Antibiotics and Alcohol

Antibiotics and Alcohol

Author
Discussion

littlegreenfairy

Original Poster:

10,134 posts

226 months

Friday 5th June 2009
quotequote all
The patient info leaflet says nothing about it, and neither does the box.

I do assume that drinking alcohol would be a bad plan?

(amoxicillin 500mg)

Mattt

16,662 posts

223 months

Friday 5th June 2009
quotequote all
I was told it's generally ok, as long as you don't overdo it.

There is a certain type of antibiotics that make you throw up when you drink alcohol though - best Google your type wink

(According to the Nurse anyway)

maddog993

1,220 posts

245 months

Friday 5th June 2009
quotequote all
There is no chemical interaction whatsoever between alcohol and Penicillin based antibiotics.
However, with other antibiotics, alcohol reduces the absorption of doxycycline and tetracycline and interacts quite nastily with metronidazole and tinidazole (potentially causing abdominal pain, nausea, vomiting and tachycardia)

Edited by maddog993 on Friday 5th June 18:24

littlegreenfairy

Original Poster:

10,134 posts

226 months

Friday 5th June 2009
quotequote all
Thank you Mad Dog.

I can have a G&T this evening with an easy mind smile (just the one!)

King Herald

23,501 posts

221 months

Saturday 6th June 2009
quotequote all
When I was much younger docs ALWAYS told us never to drink any alcohol with antibiotics, but as the years have passed they seem to have stop saying it.

Apparently the booze just generally causes your body to heal slower, and/or washes the antibiotics out of the system.

So if you're ill, and want to get better, keep your body in the best condition you can, with food, sleep, booze, exercise all taken in moderation.

BigAlinEmbra

1,629 posts

217 months

Saturday 6th June 2009
quotequote all
King Herald said:
Apparently the booze just generally causes your body to heal slower, and/or washes the antibiotics out of the system.
I'd always thought the diuretic effect of alcohol was a big factor.

Personally I can't really see why you'd want to go boozing when you feel bad enough to require medication. confused

maddog993

1,220 posts

245 months

Saturday 6th June 2009
quotequote all
King Herald said:
When I was much younger docs ALWAYS told us never to drink any alcohol with antibiotics, but as the years have passed they seem to have stop saying it.

Apparently the booze just generally causes your body to heal slower, and/or washes the antibiotics out of the system.
While you're right in stating excess alcohol impairs healing processes in the body - it won't wash antibiotics out of the system.

The myth regarding not consuming alcohol with penicillin arose through the treatment of STDs in the original VD clinics; It was felt that the promiscuous behaviour 'fuelled' by alcohol would lead to STD sufferers transmitting their disease to others before the penicillin had cleared it up and patients were thus told not to consume alcohol while taking the penicillin. The propensity of Docs to give this advice carried on through the years in many cases despite it being known that there is no significant interaction between penicillin and alcohol.

BigAlinEmbra said:
I'd always thought the diuretic effect of alcohol was a big factor.
If anything, theoretically the diuretic action of alcohol would actually prolong the action of penicillin through inhibiting it's excretion via the epithelium of the renal capillaries.

Edited by maddog993 on Saturday 6th June 18:25

HUW JONES

1,991 posts

208 months

Saturday 6th June 2009
quotequote all
In reality the only commonly used (especially by women) antibiotic to avoid necking down with alcohol is Metronidazole due to the "antabuse effect". HTH.

Rach*

8,824 posts

221 months

Saturday 6th June 2009
quotequote all
maddog993 said:
While you're right in stating excess alcohol impairs healing processes in the body - it won't wash antibiotics out of the system.

The myth regarding not consuming alcohol with penicillin arose through the treatment of STDs in the original VD clinics; It was felt that the promiscuous behaviour 'fuelled' by alcohol would lead to STD sufferers transmitting their disease to others before the penicillin had cleared it up and patients were thus told not to consume alcohol while taking the penicillin. The propensity of Docs to give this advice carried on through the years in many cases despite it being known that there is no significant interaction between penicillin and alcohol.

Edited by maddog993 on Saturday 6th June 18:25
Is that right? That's very interesting!

littlegreenfairy

Original Poster:

10,134 posts

226 months

Saturday 6th June 2009
quotequote all
BigAlinEmbra said:
King Herald said:
Apparently the booze just generally causes your body to heal slower, and/or washes the antibiotics out of the system.
I'd always thought the diuretic effect of alcohol was a big factor.

Personally I can't really see why you'd want to go boozing when you feel bad enough to require medication. confused
I wanted a singular G&T (turned into a glass of wine instead) whilst snuggled up watching TV - hardly going out boozing!

Its been 10 days now since I've felt human frown

BigAlinEmbra

1,629 posts

217 months

Sunday 7th June 2009
quotequote all
maddog993 said:
BigAlinEmbra said:
I'd always thought the diuretic effect of alcohol was a big factor.
If anything, theoretically the diuretic action of alcohol would actually prolong the action of penicillin through inhibiting it's excretion via the epithelium of the renal capillaries.

Edited by maddog993 on Saturday 6th June 18:25
You'll need excuse my ignorance of physiology, but are you saying that quite literally pissing all your antibiotics up the wall is not a bad thing, mmmmmmmmmmmkay?

(Mr Mackey impression over)

Ami1

2 posts

183 months

Sunday 7th June 2009
quotequote all
It really makes more sense to not mix your medication and your booze.
All these arguments about diuretics and increasing the effect. If you take a diuretic and the antibiotic is excreted renally. Does that not mean that the diuretic increases the excretion of the antibiotic, rendering it less effective?

maddog993

1,220 posts

245 months

Sunday 7th June 2009
quotequote all
The diuretic effect of alcohol is based on it's inhibition of the anti-diuretic hormone(ADH) Vasopressin;
Studies on the effects of diuretics (including ADH inhibitors) have actually shown that-despite what you might expect- the excretion of Penicillin is significantly reduced by the use of diuretics (to the extent that Frusemide - a very potent loop diuretic- is actually superior in this respect to Ethamide which is specifically used to retain penicillin within the system and prolong it's action)

Edited by maddog993 on Sunday 7th June 18:26

King Herald

23,501 posts

221 months

Sunday 7th June 2009
quotequote all
maddog993 said:
The diuretic effect of alcohol is based on it's inhibition of the anti-diuretic hormone(ADH) Vasopressin;
Studies on the effects of diuretics (including ADH inhibitors) have actually shown that-despite what you might expect- the excretion of Penicillin is significantly reduced by the use of diuretics (to the extent that Frusemide - a very potent loop diuretic- is actually superior in this respect to Ethamide which is specifically used to retain penicillin within the system and prolong it's action)
I seem to recall hearing something along the lines that that early penicillin taking patients used to have to drink their own pee, because the drug passed through them so quickly and they could never produce enough to keep up with demand. Boer war maybe, or was it after that?

scratchchin

Driller

8,310 posts

283 months

Sunday 7th June 2009
quotequote all
Drinking alcohol with the antibiotic metronidazole can cause a Disulfuram-like reaction ie severe vomting.

Rach*

8,824 posts

221 months

Sunday 7th June 2009
quotequote all
Driller said:
Drinking alcohol with the antibiotic metronidazole can cause a Disulfuram-like reaction ie severe vomting.
I've just been having a "discussion" with someone about an alcholic being prescribed Metronidazole for dental pain, someone popped up and said only 10% of people will suffer severe vomiting if they mixed.

Still not something I'd think was appropriate!

Driller

8,310 posts

283 months

Sunday 7th June 2009
quotequote all
Rach* said:
Driller said:
Drinking alcohol with the antibiotic metronidazole can cause a Disulfuram-like reaction ie severe vomting.
I've just been having a "discussion" with someone about an alcholic being prescribed Metronidazole for dental pain, someone popped up and said only 10% of people will suffer severe vomiting if they mixed.

Still not something I'd think was appropriate!
I did use the word "can". wink

Scraggles

7,619 posts

229 months

Sunday 7th June 2009
quotequote all
as long as it does not mention potentiate with it, should be ok - some rep gave my gp some great new hayfever pills, me and some patients got to try them, went camping on the weekend and had a fair bit of booze, the pills had the effect of trippling the effect of what was drunk. this was several years ago, came back and told the GP that wanted off them, he asked did I rape someone ?

seems one of the other patients did rape someone and can understand how easy it must have been to slip over

Rach*

8,824 posts

221 months

Monday 8th June 2009
quotequote all
Driller said:
Rach* said:
Driller said:
Drinking alcohol with the antibiotic metronidazole can cause a Disulfuram-like reaction ie severe vomting.
I've just been having a "discussion" with someone about an alcholic being prescribed Metronidazole for dental pain, someone popped up and said only 10% of people will suffer severe vomiting if they mixed.

Still not something I'd think was appropriate!
I did use the word "can". wink
Would you personally or not risk it?

Driller

8,310 posts

283 months

Monday 8th June 2009
quotequote all
Rach* said:
Driller said:
Rach* said:
Driller said:
Drinking alcohol with the antibiotic metronidazole can cause a Disulfuram-like reaction ie severe vomting.
I've just been having a "discussion" with someone about an alcholic being prescribed Metronidazole for dental pain, someone popped up and said only 10% of people will suffer severe vomiting if they mixed.

Still not something I'd think was appropriate!
I did use the word "can". wink
Would you personally or not risk it?
I dunno, if it were me I'd probably not take the bloody metronidazole in the first place hehe

What do you tell your Perio patients when they have it prescribed?