Form Lcb-89 - Participant Manual - Commonwealth Of Pennsylvania Page 17
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41DRUG AND ALCOHOL INTERACTIONS
1. 1+1=3 is an example
Many people do not realize how dangerous it is to mix alcohol
of what kind of drug
with drugs. Whether they are prescription, over-the-counter, or
interaction?
illegal, mixing any drugs can result in a deadly combination,
regardless if a person is a heavy or light drinker. If someone takes
a time released medication and consumes alcohol, it is important
to note that the alcohol may dissolve the coating, releasing the full
Here are some examples of drugs
dose all at once instead of over time.
that cause Antagonistic interactions,
that is they reduce the effectiveness
Drug interactions may be:
of the drug’s ability to “do its job”:
Additive: An effect in which two substances or actions used in
Antibiotics
combination produce a total effect the same as the sum of the
individual effects.
Cardiovascular medications
Synergistic: The capacity of two or more drugs acting together
All blood-thinning medications
so that the total effect of these drugs is greater than the sum of the
(Anticoagulants)
effects if taken independently.
Medications for seizure
Antagonistic: The effect of the drug is diminished in the
disorder
presence of alcohol.
Medications for individuals
with diabetes
Below are some examples of interactions that can cause serious side effects:
Nonnarcotic pain relievers: Medications such as aspirin or ibuprofen can cause stomach bleeding and inhibit
blood from clotting. Alcohol use exacerbates these effects.
Antipsychotic medications: Alcohol use can cause potential fatal breathing difficulties.
Antidepressants: Certain types can cause a dangerous rise in blood pressure.
Sedatives and Hypnotics: When mixed with alcohol, sleeping pills, tranquilizers, or anxiety medications (such
as valium or ativan) can depress breathing functions.
Narcotic pain relievers: When mixed with alcohol, the interaction enhances the drug’s effect increasing the risk
of death from overdose. Thus the mixture can cause a synergistic effect. These medications are often opium-based
(demerol, codeine, morphine, percocet, and darvon).
When assessing the intoxication level of a patron, the server does not need to know the specific effects of drugs, whether
legal or illegal drugs. What is important to know is that it is illegal to serve someone who is visibly intoxicated regardless
of whether the visible intoxication resulted from alcohol, drugs, or a combination.
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