Can You Drink Alcohol While Taking Xanax and Celexa?

Zanax and Klonopin alcohol consumption?

Due to social anxiety disorder, the doctor prescribed Xanax 0.5 mg to be taken once in the morning and once in the evening, totaling twice a day.
Additionally, they prescribed Cymbalta 12.5 mg, also to be taken once in the morning and once in the evening, totaling twice a day.
I have been taking these medications for about six months and have developed a dependence on them.
If I miss a few days of medication, I experience withdrawal symptoms.
If I want to drink alcohol, such as whiskey, should I stop the medication for a day? Or is there a way to drink while on these medications? I found online that mixing these medications with alcohol could lead to symptoms resembling a pseudo-stroke.

Gao, 20~29 year old female. Ask Date: 2014/03/11

Dr. Song Chengxian reply Psychiatry

Hello Mr.
Gao, it is indeed not advisable to suddenly discontinue Xanax after using it for more than six months, as this can lead to various uncomfortable withdrawal symptoms.
I recommend that you discuss with your physician about gradually tapering the dosage before stopping the medication, as this is safer and more likely to be successful.
Additionally, combining it with alcoholic beverages is extremely dangerous.
It may lead to severe panic attacks, emotional instability, respiratory depression, and arrhythmias.
Therefore, it is crucial to avoid alcohol while on this medication.
If you already have a problem with alcohol dependence, you should discuss with your physician the possibility of adjusting your medication and the feasibility of alcohol cessation treatment as soon as possible.
Wishing you all the best! Sincerely, Dr.
Song.

Reply Date: 2014/03/11

More Info

When it comes to drinking alcohol while taking medications like Xanax (alprazolam) and Celexa (citalopram), it is crucial to understand the potential risks and interactions involved. Both Xanax and Celexa are commonly prescribed for anxiety and depression, but they work in different ways and can have significant side effects, especially when combined with alcohol.

Xanax is a benzodiazepine that is often used to treat anxiety disorders. It works by enhancing the effects of a neurotransmitter called gamma-aminobutyric acid (GABA), which has a calming effect on the brain. On the other hand, Celexa is a selective serotonin reuptake inhibitor (SSRI) that increases serotonin levels in the brain, which can help improve mood and reduce anxiety.

Combining alcohol with Xanax can be particularly dangerous. Alcohol is a central nervous system depressant, and when taken with Xanax, it can amplify the sedative effects of the medication. This combination can lead to increased drowsiness, dizziness, and impaired coordination, which can significantly raise the risk of accidents and injuries. In severe cases, it can lead to respiratory depression, coma, or even death. Additionally, the combination can exacerbate anxiety and depression symptoms, leading to a vicious cycle of increased medication use and alcohol consumption.

Regarding your specific situation, where you have been taking Xanax and Celexa for about six months and are experiencing withdrawal symptoms when you miss doses, it is essential to approach the idea of drinking alcohol with caution. If you are considering drinking whiskey or any other alcoholic beverage, it is advisable to avoid alcohol altogether while on these medications. There is no safe way to drink alcohol while taking Xanax and Celexa, and stopping your medication for a day to drink is not a recommended or safe practice.

The concern about experiencing "pseudo-stroke" symptoms when combining these medications with alcohol is valid. The sedative effects of both Xanax and alcohol can lead to confusion, difficulty speaking, and other neurological symptoms that may mimic a stroke. This can be alarming and potentially dangerous, as it may lead to unnecessary medical interventions.

If you are struggling with addiction to Xanax or alcohol, it is vital to seek help from a healthcare professional. A doctor can provide guidance on how to safely taper off Xanax if necessary and can help you develop a plan to address any alcohol use issues. Cognitive-behavioral therapy (CBT) and other therapeutic approaches can be beneficial in managing anxiety and depression without relying on medications or alcohol.

In summary, it is not safe to drink alcohol while taking Xanax and Celexa. The combination can lead to severe side effects and complications. If you are feeling the urge to drink or are struggling with your medication regimen, please reach out to your healthcare provider for support and guidance. Your health and safety should always be the top priority.

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