Wednesday, February 22, 2012

If you take any medicines regularly, ask ...

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Robert H. Shmerlinh, Doctor Beth Israel Deaconess Medical Center It is true that you can not drink if you take antibiotics? My 23-year-old niece, Molly, asked me this question over dinner recently. Wine is filed. She took antibiotics for bronchitis. I heard the warning to avoid mixing alcohol and antibiotics from friends and family while growing up. But in medical school, I only heard in relation to a particular antibiotic, metronidazole (Flagyl). People who take metronidazole and alcohol can be very bad. They usually experience nausea, vomiting, palpitations and redness of the face. The effect is similar to drinking alcohol while taking disulfiram (Antabuse), medications for alcoholics to keep them from drinking alcohol. Which antibiotics cause problems with alcohol? Very few of the most commonly prescribed antibiotics are advised to drink. If you fill a prescription cephalexin (Keflex), ampicillin (Omnipen, Principen, etc.) or erythromycin (Erie-Tab, etc.), you may have noticed that there is no warning label on alcohol. Alcohol is firmly problems when mixed with a few hundreds of available antibiotics. In addition to metronidazole and its close relative, tinidazole (Tindamax), you'll regret drinking the reception:


furazolidone (Furoxone), antibiotic used for intestinal infections


Griseofulvin (Grisactin), anti-fungal drug that used to treat ringworm and other skin infections or nail


akryhin (Atabrine), older antibiotic used to treat malaria and lambliosis (intestinal parasites)


Given the millions of antibiotic prescriptions issued per year, these strattera prescription drugs are tiny minority. There are no specific warnings about some of the most frequently administered antibiotics: cephalexin (Keflex), ampicillin (Omnipen, Principen, etc.) or erythromycin (Erie-Tab, etc.). Alcohol and other drugs It is difficult to predict how alcohol can interact with medications you are taking . This may increase the effect of certain drugs while reducing the influence of others. Here are some examples:


warfarin (Coumadin, etc.) - acute alcohol reception


exacerbate the effects of warfarin and risk of bleeding. On the other hand, long-term alcohol consumption can reduce the effects


medicine. Phenytoin (Dilantin) - Drinking alcohol can lead to a lower concentration in the blood phenytoin, anti-seizure medication. This could reduce the effectiveness of the drug. Diphenhydramine (Benadryl) or codeine - sedating drugs such as diphenhydramine or codeine can add to the sedative effects of alcohol. Methotrexate (Rheumatrex) - a small risk of liver damage associated with methotrexate increases the potential damage to the liver associated with long-term alcohol consumption. How can so many different alcohol effects of drugs? Alcohol provides various effects on the body. Also, to be drunk, he may:


3 different shapes of bacteria

Reason comfort - it can add to the sedative effect of drugs. Compete on the enzymes that digest certain drugs - Drugs can stay longer in the body leads to increased concentrations in blood. Rev to the enzymes responsible for destruction of drugs - it can lead to lower concentrations of these drugs, which in turn may reduce their effectiveness and require higher doses to have an effect. Activating enzymes of metabolism of drugs that the chemicals that are toxic to the liver - This is true for acetaminophen (Tylenol and others). Regular use of alcohol and acetaminophen accounts in some cases of serious liver damage associated with paracetamol. If you take any medicines regularly, consult your doctor or pharmacist if it is okay to drink alcohol. You can get important tips to help your medication work better and reduces the chance of side effects. Bottom Line Dire warnings about the dangers of drinking while taking antibiotics, which are not based on facts. The idea that you can not drink when taking antibiotics is largely a myth. Of course, it is better not to drink while taking certain antibiotics. But is was a risk if you drink, taking most antibiotics. Always ask your doctor or pharmacist about possible interactions between drugs, including antibiotics, and your diet. While it may be difficult to support all the possible health effects of alcohol directly, the good news is that antibiotics can do much good if you take them as prescribed. Category:

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