way you feel the effects of alcohol.

Alcohol can make some medications less effective by interfering with how they are absorbed in the digestive tract. In some cases, alcohol increases the bioavailability of a drug, which can raise the blood concentration of the drug to toxic levels.

In addition, alcohol consumption can also worsen the side effects of a medication or even cause new symptoms. This is especially true if you are taking a medication that makes you drowsy or sedated.Mixing opiates and alcohol, for example, can stop breathing and is a frequent cause of death.

Your medication's label may not specifically warn against drinking alcohol while taking your medication, so it's important not to assume that the absence of a warning means it's safe to mix the two.

If you take prescription medication or use a specific medication every day, ask your doctor if you can drink alcohol. You can safely consume a limited amount as long as you follow certain rules (for example, wait at least four hours after taking your daily dose before having an alcoholic beverage).

And be honest about your spending habits. If you lie about the amount of alcohol you consume on a regular basis, your doctor will not be able to accurately assess the risks and benefits of prescribing a particular medication.

Also, if you have an underlying health condition, such as heart disease or high blood pressure (hypertension), mixing alcohol with your medications could put you at risk for complications.

When the interaction between substances is reversed, certain drugs can change the way your body responds to an alcoholic beverage. For example, some over-the-counter products can make the effects of alcohol (such as drowsiness) more severe. More intense side effects mean you may be more upset after drinking than you normally are.

Other symptoms that may occur if you mix medication with alcohol include:

  • Changes in blood pressure
  • Changes in your mood, emotions and behavior.
  • Dizziness
  • headaches
  • lack of coordination
  • nausea and vomit

In some cases, mixing alcohol with medication can cause aoverdoseoalcohol poisoning- both are life-threatening medical emergencies.

The effects of mixing alcohol with medication also depend on certain individual factors. For example, women can experience theeffects of mixing alcohol and medicationmore severely than men due to differences in metabolism.

Older adults (especially those taking more than one medication) are also more likely to have problems, as the body's ability to remove alcohol and drugs decreases with age.

How does alcohol metabolism work?

Mental health medications that interact with alcohol

In general, alcohol use has the potential to worsen symptoms of a mental health condition. In addition, there are hundreds of mental health medications that interact with alcohol. Combining alcohol with a mental health medication can make the medication less effective or even more dangerous.

(Video) Things You Should Never Ever Mix With Alcohol

Here is a short list of the most common prescription and over-the-counter drugs that can pose a risk to your health if mixed with alcohol, as well as what can happen if the substances are combined.

It's important to note that this list is not exhaustive and may not include every medication you are taking. If you are not sure whether you can safely drink alcohol while taking a particular medication, read the label carefully and consult a pharmacist or doctor.

ADHD Medications

Stimulants and sedatives (such as alcohol) mask each other's effects. Therefore, mixing the two increases the likelihood of overdosing on either substance.

In some cases, harmful physical effects such as seizures may occur. The longer a person abuses stimulants and alcohol together, the greater the risk of developing substance use disorders.

medicines forhyperactive disorder and attention deficit disorder(ADHD), such as the following, should not be mixed with alcohol:

  • Adderall(amphetamine)
  • The concert(methylphenidate)
  • dexedrina(dextroanfetamina)
  • ritalin(methylphenidate)

Anti-anxiety, seizure and epilepsy medications

mixinganti-anxietyand epilepsy medications with alcohol can cause slow breathing, impaired motor control, abnormal behavior, and memory loss.

If you are being treated for an anxiety disorder or epilepsy, avoid alcohol if you are taking any of the following medications:

  • Ativan(lorazepam)
  • Klonopin(clonazepam)
  • Valium(diazepam)
  • Xanax(alprazolam)
  • Dilantin (phenytoin)


In addition to getting worseside effects of antidepressant medications, mixing these drugs with alcohol can also dodepression symptomsworse.

If you are being treated for depression or another mental health condition, such as anxiety disorder, bipolar disorder, post-traumatic stress disorder, or obsessive disorder, you may need to limit or completely avoid alcohol if you drink one or more of the following medications:

  • Anafranil (clomipramine)
  • Celexa(citalopram)
  • Efexor(venlafaxine)
  • Elavil (amitriptyline)
  • lexapro(escitalopram)
  • Luvox(fluvoxamina)
  • Norpramine (desipramine)
  • paxil(paroxetine)
  • Prozac(fluoxetine)
  • Serzone (nefazodona)
  • Wellbutrin(bupropion)
  • Zoloft(sertraline)


antipsychoticsit may be prescribed for people with conditions such as bipolar disorder or schizophrenia.

Risks of mixing antipsychotics and alcohol include impaired judgment, dizziness, drowsiness, low blood pressure, worsening of a psychiatric condition, increased risk of suicide, and more.

Common antipsychotics include:

  • Abilify(aripiprazol)
  • Latuda(done)
  • refused(brexpiprazol)
  • seroquel(quetiapine)
  • Zyprexa(olanzapine)

If you are having suicidal thoughts, contact yourNational Suicide Prevention Hotlineem988for the support and assistance of a trained counselor. If you or a loved one are in immediate danger, call 911.

For more mental health resources, check out ourNational Database of Support Lines.


Medicines used to treat insomnia or to help you fall asleep should never be mixed with alcohol. The sedative effect of these drugs can be increased by alcohol, causing slow or troubled breathing, impaired motor control, abnormal behavior, memory loss, and fainting.

In some cases, a fatal overdose can occur if sleeping pills are mixed with alcohol because both substances affect the body's central nervous system (which controls breathing, heart rate and brain function).

Do not drink alcohol if you are taking any of these medicines to help you sleep:

  • environment(zolpidem)
  • Lunesta (eszopiclona)
  • Prosom (estazolam)
  • to restore(temazepam)
  • Unisom (doxylamine)

Other drug interactions

It is important that you do not mix alcohol with any of the following medications.

(Video) Is it Dangerous to Drink on Medication? Medicine with Alcohol - All you need to know

The following list of drugs that must not be mixed with alcohol is not exhaustive. You should always read the label on any medication and consult a doctor to make sure you are taking a medication safely.

Medicines for allergies, colds and flu

You should avoid drinking alcohol if you are taking allergy medication or any cold and flu formulation with various symptoms.

Drowsiness and dizziness are common side effects of medications used to treat allergies, colds and flu. These symptoms are also common when drinking alcohol. When substances are combined, the effect is intensified and your judgment and concentration will be more affected.

The risks associated with drowsiness caused by medication or alcohol are serious, so you should never drive or operate heavy machinery while under the influence of any substance.

Avoid alcohol if you are taking:

  • Allegra (fexofenadine) or Allegra-D (fexofenadine/pseudoephedrine)
  • Benadryl (difenidramina)
  • Claritin (loratadine) or Claritin-D (loratadine/pseudoephedrine)
  • Sudafed Sinus and Allergy (clorfeniramina/fenilefrina)
  • Tylenol Cold and Flu (acetaminofeno/dextrometorfano/guaifenesina/fenilefrina)
  • Zyrtec (cetirizina)

angina medications

Angina (ischemic chest pain) is caused by reduced blood flow to the heart. If you have angina, you may be prescribed a drug called nitroglycerin.

If you drink alcohol while taking nitroglycerin, it can cause rapid heartbeat, sudden changes in blood pressure, dizziness and fainting.

Avoid alcohol if you are taking any brand of nitroglycerin, including (but not limited to):

  • Nitrostato
  • By Nitrom
  • nitroquick
  • Nitro Dur


Alcohol can affect how some antibiotic medicines work. It is possible that if you use them together, the antibiotics will be less effective in curing the infection you are being treated for.

Research on mixing alcohol with antibiotics is somewhat limited and unclear, but the combination has been linked to symptoms such as tachycardia (fast heartbeat), sudden changes in blood pressure, gastrointestinal disturbances, headache, hot flashes, and liver damage.

Drinking even a small amount of alcohol while taking an antibiotic called Flagyl (metronidazole) can cause a severe reaction that makes you very sick with nausea and vomiting. You will need to avoid alcohol for three days before starting and after you stop taking Flagyl.

Other antibiotics that should not be mixed with alcohol include (but are not limited to):

  • amoxicillin
  • Nidrazid (isoniazid)
  • Tindamax (tinidazol)

anti-nausea medications

Prescription drugs to treat nausea can make you drowsy, dizzy, and affect your motor control—symptoms that can also be caused by alcohol. Some medications (usually antihistamines) used to prevent and treat motion sickness can also be purchased without a prescription.

If you mix any type of anti-nausea medication with alcohol, the medication's side effects may become more intense.

Avoid combining alcoholic beverages with medications used to treat nausea, such as:

  • Antivert (meclizina)
  • Atarax (hydroxyzine)
  • Phenergan (promethazine)

Certain types of anti-nausea medications can be used to help someone who is trying to stop drinking alcohol. When used under medical supervision, the combination can be an effective way to treat alcohol withdrawal.

arthritis medications

If you take arthritis medications, it's important to know that mixing them with alcohol can increase your risk of stomach ulcers and stomach bleeding, as well as liver problems.

You should avoid alcohol if you are taking medications to treat arthritis, including:

  • Celebrex (celecoxibe)
  • Naprosyn (naproxen)
  • Voltaren (Diclofenac)


If you have a medical condition (such as atrial fibrillation) that puts you at risk of developing a blood clot, your doctor may prescribe anticoagulant medications to "thin" your blood. While these medications make your body less likely to form blood clots, they also make you bleed more easily.

(Video) Mixing medications with alcohol

If you take a blood thinner, even the occasional drink canincrease the risk of internal bleeding.Frequent or heavy consumption increases this risk and may also counteract the anticoagulant effects of the medication. If your body is forming blood clots, your risk of having a stroke or heart attack increases.

You may not need to completely avoid alcohol if you are taking a blood thinner. The American Heart Association (AHA) recommends limiting your intake to no more than the occasional drink or two if you are on blood thinner therapy.

However, your doctor may have a different recommendation. Be sure to talk to them before you have a drink if you're taking blood-thinning medications such as:

  • Coumadin (warfarin)
  • heparin
  • Lovenox (enoxaparin sodium)

cholesterol medications

Prescription drugs to lower cholesterol levels (known as statins) can cause flushing, itching, stomach bleeding and liver damage. Combining these drugs with alcohol can make the risks and side effects worse, especially if you have liver disease.

Mild liver inflammation can occur in about 2% of people who take statins for a long time.Although it usually improves after stopping the medications, there is concern that alcohol (which is metabolized by the liver) may worsen liver inflammation.

Some research has found that alcohol doesn't seem to make liver inflammation worse in certain people who take cholesterol medications. A 2006 Harvard study found that moderate alcohol consumption had no significant negative effect on the liver in men taking statins after heart surgery.

That said, mixing alcohol and statins can still make the drug's side effects more intense. You may want to limit your alcohol intake if you are taking a cholesterol-lowering medication such as:

  • Advicor (extended-release niacin/lovastatin)
  • Altocor (lovastatina)
  • Crestor (rosuvastatina)
  • Lipitor (atorvastatina)
  • Vytorin (ezetimibe/sinvastatina)

cough suppressants

As with cold and flu remedies, combining alcohol with medications used to treat a cough can cause drowsiness, dizziness, and motor impairment. The effects of the mixture can be especially severe, if not fatal, when the cough medicine also contains alcohol.

An ingredient in some cough suppressants called dextromethorphan (DXM) can be especially dangerous because it can cause extreme sedation and respiratory depression. This combination can cause an overdose which can be fatal.

You should not drink alcohol if you are taking:

  • Robitussin A-C (guaifenesin/codeine) or Robitussin Cough (dextromethorphan)
  • Delsym (dextrometorfano)

diabetes meds

If you have diabetes, drinking alcohol can affect your blood sugar levels. Drinking alcohol with the medicines you take to control diabetes can have the same effect, and the mixture can also cause symptoms such as nausea, vomiting, headache, rapid heartbeat and sudden changes in blood pressure.

You shouldn't drink alcohol if you're taking medication to treat diabetes, including:

  • Glucophage (metformin)
  • Micronasa (gliburida)
  • Orinase (tolbutamida)

heartburn medications

Using alcohol with medications used to treat heartburn, both prescription and over-the-counter, can cause tachycardia (fast heartbeat) and sudden changes in blood pressure.These drugs can also make the effects of alcohol more intense, leading to impaired judgment and sedation.

Be careful and consider limiting your alcohol intake if you take heartburn medications, including:

  • Axid (nizatidina)
  • Reglan (metoclopramide)
  • Tagamet (cimetidine)
  • Zantac (ranitidine)

high blood pressure medication

Combining alcohol with drugs used to treat hypertension (high blood pressure) can cause dizziness, fainting, drowsiness, and arrhythmia (irregular heartbeat).

You should avoid drinking alcohol if you are taking medication to treat high blood pressure, such as:

  • Accupril (quinapril)
  • Capozide (captopril/hydrochlorothiazide)
  • Cardura (doxazosin)
  • catapres (clonidine)
  • Vaseretic (enalapril/hydrochlorothiazide)

muscle relaxants

If you have an injury or medical condition that causes muscle pain or spasms, you may be given medicine to relax your muscles. Muscle relaxants are commonly used to treat back and neck pain, as well as certain types of headaches.

Both muscle relaxants and alcohol suppress the central nervous system, which controls the functions of the heart, lungs, and brain.

Combining these drugs with alcohol can cause serious side effects, including drowsiness, dizziness, slow or troubled breathing, abnormal behavior, memory loss, impaired motor control, and seizures.

While this is not an exhaustive list, you shouldn't drink alcohol if you take any of the following medications:

(Video) What you need to know about mixing Alcohol & Medicine

  • Atarax (hydroxyzine)
  • Antivert (meclizina)
  • Soma (carisoprodol)

opioid pain relievers

One of the deadliest combinations is alcohol and narcotic pain relievers. By themselves, opioids can cause drowsiness, dizziness, slow or troubled breathing, impaired motor control, abnormal behavior, and memory loss.

Mixing these drugs with alcohol intensifies the side effects and increases the risk of aoverdose fatal.

Narcan (naloxone hydrochloride) is an opioid agonist, a medication that can help counteract the effects of opioid medications such as morphine, oxycodone, and heroin. mixing opioid analgesics with alcohol.

You should never mix alcohol with narcotics, including:

  • Darvocet-N (propoxyphene/acetaminophen napsylate)
  • Demerol (meperidina)
  • Fiorinal (butalbital/aspirin/caffeine)
  • percocet(oxicodona/acetaminofeno)
  • Vicodin(hydrocodone/acetaminophen)

Medications for the Prostate

Drinking an alcoholic beverage while taking medication to treat prostate conditions can cause dizziness, lightheadedness and fainting.

Limit or avoid alcohol intake if you take any of the following prostate medications:

  • Cardura (doxazosin)
  • Flomax (tamsulosina)
  • Minipress (prazosina)

Over-the-counter pain medications

The dangers of mixing alcohol with prescription drugs are well known. When you pick up your prescription at the pharmacy, the label or package insert will likely come with a warning if it is unsafe to consume alcohol while taking the medication.

However, even over-the-counter medications can be dangerous when mixed with alcohol. For example, over-the-counter pain relievers (including nonsteroidal anti-inflammatory drugs) can cause a variety of symptoms, from gastrointestinal upset to stomach bleeding and ulcers to tachycardia (a racing heart).

Taking over-the-counter pain relievers such as Tylenol (acetaminophen) in high doses, or taking these medications regularly for an extended period of time, has been linked to liver damage.

The side effects and short-term and long-term risks associated with over-the-counter pain relievers are heightened when these medications are mixed with alcohol. If you are taking an over-the-counter pain reliever, read the label carefully. Some over-the-counter pain relievers generally do not pose a significant risk when occasionally combined with small amounts of alcohol.

However, serious interactions between alcohol and other pain relievers can occur, especially if people have underlying medical conditions that alter the way their bodies metabolize drugs and alcohol.

Be aware of your alcohol intake and check the medication label before taking any of the following:

  • Advil (ibuprofen)
  • Aleve (naproxen)
  • Excedrin (acetaminophen/aspirin/caffeine)
  • Motrin (ibuprofen)
  • Tylenol (paracetamol)

Take special care with any medication or multi-symptom remedy that contains acetaminophen or ibuprofen.

If you've had an alcoholic drink and you're not sure whether to take an over-the-counter pain reliever, ask your local pharmacist or primary care provider if it's safe to do so.

A Word from Verywell

There are hundreds of prescription and over-the-counter medications that are unsafe to mix with alcohol. The dangers of mixing alcohol with medication can range from increased side effects to life-threatening symptoms, overdose and even death.

Always read the label and package leaflet of any medication you are taking, whether prescribed by your doctor or purchased over the counter. If you're not sure if it's safe to drink alcohol while taking medication, call your local pharmacy or talk to your doctor about possible interactions.

Understanding the dangers of alcohol


What prescription drugs interact with alcohol? ›

Numerous classes of prescription medications can interact with alcohol, including antibiotics, antidepressants, antihistamines, barbiturates, benzodiazepines, histamine H2 receptor antagonists, muscle relaxants, nonnarcotic pain medications and anti-inflammatory agents, opioids, and warfarin.

What drugs shouldn't be mixed? ›

Specifically, drugs that slow down breathing rate, such as opioids, alcohol, antihistamines, CNS depressants, or general anesthetics, should not be taken together because these combinations increase the risk of life-threatening respiratory depression.

Can you mix blood pressure medication with alcohol? ›

Blood pressure medication: It's particularly dangerous to mix alcohol with blood pressure medications, like beta blockers and ACE inhibitors, because alcohol can excessively lower your blood pressure, leading to dizziness and rapid heartbeat, and raising your risk of falls or of passing out.

Which medication should be avoided when drinking alcohol due to the increased toxicity of the medication to the liver? ›

Ketoconazole, griseofulvin, isoniazid, and others—Liver toxicity: Alcohol should be avoided by patients taking ketoconazole, griseofulvin, and isoniazid because of an additive potential for liver toxicity.

Which medication most likely interacts harmfully with alcohol? ›

Most Common Drug and Alcohol Interactions
  • prednisone.
  • diazepam (Valium)
  • alprazolam (Xanax)
  • amoxicillin.
  • caffeine.
  • amphetamine and dextroamphetamine (Adderall)
  • ibuprofen (Advil, Motrin)
  • sertraline (Zoloft)

What antibiotics can you not drink alcohol with? ›

A few antibiotics — such as metronidazole (Flagyl), tinidazole (Tindamax), and sulfamethoxazole and trimethoprim (Bactrim) — should not be mixed with alcohol because this may result in a more severe reaction.

What drugs does SAMe interfere with? ›

Possible interactions include:
  • Antidepressants and other drugs and supplements that increase levels of serotonin. Don't take SAMe with antidepressants. ...
  • Antipsychotics. Be cautious when taking these drugs with SAMe. ...
  • Amphetamines. Be cautious when taking these drugs with SAMe. ...
  • Dextromethorphan. ...
  • Levodopa. ...
  • Narcotics. ...
  • St.

What drugs are not allowed? ›

Types of illegal drugs
  • Cannabis (Marijuana)
  • Cocaine.
  • MDMA/Ecstasy.
  • GHB.
  • Hallucinogens.
  • Heroin.
  • Inhalants.
  • Ketamine.

What drugs interact with SAMe? ›

Before taking this medicine

Do not use SAMe if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

What not to mix with alcohol? ›

What to Never Mix with Alcohol
  • Energy Drinks. Mixing caffeine with liquor may give you a lot of energy and lessen the effects of alcohol, but this will only make you continually drink more alcohol. ...
  • Marijuana. ...
  • Pain Relief Medication. ...
  • Painkillers. ...
  • Sleeping Pills. ...
  • Cocaine. ...
  • Hallucinogens. ...
  • Antidepressants.
May 2, 2019

What drinks should I avoid with high blood pressure? ›

Drinking more than 4 cups of coffee a day may increase your blood pressure. If you're a big fan of coffee, tea or other caffeine-rich drinks, such as cola and some energy drinks, consider cutting down.

What kind of alcohol can you drink with high blood pressure? ›

Whiskey reduces your blood pressure and it is against bad cholesterol and blood clots, both lower the risk of stroke or heart attack. Drinking wine, dark beer, and whiskey moderately helps to reduce the risk of heart attack.

Which antidepressants should not be taken with alcohol? ›

  • One of the most dangerous kinds of antidepressants to mix alcohol with.
  • Certain chemicals, called tyramines, in drinks like beer and wine can cause dangerous spikes in blood pressure that may require immediate medical attention.
  • Common Maoi's: Azilect, Eldepryl, Zelapar, Marplan, Nardil, Parnate.
Oct 26, 2022

What medications are liver toxic? ›

Some medications linked to serious liver injury include the statin drugs used to treat high cholesterol, the combination drug amoxicillin-clavulanate (Augmentin), phenytoin (Dilantin, Phenytek), azathioprine (Azasan, Imuran), niacin (Niaspan), ketoconazole, certain antivirals and anabolic steroids.

What foods are good for liver repair? ›

What foods are good for liver repair? Many foods contain specific compounds or antioxidants that have been shown to support liver function. A few examples include grapefruit, blueberries, cranberries, fatty fish, olive oil, and cruciferous vegetables like broccoli or Brussels sprouts.

Can you drink alcohol with Tylenol Extra Strength? ›

It is not safe to mix acetaminophen and alcohol. Together they can irritate the stomach and, in severe cases, cause ulcers, internal bleeding, and liver damage. Acetaminophen, also known as paracetamol or Tylenol, is a drug people use to treat mild-to-moderate pain and fever.

Can you take ibuprofen with alcohol? ›

A Risky Combination. Alcohol can irritate your intestinal tract and stomach, and taking any NSAID, such as ibuprofen, can make that worse. Even a small amount of alcohol after taking ibuprofen is risky, and the more your drink the higher the risks are.

Can you drink alcohol with ibuprofen? ›

It is usually safe to drink a moderate amount of alcohol (no more than the daily guideline of alcohol units) if you are taking a painkiller that can be bought over the counter such as paracetamol or ibuprofen; providing you get relevant advice.

Can I drink alcohol with amoxicillin? ›

Is there any food or drink I need to avoid? You can eat and drink normally while taking amoxicillin. Yes, you can drink alcohol with amoxicillin.

Can you drink alcohol with prednisone? ›

A person taking prednisone may want to avoid alcohol until they finish the treatment. Alcohol can worsen some side effects of prednisone, such as immune system suppression, bone weakening, and weight gain. It is best to speak with a doctor to avoid serious complications.

Can I drink alcohol while taking antidepressants? ›

It's best to avoid combining antidepressants and alcohol. It may worsen your symptoms, and it can be dangerous. If you mix antidepressants and alcohol: You may feel more depressed or anxious.

Can I take 5 different vitamins at once? ›

You can—but it's probably not a good idea. For some supplements, optimal absorption can depend on the time of day taken. Not only that—taking certain vitamins, minerals, or other supplements together can also reduce absorption and may result in adverse interactions, which can be harmful to your health.

Which vitamins Cannot be taken together? ›

What vitamins should not be taken together?
  • Magnesium and calcium. ...
  • Iron and green tea. ...
  • Vitamin C and B12. ...
  • Fat-soluble and water-soluble vitamins. ...
  • Vitamin D, vitamin K2, and other fat-soluble vitamins. ...
  • Magnesium and vitamin D3. ...
  • Copper and zinc. ...
  • Omega-3s and vitamin E.
Oct 21, 2022

Is gabapentin a controlled substance? ›

From 1 April 2019, gabapentin and pregabalin are Schedule 3 controlled drugs under the Misuse of Drugs Regulations 2001, and Class C of the Misuse of Drugs Act 1971. This means that additional requirements are needed on the prescription. For example, the dose must be clearly defined. 'As directed' is not acceptable.

What are Schedule 4 controlled drugs? ›

Schedule 4 includes in Part I drugs that are subject to minimal control, such as benzodiazepines (except temazepam and midazolam, which are in Schedule 3), non-benzodiazepine hypnotics (zaleplon, zolpidem tartrate, and zopiclone) and Sativex®.

What prescription drugs are banned by DOT? ›

Drivers are prohibited from taking certain drugs, which can be legal or illegal.
The DOT Drug Testing Panel
  • Marijuana.
  • Cocaine.
  • Amphetamines and methamphetamines such as MDMA and MDA.
  • Phencyclidine (PCP)
  • Opiates, including Codeine, Morphine, Heroin, Hydrocodone, Hydromorphone, Oxycodone and Oxymorphone.
Jan 25, 2022

Does SAMe affect blood pressure? ›

SAM may affect the nervous control of arterial blood pressure via the autonomic nervous system and KATP channel-dependent mechanisms.

What is the most common type of drug interaction? ›

pharmacokinetic – defined as an alteration in the absorption, distribution, metabolism or excretion of one drug by another. This is the most common type of drug interaction.

What are the most common drug drug interactions? ›

Below are a few notable examples of drug-condition interactions.
  1. Propranolol and asthma. Propranolol is a beta blocker medication used to treat conditions like high blood pressure. ...
  2. Diphenhydramine and glaucoma. ...
  3. Pseudoephedrine and high blood pressure. ...
  4. Furosemide and severe kidney disease. ...
  5. Acetaminophen and liver disease.
Aug 3, 2022

Can you drink alcohol when taking omeprazole? ›

Can I drink alcohol with it? It's best to avoid alcohol if possible. Although it does not affect the way omeprazole works, alcohol makes your stomach produce more acid than normal. This can irritate your stomach lining and make your symptoms worse.

What is the best drink in the morning for high blood pressure? ›

Orange Juice

Consuming a cup of fresh orange juice in the morning can fulfil your daily vitamin requirement. According to various health studies and journals, consuming fruits that are rich in vitamin C may help manage high blood pressure.

What is the average blood pressure for a 70 year old? ›

Elderly blood pressure range for men and women

The American College of Cardiology (ACC) and the American Heart Association (AHA) updated their guidelines in 2017 to recommend men and women who are 65 or older aim for a blood pressure lower than 130/80 mm Hg.

What is the best drink to lower blood pressure? ›

Researchers have also reviewed drinks that can help lower the risk for cardiovascular disease by their effects on blood pressure.
Nonetheless, there's evidence that the following six drinks may help lower blood pressure.
  1. Skim milk. ...
  2. Tomato juice. ...
  3. Beet juice. ...
  4. Hibiscus tea. ...
  5. Pomegranate juice. ...
  6. Grapefruit juice.
Feb 2, 2023

Does lemon water bring your blood pressure down? ›

Citrus, such as lemon and limes, has been shown to reduce blood pressure and has the added benefit of adding a little flavor to a boring glass of water.

What time of day is best to take blood pressure? ›

Take it first in the morning before eating or taking any medications. Take it again in the evening. Each time you measure, take two or three readings to make sure your results are the same. Your health care provider might recommend taking your blood pressure at the same times each day.

What fruit lowers high blood pressure? ›

Berries: Strawberries and blueberries are rich in antioxidant compounds called anthocyanins. Research has linked anthocyanins to a reduction in blood pressure in people with hypertension.

What is the best anti anxiety medication for alcoholics? ›

Paroxetine is the antidepressant for which the most scientific evidence was found for dual anxiety treatment (68–70). Three clinical trials (69–71) found that paroxetine was effective in social anxiety patients with alcohol dependency.

What happens if you drink alcohol while taking Lexapro? ›

What happens if you drink alcohol while taking Lexapro? Drinking alcohol while taking Lexapro isn't recommended. Both alcohol and Lexapro can cause side effects like increased depressive thoughts, sleep problems, and dizziness. Combining the two may cause drowsiness, nausea, reduced alertness, and serotonin syndrome.

Which antidepressants cause liver damage? ›

The antidepressants associated with greater risks of hepatotoxicity are iproniazid, nefazodone, phenelzine, imipramine, amitriptyline, duloxetine, bupropion, trazodone, tianeptine, and agomelatine.

What drug is most toxic to liver? ›

[3] The most common drug implicated in drug-induced liver injury is acetaminophen. [4] Antibiotics are the class of drugs most commonly causing liver toxicity,[5] and amoxicillin-clavulanate stands out as the most common drug in this class.

What vitamins are hard on your liver? ›

Avoid certain supplements: Excess iron, niacin, and vitamin A (the retinol form, not beta carotene) tend to stress an unhealthy liver.

Is canned tuna good for liver? ›

Salmon, sardines, tuna, and trout are all high in omega-3 fatty acids, which can help lower the levels of fat in the liver and reduce inflammation. It is also a healthy alternative to meat as it provides protein while giving you the opportunity to avoid consuming the fats and skins from meat or poultry.

Are eggs good for liver? ›

Eggs are rich in all the eight essential amino acids and choline, which is also a vital nutrient. The amino acids and choline help the liver in the detoxification process and improve the metabolism rate.

What are the best nuts for liver? ›

Of all types of nuts, walnuts are amongst the most beneficial for reducing fatty liver disease. This is thanks to their higher antioxidant and fatty acid content. Walnuts have the most omega-6 and omega-3 fatty acids, as well as polyphenol antioxidants.

Can I drink any alcohol at all while taking hydrochlorothiazide? ›

Notes for Consumers: Do not drink alcohol while taking this medication. Drinking alcohol while taking this medication increases the risk for dangerously low blood pressure. Contact your care team right away if you experience dizziness, feeling faint or lightheaded, or blurry vision.

What is the best blood pressure medication for alcoholics? ›

It is suggested that ACE inhibitors/angiotensin II receptor type 1 (AT1) blockers, because of their ability to increase the cardiac output in patients with alcohol-induced cardiomyopathy will be useful in the treatment of alcohol-induced hypertension.

How long after taking lisinopril can I drink alcohol? ›

During the first few days of taking lisinopril or after increasing the dose, stop drinking alcohol until you see how the medicine affects you. If lisinopril makes you feel dizzy, it's best to stop drinking alcohol while you're taking it.

Can you drink alcohol while taking prednisone? ›

A person taking prednisone may want to avoid alcohol until they finish the treatment. Alcohol can worsen some side effects of prednisone, such as immune system suppression, bone weakening, and weight gain. It is best to speak with a doctor to avoid serious complications.

What should you avoid when taking hydrochlorothiazide? ›

Hydrochlorothiazide may interact with other medications
  • Barbiturates. If you take barbiturates with hydrochlorothiazide, your blood pressure may be lowered too much. ...
  • Lithium. ...
  • Blood pressure drugs. ...
  • Cholesterol-lowering drugs. ...
  • Corticosteroids. ...
  • Diabetes drugs. ...
  • Narcotics. ...
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)

Can I take losartan if I drank alcohol? ›

Drinking alcohol can increase the blood pressure-lowering effect of losartan, which can make you feel dizzy or light-headed. During the first few days of taking losartan or after a dose increase, it's best to stop drinking alcohol until you see how the medicine affects you.

What should you not take with blood pressure medicine? ›

Some common types of OTC medicines you may need to avoid include:
  • Decongestants, such as those that contain pseudoephedrine.
  • Pain medicines (NSAIDs), such as ibuprofen and naproxen.
  • Cold and influenza (flu) medicines. ...
  • Some antacids and other stomach medicines. ...
  • Some natural health products.

What are the best supplements for alcoholics? ›

Include 250mg Vitamin C, 150mg magnesium, 1500mg calcium and 500 mg niacin from dietary sources each day. A good multivitamin/mineral supplement (like Centrum) is also recommended. Omega 3 fatty acids can help to minimize symptoms. Try including 3-4 ounces of fish 2-4 times per week or adding flaxseed to your foods.

What is the heart failure drug for alcoholism? ›

Spironolactone, a potassium-sparing diuretic typically used to treat heart failure and hypertension, shows promise in treating alcohol use disorder (AUD), new research suggests.

What should I avoid while taking lisinopril? ›

Lisinopril can increase blood potassium levels. So, using salt substitutes or eating high-potassium foods may cause problems. Foods to avoid in excess include bananas, oranges, potatoes, tomatoes, squash, and dark leafy greens.

What Cannot be taken with lisinopril? ›

Medications that can interact with lisinopril include:
  • Diuretics, such as hydrochlorothiazide. ...
  • Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin). ...
  • Aliskiren (Tekturna) and angiotensin-receptor blockers (ARBs) such as valsartan (Diovan). ...
  • Lithium.

What are the serious side effects of lisinopril? ›

Serious allergic reaction
  • you get a skin rash that may include itchy, red, swollen, blistered or peeling skin.
  • you're wheezing.
  • you get tightness in the chest or throat.
  • you have trouble breathing or talking.
  • your mouth, face, lips, tongue or throat start swelling.

Can you drink a few beers while taking prednisone? ›

You might be wondering if you can still have a glass of wine or a beer with supper while taking prednisone. In general, if your dose is moderate and you're not using prednisone to treat a chronic illness like RA or adrenal insufficiency on a long-term basis, a drink or two per day should be OK.

Can I have a few drinks while taking prednisone? ›

You may wonder if you can still enjoy a glass of wine or a beer with dinner while you take prednisone. In general, if your dose is low and you're not using prednisone for long-term treatment of a chronic condition such as RA or adrenal insufficiency, a drink or two per day should be fine.

How much alcohol can I drink on prednisone? ›

Abstaining from drinking alcohol while on prednisone treatment is always the best option. Excessive and regular alcohol consumption is not recommended. Prednisone is a corticosteroid, and it is used to reduce inflammation or suppress the immune system.


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