Alcohol and Medications

The Reframe Blog

Your source for healthier, happier living

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
This is some text inside of a div block.
Latest Articles
2024-04-27 9:00
Alcohol and Medications
Can You Drink on Metronidazole?
This is some text inside of a div block.

Taking metronidazole and wondering what happens if you mix it with alcohol? Our latest blog has the answers!

18 min read

Ready To Meet the Healthiest Version of Yourself? Try Reframe!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

It’s a common story: you go to a doctor, walk away with a prescription for your condition, then drive to your local pharmacy to pick it up. You’re excited, thinking how much better you’ll feel soon. You take it out of the crinkly paper bag, tear off what seems like an entire stack of papers with information in tiny print stapled onto it, and glance at it before tossing it into the recycling bin. Then something on the orange bottle catches your eye — that little wine glass with a line across it: “Don’t consume with alcohol!”

Yikes. It’s too late to get all those papers back to find out why, so you take your questions to Google: “Can you drink on metronidazole?” It’s probably not that bad, right? What’s all this about the disulfiram-like reaction between metronidazole and booze? Before you give yourself a panic attack searching for things like “Can metronidazole and alcohol kill you?” let’s get the facts straight. What exactly happens if you accidentally drink alcohol while taking metronidazole?

What Is Metronidazole?

A person's hand holding a glass of whiskey with ice cubes

According to the National Library of Medicine, metronidazole (better known by the brand name Flagyl) is one of the go-to drugs for the treatment of infections. It’s equipped to handle several conditions: 

  • Intestinal amebiases
  • Liver amebiasis
  • Bacterial septicemia
  • Bone and joint infections
  • Meningitis
  • Brain abscess
  • Endocarditis
  • Endometritis
  • Bacterial vaginosis
  • Intra-abdominal infections
  • Lower respiratory tract infections
  • Skin structure infections
  • Surgical prophylaxis colorectal surgeries

That’s quite a long job description! And there’s even more. Topical metronidazole can treat a few gnarly infections, such as rosacea and bacterial vaginosis. Plus, it has several off-label uses: 

  • Bite wound infections from animals
  • Infections from human bites (eek!)
  • Clostridioides (formerly Clostridium difficile)
  • Crohn’s disease
  • Postsurgical resection management
  • Giardiasis
  • Periodontitis
  • Tetanus

How Does Metronidazole Work?

Flagyl works by attacking bacterial DNA through a four-step process. Here’s the gist:

  1. Breaking the barrier and taking out the anaerobes. Metronidazole breaks through the cell barriers of anaerobic and aerobic bacteria but only kills the first type of pathogen.
  2. Upgrading equipment. With the anaerobes out of the way, it’s time to attack the second enemy! However, this requires different equipment. Metronidazole undergoes reductive activation by special proteins, which change its chemical structure to allow it to torpedo the aerobes.
  3. Storming the command center. The next step? Destroying the “enemy’s” DNA. Metronidazole interacts with the host cells’ DNA, resulting in breakage and “fatal destabilization.”
  4. Cleaning up the mess. Final step? Breaking down the toxic byproducts of the reaction.

While metronidazole is quickly absorbed, it might take a couple of days to start feeling better. However, once it gets going, the medication does a powerful job of clearing out the infection.

Can You Drink on Metronidazole?

In general, Flagyl doesn’t mix well with other substances, including alcohol. This isn’t all that surprising — for one thing, alcohol tends to intensify the side effects of many medications. In the case of metronidazole, there are quite a few:

  • Headaches. Many people on metronidazole experience headaches. Since alcohol is known for causing the notorious “cocktail headaches,” adding it to the mix isn’t doing us any favors.
  • Digestive disruption. Some have gastrointestinal effects, including loss of appetite, nausea and vomiting, diarrhea, heartburn, or cramping in the stomach area, and constipation while taking metronidazole. Alcohol can disrupt digestion, causing nausea, heartburn, and even leading to gastritis. Needless to say, this makes for a potentially stomach-turning combo!
  • Metallic taste. Metronidazole might also cause a metallic taste in our mouth — so whatever we’re drinking might not taste that great.

In addition to these common side effects, there are some potentially serious (but rare) side effects of metronidazole that don’t mix well with booze: 

  • Seizures. The potentially serious side effects of metronidazole include seizures. In large amounts, alcohol has been known to induce seizures as well (as does alcohol withdrawal), so combining the two could be even more dangerous. It’s important to stay vigilant and be aware of telltale symptoms such as unusual behaviors or sensations, uncontrollable movements, or, in severe cases, loss of consciousness.
  • Cancer risk. As the warning label on metronidazole says, it may also be carcinogenic based on animal studies. Given that alcohol is a known carcinogen as well, the combo isn’t great.
  • Possible brain damage. If used for a long time, metronidazole could be neurotoxic. Knowing what alcohol does to our brain, the mixture of the two could cause serious trouble.
Staying Safe When Drinking on Metronidazole

Metronidazole and Alcohol: What Else Is Behind the Warning?

If you’re taking disulfiram — a medication used to treat alcohol use disorder (AUD) — there’s yet another reason to pause and reconsider before taking metronidazole.

Disulfiram works by causing extremely unpleasant side effects, such as facial flushing, nausea, and cardiovascular abnormalities. The idea is that taking disulfiram will make drinking so unenjoyable we won’t want to do it anymore. (For more details, check out our blog “How Does Disulfiram Work?”)

What does any of this have to do with Flagyl? As it turns out, metronidazole has a negative, and potentially dangerous, interaction with both alcohol and disulfiram.

Let’s look at both effects in a bit more detail:

  1. Metronidazole is thought to induce a “disulfiram-like” reaction when mixed with alcohol. When we combine alcohol with metronidazole, we might experience nausea, vomiting, stomach cramps, headaches, and facial flushing. According to a recent study, it doesn’t make much to trigger the reaction!
  2. Metronidazole also doesn't mix well with disulfiram. Taking both medications puts us at risk of hallucinations and psychosis (definitely not what we want, especially when we’re already not feeling our best!).

Negative Interactions Between Metronidazole and Alcohol: Myth or Science?

Some scientists now think that the side effects of mixing metronidazole and alcohol are a myth. 

According to an Emergency Medical News article, doctors have been warning patients against mixing the two for years to avoid a “disulfiram-like reaction.” And yet, the author asks:
 

“If this interaction is so important, where were the cases? Millions of prescriptions for metronidazole are written each year. Despite clear warnings, it's inevitable that a significant number of patients would continue to consume alcohol with the drug. Yet I've never seen a patient come in with a disulfiram-like reaction from that combination. Is the metronidazole-ethanol drug interaction really a thing?”

The author goes on to explain how the accumulation of acetaldehyde is responsible for the disulfiram reaction and how the “original thinking” was that metronidazole also blocked its breakdown. However, as he points out, recent evidence shows that this might not be the case. When 18 patients who were on metronidazole were compared with a control group who had a similar blood alcohol concentration, none seemed to show any signs of a disulfiram-like reaction. 

Likewise, a study in WMJ set out to investigate whether or not there was any truth to the disulfiram-like reaction claims and found that the answer isn’t as clear as scientists once thought. Their findings suggest that there’s no increase in acetaldehyde when both substances are present in our system.

How Long After Taking Metronidazole Can I Drink Alcohol?

Still, disulfiram-like reaction or not, metronidazole does interact with alcohol in potentially problematic ways, so the recommended wait period is at least two weeks for disulfiram and three days for alcohol after taking it. 

What If I Already Had a Drink?

Some of us might be thinking, “Oh no! What if I already had a drink before that warning label on the medicine package caught my eye?”

First of all, don’t panic. This probably happens quite often, and usually leads to no harmful effects, according to the Emergency Medical News study. However, it’s good to keep in mind that this is just one study arguing against the negative effects, and even if the “metronidazole and alcohol myth” is responsible for the alcohol warning, there are still other reasons why Flagyl and alcohol are not a good mix.

So, can metronidazole and alcohol kill you? It almost certainly won’t, especially given the evidence that there might not be a disulfiram-like reaction at play after all. 

Still, it’s best to stay vigilant and avoid mixing metronidazole and alcohol. And if there’s any doubt in your mind at all that you’re having a dangerous reaction, please don’t hesitate to call your doctor immediately! There are many individual factors at play here, so erring on the side of safety is key.

Tips To Stay Safe

So, how can we stay safe while taking metronidazole as we’re trying to stay away from booze for the time being (or, perhaps, for even longer)? Here are a few ideas:

  1. Avoid the mix. Mixing alcohol and metronidazole is asking for trouble. Instead, focus on healing and nourishing your body with plenty of water and vitamin-rich foods. You’ll heal faster and your body will thank you!
  2. Follow your doctor’s advice. Always follow your physician’s advice about taking medications, and don’t hesitate to ask if you have questions. They’re there to help!
  3. Get support. If you’re having trouble staying booze-free, find like-minded people who will be happy to support you. They can be friends, family members, or others just like you who are already part of the Reframe community! Everyone’s alcohol journey is different, so whatever your goals are, you’re bound to find helpful advice and support.
  4. Get sober curious. Use this time as an opportunity to explore a sober-curious lifestyle. Approach it as an experiment — what if instead of having a glass of wine with dinner you had a fun mocktail instead? Who knows, you might find a new favorite! Plus, a hydrating, nutritious drink is bound to make you feel better as you heal.

Summing Up

In the end, as with any situation that compels us to set alcohol aside for a bit, it’s always best to see the situation as an opportunity. Perhaps it’s even a blessing in disguise! Who knows, by going booze-free for a few days or weeks, you might discover new activities you love or find that you enjoy waking up feeling refreshed. Maybe your skin looks better or maybe you’ve even dropped some weight. All in all, you might see that cutting back is something you want to continue in the long run to see what new benefits are waiting for you (and trust us, there are lots!). If so, Reframe is here to help you and cheer you on every step of the way.

It’s a common story: you go to a doctor, walk away with a prescription for your condition, then drive to your local pharmacy to pick it up. You’re excited, thinking how much better you’ll feel soon. You take it out of the crinkly paper bag, tear off what seems like an entire stack of papers with information in tiny print stapled onto it, and glance at it before tossing it into the recycling bin. Then something on the orange bottle catches your eye — that little wine glass with a line across it: “Don’t consume with alcohol!”

Yikes. It’s too late to get all those papers back to find out why, so you take your questions to Google: “Can you drink on metronidazole?” It’s probably not that bad, right? What’s all this about the disulfiram-like reaction between metronidazole and booze? Before you give yourself a panic attack searching for things like “Can metronidazole and alcohol kill you?” let’s get the facts straight. What exactly happens if you accidentally drink alcohol while taking metronidazole?

What Is Metronidazole?

A person's hand holding a glass of whiskey with ice cubes

According to the National Library of Medicine, metronidazole (better known by the brand name Flagyl) is one of the go-to drugs for the treatment of infections. It’s equipped to handle several conditions: 

  • Intestinal amebiases
  • Liver amebiasis
  • Bacterial septicemia
  • Bone and joint infections
  • Meningitis
  • Brain abscess
  • Endocarditis
  • Endometritis
  • Bacterial vaginosis
  • Intra-abdominal infections
  • Lower respiratory tract infections
  • Skin structure infections
  • Surgical prophylaxis colorectal surgeries

That’s quite a long job description! And there’s even more. Topical metronidazole can treat a few gnarly infections, such as rosacea and bacterial vaginosis. Plus, it has several off-label uses: 

  • Bite wound infections from animals
  • Infections from human bites (eek!)
  • Clostridioides (formerly Clostridium difficile)
  • Crohn’s disease
  • Postsurgical resection management
  • Giardiasis
  • Periodontitis
  • Tetanus

How Does Metronidazole Work?

Flagyl works by attacking bacterial DNA through a four-step process. Here’s the gist:

  1. Breaking the barrier and taking out the anaerobes. Metronidazole breaks through the cell barriers of anaerobic and aerobic bacteria but only kills the first type of pathogen.
  2. Upgrading equipment. With the anaerobes out of the way, it’s time to attack the second enemy! However, this requires different equipment. Metronidazole undergoes reductive activation by special proteins, which change its chemical structure to allow it to torpedo the aerobes.
  3. Storming the command center. The next step? Destroying the “enemy’s” DNA. Metronidazole interacts with the host cells’ DNA, resulting in breakage and “fatal destabilization.”
  4. Cleaning up the mess. Final step? Breaking down the toxic byproducts of the reaction.

While metronidazole is quickly absorbed, it might take a couple of days to start feeling better. However, once it gets going, the medication does a powerful job of clearing out the infection.

Can You Drink on Metronidazole?

In general, Flagyl doesn’t mix well with other substances, including alcohol. This isn’t all that surprising — for one thing, alcohol tends to intensify the side effects of many medications. In the case of metronidazole, there are quite a few:

  • Headaches. Many people on metronidazole experience headaches. Since alcohol is known for causing the notorious “cocktail headaches,” adding it to the mix isn’t doing us any favors.
  • Digestive disruption. Some have gastrointestinal effects, including loss of appetite, nausea and vomiting, diarrhea, heartburn, or cramping in the stomach area, and constipation while taking metronidazole. Alcohol can disrupt digestion, causing nausea, heartburn, and even leading to gastritis. Needless to say, this makes for a potentially stomach-turning combo!
  • Metallic taste. Metronidazole might also cause a metallic taste in our mouth — so whatever we’re drinking might not taste that great.

In addition to these common side effects, there are some potentially serious (but rare) side effects of metronidazole that don’t mix well with booze: 

  • Seizures. The potentially serious side effects of metronidazole include seizures. In large amounts, alcohol has been known to induce seizures as well (as does alcohol withdrawal), so combining the two could be even more dangerous. It’s important to stay vigilant and be aware of telltale symptoms such as unusual behaviors or sensations, uncontrollable movements, or, in severe cases, loss of consciousness.
  • Cancer risk. As the warning label on metronidazole says, it may also be carcinogenic based on animal studies. Given that alcohol is a known carcinogen as well, the combo isn’t great.
  • Possible brain damage. If used for a long time, metronidazole could be neurotoxic. Knowing what alcohol does to our brain, the mixture of the two could cause serious trouble.
Staying Safe When Drinking on Metronidazole

Metronidazole and Alcohol: What Else Is Behind the Warning?

If you’re taking disulfiram — a medication used to treat alcohol use disorder (AUD) — there’s yet another reason to pause and reconsider before taking metronidazole.

Disulfiram works by causing extremely unpleasant side effects, such as facial flushing, nausea, and cardiovascular abnormalities. The idea is that taking disulfiram will make drinking so unenjoyable we won’t want to do it anymore. (For more details, check out our blog “How Does Disulfiram Work?”)

What does any of this have to do with Flagyl? As it turns out, metronidazole has a negative, and potentially dangerous, interaction with both alcohol and disulfiram.

Let’s look at both effects in a bit more detail:

  1. Metronidazole is thought to induce a “disulfiram-like” reaction when mixed with alcohol. When we combine alcohol with metronidazole, we might experience nausea, vomiting, stomach cramps, headaches, and facial flushing. According to a recent study, it doesn’t make much to trigger the reaction!
  2. Metronidazole also doesn't mix well with disulfiram. Taking both medications puts us at risk of hallucinations and psychosis (definitely not what we want, especially when we’re already not feeling our best!).

Negative Interactions Between Metronidazole and Alcohol: Myth or Science?

Some scientists now think that the side effects of mixing metronidazole and alcohol are a myth. 

According to an Emergency Medical News article, doctors have been warning patients against mixing the two for years to avoid a “disulfiram-like reaction.” And yet, the author asks:
 

“If this interaction is so important, where were the cases? Millions of prescriptions for metronidazole are written each year. Despite clear warnings, it's inevitable that a significant number of patients would continue to consume alcohol with the drug. Yet I've never seen a patient come in with a disulfiram-like reaction from that combination. Is the metronidazole-ethanol drug interaction really a thing?”

The author goes on to explain how the accumulation of acetaldehyde is responsible for the disulfiram reaction and how the “original thinking” was that metronidazole also blocked its breakdown. However, as he points out, recent evidence shows that this might not be the case. When 18 patients who were on metronidazole were compared with a control group who had a similar blood alcohol concentration, none seemed to show any signs of a disulfiram-like reaction. 

Likewise, a study in WMJ set out to investigate whether or not there was any truth to the disulfiram-like reaction claims and found that the answer isn’t as clear as scientists once thought. Their findings suggest that there’s no increase in acetaldehyde when both substances are present in our system.

How Long After Taking Metronidazole Can I Drink Alcohol?

Still, disulfiram-like reaction or not, metronidazole does interact with alcohol in potentially problematic ways, so the recommended wait period is at least two weeks for disulfiram and three days for alcohol after taking it. 

What If I Already Had a Drink?

Some of us might be thinking, “Oh no! What if I already had a drink before that warning label on the medicine package caught my eye?”

First of all, don’t panic. This probably happens quite often, and usually leads to no harmful effects, according to the Emergency Medical News study. However, it’s good to keep in mind that this is just one study arguing against the negative effects, and even if the “metronidazole and alcohol myth” is responsible for the alcohol warning, there are still other reasons why Flagyl and alcohol are not a good mix.

So, can metronidazole and alcohol kill you? It almost certainly won’t, especially given the evidence that there might not be a disulfiram-like reaction at play after all. 

Still, it’s best to stay vigilant and avoid mixing metronidazole and alcohol. And if there’s any doubt in your mind at all that you’re having a dangerous reaction, please don’t hesitate to call your doctor immediately! There are many individual factors at play here, so erring on the side of safety is key.

Tips To Stay Safe

So, how can we stay safe while taking metronidazole as we’re trying to stay away from booze for the time being (or, perhaps, for even longer)? Here are a few ideas:

  1. Avoid the mix. Mixing alcohol and metronidazole is asking for trouble. Instead, focus on healing and nourishing your body with plenty of water and vitamin-rich foods. You’ll heal faster and your body will thank you!
  2. Follow your doctor’s advice. Always follow your physician’s advice about taking medications, and don’t hesitate to ask if you have questions. They’re there to help!
  3. Get support. If you’re having trouble staying booze-free, find like-minded people who will be happy to support you. They can be friends, family members, or others just like you who are already part of the Reframe community! Everyone’s alcohol journey is different, so whatever your goals are, you’re bound to find helpful advice and support.
  4. Get sober curious. Use this time as an opportunity to explore a sober-curious lifestyle. Approach it as an experiment — what if instead of having a glass of wine with dinner you had a fun mocktail instead? Who knows, you might find a new favorite! Plus, a hydrating, nutritious drink is bound to make you feel better as you heal.

Summing Up

In the end, as with any situation that compels us to set alcohol aside for a bit, it’s always best to see the situation as an opportunity. Perhaps it’s even a blessing in disguise! Who knows, by going booze-free for a few days or weeks, you might discover new activities you love or find that you enjoy waking up feeling refreshed. Maybe your skin looks better or maybe you’ve even dropped some weight. All in all, you might see that cutting back is something you want to continue in the long run to see what new benefits are waiting for you (and trust us, there are lots!). If so, Reframe is here to help you and cheer you on every step of the way.

Alcohol and Medications
2024-04-26 9:00
Alcohol and Medications
Can You Drink on Mucinex?
This is some text inside of a div block.

Taking Mucinex this cold season and wondering if drinking on Mucinex is a bad idea? Find out why the two are not a great mix in our latest blog!

17 min read

Prioritize Your Health With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!

Read Full Article  →

Mucinex and Alcohol: The Risks

Mucinex used to run commercials featuring “Mr. Mucus,” the lovable green and slimy antihero that the sinus-saving, cold-clearing medicine promises to sweep out of your nasal passages. So when you wake up clogged up and groggy, your eyes stinging and your m’s sounding like b’s when you talk, reaching for that trusty bottle of Mucinex can bring much-needed relief. But then you remember that beer you had before bed. Is it safe to take Mucinex after drinking? Should you wait? Let’s find out more!

What Is Mucinex and What Is It Used For?

As Mr. Mucus shows us, Mucinex is quite the multitasker. The active ingredient, guaifenesin, helps loosen up mucus to flush it out of the body.

A woman sitting on a bed, blowing her nose into a tissue

While it might sound like something that came out of test tubes in the lab, guaifenesin is as natural as it gets. According to The Encyclopedia of Toxicology, it was “originally derived from the guaiac tree and used by Native Americans for health purposes.” Having caught on to its medicinal magic, scientists began to synthesize it in 1912. However, it took 77 years for the FDA to officially approve Mucinex in 1989 and another 15 for Mr. Mucus to officially enter the scene as its mascot in 2004.

From pills to syrups, Mucinex comes in all shapes and sizes. It also “plays well” with other meds and is often combined with antihistamines, cough suppressants, and decongestants.

While Mucinex is a very popular version of guaifenesin (thanks in part to Mr. Mucus and his marketing power), the medication comes under many other brand aliases:

  • Air Power (the dairy-free, vegan version produced by Nature’s Way)
  • Cough Out (just guaifenesin under a different name) 
  • Equaline Tussin and Equate Tussin (also containing dextromethorphan)
  • Good Neighbor Pharmacy Tussin (a “neighborly” mix of dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride)
  • Good Sense Tussin (guaifenesin with dextromethorphan)
  • Guiatuss (combined with codeine, available by prescription)
  • Leader Adult Tussin (another guaifenesin and dextromethorphan combo) 
  • Leader Mucus Relief (a mix of guaifenesin, hypromellose, magnesium stearate, maltodextrin, microcrystalline cellulose, polyethylene glycol, povidone, silicon dioxide, sodium starch glycolate, stearic acid)
  • Liqufruta (herbal garlic cough syrup with guaifenesin)
  • Refenesen Chest Congestion Relief (also contains phenylephrine)
  • Robitussin Chest Congestion (also contains dextromethorphan)
  • Siltussin (a liquid form of guaifenesin with a twist — this one tastes like strawberries)
  • Wal Tussin (Walgreens’ take on the dextromethorphan-guaifenesin combo)

Many other pharmacies and stores might have their own brand as well; it’s a tried-and-true remedy for congestion!

Can You Drink on Mucinex?

In short, alcohol and Mucinex are not a great mix. To understand why, let’s first take a look at the common side effects Mucinex is known for:

  • Nausea and vomiting. Mucinex can irritate the stomach lining, making us feel queasy or even causing us to throw up. 
  • Drowsiness. Like many other cold medications, Mucinex can make us nod off or feel a bit more drowsy than usual.
  • Headaches. Another pesky side effect some folks experience is headaches. Hint: staying hydrated can help!
  • Dizziness. Mucinex can affect our inner ear, temporarily throwing us off balance. It could also tweak our blood pressure a bit, causing minor fluctuations. Neither of these is a huge deal — it’s a bit like the feeling of standing up too quickly.


None of these are a huge deal on their own, but what happens when we mix them with alcohol? Let’s find out why combining the two is asking for trouble.

Alcohol and Mucinex: Worsened Side Effects 

Now that we have an idea of the side effects of Mucinex, we can see that adding alcohol to the mix isn’t the best idea. When we drink alcohol alongside Mucinex, we run the risk of worsening side effects: 

  • Sedation struggles. Alcohol is a known depressant, which slows down our central nervous system (CNS). And while guaifenesin’s CNS effects with guaifenesin are minimal, the mix could potentially make us extra drowsy and dizzy.
  • Hefty headaches. Both alcohol and Mucinex can cause headaches, so putting the two together is asking for trouble. As if having a cold doesn’t dehydrate us enough, alcohol can cause further dehydration and, consequently, headaches. Alcohol also causes vasodilation, increasing blood flow (and pressure) to the brain. The buildup of acetaldehyde — a toxic byproduct of alcohol metabolism — turns up the headache dial even more.
  • Tummy troubles. We know that Mucinex can be hard on the stomach, and alcohol is even worse. Alcohol amps up stomach acid production, leading to irritation, nausea, and acid reflux. Over time, it could cause problems such as gastritis or stomach ulcers! (For a deeper look, check out our blog: “5 Ways Alcohol Affects the Stomach and Digestive System.”)

All of these symptoms can only make us more miserable when we are sick. But there are even more dangers to drinking alcohol with Mucinex. Let’s take a look. 

Alcohol, Mucinex, and the Liver 

Guaifenesin and alcohol are both metabolized by the liver, which can get overwhelmed by the double task of digesting both. Even worse, overtasking the liver can lead to a buildup of acetaldehyde, which contributes to hangovers and can even cause serious illnesses in the long run.

Beyond Guaifenesin: Additional Ingredients in Mucinex

Another potential pitfall with combining Mucinex and alcohol? Guaifenesin may not be the only med in the mix. Many formulas that contain it have other ingredients to tackle all those additional cold-related symptoms, such as body aches and pains, cough, headaches, and sinus pain. And once again, most of them are not booze-friendly either: 

  • Dextromethorphan (DXM). According to WebMD, DXM is used to ease cough caused by infections of the air passages triggered by sinusitis or colds. It’s often included in Mucinex as one of the ingredients. 

    The problem with mixing DXM and alcohol? According to Drugs.com, on the lighter side, we could be looking at dizziness, drowsiness, and concentration difficulties. And if things get more serious, there’s a chance of more serious “impairment in thinking and judgment.”
  • Acetaminophen. This one is a bad match for alcohol as well. The liver metabolizes both, so combining the two could lead to toxicity. (For more insight into liver damage from alcohol, take a look at “How Much Alcohol Causes Liver Damage?”).
  • Pseudoephedrine and phenylephrine. These two are great at helping us breathe more easily, but together with alcohol, pseudoephedrine in particular can be bad news. As a central nervous stimulant, it clashes with the depressant effects of booze and strains the heart. Moreover, the dizziness caused by all three — guaifenesin, pseudoephedrine, and alcohol — is a trip-and-fall waiting to happen, especially when we’re already under the weather.

If we’re nursing a cold, it’s better to avoid alcohol altogether. It will not only keep us safe but help us recover faster!

Get Well Later: Alcohol, Mucinex, and the Immune System

Finally, mixing alcohol and Mucinex doesn’t do us any favors when it comes to the reason we’re taking Mucinex in the first place.

For one thing, alcohol can throw a wrench in the workings of our immune system and isn’t the best ally in recovery from illness in general. (For more details, take a look at our blog “Alcohol's Impact on the Immune System.”)

Moreover, alcohol is a notorious diuretic that inhibits the release of the hormone in charge of telling our kidneys to hold on to water. And while Mucinex isn’t dehydrating per se, the cold itself is. So, adding booze to the mix dries up our body — and especially our sensitive nasal passages — even more.

How Many Hours After Taking Mucinex Should I Wait To Drink Alcohol? 

Doctors say to wait at least 12 hours to be safe. But if you have any concerns or are taking additional medications, always check with yours! They know you best and will be able to offer advice that’s tailored to your needs and situation.

How much alcohol is too much? Michigan State professor and physician James J. Galligan said in an interview with Self, “There are many drugs that can interact with alcohol resulting in loss of memory and consciousness … Even one or two drinks can interact with some drugs to produce severe intoxication and potentially loss of consciousness in some people.”

Another physician, David Cutler, clarifies that having a single drink probably won’t be the end of the world. Still, it’s not a great idea: “The problem is that people often think that if they feel OK after having one drink, they can have two, and things go downhill from there. Also, just because you’re probably OK if you stick with one drink doesn’t mean you can’t have a bad reaction. ‘It’s not that you’ll never have one, it’s just unlikely.’”

Tips To Stay Safe and Get Well When Taking Mucinex

Tips To Stay Safe and Get Well

To help you stay safe while taking Mucinex — as well as after you recover — consider these tips:

  1. Watch your intake. If alcohol has become a frequent habit, taking a break might seem a bit tough at first, but look at it as an opportunity to explore a healthier lifestyle! It’s best to avoid mixing alcohol and Mucinex to avoid a potentially dangerous mix of side effects, among other reasons.
  2. Hydrate. Hydration is crucial every day, but it’s especially important when we’re sick. Dehydration can also make Mucinex side effects such as nausea and headaches worse, so drink up!
  3. Nourish your body. Remember how your mom told you to “feed a cold”? Nutritious food is always important, but it’s especially crucial when we’re under the weather. Chicken soup is an old favorite for a reason — the warm brew is soothing for the throat and sinuses, while the chicken provides some much-needed energy. And those vitamin-packed veggies? An added boost for your immune system!
  4. Try some ginger tea. Ginger tea is known for its anti-nausea properties, plus it’s soothing! So if your cold (and Mucinex) are making you queasy, this time-tested cure could work wonders!
  5. Take time to heal. Take this time as an opportunity to enjoy some booze-free downtime. There are plenty of relaxing activities to enjoy — maybe a project (such as putting together a photo collage) that has been on the back burner for a while. Or a feel-good show marathon if you’re not up for getting up from the couch. Creative, comforting activities that feel like a “treat” serve as natural ways to release dopamine, keeping those alcohol cravings at bay.

Once you’re feeling better, you’ll be glad that alcohol didn’t mess with the healing process. Plus, you now have some tools to help you navigate alcohol-related situations well into the post-Mucinex future.

Respecting Your Future Self

In the end, we all get a visit from Mr. Mucus sometimes — it’s part of life. However, adding alcohol to the mix will only make the situation worse. As writer A.J. Jacobs observes in Drop Dead Healthy: One Man's Humble Quest for Bodily Perfection, “The key to making healthy decisions is to respect your future self. Honor him or her. Treat him or her like you would treat a friend or a loved one.” Let’s appreciate the body that does so much for us and give it the love and care it deserves — our future self will thank us!

Mucinex and Alcohol: The Risks

Mucinex used to run commercials featuring “Mr. Mucus,” the lovable green and slimy antihero that the sinus-saving, cold-clearing medicine promises to sweep out of your nasal passages. So when you wake up clogged up and groggy, your eyes stinging and your m’s sounding like b’s when you talk, reaching for that trusty bottle of Mucinex can bring much-needed relief. But then you remember that beer you had before bed. Is it safe to take Mucinex after drinking? Should you wait? Let’s find out more!

What Is Mucinex and What Is It Used For?

As Mr. Mucus shows us, Mucinex is quite the multitasker. The active ingredient, guaifenesin, helps loosen up mucus to flush it out of the body.

A woman sitting on a bed, blowing her nose into a tissue

While it might sound like something that came out of test tubes in the lab, guaifenesin is as natural as it gets. According to The Encyclopedia of Toxicology, it was “originally derived from the guaiac tree and used by Native Americans for health purposes.” Having caught on to its medicinal magic, scientists began to synthesize it in 1912. However, it took 77 years for the FDA to officially approve Mucinex in 1989 and another 15 for Mr. Mucus to officially enter the scene as its mascot in 2004.

From pills to syrups, Mucinex comes in all shapes and sizes. It also “plays well” with other meds and is often combined with antihistamines, cough suppressants, and decongestants.

While Mucinex is a very popular version of guaifenesin (thanks in part to Mr. Mucus and his marketing power), the medication comes under many other brand aliases:

  • Air Power (the dairy-free, vegan version produced by Nature’s Way)
  • Cough Out (just guaifenesin under a different name) 
  • Equaline Tussin and Equate Tussin (also containing dextromethorphan)
  • Good Neighbor Pharmacy Tussin (a “neighborly” mix of dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride)
  • Good Sense Tussin (guaifenesin with dextromethorphan)
  • Guiatuss (combined with codeine, available by prescription)
  • Leader Adult Tussin (another guaifenesin and dextromethorphan combo) 
  • Leader Mucus Relief (a mix of guaifenesin, hypromellose, magnesium stearate, maltodextrin, microcrystalline cellulose, polyethylene glycol, povidone, silicon dioxide, sodium starch glycolate, stearic acid)
  • Liqufruta (herbal garlic cough syrup with guaifenesin)
  • Refenesen Chest Congestion Relief (also contains phenylephrine)
  • Robitussin Chest Congestion (also contains dextromethorphan)
  • Siltussin (a liquid form of guaifenesin with a twist — this one tastes like strawberries)
  • Wal Tussin (Walgreens’ take on the dextromethorphan-guaifenesin combo)

Many other pharmacies and stores might have their own brand as well; it’s a tried-and-true remedy for congestion!

Can You Drink on Mucinex?

In short, alcohol and Mucinex are not a great mix. To understand why, let’s first take a look at the common side effects Mucinex is known for:

  • Nausea and vomiting. Mucinex can irritate the stomach lining, making us feel queasy or even causing us to throw up. 
  • Drowsiness. Like many other cold medications, Mucinex can make us nod off or feel a bit more drowsy than usual.
  • Headaches. Another pesky side effect some folks experience is headaches. Hint: staying hydrated can help!
  • Dizziness. Mucinex can affect our inner ear, temporarily throwing us off balance. It could also tweak our blood pressure a bit, causing minor fluctuations. Neither of these is a huge deal — it’s a bit like the feeling of standing up too quickly.


None of these are a huge deal on their own, but what happens when we mix them with alcohol? Let’s find out why combining the two is asking for trouble.

Alcohol and Mucinex: Worsened Side Effects 

Now that we have an idea of the side effects of Mucinex, we can see that adding alcohol to the mix isn’t the best idea. When we drink alcohol alongside Mucinex, we run the risk of worsening side effects: 

  • Sedation struggles. Alcohol is a known depressant, which slows down our central nervous system (CNS). And while guaifenesin’s CNS effects with guaifenesin are minimal, the mix could potentially make us extra drowsy and dizzy.
  • Hefty headaches. Both alcohol and Mucinex can cause headaches, so putting the two together is asking for trouble. As if having a cold doesn’t dehydrate us enough, alcohol can cause further dehydration and, consequently, headaches. Alcohol also causes vasodilation, increasing blood flow (and pressure) to the brain. The buildup of acetaldehyde — a toxic byproduct of alcohol metabolism — turns up the headache dial even more.
  • Tummy troubles. We know that Mucinex can be hard on the stomach, and alcohol is even worse. Alcohol amps up stomach acid production, leading to irritation, nausea, and acid reflux. Over time, it could cause problems such as gastritis or stomach ulcers! (For a deeper look, check out our blog: “5 Ways Alcohol Affects the Stomach and Digestive System.”)

All of these symptoms can only make us more miserable when we are sick. But there are even more dangers to drinking alcohol with Mucinex. Let’s take a look. 

Alcohol, Mucinex, and the Liver 

Guaifenesin and alcohol are both metabolized by the liver, which can get overwhelmed by the double task of digesting both. Even worse, overtasking the liver can lead to a buildup of acetaldehyde, which contributes to hangovers and can even cause serious illnesses in the long run.

Beyond Guaifenesin: Additional Ingredients in Mucinex

Another potential pitfall with combining Mucinex and alcohol? Guaifenesin may not be the only med in the mix. Many formulas that contain it have other ingredients to tackle all those additional cold-related symptoms, such as body aches and pains, cough, headaches, and sinus pain. And once again, most of them are not booze-friendly either: 

  • Dextromethorphan (DXM). According to WebMD, DXM is used to ease cough caused by infections of the air passages triggered by sinusitis or colds. It’s often included in Mucinex as one of the ingredients. 

    The problem with mixing DXM and alcohol? According to Drugs.com, on the lighter side, we could be looking at dizziness, drowsiness, and concentration difficulties. And if things get more serious, there’s a chance of more serious “impairment in thinking and judgment.”
  • Acetaminophen. This one is a bad match for alcohol as well. The liver metabolizes both, so combining the two could lead to toxicity. (For more insight into liver damage from alcohol, take a look at “How Much Alcohol Causes Liver Damage?”).
  • Pseudoephedrine and phenylephrine. These two are great at helping us breathe more easily, but together with alcohol, pseudoephedrine in particular can be bad news. As a central nervous stimulant, it clashes with the depressant effects of booze and strains the heart. Moreover, the dizziness caused by all three — guaifenesin, pseudoephedrine, and alcohol — is a trip-and-fall waiting to happen, especially when we’re already under the weather.

If we’re nursing a cold, it’s better to avoid alcohol altogether. It will not only keep us safe but help us recover faster!

Get Well Later: Alcohol, Mucinex, and the Immune System

Finally, mixing alcohol and Mucinex doesn’t do us any favors when it comes to the reason we’re taking Mucinex in the first place.

For one thing, alcohol can throw a wrench in the workings of our immune system and isn’t the best ally in recovery from illness in general. (For more details, take a look at our blog “Alcohol's Impact on the Immune System.”)

Moreover, alcohol is a notorious diuretic that inhibits the release of the hormone in charge of telling our kidneys to hold on to water. And while Mucinex isn’t dehydrating per se, the cold itself is. So, adding booze to the mix dries up our body — and especially our sensitive nasal passages — even more.

How Many Hours After Taking Mucinex Should I Wait To Drink Alcohol? 

Doctors say to wait at least 12 hours to be safe. But if you have any concerns or are taking additional medications, always check with yours! They know you best and will be able to offer advice that’s tailored to your needs and situation.

How much alcohol is too much? Michigan State professor and physician James J. Galligan said in an interview with Self, “There are many drugs that can interact with alcohol resulting in loss of memory and consciousness … Even one or two drinks can interact with some drugs to produce severe intoxication and potentially loss of consciousness in some people.”

Another physician, David Cutler, clarifies that having a single drink probably won’t be the end of the world. Still, it’s not a great idea: “The problem is that people often think that if they feel OK after having one drink, they can have two, and things go downhill from there. Also, just because you’re probably OK if you stick with one drink doesn’t mean you can’t have a bad reaction. ‘It’s not that you’ll never have one, it’s just unlikely.’”

Tips To Stay Safe and Get Well When Taking Mucinex

Tips To Stay Safe and Get Well

To help you stay safe while taking Mucinex — as well as after you recover — consider these tips:

  1. Watch your intake. If alcohol has become a frequent habit, taking a break might seem a bit tough at first, but look at it as an opportunity to explore a healthier lifestyle! It’s best to avoid mixing alcohol and Mucinex to avoid a potentially dangerous mix of side effects, among other reasons.
  2. Hydrate. Hydration is crucial every day, but it’s especially important when we’re sick. Dehydration can also make Mucinex side effects such as nausea and headaches worse, so drink up!
  3. Nourish your body. Remember how your mom told you to “feed a cold”? Nutritious food is always important, but it’s especially crucial when we’re under the weather. Chicken soup is an old favorite for a reason — the warm brew is soothing for the throat and sinuses, while the chicken provides some much-needed energy. And those vitamin-packed veggies? An added boost for your immune system!
  4. Try some ginger tea. Ginger tea is known for its anti-nausea properties, plus it’s soothing! So if your cold (and Mucinex) are making you queasy, this time-tested cure could work wonders!
  5. Take time to heal. Take this time as an opportunity to enjoy some booze-free downtime. There are plenty of relaxing activities to enjoy — maybe a project (such as putting together a photo collage) that has been on the back burner for a while. Or a feel-good show marathon if you’re not up for getting up from the couch. Creative, comforting activities that feel like a “treat” serve as natural ways to release dopamine, keeping those alcohol cravings at bay.

Once you’re feeling better, you’ll be glad that alcohol didn’t mess with the healing process. Plus, you now have some tools to help you navigate alcohol-related situations well into the post-Mucinex future.

Respecting Your Future Self

In the end, we all get a visit from Mr. Mucus sometimes — it’s part of life. However, adding alcohol to the mix will only make the situation worse. As writer A.J. Jacobs observes in Drop Dead Healthy: One Man's Humble Quest for Bodily Perfection, “The key to making healthy decisions is to respect your future self. Honor him or her. Treat him or her like you would treat a friend or a loved one.” Let’s appreciate the body that does so much for us and give it the love and care it deserves — our future self will thank us!

Alcohol and Medications
2024-04-25 9:00
Alcohol and Medications
Can You Drink Alcohol While Taking Omeprazole?
This is some text inside of a div block.

Struggling with heartburn? Taking Prilosec? Planning on drinking this weekend? Here’s what you need to know about omeprazole and alcohol.

10 min read

Drink Less and Thrive With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!

Read Full Article  →

You just got back from lunch break, and you’ve got that familiar fire in your chest and bitter taste in your mouth. And you don’t dare bend over to pick up that paper you just dropped for fear your lunch will resurface. Ugh — heartburn again. It seems like you can’t eat or drink anything these days without instant regret. 

Your doctor recommended Prilosec, and it’s been helping so far, but you have a wedding to attend this weekend. Can you take omeprazole with alcohol? 

What Is Omeprazole? 

Omeprazole is a medicine —a proton pump inhibitor (PPI) to be precise — used to reduce the amount of acid in the stomach. Often known by the brand name Prilosec, omeprazole is used to treat frequent heartburn or conditions where too much acid is produced in the stomach: 

  • Gastric and duodenal ulcers 
  • Erosive esophagitis
  • Gastroesophageal reflux disease (GERD)
  • Gastroparesis 

In these conditions, there is too much acid in the stomach, and that acid is pushed from the stomach to the esophagus, causing us some unpleasant symptoms.

As a PPI, omeprazole slows gastric acid secretion by inhibiting an enzyme in the final step of the stomach’s acid secretion process. Does this mean that if we take PPIs we won’t have any stomach acid? No, PPIs only inhibit 66-80% of acid output in our stomach. Having less acid in our stomach can help reduce the instances of GERD, help our esophagus heal if we have erosive esophagitis, or rid us of gastric ulcers. 

Side Effects of Omeprazole

Prilosec is available to buy over-the-counter; however, it is not recommended to take it for more than 14 days without consulting a doctor first. While it is generally safe and effective, some people do experience side effects: 


  • Headaches
  • Abdominal pain
  • Diarrhea
  • Nausea and vomiting 

Extreme doses of 2400 mg (120 times higher than the recommended dose) can lead to more troublesome side effects: 

  • Confusion
  • Drowsiness
  • Tachycardia
  • Blurred vision
  • Diaphoresis 

These symptoms are typically short-lived and don’t cause serious harm, but it is always safest to stick to the recommended dose on the box. 

How To Drink Safely While on Omeprazole

Omeprazole and Alcohol Interaction

From a molecular standpoint, Prilosec and alcohol do not specifically interact. However, as we learned above, alcohol can make our stomach produce more acid. If we are taking omeprazole, we are likely trying to reduce the acid in our stomach, so drinking alcohol may counteract the purpose of the medication. Essentially, alcohol can worsen our underlying problem of having too much stomach acid. 

Furthermore, alcohol and omeprazole share side effects that can be heightened if we use them at the same time. For instance, both can cause headaches, dizziness, upset stomach, and nausea. 

So we know there are problematic interactions between Prilosec and alcohol, but the question remains: can we drink alcohol with omeprazole? 

Can You Drink Alcohol While Taking Omeprazole? 

The short answer is yes — there are no immediate dangers to drinking alcohol while taking omeprazole as there would be with sleeping pills. Drinking while on Prilosec doesn’t increase our chances of having severe side effects or an overdose of alcohol. However, most medical professionals suggest not drinking while on omeprazole since it can make our stomach issues worse. In the long run, continuously combining the two can lead to greater challenges:

  • Worsened acid reflux 
  • Increased chances of liver disease, injury, or cancer
  • Magnesium deficiency 

So, if we are on omeprazole and we want to drink, how long should we wait between the two of them? 

There is no straightforward answer, but we are supposed to take omeprazole 30-60 minutes before we eat. Likewise, we should wait at least 30-60 minutes before or after drinking alcohol.

How To Drink Alcohol Safely While on Prilosec

It is not recommended to drink alcohol while on Prilosec, but there is no risk to our immediate health if we do. Still, there are precautions we can take to drink alcohol safely while on omeprazole:

  • Drink in moderation. Whether you’re on omeprazole or not, this is always a good guideline.
  • Avoid spicy foods and carbonated drinks. Both can make our stomach acid worse.
  • Take a break from alcohol. If you are omeprazole for the 14-day, over-the-counter dose, hold off on alcohol while you get your acid production under control. 
  • Choose your booze carefully. Certain types of alcohol are less acidic than others. Generally, the higher the alcohol content, the worse we may react to it. A light beer may be better than a stronger spirit such as whiskey or scotch. Highly acidic drinks like ciders, white wines, and citrus cocktails can be harder on the stomach. 

The bottom line is that drinking alcohol while on omeprazole can make our acid reflux symptoms worse. If you’re experiencing daily discomfort due to heartburn, it is best to avoid alcohol altogether. 

The Bottom Line 

Ultimately, drinking alcohol while on omeprazole is safe but not recommended. There is no immediate risk of developing severe side effects or overdose, but if we are heavy drinkers and on PPIs long term, we are at greater risk for developing liver disease. Consult your prescribing physician before drinking alcohol if you are on Omeprazole for a chronic condition.

You just got back from lunch break, and you’ve got that familiar fire in your chest and bitter taste in your mouth. And you don’t dare bend over to pick up that paper you just dropped for fear your lunch will resurface. Ugh — heartburn again. It seems like you can’t eat or drink anything these days without instant regret. 

Your doctor recommended Prilosec, and it’s been helping so far, but you have a wedding to attend this weekend. Can you take omeprazole with alcohol? 

What Is Omeprazole? 

Omeprazole is a medicine —a proton pump inhibitor (PPI) to be precise — used to reduce the amount of acid in the stomach. Often known by the brand name Prilosec, omeprazole is used to treat frequent heartburn or conditions where too much acid is produced in the stomach: 

  • Gastric and duodenal ulcers 
  • Erosive esophagitis
  • Gastroesophageal reflux disease (GERD)
  • Gastroparesis 

In these conditions, there is too much acid in the stomach, and that acid is pushed from the stomach to the esophagus, causing us some unpleasant symptoms.

As a PPI, omeprazole slows gastric acid secretion by inhibiting an enzyme in the final step of the stomach’s acid secretion process. Does this mean that if we take PPIs we won’t have any stomach acid? No, PPIs only inhibit 66-80% of acid output in our stomach. Having less acid in our stomach can help reduce the instances of GERD, help our esophagus heal if we have erosive esophagitis, or rid us of gastric ulcers. 

Side Effects of Omeprazole

Prilosec is available to buy over-the-counter; however, it is not recommended to take it for more than 14 days without consulting a doctor first. While it is generally safe and effective, some people do experience side effects: 


  • Headaches
  • Abdominal pain
  • Diarrhea
  • Nausea and vomiting 

Extreme doses of 2400 mg (120 times higher than the recommended dose) can lead to more troublesome side effects: 

  • Confusion
  • Drowsiness
  • Tachycardia
  • Blurred vision
  • Diaphoresis 

These symptoms are typically short-lived and don’t cause serious harm, but it is always safest to stick to the recommended dose on the box. 

How To Drink Safely While on Omeprazole

Omeprazole and Alcohol Interaction

From a molecular standpoint, Prilosec and alcohol do not specifically interact. However, as we learned above, alcohol can make our stomach produce more acid. If we are taking omeprazole, we are likely trying to reduce the acid in our stomach, so drinking alcohol may counteract the purpose of the medication. Essentially, alcohol can worsen our underlying problem of having too much stomach acid. 

Furthermore, alcohol and omeprazole share side effects that can be heightened if we use them at the same time. For instance, both can cause headaches, dizziness, upset stomach, and nausea. 

So we know there are problematic interactions between Prilosec and alcohol, but the question remains: can we drink alcohol with omeprazole? 

Can You Drink Alcohol While Taking Omeprazole? 

The short answer is yes — there are no immediate dangers to drinking alcohol while taking omeprazole as there would be with sleeping pills. Drinking while on Prilosec doesn’t increase our chances of having severe side effects or an overdose of alcohol. However, most medical professionals suggest not drinking while on omeprazole since it can make our stomach issues worse. In the long run, continuously combining the two can lead to greater challenges:

  • Worsened acid reflux 
  • Increased chances of liver disease, injury, or cancer
  • Magnesium deficiency 

So, if we are on omeprazole and we want to drink, how long should we wait between the two of them? 

There is no straightforward answer, but we are supposed to take omeprazole 30-60 minutes before we eat. Likewise, we should wait at least 30-60 minutes before or after drinking alcohol.

How To Drink Alcohol Safely While on Prilosec

It is not recommended to drink alcohol while on Prilosec, but there is no risk to our immediate health if we do. Still, there are precautions we can take to drink alcohol safely while on omeprazole:

  • Drink in moderation. Whether you’re on omeprazole or not, this is always a good guideline.
  • Avoid spicy foods and carbonated drinks. Both can make our stomach acid worse.
  • Take a break from alcohol. If you are omeprazole for the 14-day, over-the-counter dose, hold off on alcohol while you get your acid production under control. 
  • Choose your booze carefully. Certain types of alcohol are less acidic than others. Generally, the higher the alcohol content, the worse we may react to it. A light beer may be better than a stronger spirit such as whiskey or scotch. Highly acidic drinks like ciders, white wines, and citrus cocktails can be harder on the stomach. 

The bottom line is that drinking alcohol while on omeprazole can make our acid reflux symptoms worse. If you’re experiencing daily discomfort due to heartburn, it is best to avoid alcohol altogether. 

The Bottom Line 

Ultimately, drinking alcohol while on omeprazole is safe but not recommended. There is no immediate risk of developing severe side effects or overdose, but if we are heavy drinkers and on PPIs long term, we are at greater risk for developing liver disease. Consult your prescribing physician before drinking alcohol if you are on Omeprazole for a chronic condition.

Alcohol and Medications
2024-04-22 9:00
Alcohol and Medications
Can You Drink Alcohol on Bactrim?
This is some text inside of a div block.

Can you drink on Bactrim? Find out the science behind why the two might not be a great combo in our latest blog.

19 min read

Ready To Change Your Relationship With Alcohol (in Sickness or in Health)? Reframe Can Help You Cut Back or Quit!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

Can You Drink Alcohol on Bactrim?

You’ve been sick with an ear infection for days. Your head feels like there’s been nonstop road construction going on inside; you’re feeling drained (literally — must be all that stuff oozing out of your ear), and everyone’s voice sounds like they’re trapped inside a fish tank. But you just got some antibiotics from your doctor and today is a little better, so you think, hey, maybe I’ll have a beer with dinner?

But then you glance over at the bottle of Bactrim you’ve been prescribed, and it says clearly, “Don’t take with alcohol.” Now what? “Will I die if I drink on Bactrim?” Probably not, right? You text one friend who says, “Go for it! Those labels exaggerate.” But then you text your sister, and she remembers something about Bactrim being different. Who's right? Is the Bactrim and alcohol interaction truly dangerous? In short, can you drink on Bactrim?

What Is Bactrim?

a man holding a bottle of alcohol and a pills

Bactrim is an antibiotic containing sulfamethoxazole and trimethoprim. It’s used to treat bacterial infections of the middle ear, as well as urinary, respiratory, and intestinal infections. Occasionally, it might also be used to prevent some types of pneumonia.

But what are antibiotics in general? And what are they for? Let’s take a brief look.

The World of Antibiotics

Although we tend to associate antibiotics with the modern era, they’ve actually been around since ancient times. Our ancestors from ancient Egypt, Nubia, China, Serbia, Greece, and Rome all figured out that certain herbs and types of mold could cure infectious diseases. Although they didn’t understand the chemical mechanism, they put antibiotics into practice in their medicine.

Literally meaning “opposing life,” “antibiosis” was first scientifically described by Louis Pasteur and Robert Koch in 1877, when the pair laid the groundwork for the germ theory of diseases by showing that microorganisms were responsible for the spoiling of products such as milk. They found that other microorganisms (i.e., antibiotics) could inhibit the growth of their harmful counterparts.

Modern Antibiotics

As a Nature article explains, antibiotics officially came onto the scene when they were accidentally discovered by Alexander Fleming in 1928. Surprisingly, we have Fleming’s notoriously messy workspace to thank for this breakthrough! After leaving a few petri dishes with staphylococci bacteria cultures scattered around before taking off for vacation, Fleming came back to a surprising find: some of the dishes had grown a fungus (the basis for penicillin) that seemed to have killed off the disease-causing bacterial strain! (Who knew that a messy desk could set off a chain of events that revolutionized modern medicine and ultimately led to a Nobel Prize!)

Penicillin use skyrocketed in the 1940s, to the point where it could be easily purchased at any corner drug store virtually without restrictions or medical supervision. However, the heyday of antibiotics has been followed by a bit of a backlash. Scientists noticed that having too many bacteria killers out and about wiped out the good strains along with the bad, and bacteria started to adapt to be resistant to known antibiotics. Since then, it’s been a race to keep up and develop new approaches that don’t create drug-resistant strains that can’t be treated

Today, there are over 100 types of antibiotics on the market — including Bactrim — with specialized targets and various mechanisms of action. They have to be prescribed by a doctor, and it’s important to follow the instructions about their use to get the most out of the treatment without causing unintended harm.

Dangers of Mixing Alcohol and Bactrim

Bactrim: The Bigger Picture

Like any medicine, Bactrim comes with side effects. These can include nausea, vomiting, diarrhea, or loss of appetite. Sometimes, however, the side effects might get a bit more serious.

  • Muscle weakness. We may feel weak or extremely drowsy (better let someone else drive!).
  • Cognition changes. Our mood or thinking might change a bit, so if this happens (it’s not too likely) we should give ourselves a break for a few days and take it easy. We’ll be back to feeling like our usual selves soon enough!
  • Kidney damage. We might have kidney problems or end up with symptoms of low blood sugar, such as sudden sweating, shakiness, a rapid heartbeat, blurry vision, dizziness, or a tingly feeling in our hands [or] feet.
  • C. diff. In extremely rare cases, Bactrim could cause severe intestinal distress due to a bacteria called C. difficile. This condition can take a couple of weeks or months to develop, bringing on symptoms such as diarrhea that doesn't stop, abdominal or stomach pain, cramping, and bloody stools. This condition must be treated by a doctor. It can be prevented by taking probiotics or eating fermented foods such as sauerkraut, kimchi, miso paste, or yogurt.
  • Rare (but serious) side effects. Even more serious side effects include persistent headaches, kidney damage, a stiff neck, seizures, and a slow or irregular heartbeat.

But before you go swearing off Bactrim altogether, rest assured, these last few side effects are extremely rare! Bactrim has been used for decades and is generally well-tolerated by most people.


What’s Different About Bactrim?

Is there anything that makes Bactrim stand out from its counterparts? Yes! Bactrim takes a dual-action approach and gets metabolized in a way that’s a bit different. Let’s explore a bit further.

  • It has dual components. Bactrim is special because of its unique composition — it contains two different components, sulfamethoxazole and trimethoprim. Both work to inhibit the production of folic acid in bacteria, which need it for DNA synthesis and cell reproduction. However, by going for the same target in slightly different ways, sulfamethoxazole and trimethoprim deliver a double-whammy, becoming even more effective at fighting infections. 
  • It targets a variety of bacteria. Teamwork makes the dream work! By joining forces, the duo can target a wider range of bacteria than either one would be able to tackle alone.
  • It’s metabolized by the liver but excreted by the kidneys. Another important feature that sets Bactrim apart is the way it’s metabolized and excreted. While sulfamethoxazole is metabolized by the liver (more on this later!), trimethoprim is excreted by the kidneys, pretty much in its original form.

Mixing Alcohol and Antibiotics

So what about mixing antibiotics with booze: is it a no-go? Sort of okay? Or do all those bottles say “Don’t mix with alcohol” out of an abundance of (possibly unnecessary) caution?

According to a 2020 research review, there are a few possible outcomes of adding booze to the antibiotic mix.

  1. The effect the medication (or alcohol) has on the body and mind might be altered. In other words, we might get side effects or reactions we wouldn’t otherwise expect to see.
  2. The effectiveness of the antibiotic might be decreased. With alcohol in the picture, our body might not get the full benefit of the antibiotic.
  3. Toxicity might result. In a worst-case scenario, there might be a toxic interaction between the alcohol and an antibiotic. With a system that’s already compromised by illness, this is definitely not a situation we want to end up in.

The Risks of Drinking Alcohol on Bactrim

When it comes to mixing alcohol and Bactrim in particular, there are special considerations to keep in mind.

  • Bactrim metabolism. The fact that the Bactrim duo is metabolized and excreted by the liver and the kidneys is one of the main concerns. Alcohol puts a strain on both, so adding to the burden on these vital organs — especially when we’re physically not feeling our best — can spell trouble.
  • The risk of increased side effects. We’re also looking at an increased risk of side effects, especially nausea and skin reactions, since both alcohol and Bactrim can cause these on their own. Moreover, alcohol is notoriously dehydrating — an effect that can make Bactrim side effects more pronounced and unpleasant.
  • The possibility of a “disulfiram-like” reaction. Finally, there are specific effects related to the composition of Bactrim, which is similar to a medication called disulfiram that’s used to treat alcohol misuse. The sulfamethoxazole in Bactirm is related to a class of compounds present in some other antibiotics (known as sulfonylureas) that have been known to cause a “disulfiram-like reaction” by inhibiting alcohol metabolism. This reaction is extremely unpleasant and involves facial flushing, headaches, nausea, and cardiovascular effects such as heart palpitations.

(By the Way, Does “Disulfiram” Sound Familiar?)

If the word “disulfiram” sounds a bit familiar (we are talking about this in the context of alcohol, after all), you’re on the right track! Disulfiram is a popular medication prescribed to those committed to sobriety who want an extra psychological barrier to manage cravings on a daily basis.

Disulfiram inhibits certain processes in alcohol metabolism, prolonging the negative feelings associated with alcohol. Imagine the hangover from hell that doesn’t seem to end. Knowing that drinking on disulfiram will wreak all kinds of havoc can serve as a deterrent for many who are struggling with urges. By taking it at the beginning of the day, we’ve decided for ourselves that drinking today just isn’t worth it!

Still, when we’re talking about Bactrim, the risk of a disulfiram-like interaction is actually pretty low. Bactrim is not disulfiram (and is less likely to cause this particular problem than some of its antibiotic cousins), so mixing it with alcohol probably won’t send you to the hospital. Still, it’s not a great idea — and probably won’t make you feel that great. 

How Long Should You Wait to Drink After Taking Bactrim?

Doctors say that it’s best to wait at least 48 hours after completing a course of Bactrim before drinking. The rationale behind the waiting period? Allowing the body to process the antibiotic fully.

“I Drank Already, Will I Be Okay?”

Probably. If you had a drink while on Bactrim and are feeling all right, there shouldn’t be much to worry about (though it’s not a great idea to do this on a regular basis). Of course, if you have any concerns at all, don’t hesitate to get in touch with a medical professional right away!

Avoiding Booze While on Bactrim

If you’re finding it hard to stay away from alcohol while on Bactrim, here are a few tips to help.

  • Reframe the way you see the situation. Use this time as an opportunity to reexamine your relationship with alcohol. Who knows, maybe you’ll get sober-curious and want to continue trying out life beyond booze even when Bactrim is no longer in the picture!
  • Ask for help. Ask your family, friends, or roommates to keep you accountable as you heal (and, possibly, beyond!). A support team will keep your best interests in mind. Joining Reframe can help you get started! (Our 24/7 forum is like having a support team on call at all times.)
  • Explore non-alcoholic drinks. Mocktails are a great alternative to booze, and there are so many awesome ones to try! The non-alcoholic drink craze is really picking up, and now is the perfect time to explore. While many are served in bars, if you’re not up for it, it’s easy to mix them up by yourself. (A bonus? They’re way more hydrating than booze and might actually help you recover faster!). You could also try some healthy detox drinks to give your liver (and the rest of your body) a healing boost.
  • Plan your pressure-avoiding strategies. Check out some tips for social situations where people are drinking. It’s always your choice, and nobody should make you feel otherwise!

Conclusion

In the end, we’re taking Bactrim because we’re sick, and we’re probably feeling far from our best. So while having a drink on this medication probably won’t put us in immediate danger, we’re not really doing ourselves any favors either. After all, good-old ginger or chamomile tea might just do the trick when it comes to easing symptoms and allowing our body to get the rest and healing it needs.

As writer Leo Tolstoy once said, “Our body is a machine for living. It is organized for that, it is its nature. Let life go on in it unhindered and let it defend itself.” (Well, maybe with a little help from Bactrim!)

Can You Drink Alcohol on Bactrim?

You’ve been sick with an ear infection for days. Your head feels like there’s been nonstop road construction going on inside; you’re feeling drained (literally — must be all that stuff oozing out of your ear), and everyone’s voice sounds like they’re trapped inside a fish tank. But you just got some antibiotics from your doctor and today is a little better, so you think, hey, maybe I’ll have a beer with dinner?

But then you glance over at the bottle of Bactrim you’ve been prescribed, and it says clearly, “Don’t take with alcohol.” Now what? “Will I die if I drink on Bactrim?” Probably not, right? You text one friend who says, “Go for it! Those labels exaggerate.” But then you text your sister, and she remembers something about Bactrim being different. Who's right? Is the Bactrim and alcohol interaction truly dangerous? In short, can you drink on Bactrim?

What Is Bactrim?

a man holding a bottle of alcohol and a pills

Bactrim is an antibiotic containing sulfamethoxazole and trimethoprim. It’s used to treat bacterial infections of the middle ear, as well as urinary, respiratory, and intestinal infections. Occasionally, it might also be used to prevent some types of pneumonia.

But what are antibiotics in general? And what are they for? Let’s take a brief look.

The World of Antibiotics

Although we tend to associate antibiotics with the modern era, they’ve actually been around since ancient times. Our ancestors from ancient Egypt, Nubia, China, Serbia, Greece, and Rome all figured out that certain herbs and types of mold could cure infectious diseases. Although they didn’t understand the chemical mechanism, they put antibiotics into practice in their medicine.

Literally meaning “opposing life,” “antibiosis” was first scientifically described by Louis Pasteur and Robert Koch in 1877, when the pair laid the groundwork for the germ theory of diseases by showing that microorganisms were responsible for the spoiling of products such as milk. They found that other microorganisms (i.e., antibiotics) could inhibit the growth of their harmful counterparts.

Modern Antibiotics

As a Nature article explains, antibiotics officially came onto the scene when they were accidentally discovered by Alexander Fleming in 1928. Surprisingly, we have Fleming’s notoriously messy workspace to thank for this breakthrough! After leaving a few petri dishes with staphylococci bacteria cultures scattered around before taking off for vacation, Fleming came back to a surprising find: some of the dishes had grown a fungus (the basis for penicillin) that seemed to have killed off the disease-causing bacterial strain! (Who knew that a messy desk could set off a chain of events that revolutionized modern medicine and ultimately led to a Nobel Prize!)

Penicillin use skyrocketed in the 1940s, to the point where it could be easily purchased at any corner drug store virtually without restrictions or medical supervision. However, the heyday of antibiotics has been followed by a bit of a backlash. Scientists noticed that having too many bacteria killers out and about wiped out the good strains along with the bad, and bacteria started to adapt to be resistant to known antibiotics. Since then, it’s been a race to keep up and develop new approaches that don’t create drug-resistant strains that can’t be treated

Today, there are over 100 types of antibiotics on the market — including Bactrim — with specialized targets and various mechanisms of action. They have to be prescribed by a doctor, and it’s important to follow the instructions about their use to get the most out of the treatment without causing unintended harm.

Dangers of Mixing Alcohol and Bactrim

Bactrim: The Bigger Picture

Like any medicine, Bactrim comes with side effects. These can include nausea, vomiting, diarrhea, or loss of appetite. Sometimes, however, the side effects might get a bit more serious.

  • Muscle weakness. We may feel weak or extremely drowsy (better let someone else drive!).
  • Cognition changes. Our mood or thinking might change a bit, so if this happens (it’s not too likely) we should give ourselves a break for a few days and take it easy. We’ll be back to feeling like our usual selves soon enough!
  • Kidney damage. We might have kidney problems or end up with symptoms of low blood sugar, such as sudden sweating, shakiness, a rapid heartbeat, blurry vision, dizziness, or a tingly feeling in our hands [or] feet.
  • C. diff. In extremely rare cases, Bactrim could cause severe intestinal distress due to a bacteria called C. difficile. This condition can take a couple of weeks or months to develop, bringing on symptoms such as diarrhea that doesn't stop, abdominal or stomach pain, cramping, and bloody stools. This condition must be treated by a doctor. It can be prevented by taking probiotics or eating fermented foods such as sauerkraut, kimchi, miso paste, or yogurt.
  • Rare (but serious) side effects. Even more serious side effects include persistent headaches, kidney damage, a stiff neck, seizures, and a slow or irregular heartbeat.

But before you go swearing off Bactrim altogether, rest assured, these last few side effects are extremely rare! Bactrim has been used for decades and is generally well-tolerated by most people.


What’s Different About Bactrim?

Is there anything that makes Bactrim stand out from its counterparts? Yes! Bactrim takes a dual-action approach and gets metabolized in a way that’s a bit different. Let’s explore a bit further.

  • It has dual components. Bactrim is special because of its unique composition — it contains two different components, sulfamethoxazole and trimethoprim. Both work to inhibit the production of folic acid in bacteria, which need it for DNA synthesis and cell reproduction. However, by going for the same target in slightly different ways, sulfamethoxazole and trimethoprim deliver a double-whammy, becoming even more effective at fighting infections. 
  • It targets a variety of bacteria. Teamwork makes the dream work! By joining forces, the duo can target a wider range of bacteria than either one would be able to tackle alone.
  • It’s metabolized by the liver but excreted by the kidneys. Another important feature that sets Bactrim apart is the way it’s metabolized and excreted. While sulfamethoxazole is metabolized by the liver (more on this later!), trimethoprim is excreted by the kidneys, pretty much in its original form.

Mixing Alcohol and Antibiotics

So what about mixing antibiotics with booze: is it a no-go? Sort of okay? Or do all those bottles say “Don’t mix with alcohol” out of an abundance of (possibly unnecessary) caution?

According to a 2020 research review, there are a few possible outcomes of adding booze to the antibiotic mix.

  1. The effect the medication (or alcohol) has on the body and mind might be altered. In other words, we might get side effects or reactions we wouldn’t otherwise expect to see.
  2. The effectiveness of the antibiotic might be decreased. With alcohol in the picture, our body might not get the full benefit of the antibiotic.
  3. Toxicity might result. In a worst-case scenario, there might be a toxic interaction between the alcohol and an antibiotic. With a system that’s already compromised by illness, this is definitely not a situation we want to end up in.

The Risks of Drinking Alcohol on Bactrim

When it comes to mixing alcohol and Bactrim in particular, there are special considerations to keep in mind.

  • Bactrim metabolism. The fact that the Bactrim duo is metabolized and excreted by the liver and the kidneys is one of the main concerns. Alcohol puts a strain on both, so adding to the burden on these vital organs — especially when we’re physically not feeling our best — can spell trouble.
  • The risk of increased side effects. We’re also looking at an increased risk of side effects, especially nausea and skin reactions, since both alcohol and Bactrim can cause these on their own. Moreover, alcohol is notoriously dehydrating — an effect that can make Bactrim side effects more pronounced and unpleasant.
  • The possibility of a “disulfiram-like” reaction. Finally, there are specific effects related to the composition of Bactrim, which is similar to a medication called disulfiram that’s used to treat alcohol misuse. The sulfamethoxazole in Bactirm is related to a class of compounds present in some other antibiotics (known as sulfonylureas) that have been known to cause a “disulfiram-like reaction” by inhibiting alcohol metabolism. This reaction is extremely unpleasant and involves facial flushing, headaches, nausea, and cardiovascular effects such as heart palpitations.

(By the Way, Does “Disulfiram” Sound Familiar?)

If the word “disulfiram” sounds a bit familiar (we are talking about this in the context of alcohol, after all), you’re on the right track! Disulfiram is a popular medication prescribed to those committed to sobriety who want an extra psychological barrier to manage cravings on a daily basis.

Disulfiram inhibits certain processes in alcohol metabolism, prolonging the negative feelings associated with alcohol. Imagine the hangover from hell that doesn’t seem to end. Knowing that drinking on disulfiram will wreak all kinds of havoc can serve as a deterrent for many who are struggling with urges. By taking it at the beginning of the day, we’ve decided for ourselves that drinking today just isn’t worth it!

Still, when we’re talking about Bactrim, the risk of a disulfiram-like interaction is actually pretty low. Bactrim is not disulfiram (and is less likely to cause this particular problem than some of its antibiotic cousins), so mixing it with alcohol probably won’t send you to the hospital. Still, it’s not a great idea — and probably won’t make you feel that great. 

How Long Should You Wait to Drink After Taking Bactrim?

Doctors say that it’s best to wait at least 48 hours after completing a course of Bactrim before drinking. The rationale behind the waiting period? Allowing the body to process the antibiotic fully.

“I Drank Already, Will I Be Okay?”

Probably. If you had a drink while on Bactrim and are feeling all right, there shouldn’t be much to worry about (though it’s not a great idea to do this on a regular basis). Of course, if you have any concerns at all, don’t hesitate to get in touch with a medical professional right away!

Avoiding Booze While on Bactrim

If you’re finding it hard to stay away from alcohol while on Bactrim, here are a few tips to help.

  • Reframe the way you see the situation. Use this time as an opportunity to reexamine your relationship with alcohol. Who knows, maybe you’ll get sober-curious and want to continue trying out life beyond booze even when Bactrim is no longer in the picture!
  • Ask for help. Ask your family, friends, or roommates to keep you accountable as you heal (and, possibly, beyond!). A support team will keep your best interests in mind. Joining Reframe can help you get started! (Our 24/7 forum is like having a support team on call at all times.)
  • Explore non-alcoholic drinks. Mocktails are a great alternative to booze, and there are so many awesome ones to try! The non-alcoholic drink craze is really picking up, and now is the perfect time to explore. While many are served in bars, if you’re not up for it, it’s easy to mix them up by yourself. (A bonus? They’re way more hydrating than booze and might actually help you recover faster!). You could also try some healthy detox drinks to give your liver (and the rest of your body) a healing boost.
  • Plan your pressure-avoiding strategies. Check out some tips for social situations where people are drinking. It’s always your choice, and nobody should make you feel otherwise!

Conclusion

In the end, we’re taking Bactrim because we’re sick, and we’re probably feeling far from our best. So while having a drink on this medication probably won’t put us in immediate danger, we’re not really doing ourselves any favors either. After all, good-old ginger or chamomile tea might just do the trick when it comes to easing symptoms and allowing our body to get the rest and healing it needs.

As writer Leo Tolstoy once said, “Our body is a machine for living. It is organized for that, it is its nature. Let life go on in it unhindered and let it defend itself.” (Well, maybe with a little help from Bactrim!)

Alcohol and Medications
2024-04-22 9:00
Alcohol and Medications
The Risks of Mixing Dramamine and Alcohol
This is some text inside of a div block.

Can you drink on Dramamine, or is it too risky? Read about the possible dangers of this combination in our latest blog.

19 min read

Ready To Set Out on Your Alcohol Journey? Reframe Can Help!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

Nobody likes to feel nauseous. It’s that indescribable feeling — not quite “pain” but somehow just as bad. And often there seems to be no escape from it. Philosopher Jean-Paul Sartre dedicated a whole novel — Nausea — to the pervasive sensation. He writes, “The nausea has not left me and I don't believe it will leave me so soon; but I no longer have to bear it, it is no longer an illness or a passing fit: it is I.”

So if you tend to get nauseous — on planes, buses, that spinning teacup ride at Disney World — you probably have your travel kit stocked with over-the-counter nausea aids (if only they were around when Sartre’s protagonist was grappling with his affliction!).

But wait a second, is it okay to pop a Dramamine before knocking back a glass of wine on the plane or have a beer after you get off that bumpy bus ride? What are the dangers of mixing Dramamine and alcohol — can you drink on Dramamine at all? And what about using Dramamine for hangover-related nausea? Let’s find out more!

When Motion Makes Us Sick

a glass of alcohol next to cigarettes

Unfortunately, motion sickness is a part of life for many of us. It can show up during our daily commute to work, in the back seat of an Uber, and even on vacation trips. As scientist Natasha Tuznik tells UC Davis Health, “A study conducted in 2019 found that almost everyone has experienced or will experience motion sickness at some point in their lifetime.”

This “sickness” goes way back — in fact, the word comes from the Greek naus, meaning “ship.” These days, of course, there are many other modes of transportation that seem to conspire to ruin our transit experience.

In a study published in Ergonomics, as many as 28.4% of people surveyed reported feeling ill during a total of 110 hours of test drives that included 5 types of vehicles and 17 different drivers. Moreover, 12.8% reported experiencing nausea, while 1.7% brave participants admitted to “losing their lunch” during the experiment!

Riding in cars is part of modern life. Thankfully, so is modern science! Enter: Dramamine.

Dramamine: A Lifeline for Motion Sickness

Dramamine (Dimenhydrinate) is an antihistamine used to kick the most unpleasant symptoms of motion sickness (such as nausea, vomiting, and dizziness) right to the curb. In fact, it can even prevent them from starting in the first place!

Know Dramamine by another name? That’s quite possible. According to ScienceDirect, this trusty travel companion has many aliases:

  • Andramine (or andrumin)
  • Antemin
  • Chloranautine
  • Detensor
  • Diamarin
  • Dimenhydrinat
  • Dommanate
  • Dramaban
  • Dramarin
  • Dramyl
  • Epha (or epharetard)
  • Faston
  • Gravol
  • Nausicalm (or paranausine)
  • Travel gum (as well as travelin, travelmin, or trawell)
  • Valontan
  • Vomex

Phew! That’s quite a list. Whichever alias you know it by, they all work the same way — and the mechanism is pretty clever!

How Does Dramamine Work?

Dramamine helps our body maintain a sense of balance during those bumpy bus rides and turbulent takeovers. It works by blocking certain signals in the brain that trigger these uncomfortable symptoms, providing much-needed relief during travel. While taking a pill when symptoms kick in is an option (it’s never too late!), many travelers opt for taking the precaution of popping one an hour or so before even getting on the bus (or plane, or car).

As for dosage, the standard for adults is 50-100 mg every 4-6 hours, with 400 mg per day being the limit.

While Dramamine is all about reducing the unpleasant “side effects” of travel, it comes with a bit of baggage of its own. The common side effects are usually pretty mild:

  • Dry mouth. This is the most common side effect of Dramamine. While this isn’t great for mouth health (and can lead to cavities over time), there are solutions to this. A few sugar-free xylitol lozenges can balance things out by promoting salivation, nipping this problem in the bud.
  • Blurry vision. Dry eyes and blurry vision are also common side effects, so it’s a good idea to bring some eye drops along for the ride — especially for those of us who wear contacts.
  • Dizziness. We might feel dizzy, especially if we stand up too quickly after sitting or lying down. Since motion sickness also can make us dizzy, it’s extra important to be careful, especially if we have any medical conditions that might put us at greater risk of falling.
  • Nausea. Wait, what? Yes, ironically, Dramamine can cause nausea in some folks (obviously the opposite of what we’re going for, but it does happen!).

When Dramamine and Alcohol Cross Paths

So what happens when we add alcohol to the mix? There are a couple of reasons why the two are not great “travel companions”:

1. Boosted Sedative Effect


Dramamine can make us drowsy on its own, but with alcohol in the picture, the effect gets much more pronounced — sometimes to a dangerous degree. As a depressant, alcohol numbs our senses and slows cognitive processing while impairing our motor skills.

The reason has to do with the way it affects our brain chemistry. Alcohol tends to increase the activity of GABA, an inhibitory neurotransmitter that slows down the nervous system, while simultaneously toning down the effects of glutamate, its “excitatory” counterpart. The result? Our reflexes take a hit, our cognitive abilities are dulled, and we feel drowsy.

The booze-dramamine combo can dangerously enhance impairment, raising the risk of accidents and injuries, especially in activities requiring alertness, such as driving. However, even if we’re not behind the wheel, the extra grogginess can get in the way. (After all, nobody wants to miss their connecting flight!) And if we end up having several drinks, we could get into dangerous waters by slowing down our central nervous system so much that it becomes a health risk.

2. Dehydration


Alcohol is notorious for leaving us parched and depleted of electrolytes, and adding Dramamine to the mix can make things worse. This dehydrating duo will leave you twice as thirsty — especially after a long plane ride!

3. Intensification of Side Effects


Mixing alcohol and Dramamine can also worsen other side effects, such as dry mouth, blurred vision, and dizziness. If we’re already feeling drowsy, this could really spell trouble, especially for those of us who are a bit older.

Timing Alcohol and Dramamine 


You might be wondering, “How long after taking Dramamine can I drink alcohol?” The effects of the medication can last from 4 to 6 hours, and it takes about 1 to 3 hours for its peak effects to show up. Given its half-life, it's best to wait at least 24 hours after taking Dramamine before drinking so your body can fully process the medication. Waiting an extra few hours might reduce the risk of adverse interactions even more.

Is one drink okay to have with Dramamine? Not really. Even one drink can significantly increase the side effects and amp up the risks, so it's best to skip booze entirely until the medication has cleared from your system.

Dramamine for Hangovers


Given that nausea is a common hangover symptom, it seems that it would make sense to reach for a Dramamine pill for relief.

But is it a good idea? Not so much.

It’s true that Dramamine can potentially alleviate some symptoms of a hangover, such as nausea and a sense of balance disruption. However, Dramamine’s sedative effects can add to the grogginess and cognitive fuzziness often experienced during a hangover.

Moreover, taking Dramamine to combat hangover symptoms can be risky if alcohol is still present in the system. The combination can lead to increased drowsiness, dehydration, and further impairment of judgment and motor skills.

A Note on Addiction Potential


Moreover, it’s also worth noting that while Dramamine tends to be safe for many people when it comes to potential misuse, for some it’s been known to be habit-forming (sometimes very much so — we’re talking large daily doses). If we have a history of substance misuse, it’s important to be careful and mindful about our Dramamine intake.

What About Bonine and Alcohol?


Finally, many of us might have noticed that Dramamine has a travel partner that usually shares the same shelf in the drug store — Bonine. Is this a better choice to take along for the ride if we know we might drink?

Bonine (meclizine) is also marketed as a motion sickness aid but one that claims to work all day — as opposed to Dramamine’s 4- to 6-hour window. Unfortunately for those who might have been hoping Bonine could work as a booze-friendly alternative to Dramamine, this isn’t the case. Bonine shares the same risk of central nervous system suppression — along with increased dehydration and intensified side effects.

To ensure safety, it’s best to avoid alcohol when taking any motion sickness medication.

Strategies for Safety 

Strategies for Safety


Ready for some tips on how to relieve nausea and hangovers more effectively (and maybe prevent them altogether)? Here we go!

  • Don’t mix Dramamine and alcohol. Try to stay away from booze if you know you’ll need to take Dramamine. The risk of experiencing adverse effects from either substance goes way up when you mix them, so it’s not worth it.
  • Consider other motion sickness aids. Anti-nausea bands that put pressure on a specific spot on your wrist can work surprisingly well for many people. Ginger chewing gum or lozenges can also help.
  • When it comes to hangovers, water is your best friend. While the thought of drinking water when you’re nauseous might be, well, hard to stomach — stay with us. Rehydration (and replenishing electrolytes) is key, so try to find a palatable way to do so. Adding electrolyte mixes such as Liquid IV can be helpful, since in addition to adding extra hydration power, they also tend to make plain water taste a bit better. Take small sips and listen to your body!
  • Rest and gentle movement can ease the symptoms as well. Most importantly, give yourself a break when you’re feeling nauseous, whether it’s from motion sickness or a hangover. It might feel like it will last forever, but rest assured — you’ll feel better eventually. If you’re up for it, gentle movement such as walking can help your body start getting back to normal. Try to get outside to get some fresh air if possible, and again — keep it simple and don’t overdo it.

Tips for the Road


If you’re finding that alcohol is taking up a bit too much air time in your life in general — whether or not Dramamine is part of the picture — here are some additional tips for the journey.

  • Scope out your habits. Start by evaluating your drinking patterns. When do you tend to drink the most? Is it social occasions? After work? When you’re traveling? Try to get an overall “lay of the land” — no judgment.
  • Track your intake. Consider tracking how much you drink for a while. You might be surprised at what this practice can reveal! Consider an app such as Reframe that can help you track your drinks (and provide helpful insights along the way!).
  • Check out sober events in your area. There’s so much fun to be had beyond booze, and these days the “sober-curious” movement is stronger than ever. Get curious and explore! If you’re starting your vacation with a Dramamine on the plane or car ride, consider spending your first day booze-free. This will also ensure you’ll have plenty of energy for day one of your days off!

Summing Up


Nausea is, unfortunately, a part of life, and it’s great that Dramamine is here to help. But the not-so-helpful interactions between this medication and alcohol don’t have to be part of your journey. Happy booze-free, hangover-free travels!

Nobody likes to feel nauseous. It’s that indescribable feeling — not quite “pain” but somehow just as bad. And often there seems to be no escape from it. Philosopher Jean-Paul Sartre dedicated a whole novel — Nausea — to the pervasive sensation. He writes, “The nausea has not left me and I don't believe it will leave me so soon; but I no longer have to bear it, it is no longer an illness or a passing fit: it is I.”

So if you tend to get nauseous — on planes, buses, that spinning teacup ride at Disney World — you probably have your travel kit stocked with over-the-counter nausea aids (if only they were around when Sartre’s protagonist was grappling with his affliction!).

But wait a second, is it okay to pop a Dramamine before knocking back a glass of wine on the plane or have a beer after you get off that bumpy bus ride? What are the dangers of mixing Dramamine and alcohol — can you drink on Dramamine at all? And what about using Dramamine for hangover-related nausea? Let’s find out more!

When Motion Makes Us Sick

a glass of alcohol next to cigarettes

Unfortunately, motion sickness is a part of life for many of us. It can show up during our daily commute to work, in the back seat of an Uber, and even on vacation trips. As scientist Natasha Tuznik tells UC Davis Health, “A study conducted in 2019 found that almost everyone has experienced or will experience motion sickness at some point in their lifetime.”

This “sickness” goes way back — in fact, the word comes from the Greek naus, meaning “ship.” These days, of course, there are many other modes of transportation that seem to conspire to ruin our transit experience.

In a study published in Ergonomics, as many as 28.4% of people surveyed reported feeling ill during a total of 110 hours of test drives that included 5 types of vehicles and 17 different drivers. Moreover, 12.8% reported experiencing nausea, while 1.7% brave participants admitted to “losing their lunch” during the experiment!

Riding in cars is part of modern life. Thankfully, so is modern science! Enter: Dramamine.

Dramamine: A Lifeline for Motion Sickness

Dramamine (Dimenhydrinate) is an antihistamine used to kick the most unpleasant symptoms of motion sickness (such as nausea, vomiting, and dizziness) right to the curb. In fact, it can even prevent them from starting in the first place!

Know Dramamine by another name? That’s quite possible. According to ScienceDirect, this trusty travel companion has many aliases:

  • Andramine (or andrumin)
  • Antemin
  • Chloranautine
  • Detensor
  • Diamarin
  • Dimenhydrinat
  • Dommanate
  • Dramaban
  • Dramarin
  • Dramyl
  • Epha (or epharetard)
  • Faston
  • Gravol
  • Nausicalm (or paranausine)
  • Travel gum (as well as travelin, travelmin, or trawell)
  • Valontan
  • Vomex

Phew! That’s quite a list. Whichever alias you know it by, they all work the same way — and the mechanism is pretty clever!

How Does Dramamine Work?

Dramamine helps our body maintain a sense of balance during those bumpy bus rides and turbulent takeovers. It works by blocking certain signals in the brain that trigger these uncomfortable symptoms, providing much-needed relief during travel. While taking a pill when symptoms kick in is an option (it’s never too late!), many travelers opt for taking the precaution of popping one an hour or so before even getting on the bus (or plane, or car).

As for dosage, the standard for adults is 50-100 mg every 4-6 hours, with 400 mg per day being the limit.

While Dramamine is all about reducing the unpleasant “side effects” of travel, it comes with a bit of baggage of its own. The common side effects are usually pretty mild:

  • Dry mouth. This is the most common side effect of Dramamine. While this isn’t great for mouth health (and can lead to cavities over time), there are solutions to this. A few sugar-free xylitol lozenges can balance things out by promoting salivation, nipping this problem in the bud.
  • Blurry vision. Dry eyes and blurry vision are also common side effects, so it’s a good idea to bring some eye drops along for the ride — especially for those of us who wear contacts.
  • Dizziness. We might feel dizzy, especially if we stand up too quickly after sitting or lying down. Since motion sickness also can make us dizzy, it’s extra important to be careful, especially if we have any medical conditions that might put us at greater risk of falling.
  • Nausea. Wait, what? Yes, ironically, Dramamine can cause nausea in some folks (obviously the opposite of what we’re going for, but it does happen!).

When Dramamine and Alcohol Cross Paths

So what happens when we add alcohol to the mix? There are a couple of reasons why the two are not great “travel companions”:

1. Boosted Sedative Effect


Dramamine can make us drowsy on its own, but with alcohol in the picture, the effect gets much more pronounced — sometimes to a dangerous degree. As a depressant, alcohol numbs our senses and slows cognitive processing while impairing our motor skills.

The reason has to do with the way it affects our brain chemistry. Alcohol tends to increase the activity of GABA, an inhibitory neurotransmitter that slows down the nervous system, while simultaneously toning down the effects of glutamate, its “excitatory” counterpart. The result? Our reflexes take a hit, our cognitive abilities are dulled, and we feel drowsy.

The booze-dramamine combo can dangerously enhance impairment, raising the risk of accidents and injuries, especially in activities requiring alertness, such as driving. However, even if we’re not behind the wheel, the extra grogginess can get in the way. (After all, nobody wants to miss their connecting flight!) And if we end up having several drinks, we could get into dangerous waters by slowing down our central nervous system so much that it becomes a health risk.

2. Dehydration


Alcohol is notorious for leaving us parched and depleted of electrolytes, and adding Dramamine to the mix can make things worse. This dehydrating duo will leave you twice as thirsty — especially after a long plane ride!

3. Intensification of Side Effects


Mixing alcohol and Dramamine can also worsen other side effects, such as dry mouth, blurred vision, and dizziness. If we’re already feeling drowsy, this could really spell trouble, especially for those of us who are a bit older.

Timing Alcohol and Dramamine 


You might be wondering, “How long after taking Dramamine can I drink alcohol?” The effects of the medication can last from 4 to 6 hours, and it takes about 1 to 3 hours for its peak effects to show up. Given its half-life, it's best to wait at least 24 hours after taking Dramamine before drinking so your body can fully process the medication. Waiting an extra few hours might reduce the risk of adverse interactions even more.

Is one drink okay to have with Dramamine? Not really. Even one drink can significantly increase the side effects and amp up the risks, so it's best to skip booze entirely until the medication has cleared from your system.

Dramamine for Hangovers


Given that nausea is a common hangover symptom, it seems that it would make sense to reach for a Dramamine pill for relief.

But is it a good idea? Not so much.

It’s true that Dramamine can potentially alleviate some symptoms of a hangover, such as nausea and a sense of balance disruption. However, Dramamine’s sedative effects can add to the grogginess and cognitive fuzziness often experienced during a hangover.

Moreover, taking Dramamine to combat hangover symptoms can be risky if alcohol is still present in the system. The combination can lead to increased drowsiness, dehydration, and further impairment of judgment and motor skills.

A Note on Addiction Potential


Moreover, it’s also worth noting that while Dramamine tends to be safe for many people when it comes to potential misuse, for some it’s been known to be habit-forming (sometimes very much so — we’re talking large daily doses). If we have a history of substance misuse, it’s important to be careful and mindful about our Dramamine intake.

What About Bonine and Alcohol?


Finally, many of us might have noticed that Dramamine has a travel partner that usually shares the same shelf in the drug store — Bonine. Is this a better choice to take along for the ride if we know we might drink?

Bonine (meclizine) is also marketed as a motion sickness aid but one that claims to work all day — as opposed to Dramamine’s 4- to 6-hour window. Unfortunately for those who might have been hoping Bonine could work as a booze-friendly alternative to Dramamine, this isn’t the case. Bonine shares the same risk of central nervous system suppression — along with increased dehydration and intensified side effects.

To ensure safety, it’s best to avoid alcohol when taking any motion sickness medication.

Strategies for Safety 

Strategies for Safety


Ready for some tips on how to relieve nausea and hangovers more effectively (and maybe prevent them altogether)? Here we go!

  • Don’t mix Dramamine and alcohol. Try to stay away from booze if you know you’ll need to take Dramamine. The risk of experiencing adverse effects from either substance goes way up when you mix them, so it’s not worth it.
  • Consider other motion sickness aids. Anti-nausea bands that put pressure on a specific spot on your wrist can work surprisingly well for many people. Ginger chewing gum or lozenges can also help.
  • When it comes to hangovers, water is your best friend. While the thought of drinking water when you’re nauseous might be, well, hard to stomach — stay with us. Rehydration (and replenishing electrolytes) is key, so try to find a palatable way to do so. Adding electrolyte mixes such as Liquid IV can be helpful, since in addition to adding extra hydration power, they also tend to make plain water taste a bit better. Take small sips and listen to your body!
  • Rest and gentle movement can ease the symptoms as well. Most importantly, give yourself a break when you’re feeling nauseous, whether it’s from motion sickness or a hangover. It might feel like it will last forever, but rest assured — you’ll feel better eventually. If you’re up for it, gentle movement such as walking can help your body start getting back to normal. Try to get outside to get some fresh air if possible, and again — keep it simple and don’t overdo it.

Tips for the Road


If you’re finding that alcohol is taking up a bit too much air time in your life in general — whether or not Dramamine is part of the picture — here are some additional tips for the journey.

  • Scope out your habits. Start by evaluating your drinking patterns. When do you tend to drink the most? Is it social occasions? After work? When you’re traveling? Try to get an overall “lay of the land” — no judgment.
  • Track your intake. Consider tracking how much you drink for a while. You might be surprised at what this practice can reveal! Consider an app such as Reframe that can help you track your drinks (and provide helpful insights along the way!).
  • Check out sober events in your area. There’s so much fun to be had beyond booze, and these days the “sober-curious” movement is stronger than ever. Get curious and explore! If you’re starting your vacation with a Dramamine on the plane or car ride, consider spending your first day booze-free. This will also ensure you’ll have plenty of energy for day one of your days off!

Summing Up


Nausea is, unfortunately, a part of life, and it’s great that Dramamine is here to help. But the not-so-helpful interactions between this medication and alcohol don’t have to be part of your journey. Happy booze-free, hangover-free travels!

Alcohol and Medications
2024-04-20 9:00
Alcohol and Medications
Can You Drink Alcohol With Cephalexin?
This is some text inside of a div block.

What can you not take with cephalexin? Well, drinking might be off the table for a while. If your doctor prescribes you cephalexin, alcohol may not be the best idea.

17 min read

Live Well With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!

Read Full Article  →

It’s tough when a urinary tract infection disrupts your routine. It seems like those ultra-uncomfortable, ice-pick-painful symptoms find you at the worst possible moments — moments when you’re stressed and stretched thin.

When you finally carve out an hour for urgent care, the doctor asks you a few quick questions. She collects a urine sample before calling in a prescription.

When you pick up the pills, you see an unfamiliar name on the label: cephalexin. How is this drug going to affect your plans? You find yourself thinking about the upcoming weekend. What about your second date at that pop-up bar? Can you drink alcohol with cephalexin?  

Cephalexin Uses, Side Effects, and Contraindications

a hand holding a bottle of pills and a glass of liquid

Cephalexin belongs to a class of medications known as cephalosporin antibiotics, which work by destroying bacteria in the body. It is available under the brand names Daxbia, Keflex, Biocef, and Keftab, among others. Let’s explore this drug’s purpose, primary side effects, and interactions with other substances.

What Is Cephalexin Prescribed For?

Doctors prescribe cephalexin for bacterial infections, including pneumonia, upper respiratory infections (URIs), and urinary tract infections (UTIs). It’s also used when bacteria take up residence in the skin, ears, genitals, and bones. We may have received a cephalexin prescription after contracting certain strains of staph (Staphylococcus aureus) or strep (Streptococcus pyogenes).

It comes in one of three forms: a tablet, a capsule, or a liquid suspension. We’ll need to take it as prescribed; usually, that’s once every six to 12 hours. We’ll want to continue taking this medication until we run out of it, even if our symptoms resolve within the first few days. Quitting earlier may place us at risk of a rebound infection.

Contrary to popular belief, antibiotics like cephalexin don’t work on viral illnesses like the common cold or the flu. Using these drugs unnecessarily can increase antibiotic resistance, which makes these medications less effective over time.

Side Effects of Cephalexin

Fortunately, most of us will probably tolerate cephalexin very well. The most common side effect is diarrhea, followed by headache, nausea, and unusual vaginal discharge. In some cases, we might feel fatigued, confused, or agitated. If you have any of these symptoms for more than two days (or if they are particularly severe), reach out to your care team.

In rare cases, some people experience flu-like symptoms, including chills, stomach pain, dizziness, and fever. If you experience an allergic or severe skin reaction — characterized by itching, a rash, blisters, peeling of the skin, difficulty breathing, bloody stools, hallucinations, or swollen lymph nodes — seek emergency medical attention.

It is worth noting that those of us with diabetes may get false positive tests for sugar in our urine while taking this drug. We should talk to our doctor about this if it occurs; ideally, they’ll let us know what to expect before we fill the script.

Contraindications: What Can You Not Take With Cephalexin?

Cephalexin won’t work for everyone. We should not take this drug if we have a penicillin allergy, which may make us more likely to experience adverse effects. We’ll also want to tell our healthcare provider about any medications, vitamins, and supplements we’re currently taking, as this drug tends to interact with metformin and probenecid.

  • Metformin. This drug is especially important to those of us with diabetes because it controls the level of sugar in our blood. Taking cephalexin while on this medication can increase the amount of metformin in our blood by decreasing the amount processed by our kidneys. Liquid cephalexin might also contain sugar. For these reasons (among others), we should always tell our doctor whether we are diabetic.
  • Probenecid. Used to treat chronic gout and gout-related arthritis, probenecid alters the amount of uric acid in our blood. Taking this drug alongside cephalexin dramatically increases our cephalexin exposure. In some patients, that’s ideal — in others, it’s a serious detriment. Let your doctor know if you’re taking metformin, probenecid, or any other prescription drug.

When asking, “What can you not take with cephalexin?”, we want to remember that this drug can seriously interact with supplements. We should avoid taking any zinc while on this medication. Zinc interferes with the absorption of cephalexin, reducing its concentration in the bloodstream and rendering it less effective. Pro tip: Check your multivitamin for zinc or bring it to your doctor’s appointment before starting cephalexin.

If this antibiotic interacts with popular prescription drugs and over-the-counter vitamins, will drinking alcohol affect its efficacy?

Can You Drink on Cephalexin?

Some cephalosporin antibiotics react strongly with alcohol. For example, mixing cefotetan or cefoperazone with a few after-work cocktails can result in gastrointestinal or cardiac distress. Symptoms include irregular heartbeat, blood pressure changes, severe nausea, and vomiting. However, this isn’t the case for all antibiotics. So, can you drink on cephalexin?

Technically, it’s safe to drink on cephalexin. We won’t experience the host of uncomfortable (or life-threatening) symptoms we might usually associate with antibiotics and alcohol. However, that doesn’t mean it’s a good idea to imbibe while taking this medication.

Potential Interactions Between Cephalexin and Alcohol

Cephalexin and alcohol interact in three key ways. If we drink on cephalexin, we may deal with worse side effects, a weakened immune system, and a longer recovery time. Here’s how it works:

  • Alcohol may intensify cephalexin’s side effects. Drinking while on cephalexin can worsen the discomfort associated with this drug. Side effects like indigestion, nausea, and other gastrointestinal issues may be heightened when we add alcohol to the equation.
  • Drinking suppresses our immune system. Any time we drink, we channel our inner Meryl Streep from The Devil Wears Prada. We dump our coat and bag on our liver’s desk and tell it to drop whatever it’s doing to process that glass of wine. As we can imagine, that’s bad for our health — especially when our liver is doing its best to work through antibiotics, toxins, and all the other stuff that comes with being sick.
  • Alcohol may prolong our illness. Drinking can aggravate the issues that inspired us to seek medical attention in the first place, especially if we’re suffering from UTIs. The continued consumption of alcohol with cephalexin can create a cycle of symptoms.

So while it’s not necessarily dangerous to mix cephalexin and alcohol, it is certainly not beneficial.

How Long After Taking Cephalexin Can You Drink Alcohol?

If we want to avoid the interactions outlined above, we’ll probably want to abstain. Most of us will be on this medication for a maximum of 10 days, which isn’t long in the grand scheme of things. Consider framing this time as a break from hangovers while you focus on getting well. Plan to wait at least eight hours after your last dose of cephalexin to drink again.

Alcohol and UTIs

While drinking doesn’t directly cause UTIs, heavy drinking creates a perfect environment where these nasty infections can thrive.

Alcohol is a diuretic, which means it increases our urinary frequency. The more we use the bathroom, the more likely we are to become dehydrated, especially if we’re under the influence. The resulting dehydration can worsen our UTI symptoms, weaken our immune system, and make it more difficult for our body to overcome an existing infection, even if we’re already taking medication. Sound familiar?

Furthermore, alcohol is pretty acidic. This makes it especially irritating for the delicate tissue lining the inside of our bladder (which is already going through a lot!). Even when we’re healthy, heavy alcohol exposure and its associated inflammation can lead to a form of bladder discomfort known as cystitis. Unfortunately, the symptoms of alcohol-induced cystitis and UTIs are almost indistinguishable, making future diagnosis difficult.

All this is to say: if we’re taking cephalexin for a UTI or any other infection, we may want to rethink those drinks.

Alcohol-Free Options While on a Cephalexin Regimen

We can still enjoy ourselves while bouncing back from bacterial infections. Below are a few boozeless beverages for those of us avoiding alcohol on cephalexin.

  • Water, water, everywhere. This is always our #1 recommendation, especially while taking antibiotics. But it doesn’t have to be boring! Sure, you could break out the Brita, but consider treating yourself to sparkling water, aguas frescas, or other restorative favorites.

  • Herbal tea, anyone? Caffeine-free herbal teas like chamomile and peppermint can be especially soothing when we’re ill. Widely available variants like lemon ginger, lavender stress relief, and honey chai offer us the opportunity to combine mindfulness with hydration. If you’ve got a UTI, opt for green tea, which may have antimicrobial benefits.

  • Fruit juice (diluted, please!). Whether you’re a fan of fresh-squeezed OJ or just need to work through that carton of cranberry juice in the refrigerator door, juices can be a vitamin-rich alcohol alternative. Watering them down lowers their calorie content and sugar concentration, making them balanced options during an illness. Note: Steer clear of grapefruit juice, which can make antibiotics less effective.

  • Try non-alcoholic beer, wine, or liquor. If you’re missing the real thing, try the virgin version. Alcohol-free alternatives have gained serious momentum since the COVID-19 pandemic. You can grab these at your local grocery store or special order them online.

  • Cheers to healthy mocktails. Make your favorite craft cocktail, minus the booze, whenever you want to feel fancy on cephalexin. Need a little inspiration? Consider these refreshing recipes from the Reframe team.

We hope these spirit-free sips bring you joy in the days ahead. Remember to check with a healthcare professional before altering your diet, especially if you’ve been prescribed a new medication.

In-App Inspiration 

If you’re struggling to take a break from drinking, you’re not alone. It can be difficult to stay substance-free for the days or weeks it takes to battle an infection. If you need help staying on track, consider seeking support from Reframe during your course of cephalexin.

Reframe is a habit-cessation app powered by neuroscience. Our team includes recovery experts, academics, psychologists, and more. The proof is in our data — we’ve helped millions of people change their drinking habits for the better. To learn more, visit the App Store or Google Play today.

It’s tough when a urinary tract infection disrupts your routine. It seems like those ultra-uncomfortable, ice-pick-painful symptoms find you at the worst possible moments — moments when you’re stressed and stretched thin.

When you finally carve out an hour for urgent care, the doctor asks you a few quick questions. She collects a urine sample before calling in a prescription.

When you pick up the pills, you see an unfamiliar name on the label: cephalexin. How is this drug going to affect your plans? You find yourself thinking about the upcoming weekend. What about your second date at that pop-up bar? Can you drink alcohol with cephalexin?  

Cephalexin Uses, Side Effects, and Contraindications

a hand holding a bottle of pills and a glass of liquid

Cephalexin belongs to a class of medications known as cephalosporin antibiotics, which work by destroying bacteria in the body. It is available under the brand names Daxbia, Keflex, Biocef, and Keftab, among others. Let’s explore this drug’s purpose, primary side effects, and interactions with other substances.

What Is Cephalexin Prescribed For?

Doctors prescribe cephalexin for bacterial infections, including pneumonia, upper respiratory infections (URIs), and urinary tract infections (UTIs). It’s also used when bacteria take up residence in the skin, ears, genitals, and bones. We may have received a cephalexin prescription after contracting certain strains of staph (Staphylococcus aureus) or strep (Streptococcus pyogenes).

It comes in one of three forms: a tablet, a capsule, or a liquid suspension. We’ll need to take it as prescribed; usually, that’s once every six to 12 hours. We’ll want to continue taking this medication until we run out of it, even if our symptoms resolve within the first few days. Quitting earlier may place us at risk of a rebound infection.

Contrary to popular belief, antibiotics like cephalexin don’t work on viral illnesses like the common cold or the flu. Using these drugs unnecessarily can increase antibiotic resistance, which makes these medications less effective over time.

Side Effects of Cephalexin

Fortunately, most of us will probably tolerate cephalexin very well. The most common side effect is diarrhea, followed by headache, nausea, and unusual vaginal discharge. In some cases, we might feel fatigued, confused, or agitated. If you have any of these symptoms for more than two days (or if they are particularly severe), reach out to your care team.

In rare cases, some people experience flu-like symptoms, including chills, stomach pain, dizziness, and fever. If you experience an allergic or severe skin reaction — characterized by itching, a rash, blisters, peeling of the skin, difficulty breathing, bloody stools, hallucinations, or swollen lymph nodes — seek emergency medical attention.

It is worth noting that those of us with diabetes may get false positive tests for sugar in our urine while taking this drug. We should talk to our doctor about this if it occurs; ideally, they’ll let us know what to expect before we fill the script.

Contraindications: What Can You Not Take With Cephalexin?

Cephalexin won’t work for everyone. We should not take this drug if we have a penicillin allergy, which may make us more likely to experience adverse effects. We’ll also want to tell our healthcare provider about any medications, vitamins, and supplements we’re currently taking, as this drug tends to interact with metformin and probenecid.

  • Metformin. This drug is especially important to those of us with diabetes because it controls the level of sugar in our blood. Taking cephalexin while on this medication can increase the amount of metformin in our blood by decreasing the amount processed by our kidneys. Liquid cephalexin might also contain sugar. For these reasons (among others), we should always tell our doctor whether we are diabetic.
  • Probenecid. Used to treat chronic gout and gout-related arthritis, probenecid alters the amount of uric acid in our blood. Taking this drug alongside cephalexin dramatically increases our cephalexin exposure. In some patients, that’s ideal — in others, it’s a serious detriment. Let your doctor know if you’re taking metformin, probenecid, or any other prescription drug.

When asking, “What can you not take with cephalexin?”, we want to remember that this drug can seriously interact with supplements. We should avoid taking any zinc while on this medication. Zinc interferes with the absorption of cephalexin, reducing its concentration in the bloodstream and rendering it less effective. Pro tip: Check your multivitamin for zinc or bring it to your doctor’s appointment before starting cephalexin.

If this antibiotic interacts with popular prescription drugs and over-the-counter vitamins, will drinking alcohol affect its efficacy?

Can You Drink on Cephalexin?

Some cephalosporin antibiotics react strongly with alcohol. For example, mixing cefotetan or cefoperazone with a few after-work cocktails can result in gastrointestinal or cardiac distress. Symptoms include irregular heartbeat, blood pressure changes, severe nausea, and vomiting. However, this isn’t the case for all antibiotics. So, can you drink on cephalexin?

Technically, it’s safe to drink on cephalexin. We won’t experience the host of uncomfortable (or life-threatening) symptoms we might usually associate with antibiotics and alcohol. However, that doesn’t mean it’s a good idea to imbibe while taking this medication.

Potential Interactions Between Cephalexin and Alcohol

Cephalexin and alcohol interact in three key ways. If we drink on cephalexin, we may deal with worse side effects, a weakened immune system, and a longer recovery time. Here’s how it works:

  • Alcohol may intensify cephalexin’s side effects. Drinking while on cephalexin can worsen the discomfort associated with this drug. Side effects like indigestion, nausea, and other gastrointestinal issues may be heightened when we add alcohol to the equation.
  • Drinking suppresses our immune system. Any time we drink, we channel our inner Meryl Streep from The Devil Wears Prada. We dump our coat and bag on our liver’s desk and tell it to drop whatever it’s doing to process that glass of wine. As we can imagine, that’s bad for our health — especially when our liver is doing its best to work through antibiotics, toxins, and all the other stuff that comes with being sick.
  • Alcohol may prolong our illness. Drinking can aggravate the issues that inspired us to seek medical attention in the first place, especially if we’re suffering from UTIs. The continued consumption of alcohol with cephalexin can create a cycle of symptoms.

So while it’s not necessarily dangerous to mix cephalexin and alcohol, it is certainly not beneficial.

How Long After Taking Cephalexin Can You Drink Alcohol?

If we want to avoid the interactions outlined above, we’ll probably want to abstain. Most of us will be on this medication for a maximum of 10 days, which isn’t long in the grand scheme of things. Consider framing this time as a break from hangovers while you focus on getting well. Plan to wait at least eight hours after your last dose of cephalexin to drink again.

Alcohol and UTIs

While drinking doesn’t directly cause UTIs, heavy drinking creates a perfect environment where these nasty infections can thrive.

Alcohol is a diuretic, which means it increases our urinary frequency. The more we use the bathroom, the more likely we are to become dehydrated, especially if we’re under the influence. The resulting dehydration can worsen our UTI symptoms, weaken our immune system, and make it more difficult for our body to overcome an existing infection, even if we’re already taking medication. Sound familiar?

Furthermore, alcohol is pretty acidic. This makes it especially irritating for the delicate tissue lining the inside of our bladder (which is already going through a lot!). Even when we’re healthy, heavy alcohol exposure and its associated inflammation can lead to a form of bladder discomfort known as cystitis. Unfortunately, the symptoms of alcohol-induced cystitis and UTIs are almost indistinguishable, making future diagnosis difficult.

All this is to say: if we’re taking cephalexin for a UTI or any other infection, we may want to rethink those drinks.

Alcohol-Free Options While on a Cephalexin Regimen

We can still enjoy ourselves while bouncing back from bacterial infections. Below are a few boozeless beverages for those of us avoiding alcohol on cephalexin.

  • Water, water, everywhere. This is always our #1 recommendation, especially while taking antibiotics. But it doesn’t have to be boring! Sure, you could break out the Brita, but consider treating yourself to sparkling water, aguas frescas, or other restorative favorites.

  • Herbal tea, anyone? Caffeine-free herbal teas like chamomile and peppermint can be especially soothing when we’re ill. Widely available variants like lemon ginger, lavender stress relief, and honey chai offer us the opportunity to combine mindfulness with hydration. If you’ve got a UTI, opt for green tea, which may have antimicrobial benefits.

  • Fruit juice (diluted, please!). Whether you’re a fan of fresh-squeezed OJ or just need to work through that carton of cranberry juice in the refrigerator door, juices can be a vitamin-rich alcohol alternative. Watering them down lowers their calorie content and sugar concentration, making them balanced options during an illness. Note: Steer clear of grapefruit juice, which can make antibiotics less effective.

  • Try non-alcoholic beer, wine, or liquor. If you’re missing the real thing, try the virgin version. Alcohol-free alternatives have gained serious momentum since the COVID-19 pandemic. You can grab these at your local grocery store or special order them online.

  • Cheers to healthy mocktails. Make your favorite craft cocktail, minus the booze, whenever you want to feel fancy on cephalexin. Need a little inspiration? Consider these refreshing recipes from the Reframe team.

We hope these spirit-free sips bring you joy in the days ahead. Remember to check with a healthcare professional before altering your diet, especially if you’ve been prescribed a new medication.

In-App Inspiration 

If you’re struggling to take a break from drinking, you’re not alone. It can be difficult to stay substance-free for the days or weeks it takes to battle an infection. If you need help staying on track, consider seeking support from Reframe during your course of cephalexin.

Reframe is a habit-cessation app powered by neuroscience. Our team includes recovery experts, academics, psychologists, and more. The proof is in our data — we’ve helped millions of people change their drinking habits for the better. To learn more, visit the App Store or Google Play today.

Alcohol and Medications
2024-04-03 9:00
Alcohol and Medications
Does Naltrexone Help With Weight Loss?
This is some text inside of a div block.

Find out the potential risks associated with mixing medications like Percocet with alcohol and why it can be risky for your health.

20 min read

Looking To Live a Healthier Lifestyle? Try Reframe!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!

Read Full Article  →

It seems as if new weight loss trends pop up every day. From diets like carnivore to keto, medications like Ozempic and now naltrexone, it's difficult to know what works and what is just the latest diet craze. Sure, a pill to help shed the pounds sounds great, but is it too good to be true? Most medications come with a paragraph of warnings, usually printed in the smallest font possible — obscuring the long list of side effects and risks. To make matters more complicated, weight loss doesn’t always mean better health. If we’re looking for a long-term solution to a healthier lifestyle, we need a clearer look at the whole picture.

Whether you’ve been prescribed naltrexone and are wondering why the number on the scale is going down, or you’re looking for a medication to aid in weight loss, understanding the science behind how naltrexone works can provide some answers. So, let’s investigate what naltrexone is, how it works, and who stands to benefit most from using it.

What Is Naltrexone?

Naltrexone is approved by the U.S. Food and Drug Administration (FDA) and used to treat alcohol use disorder (AUD) and opioid use disorder (OUD). It’s a highly controlled substance that requires a prescription and, often, administration by a licensed practitioner. It’s used in medication-assisted treatment (MAT) as just one component of a comprehensive treatment plan.

Naltrexone comes in a pill and extended-release intramuscular injection form. Both forms are used to supplement a combination of behavioral therapies and counseling for a holistic approach to treating substance use disorders.

Uses for Naltrexone

These are two common implementations of naltrexone aside from treating substance misuse: 

  • Low-dose naltrexone (LDN). Off-label naltrexone has been shown to have anti-inflammatory effects and has been trialed for a number of different uses. LDN ranges from a 1-5 mg daily dose, which is about one tenth of the strength of clinical naltrexone. While more research is necessary, LDN has shown moderate success improving symptoms of multiple sclerosis, long COVID, fibromyalgia, cancer, autoimmune conditions, and more.
  • Contrave. This FDA-approved medication used to treat obesity is a combination of naltrexone and bupropion. Bupropion is a norepinephrine/dopamine-reuptake inhibitor commonly used as an antidepressant. The combination of naltrexone and bupropion influences the brain’s reward system, which can impact eating behaviors. Contrave is found to be most effective when combined with lifestyle changes such as exercise and diet.

Naltrexone is used to treat opioid misuse, alcohol misuse, inflammatory conditions, obesity … this pharmaceutical multitool has quite the skillset. So just how does it do all this?

How Does Naltrexone Work?

Naltrexone is classified as an opioid antagonist or opioid blocker. As the name suggests, drugs like naltrexone prevent substances from binding to opioid receptors, effectively blocking the pleasure response from substance use. 

Since naltrexone blocks a substance's ability to give us those familiar positive feelings, we quickly become less psychologically dependent on it — we crave it less, and it doesn’t seem quite so appealing. Ever had a moment when you opened a bag of chips and couldn’t stop until the bag was empty? Now imagine if you suddenly lost your sense of taste while eating the bag of chips. Sure, you’d probably freak out because you’d lost your sense of taste, but most of us would also stop eating the chips since taste is the reward that keeps us going back for more.

The physiological effects of drinking stem from dopamine release and activation of the hypothalamus-pituitary-adrenocortical (HPA) axis. Research shows that naltrexone diminishes dopamine release and HPA activation, adding to its effectiveness as a treatment for substance dependence. Naltrexone works as a medication to decrease alcohol opioid misuse, but let’s take a look at why it’s also tied to weight loss. 

How Naltrexone Can Cause Weight Loss

The Naltrexone-Weight Loss Connection

Naltrexone blocks opioid receptors, which reduces intoxication effects, but its impact on our reward system also causes secondary effects that can influence our weight. The opioid system regulates our mood, hunger, pain, and reward system. Naltrexone's damper on the opioid system can lead to a number of side effects.

  • Decreased appetite. Lower hunger levels result in reduced caloric intake.
  • Reduced reward feedback. This aids in decreasing overall food intake, as the reward signals we get from food are reduced.
  • Improved insulin sensitivity. Proper blood sugar regulation is tied to better weight management and lower risk of diabetes.
  • Increased energy. We may be more inclined to participate in physical activity, helping to burn more calories. High energy also suggests that our body systems are functioning at optimal levels.
  • Improved mood. This helps to decrease our stress hormone levels, which can make weight loss easier.

Alcohol and Weight

In contrast to naltrexone, alcohol is linked to weight gain. Here are four main ways that alcohol causes weight gain:

  • Extra calories. Alcohol contains calories that can add up quickly. For example, a pint of beer is around 200 calories. Downing two pints is equivalent in calories to eating a cheeseburger. However, alcohol is composed of empty calories, meaning there is little to no nutritional value. The overall increase in caloric intake explains why alcohol is frequently linked to weight gain.
  • Lowered inhibitions. Drinking alcohol lowers our inhibitions, giving us the feeling of “letting loose.” This is tied to making unhealthier food choices (drunchies, anyone?). There’s a reason we don’t usually gravitate towards grazing on raw carrots over a basket of fries while out drinking.
  • Altered fat processing. Our body prioritizes metabolizing alcohol, which causes short-term impacts on our fat-burning processes. Damage to the liver can also alter the way our body metabolizes carbohydrates and fats in the long run.
  • Effects on hormones. Alcohol impacts hormones in our brain that sense hunger and fullness. It stimulates our hunger hormone — increasing our appetite. Alcohol also inhibits our fullness cues, which can lead to overeating. 

Weight Loss Intention

It is important to make the distinction between the different ways that naltrexone is used for weight loss. Understanding the intention for the use of naltrexone helps us examine its practicality as a weight loss solution. We can define the different intentions this way:

  • Primary use. This refers to using naltrexone as a weight loss medication rather than a treatment for AUD or OUD. Some compounded forms of naltrexone are FDA-approved to treat obesity.
  • Secondary use. This weight loss intent is based on utilizing the side effects of naltrexone and capitalizing on its appetite-suppressing effects rather than using the medication as intended. This can be compared to misusing Pepcid to reduce alcohol flush symptoms rather than its primary purpose as a treatment for heartburn.

Now that we have a better understanding of how naltrexone and weight loss are connected, let’s take a look at the versatility of naltrexone to see how it can treat various conditions.

Drinking on Naltrexone

Naltrexone is an approved treatment for alcohol use disorder but is being explored for other treatments, which brings up the question of drinking while taking naltrexone. 

The opioid-blocking effects of naltrexone inhibit the feelings of intoxication but do not prevent the other impacts of alcohol. While drinking on naltrexone, we continue to experience impairments such as delayed response time, lack of motor coordination, and impaired thinking. It’s important to note that driving and participating in other activities that require full coordination and function should not be attempted. 

While used to reduce alcohol dependence, starting naltrexone does not require full abstinence from alcohol. The Sinclair Method actually uses naltrexone in conjunction with drinking to slowly reduce the desire for alcohol consumption. Naltrexone should always be used as part of a treatment program that involves behavioral treatment and therapies in order to help reduce dependence. Individual needs will vary, and it’s important to discuss personal circumstances with our own practitioner and treatment team.

Dangers of Using Naltrexone for Weight Loss

Before taking a look at some of the common side effects of naltrexone, it’s important to note that naltrexone should not be taken with any opioids (including opioid-containing medication). Before starting naltrexone, a detox period of up to two weeks may be needed to help prevent overdose or withdrawal symptoms. Used as prescribed, naltrexone is relatively safe but may cause side effects such as:

  • Nausea
  • Constipation
  • Diarrhea 
  • Fatigue 
  • Headache 
  • Insomnia 
  • Anxiety 

More serious side effects include depression, allergic reactions, and pneumonia. 

Contrave, the FDA-approved medication for obesity, also contains bupropion, adding to the list of naltrexone side effects for weight loss. Common side effects of bupropion are:

  • Dizziness
  • Dry mouth 
  • Stomach pain
  • Sleep disruptions
  • Tremors
  • Agitation 

Bupropion is an antidepressant and requires warnings for depression, mood changes, and increased risk for suicidal thoughts. If we are susceptible to mood changes, we should stay in regular contact with our prescribing physician and check in regularly with the professionals helping guide our treatment regimen.

Now that we're aware of the potential risks of using naltrexone for weight loss, let’s take a look at who may benefit from it. 

Who Should Take Naltrexone for Weight Loss?

If used as a medication for weight loss, specific criteria should be met prior to taking naltrexone. Naltrexone should be used only as a last resort because it comes with more risks than many other methods of weight loss. If excess weight is causing medical concerns and we haven’t been able to lose weight through traditional methods, we could benefit from using naltrexone. 

Those of us who are prescribed naltrexone for other purposes should not make weight loss an intention or priority. It can be beneficial to implement healthy habits that, coupled with naltrexone’s weight-reducing effects, can lead to an overall healthier lifestyle. While naltrexone can be instrumental in weight loss, it's not appropriate for everyone to use. 

Who Should Not Take Naltrexone?

Naltrexone is effective for a number of different conditions but can cause adverse effects when not used appropriately. It should not be used by anyone who is ...

  • Under 18 years of age. Naltrexone is FDA-approved for adults 18 and older. Its effects are still being studied for adolescents, and naltrexone is not recommended as a treatment method at this time. 
  • Still using opioids. This includes opioid-containing analgesics and illegal substances. Using naltrexone while taking opioids can lead to overdose and serious withdrawal symptoms. Before starting naltrexone, an opioid detox period is needed, and a naloxone test may be administered to prevent the risk of overdose. 
  • Experiencing opioid withdrawal. Taking naltrexone while experiencing active opioid withdrawal exacerbates symptoms that can lead to the need for medical attention. 

Now that we’ve analyzed who should and shouldn’t use naltrexone, let’s explore some actions we can all take to better our overall health.

Tips for Living a Healthy Life

Health and wellness can be subjective, but implementing healthy habits can improve our physical and mental well-being. These are some ways we can positively influence our health:

  1. Stay active. Exercise is not only great for our physical health but also improves our mood and mental health. While we commonly think of exercise as running on the treadmill or lifting weights in the gym, movement can look different for everyone. Gentle stretching or walking outside are other ways to stay active that are still beneficial to our health. 
  2. Eat a healthy diet. Again, “healthy” is subjective, but generally speaking, a not-overly restrictive diet focused on whole foods and a balance of protein, carbohydrates, and fats helps with the proper functioning of the systems in our body. Avoiding toxic substances like alcohol and tobacco is also part of maintaining a healthy diet.
  3. Connect with others. We don’t have to be social butterflies, but building connections has positive impacts on our mood, self-esteem, and overall contentment. 
  4. Pursuing interests. Engaging in activities that we are passionate about helps us live a happier and more fulfilling life. 

Whittling Down

Naltrexone seems to be a jack of all trades. It’s an effective treatment for alcohol and opioid use disorder and can contribute to weight loss, whether primary or after-effect. As with any drug, there is a long list of potential risks. Using naltrexone for weight loss requires thorough consideration and should be used only after other alternatives have been explored. Body weight is but a small fragment of our overall health. We can manipulate plenty of other aspects of our well-being to live a happy and healthy life. Like the great Roman poet Virgil said, “The greatest wealth is health”.

It seems as if new weight loss trends pop up every day. From diets like carnivore to keto, medications like Ozempic and now naltrexone, it's difficult to know what works and what is just the latest diet craze. Sure, a pill to help shed the pounds sounds great, but is it too good to be true? Most medications come with a paragraph of warnings, usually printed in the smallest font possible — obscuring the long list of side effects and risks. To make matters more complicated, weight loss doesn’t always mean better health. If we’re looking for a long-term solution to a healthier lifestyle, we need a clearer look at the whole picture.

Whether you’ve been prescribed naltrexone and are wondering why the number on the scale is going down, or you’re looking for a medication to aid in weight loss, understanding the science behind how naltrexone works can provide some answers. So, let’s investigate what naltrexone is, how it works, and who stands to benefit most from using it.

What Is Naltrexone?

Naltrexone is approved by the U.S. Food and Drug Administration (FDA) and used to treat alcohol use disorder (AUD) and opioid use disorder (OUD). It’s a highly controlled substance that requires a prescription and, often, administration by a licensed practitioner. It’s used in medication-assisted treatment (MAT) as just one component of a comprehensive treatment plan.

Naltrexone comes in a pill and extended-release intramuscular injection form. Both forms are used to supplement a combination of behavioral therapies and counseling for a holistic approach to treating substance use disorders.

Uses for Naltrexone

These are two common implementations of naltrexone aside from treating substance misuse: 

  • Low-dose naltrexone (LDN). Off-label naltrexone has been shown to have anti-inflammatory effects and has been trialed for a number of different uses. LDN ranges from a 1-5 mg daily dose, which is about one tenth of the strength of clinical naltrexone. While more research is necessary, LDN has shown moderate success improving symptoms of multiple sclerosis, long COVID, fibromyalgia, cancer, autoimmune conditions, and more.
  • Contrave. This FDA-approved medication used to treat obesity is a combination of naltrexone and bupropion. Bupropion is a norepinephrine/dopamine-reuptake inhibitor commonly used as an antidepressant. The combination of naltrexone and bupropion influences the brain’s reward system, which can impact eating behaviors. Contrave is found to be most effective when combined with lifestyle changes such as exercise and diet.

Naltrexone is used to treat opioid misuse, alcohol misuse, inflammatory conditions, obesity … this pharmaceutical multitool has quite the skillset. So just how does it do all this?

How Does Naltrexone Work?

Naltrexone is classified as an opioid antagonist or opioid blocker. As the name suggests, drugs like naltrexone prevent substances from binding to opioid receptors, effectively blocking the pleasure response from substance use. 

Since naltrexone blocks a substance's ability to give us those familiar positive feelings, we quickly become less psychologically dependent on it — we crave it less, and it doesn’t seem quite so appealing. Ever had a moment when you opened a bag of chips and couldn’t stop until the bag was empty? Now imagine if you suddenly lost your sense of taste while eating the bag of chips. Sure, you’d probably freak out because you’d lost your sense of taste, but most of us would also stop eating the chips since taste is the reward that keeps us going back for more.

The physiological effects of drinking stem from dopamine release and activation of the hypothalamus-pituitary-adrenocortical (HPA) axis. Research shows that naltrexone diminishes dopamine release and HPA activation, adding to its effectiveness as a treatment for substance dependence. Naltrexone works as a medication to decrease alcohol opioid misuse, but let’s take a look at why it’s also tied to weight loss. 

How Naltrexone Can Cause Weight Loss

The Naltrexone-Weight Loss Connection

Naltrexone blocks opioid receptors, which reduces intoxication effects, but its impact on our reward system also causes secondary effects that can influence our weight. The opioid system regulates our mood, hunger, pain, and reward system. Naltrexone's damper on the opioid system can lead to a number of side effects.

  • Decreased appetite. Lower hunger levels result in reduced caloric intake.
  • Reduced reward feedback. This aids in decreasing overall food intake, as the reward signals we get from food are reduced.
  • Improved insulin sensitivity. Proper blood sugar regulation is tied to better weight management and lower risk of diabetes.
  • Increased energy. We may be more inclined to participate in physical activity, helping to burn more calories. High energy also suggests that our body systems are functioning at optimal levels.
  • Improved mood. This helps to decrease our stress hormone levels, which can make weight loss easier.

Alcohol and Weight

In contrast to naltrexone, alcohol is linked to weight gain. Here are four main ways that alcohol causes weight gain:

  • Extra calories. Alcohol contains calories that can add up quickly. For example, a pint of beer is around 200 calories. Downing two pints is equivalent in calories to eating a cheeseburger. However, alcohol is composed of empty calories, meaning there is little to no nutritional value. The overall increase in caloric intake explains why alcohol is frequently linked to weight gain.
  • Lowered inhibitions. Drinking alcohol lowers our inhibitions, giving us the feeling of “letting loose.” This is tied to making unhealthier food choices (drunchies, anyone?). There’s a reason we don’t usually gravitate towards grazing on raw carrots over a basket of fries while out drinking.
  • Altered fat processing. Our body prioritizes metabolizing alcohol, which causes short-term impacts on our fat-burning processes. Damage to the liver can also alter the way our body metabolizes carbohydrates and fats in the long run.
  • Effects on hormones. Alcohol impacts hormones in our brain that sense hunger and fullness. It stimulates our hunger hormone — increasing our appetite. Alcohol also inhibits our fullness cues, which can lead to overeating. 

Weight Loss Intention

It is important to make the distinction between the different ways that naltrexone is used for weight loss. Understanding the intention for the use of naltrexone helps us examine its practicality as a weight loss solution. We can define the different intentions this way:

  • Primary use. This refers to using naltrexone as a weight loss medication rather than a treatment for AUD or OUD. Some compounded forms of naltrexone are FDA-approved to treat obesity.
  • Secondary use. This weight loss intent is based on utilizing the side effects of naltrexone and capitalizing on its appetite-suppressing effects rather than using the medication as intended. This can be compared to misusing Pepcid to reduce alcohol flush symptoms rather than its primary purpose as a treatment for heartburn.

Now that we have a better understanding of how naltrexone and weight loss are connected, let’s take a look at the versatility of naltrexone to see how it can treat various conditions.

Drinking on Naltrexone

Naltrexone is an approved treatment for alcohol use disorder but is being explored for other treatments, which brings up the question of drinking while taking naltrexone. 

The opioid-blocking effects of naltrexone inhibit the feelings of intoxication but do not prevent the other impacts of alcohol. While drinking on naltrexone, we continue to experience impairments such as delayed response time, lack of motor coordination, and impaired thinking. It’s important to note that driving and participating in other activities that require full coordination and function should not be attempted. 

While used to reduce alcohol dependence, starting naltrexone does not require full abstinence from alcohol. The Sinclair Method actually uses naltrexone in conjunction with drinking to slowly reduce the desire for alcohol consumption. Naltrexone should always be used as part of a treatment program that involves behavioral treatment and therapies in order to help reduce dependence. Individual needs will vary, and it’s important to discuss personal circumstances with our own practitioner and treatment team.

Dangers of Using Naltrexone for Weight Loss

Before taking a look at some of the common side effects of naltrexone, it’s important to note that naltrexone should not be taken with any opioids (including opioid-containing medication). Before starting naltrexone, a detox period of up to two weeks may be needed to help prevent overdose or withdrawal symptoms. Used as prescribed, naltrexone is relatively safe but may cause side effects such as:

  • Nausea
  • Constipation
  • Diarrhea 
  • Fatigue 
  • Headache 
  • Insomnia 
  • Anxiety 

More serious side effects include depression, allergic reactions, and pneumonia. 

Contrave, the FDA-approved medication for obesity, also contains bupropion, adding to the list of naltrexone side effects for weight loss. Common side effects of bupropion are:

  • Dizziness
  • Dry mouth 
  • Stomach pain
  • Sleep disruptions
  • Tremors
  • Agitation 

Bupropion is an antidepressant and requires warnings for depression, mood changes, and increased risk for suicidal thoughts. If we are susceptible to mood changes, we should stay in regular contact with our prescribing physician and check in regularly with the professionals helping guide our treatment regimen.

Now that we're aware of the potential risks of using naltrexone for weight loss, let’s take a look at who may benefit from it. 

Who Should Take Naltrexone for Weight Loss?

If used as a medication for weight loss, specific criteria should be met prior to taking naltrexone. Naltrexone should be used only as a last resort because it comes with more risks than many other methods of weight loss. If excess weight is causing medical concerns and we haven’t been able to lose weight through traditional methods, we could benefit from using naltrexone. 

Those of us who are prescribed naltrexone for other purposes should not make weight loss an intention or priority. It can be beneficial to implement healthy habits that, coupled with naltrexone’s weight-reducing effects, can lead to an overall healthier lifestyle. While naltrexone can be instrumental in weight loss, it's not appropriate for everyone to use. 

Who Should Not Take Naltrexone?

Naltrexone is effective for a number of different conditions but can cause adverse effects when not used appropriately. It should not be used by anyone who is ...

  • Under 18 years of age. Naltrexone is FDA-approved for adults 18 and older. Its effects are still being studied for adolescents, and naltrexone is not recommended as a treatment method at this time. 
  • Still using opioids. This includes opioid-containing analgesics and illegal substances. Using naltrexone while taking opioids can lead to overdose and serious withdrawal symptoms. Before starting naltrexone, an opioid detox period is needed, and a naloxone test may be administered to prevent the risk of overdose. 
  • Experiencing opioid withdrawal. Taking naltrexone while experiencing active opioid withdrawal exacerbates symptoms that can lead to the need for medical attention. 

Now that we’ve analyzed who should and shouldn’t use naltrexone, let’s explore some actions we can all take to better our overall health.

Tips for Living a Healthy Life

Health and wellness can be subjective, but implementing healthy habits can improve our physical and mental well-being. These are some ways we can positively influence our health:

  1. Stay active. Exercise is not only great for our physical health but also improves our mood and mental health. While we commonly think of exercise as running on the treadmill or lifting weights in the gym, movement can look different for everyone. Gentle stretching or walking outside are other ways to stay active that are still beneficial to our health. 
  2. Eat a healthy diet. Again, “healthy” is subjective, but generally speaking, a not-overly restrictive diet focused on whole foods and a balance of protein, carbohydrates, and fats helps with the proper functioning of the systems in our body. Avoiding toxic substances like alcohol and tobacco is also part of maintaining a healthy diet.
  3. Connect with others. We don’t have to be social butterflies, but building connections has positive impacts on our mood, self-esteem, and overall contentment. 
  4. Pursuing interests. Engaging in activities that we are passionate about helps us live a happier and more fulfilling life. 

Whittling Down

Naltrexone seems to be a jack of all trades. It’s an effective treatment for alcohol and opioid use disorder and can contribute to weight loss, whether primary or after-effect. As with any drug, there is a long list of potential risks. Using naltrexone for weight loss requires thorough consideration and should be used only after other alternatives have been explored. Body weight is but a small fragment of our overall health. We can manipulate plenty of other aspects of our well-being to live a happy and healthy life. Like the great Roman poet Virgil said, “The greatest wealth is health”.

Alcohol and Medications
2024-04-02 9:00
Alcohol and Medications
Can You Drink on Percocet?
This is some text inside of a div block.

Find out the potential risks associated with mixing medications like Percocet with alcohol and why it can be risky for your health.

10 min read

Make Safer Drinking Choices With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!

Read Full Article  →

You recently had a medical procedure, and you were prescribed Percocet for pain management. You’ve been feeling better, and you’ve decided you’re well enough to attend the party you were invited to this weekend. But you’re still taking your Percocet: is it safe to have a few drinks? Let’s explore the science behind how this pain reliever works and what happens when alcohol enters the picture.

What Is Percocet?

Percocet is a commonly prescribed medication used for managing moderate to severe pain. It contains a combination of oxycodone (an opioid pain reliever) and acetaminophen (known as Tylenol). 

Oxycodone is a powerful opioid and is the primary pain-relieving ingredient in Percocet. Opioids block pain receptors
in the brain so pain signals have a harder time getting through. Acetaminophen is a common, nonopioid, over-the-counter pain reliever, and it’s not nearly as strong as oxycodone. It does, however, enhance and complement oxycodone.

Like all opioid-containing narcotic medications, Percocet is only available with a prescription. It is typically used in the short term to treat cancer-related and post-surgical pain. Percocet is also used sometimes to treat long-term, chronic pain conditions.

Risks of Mixing Percocet and Alcohol

Percocet can be effective in relieving pain, but like many medications there are interactions to be aware of. As with any medication, it’s always important to read the warning labels and discuss any questions with our pharmacist or healthcare provider before we start taking it.

When we read the label on our Percocet bottle, we may notice a big warning saying not to take it with alcohol. But how serious is this warning? Here are a few side effects of mixing Percocet and alcohol.

  • Central nervous system depression. Both Percocet and alcohol are central nervous system depressants, meaning that combining them can lead to intensified sedation, drowsiness, and even respiratory distress when taken in high doses.
  • Liver toxicity. Both Percocet and alcohol can be harmful to the liver. Acetaminophen, one of the main ingredients, is notoriously hard on the liver, especially when combined with alcohol. When taken in high doses, both alcohol and acetaminophen increase our risk of liver damage; when mixed together, they only amplify this danger to our liver.
  • Impaired judgment and coordination. Mixing Percocet and alcohol can impair our cognitive function, coordination, and decision-making abilities, which in turn may increase the risk of accidents, injuries, and falls. Drinking alcohol is risky enough, but when we add another chemical substance to the mix, we’re setting ourselves up for even more danger. Think about it like this: Just like driving under the influence of alcohol is unsafe on its own, think how much more risky it would be to add another chemical to the equation. Scary!
  • Risk of long-term dependency. We touched on this earlier, but it’s important to be aware of the dangers of long-term use of Percocet and alcohol together. Long-term use of any drug combined with alcohol can be dangerous and set us up for an even higher risk of dependency. Anyone concerned about dependency on alcohol or other medications or who knows someone struggling, seek professional help or contact the local help hotline.
Risks of Mixing Percocet and Alcohol

Tips for Staying Safe While Taking Medications

It must be said again: always educate yourself on the potential risks associated with any medication you’re taking by speaking with your doctor and pharmacist. Here are some top tips for staying safe while taking medications like Percocet.

  • Abstain from alcohol. Alcohol can exacerbate the side effects of medications and multiply the risks. It’s best to stick to the Percocet alone and use this time to reset your relationship with alcohol by staying sober.
  • Read the warning labels. Educate yourself about the medication you’re taking and carefully read the instructions for use. Consult your pharmacist with any questions about side effects or potential dangers before you start taking medication.
  • Take care of yourself. It may sound obvious, but when you’re sick or injured, the best way to stay safe is to take care of yourself. Your immune system is already weakened, so the best path toward a speedy recovery is self-care. Get plenty of rest, drink water, and eat nutritious foods. Experience the many benefits of taking a break from alcohol while you’re sick or recovering from illness or injury.

The Bottom Line

Although we’ve provided a background and some helpful advice, this article is by no means exhaustive. There are hundreds of prescription and over-the-counter medications out there. Research shows that more than 100 drugs interact with wine, beer, and hard liquor, which can trigger problems ranging from nausea and headaches to life-threatening issues. As we stated above, mixing alcohol with medications is always risky, but it’s particularly harmful in the case of Percocet. Stay educated, stay empowered, and stay safe!

You recently had a medical procedure, and you were prescribed Percocet for pain management. You’ve been feeling better, and you’ve decided you’re well enough to attend the party you were invited to this weekend. But you’re still taking your Percocet: is it safe to have a few drinks? Let’s explore the science behind how this pain reliever works and what happens when alcohol enters the picture.

What Is Percocet?

Percocet is a commonly prescribed medication used for managing moderate to severe pain. It contains a combination of oxycodone (an opioid pain reliever) and acetaminophen (known as Tylenol). 

Oxycodone is a powerful opioid and is the primary pain-relieving ingredient in Percocet. Opioids block pain receptors
in the brain so pain signals have a harder time getting through. Acetaminophen is a common, nonopioid, over-the-counter pain reliever, and it’s not nearly as strong as oxycodone. It does, however, enhance and complement oxycodone.

Like all opioid-containing narcotic medications, Percocet is only available with a prescription. It is typically used in the short term to treat cancer-related and post-surgical pain. Percocet is also used sometimes to treat long-term, chronic pain conditions.

Risks of Mixing Percocet and Alcohol

Percocet can be effective in relieving pain, but like many medications there are interactions to be aware of. As with any medication, it’s always important to read the warning labels and discuss any questions with our pharmacist or healthcare provider before we start taking it.

When we read the label on our Percocet bottle, we may notice a big warning saying not to take it with alcohol. But how serious is this warning? Here are a few side effects of mixing Percocet and alcohol.

  • Central nervous system depression. Both Percocet and alcohol are central nervous system depressants, meaning that combining them can lead to intensified sedation, drowsiness, and even respiratory distress when taken in high doses.
  • Liver toxicity. Both Percocet and alcohol can be harmful to the liver. Acetaminophen, one of the main ingredients, is notoriously hard on the liver, especially when combined with alcohol. When taken in high doses, both alcohol and acetaminophen increase our risk of liver damage; when mixed together, they only amplify this danger to our liver.
  • Impaired judgment and coordination. Mixing Percocet and alcohol can impair our cognitive function, coordination, and decision-making abilities, which in turn may increase the risk of accidents, injuries, and falls. Drinking alcohol is risky enough, but when we add another chemical substance to the mix, we’re setting ourselves up for even more danger. Think about it like this: Just like driving under the influence of alcohol is unsafe on its own, think how much more risky it would be to add another chemical to the equation. Scary!
  • Risk of long-term dependency. We touched on this earlier, but it’s important to be aware of the dangers of long-term use of Percocet and alcohol together. Long-term use of any drug combined with alcohol can be dangerous and set us up for an even higher risk of dependency. Anyone concerned about dependency on alcohol or other medications or who knows someone struggling, seek professional help or contact the local help hotline.
Risks of Mixing Percocet and Alcohol

Tips for Staying Safe While Taking Medications

It must be said again: always educate yourself on the potential risks associated with any medication you’re taking by speaking with your doctor and pharmacist. Here are some top tips for staying safe while taking medications like Percocet.

  • Abstain from alcohol. Alcohol can exacerbate the side effects of medications and multiply the risks. It’s best to stick to the Percocet alone and use this time to reset your relationship with alcohol by staying sober.
  • Read the warning labels. Educate yourself about the medication you’re taking and carefully read the instructions for use. Consult your pharmacist with any questions about side effects or potential dangers before you start taking medication.
  • Take care of yourself. It may sound obvious, but when you’re sick or injured, the best way to stay safe is to take care of yourself. Your immune system is already weakened, so the best path toward a speedy recovery is self-care. Get plenty of rest, drink water, and eat nutritious foods. Experience the many benefits of taking a break from alcohol while you’re sick or recovering from illness or injury.

The Bottom Line

Although we’ve provided a background and some helpful advice, this article is by no means exhaustive. There are hundreds of prescription and over-the-counter medications out there. Research shows that more than 100 drugs interact with wine, beer, and hard liquor, which can trigger problems ranging from nausea and headaches to life-threatening issues. As we stated above, mixing alcohol with medications is always risky, but it’s particularly harmful in the case of Percocet. Stay educated, stay empowered, and stay safe!

Alcohol and Medications
2024-01-28 9:00
Alcohol and Medications
Can I Drink on Wellbutrin?
This is some text inside of a div block.

Explore the interactions between Wellbutrin (bupropion) and alcohol, and the science behind whether or not you can drink while taking Wellbutrin.

17 min read

Prioritize Your Health With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually, with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!

Read Full Article  →

Bupropion is one of the most commonly prescribed drugs in the United States. It goes by a few different names based on how it is used. When used as an antidepressant, it’s sold under the name Wellbutrin; when used as a smoking cessation aid, it is sold under the name Zyban.

Bupropion and alcohol interact with our brain chemistry in different ways. Bupropion’s effects are intentionally used to correct a chemical imbalance. Alcohol intentionally creates a chemical imbalance to produce intoxicating effects.

So what happens when you mix bupropion with alcohol? Do these two play nice, or are they a bad mix? In this article, we’ll take a look at the science and find out what exactly happens when you mix Wellbutrin with alcohol, and whether there are any bupropion-alcohol interactions to be aware of. Let’s dive in!

What Is Bupropion (Wellbutrin / Zyban)?

Bupropion is most commonly used to treat depression. Sometimes it’s prescribed on its own, sometimes it’s used when typical antidepressants don’t work, and sometimes it’s used in addition to a typical antidepressant.

It’s considered an atypical antidepressant because it doesn’t work like most antidepressant medications. The first choice for medical treatment of depression is a type of drug called selective serotonin reuptake inhibitors (SSRIs). These medications prevent our brains from tossing out serotonin molecules. Serotonin helps us regulate our mood, and a lack of serotonin can cause clinical depression.

But not all depression is caused by low serotonin. This is where bupropion comes in. Bupropion is a norepinephrine-dopamine reuptake inhibitor (NDRI) — it does the same thing for dopamine and norepinephrine as SSRIs do for serotonin. Norepinephrine is a stimulating neurotransmitter (brain chemical) responsible for alertness, attention, memory, and the fight-or-flight response. Dopamine is involved in motivation, planning, and the rewards system.

Why Is Bupropion Used?

When depression doesn’t improve with typical antidepressants, Wellbutrin is often the first alternative choice. The stimulating effects of increased norepinephrine and dopamine make it especially useful for treating the fatigue associated with depression and Seasonal Affective Disorder (SAD).

Bupropion is also frequently prescribed when we experience depression in addition to attention deficit hyperactivity disorder (ADHD). Since ADHD involves a dysfunction of dopamine, bupropion’s dopamine-boosting properties give the brain more dopamine to work with. Bupropion works very mildly on dopamine, making it an easier treatment to tolerate than traditional stimulants, and its balanced properties make it an unlikely candidate for misuse.

Bupropion goes by the brand name Wellbutrin when used to treat depression. Since bupropion also inhibits nicotine receptors in the brain, it is also used under the brand name Zyban as an aid for quitting smoking cigarettes. Wellbutrin and Zyban are the same thing: they’re both bupropion, just in different doses.

In this article, we will focus on Wellbutrin; Zyban is typically only prescribed for a short period of time at a low dose (150 mg), whereas Wellbutrin is taken over longer periods at a higher dose (300 - 450 mg).

Bupropion Side Effects

Bupropion has some common side effects:

  • Dry mouth
  • Nausea
  • Constipation
  • Insomnia
  • Anxiety
  • Tremor
  • Sweating
  • Suicidal thoughts

Bupropion also lowers the seizure threshold, the minimum stimulation necessary to cause a seizure. Because of this, it is not usually prescribed to people with other conditions that lower their seizure threshold, like epilepsy, anorexia nervosa, bulimia nervosa, and alcohol use disorder (AUD), since alcohol withdrawal is associated with an increased risk of seizure.

Thinking Through Alcohol's Effects on the Brain

Much like Wellbutrin, alcohol is a drug that changes our brain chemistry. When we drink alcohol, our brain floods with dopamine and gamma-aminobutyric acid (GABA), a calming neurotransmitter, and reduces the effectiveness of glutamate, a stimulating neurotransmitter. This chemical cocktail makes us feel calm, warm, fuzzy, and inspired to keep drinking.

In the short term, this causes the feeling we recognize as “tipsy” or “drunk.” When we drink consistently, our brains get used to alcohol’s effects and adjust our baseline brain chemistry in anticipation of that next drink. Among other things, this includes lowering dopamine production, leading to a generally lower mood and cravings for dopamine-boosting activities (like drinking).

The Interaction Between Wellbutrin and Alcohol

Combining Wellbutrin and alcohol can present serious risks in chemical interactions and side effect amplification. Let’s take a closer look at both of these categories.

Chemical Interactions

Studies show that increased norepinephrine in the brain increases the effect of alcohol on our rewards system.

Imagine your brain as the center of a busy city, bustling with traffic. Wellbutrin and alcohol are like two very different kinds of drivers making their way along the roads. Wellbutrin is a responsible driver — it follows traffic signals, lets people in, stops for pedestrians, and uses its turn signal. As a result, traffic around Wellbutrin flows smoothly.

Alcohol, on the other hand, is a reckless driver who disrupts the normal flow of traffic. It speeds and swerves, and other drivers start getting cautious. This causes traffic to slow down and clog up the roads. When both Wellbutrin and alcohol are in your brain's city streets at the same time, they do opposite things and interfere with each other.

But they don’t just cancel each other out — just like a good driver doesn’t cancel out a bad driver. Wellbutrin is trying to keep things moving, but alcohol is slowing things down. This can lead to mixed signals, making you feel different than you would with just Wellbutrin or just alcohol alone.

Alcohol and Wellbutrin affect different brain chemicals, but there is some overlap. In the places where their effects overlap, the side effects of each substance compound. In other areas, the side effects can unpredictably seesaw from one extreme to the other. Let’s look at what happens when you drink alcohol while taking Wellbutrin.

Wellbutrin-Alcohol Interactions

Shared Side Effects

  • Impulsivity. Alcohol inhibits our impulse control, and Wellbutrin increases our motivation. These work together to make us more impulsive and do things we wouldn’t do under normal circumstances.

  • Insomnia. Alcohol disrupts deep sleep, and Wellbutrin’s stimulating properties can cause insomnia in some people.

  • Nausea. Wellbutrin can cause nausea, and alcohol is known to irritate and unsettle the stomach, especially when we drink heavily.

  • Dizziness. Alcohol inhibits our balance and our ability to orient ourselves. Wellbutrin can cause dizziness through neurochemical effects and by increasing blood pressure.

  • Headaches. Alcohol causes headaches by manipulating our brain chemistry and making us dehydrated. Wellbutrin’s chemical effects also cause headaches — some people describe these as “brain zaps.”

Competing Side Effects

  • Mood. Alcohol and Wellbutrin both affect our mood. When they compete to be the boss of our mood regulation, we can experience mood swings. Since alcohol is known to worsen depression, we may feel like our Wellbutrin “just isn’t working,” when in fact, its helpfulness is being undermined by alcohol.

  • Blood pressure changes. Wellbutrin can affect blood pressure levels unpredictably. Some people may experience elevated blood pressure, and others may experience low blood pressure especially upon standing (this is called orthostatic hypotension). Alcohol is known to raise blood pressure. Combining these two could lead to unpredictable effects.

  • Stimulation effects. Wellbutrin is a mild stimulant, and alcohol is a central nervous system depressant. This affects the way signals travel in our nerves, but it can also cause our energy levels to fluctuate rapidly.

  • Level of alertness. Wellbutrin typically increases alertness, while alcohol typically decreases it. When taken together, the effect on alertness can be unpredictable.
  • Cognitive function and motor function. Alcohol impairs cognitive function and reflexes by slowing down nerve signals, and Wellbutrin enhances them by making nerve signals more efficient. This combination can make it difficult to predict how our motor skills will react and can make it harder to tell if we’re thinking clearly.

How To Stay Safe

From the list of Wellbutrin-alcohol interactions above, it’s clear that these two substances do not play well together. They interact with each other on multiple levels and can create unpredictable effects.

More fundamentally, we have to ask ourselves why we use each of these substances. Wellbutrin is prescribed to improve our mental health and the physical manifestations of depression. Alcohol is used for many complex reasons, but the end result is that it tends to worsen our mental health. We are taking Wellbutrin as part of a wellness journey, and quitting back or cutting back on alcohol gives Wellbutrin the best chance of doing its job.

Let’s look at some things to keep in mind when we are considering drinking while taking Wellbutrin.

  • Be honest with your healthcare provider. Openly discuss your alcohol use with your doctor so they can make the best decision for your care. You can use Reframe to track your alcohol use and get an accurate picture. Your doctor may suggest quitting or cutting back on alcohol use — prepare yourself, and consider it an opportunity to make collaborative choices for your well-being.

  • Understand the risks. Continue to educate yourself about the risks of combining Wellbutrin with alcohol and how alcohol affects your overall health.

  • Don’t skip medication. Do not skip doses of Wellbutrin to consume alcohol. This can lead to withdrawal symptoms and disrupt the effectiveness of your treatment even more than drinking alone.

  • Track your alcohol intake. If you choose to drink alcohol, reduce your intake. Consider setting drink limits or planning dry days to give your body time to recover. Pay attention to how your body reacts, and track your progress.

  • Seek support. If you're struggling to manage your alcohol use, seek out resources to help you quit or cut back. Reframe offers coaching, daily meetings, customized plans, and a thriving community of people on the same journey.

  • Watch for side effects. Be vigilant about any unusual side effects or changes in mood or behavior. If you notice anything concerning, contact your healthcare provider immediately.

  • Prioritize mental health. Remember that the goal of taking Wellbutrin is to manage your mental health. Prioritize that goal when making decisions about alcohol consumption.

A Final Word of Caution

If you’re sufficiently convinced that mixing Wellbutrin and alcohol is a bad idea, you may find yourself considering skipping a day of Wellbutrin to drink — this is a bad idea! Alcohol can still interact with Wellbutrin in your system for up to a week after you stop taking it, and it takes even longer for brain chemistry to normalize after stopping Wellbutrin. Skipping doses and drinking heavily are individually associated with increased risk of seizure. The risk compounds when we do both simultaneously.

Most importantly, skipping doses of Wellbutrin reduces its effectiveness. When paired with alcohol’s depressive effects, skipping doses of Wellbutrin to drink creates a negative feedback loop. It’s important to remember why we are taking Wellbutrin in the first place and prioritize our wellness.

Bupropion is one of the most commonly prescribed drugs in the United States. It goes by a few different names based on how it is used. When used as an antidepressant, it’s sold under the name Wellbutrin; when used as a smoking cessation aid, it is sold under the name Zyban.

Bupropion and alcohol interact with our brain chemistry in different ways. Bupropion’s effects are intentionally used to correct a chemical imbalance. Alcohol intentionally creates a chemical imbalance to produce intoxicating effects.

So what happens when you mix bupropion with alcohol? Do these two play nice, or are they a bad mix? In this article, we’ll take a look at the science and find out what exactly happens when you mix Wellbutrin with alcohol, and whether there are any bupropion-alcohol interactions to be aware of. Let’s dive in!

What Is Bupropion (Wellbutrin / Zyban)?

Bupropion is most commonly used to treat depression. Sometimes it’s prescribed on its own, sometimes it’s used when typical antidepressants don’t work, and sometimes it’s used in addition to a typical antidepressant.

It’s considered an atypical antidepressant because it doesn’t work like most antidepressant medications. The first choice for medical treatment of depression is a type of drug called selective serotonin reuptake inhibitors (SSRIs). These medications prevent our brains from tossing out serotonin molecules. Serotonin helps us regulate our mood, and a lack of serotonin can cause clinical depression.

But not all depression is caused by low serotonin. This is where bupropion comes in. Bupropion is a norepinephrine-dopamine reuptake inhibitor (NDRI) — it does the same thing for dopamine and norepinephrine as SSRIs do for serotonin. Norepinephrine is a stimulating neurotransmitter (brain chemical) responsible for alertness, attention, memory, and the fight-or-flight response. Dopamine is involved in motivation, planning, and the rewards system.

Why Is Bupropion Used?

When depression doesn’t improve with typical antidepressants, Wellbutrin is often the first alternative choice. The stimulating effects of increased norepinephrine and dopamine make it especially useful for treating the fatigue associated with depression and Seasonal Affective Disorder (SAD).

Bupropion is also frequently prescribed when we experience depression in addition to attention deficit hyperactivity disorder (ADHD). Since ADHD involves a dysfunction of dopamine, bupropion’s dopamine-boosting properties give the brain more dopamine to work with. Bupropion works very mildly on dopamine, making it an easier treatment to tolerate than traditional stimulants, and its balanced properties make it an unlikely candidate for misuse.

Bupropion goes by the brand name Wellbutrin when used to treat depression. Since bupropion also inhibits nicotine receptors in the brain, it is also used under the brand name Zyban as an aid for quitting smoking cigarettes. Wellbutrin and Zyban are the same thing: they’re both bupropion, just in different doses.

In this article, we will focus on Wellbutrin; Zyban is typically only prescribed for a short period of time at a low dose (150 mg), whereas Wellbutrin is taken over longer periods at a higher dose (300 - 450 mg).

Bupropion Side Effects

Bupropion has some common side effects:

  • Dry mouth
  • Nausea
  • Constipation
  • Insomnia
  • Anxiety
  • Tremor
  • Sweating
  • Suicidal thoughts

Bupropion also lowers the seizure threshold, the minimum stimulation necessary to cause a seizure. Because of this, it is not usually prescribed to people with other conditions that lower their seizure threshold, like epilepsy, anorexia nervosa, bulimia nervosa, and alcohol use disorder (AUD), since alcohol withdrawal is associated with an increased risk of seizure.

Thinking Through Alcohol's Effects on the Brain

Much like Wellbutrin, alcohol is a drug that changes our brain chemistry. When we drink alcohol, our brain floods with dopamine and gamma-aminobutyric acid (GABA), a calming neurotransmitter, and reduces the effectiveness of glutamate, a stimulating neurotransmitter. This chemical cocktail makes us feel calm, warm, fuzzy, and inspired to keep drinking.

In the short term, this causes the feeling we recognize as “tipsy” or “drunk.” When we drink consistently, our brains get used to alcohol’s effects and adjust our baseline brain chemistry in anticipation of that next drink. Among other things, this includes lowering dopamine production, leading to a generally lower mood and cravings for dopamine-boosting activities (like drinking).

The Interaction Between Wellbutrin and Alcohol

Combining Wellbutrin and alcohol can present serious risks in chemical interactions and side effect amplification. Let’s take a closer look at both of these categories.

Chemical Interactions

Studies show that increased norepinephrine in the brain increases the effect of alcohol on our rewards system.

Imagine your brain as the center of a busy city, bustling with traffic. Wellbutrin and alcohol are like two very different kinds of drivers making their way along the roads. Wellbutrin is a responsible driver — it follows traffic signals, lets people in, stops for pedestrians, and uses its turn signal. As a result, traffic around Wellbutrin flows smoothly.

Alcohol, on the other hand, is a reckless driver who disrupts the normal flow of traffic. It speeds and swerves, and other drivers start getting cautious. This causes traffic to slow down and clog up the roads. When both Wellbutrin and alcohol are in your brain's city streets at the same time, they do opposite things and interfere with each other.

But they don’t just cancel each other out — just like a good driver doesn’t cancel out a bad driver. Wellbutrin is trying to keep things moving, but alcohol is slowing things down. This can lead to mixed signals, making you feel different than you would with just Wellbutrin or just alcohol alone.

Alcohol and Wellbutrin affect different brain chemicals, but there is some overlap. In the places where their effects overlap, the side effects of each substance compound. In other areas, the side effects can unpredictably seesaw from one extreme to the other. Let’s look at what happens when you drink alcohol while taking Wellbutrin.

Wellbutrin-Alcohol Interactions

Shared Side Effects

  • Impulsivity. Alcohol inhibits our impulse control, and Wellbutrin increases our motivation. These work together to make us more impulsive and do things we wouldn’t do under normal circumstances.

  • Insomnia. Alcohol disrupts deep sleep, and Wellbutrin’s stimulating properties can cause insomnia in some people.

  • Nausea. Wellbutrin can cause nausea, and alcohol is known to irritate and unsettle the stomach, especially when we drink heavily.

  • Dizziness. Alcohol inhibits our balance and our ability to orient ourselves. Wellbutrin can cause dizziness through neurochemical effects and by increasing blood pressure.

  • Headaches. Alcohol causes headaches by manipulating our brain chemistry and making us dehydrated. Wellbutrin’s chemical effects also cause headaches — some people describe these as “brain zaps.”

Competing Side Effects

  • Mood. Alcohol and Wellbutrin both affect our mood. When they compete to be the boss of our mood regulation, we can experience mood swings. Since alcohol is known to worsen depression, we may feel like our Wellbutrin “just isn’t working,” when in fact, its helpfulness is being undermined by alcohol.

  • Blood pressure changes. Wellbutrin can affect blood pressure levels unpredictably. Some people may experience elevated blood pressure, and others may experience low blood pressure especially upon standing (this is called orthostatic hypotension). Alcohol is known to raise blood pressure. Combining these two could lead to unpredictable effects.

  • Stimulation effects. Wellbutrin is a mild stimulant, and alcohol is a central nervous system depressant. This affects the way signals travel in our nerves, but it can also cause our energy levels to fluctuate rapidly.

  • Level of alertness. Wellbutrin typically increases alertness, while alcohol typically decreases it. When taken together, the effect on alertness can be unpredictable.
  • Cognitive function and motor function. Alcohol impairs cognitive function and reflexes by slowing down nerve signals, and Wellbutrin enhances them by making nerve signals more efficient. This combination can make it difficult to predict how our motor skills will react and can make it harder to tell if we’re thinking clearly.

How To Stay Safe

From the list of Wellbutrin-alcohol interactions above, it’s clear that these two substances do not play well together. They interact with each other on multiple levels and can create unpredictable effects.

More fundamentally, we have to ask ourselves why we use each of these substances. Wellbutrin is prescribed to improve our mental health and the physical manifestations of depression. Alcohol is used for many complex reasons, but the end result is that it tends to worsen our mental health. We are taking Wellbutrin as part of a wellness journey, and quitting back or cutting back on alcohol gives Wellbutrin the best chance of doing its job.

Let’s look at some things to keep in mind when we are considering drinking while taking Wellbutrin.

  • Be honest with your healthcare provider. Openly discuss your alcohol use with your doctor so they can make the best decision for your care. You can use Reframe to track your alcohol use and get an accurate picture. Your doctor may suggest quitting or cutting back on alcohol use — prepare yourself, and consider it an opportunity to make collaborative choices for your well-being.

  • Understand the risks. Continue to educate yourself about the risks of combining Wellbutrin with alcohol and how alcohol affects your overall health.

  • Don’t skip medication. Do not skip doses of Wellbutrin to consume alcohol. This can lead to withdrawal symptoms and disrupt the effectiveness of your treatment even more than drinking alone.

  • Track your alcohol intake. If you choose to drink alcohol, reduce your intake. Consider setting drink limits or planning dry days to give your body time to recover. Pay attention to how your body reacts, and track your progress.

  • Seek support. If you're struggling to manage your alcohol use, seek out resources to help you quit or cut back. Reframe offers coaching, daily meetings, customized plans, and a thriving community of people on the same journey.

  • Watch for side effects. Be vigilant about any unusual side effects or changes in mood or behavior. If you notice anything concerning, contact your healthcare provider immediately.

  • Prioritize mental health. Remember that the goal of taking Wellbutrin is to manage your mental health. Prioritize that goal when making decisions about alcohol consumption.

A Final Word of Caution

If you’re sufficiently convinced that mixing Wellbutrin and alcohol is a bad idea, you may find yourself considering skipping a day of Wellbutrin to drink — this is a bad idea! Alcohol can still interact with Wellbutrin in your system for up to a week after you stop taking it, and it takes even longer for brain chemistry to normalize after stopping Wellbutrin. Skipping doses and drinking heavily are individually associated with increased risk of seizure. The risk compounds when we do both simultaneously.

Most importantly, skipping doses of Wellbutrin reduces its effectiveness. When paired with alcohol’s depressive effects, skipping doses of Wellbutrin to drink creates a negative feedback loop. It’s important to remember why we are taking Wellbutrin in the first place and prioritize our wellness.

Alcohol and Medications