How Long to Wait After Taking Anxiety Meds Before Drinking Alcohol?

The time interval between taking anxiolytics and consuming alcohol?

Hello, pharmacist.
I was diagnosed with anxiety disorder last year and recently started medication.
My doctor prescribed me to take Sertraline after meals and Taiwande Yang Yi Shu tablets, as well as Roche Rifampicin before bedtime.
Due to the side effects of the medication, I find it difficult to function during the day, so I have adjusted my regimen to only take Roche Rifampicin at night.
I would like to ask you, as I will be traveling to Europe soon and am eager to try German beer, how long should I wait to drink alcohol after taking my medication? Currently, I am only taking two pills.
Should I consider stopping my medication temporarily while I travel and resume it after I return?

Juer, 20~29 year old female. Ask Date: 2016/03/03

Dr. Gu Zhenting reply Pharmacology

Alcohol is metabolized in the liver.
For a person weighing 70 kilograms, consuming 360 milliliters of beer or 30 milliliters of whiskey results in an intake of approximately 12 grams of alcohol, which takes about 1.5 hours to metabolize.
The higher the alcohol content consumed, the longer the body takes to metabolize it.
Beer has a lower alcohol content, and if consumed in moderation with intervals of more than 2 hours, it theoretically has a lesser impact.

Reply Date: 2016/03/03

More Info

When it comes to the interaction between anxiety medications and alcohol, it is crucial to approach the situation with caution. The medications you mentioned—likely including a selective serotonin reuptake inhibitor (SSRI) like Zoloft (sertraline) and possibly a benzodiazepine like Xanax (alprazolam)—can have significant interactions with alcohol, which can exacerbate side effects and lead to increased risks.

Alcohol and Anxiety Medications
1. Increased Sedation: Both alcohol and many anxiety medications can cause sedation. When taken together, the sedative effects can be amplified, leading to increased drowsiness, dizziness, and impaired coordination. This can be particularly dangerous if you need to perform tasks that require full attention, such as driving.

2. Worsening Anxiety Symptoms: Alcohol is a depressant and can worsen anxiety symptoms over time. While it may seem to provide temporary relief, it can lead to a rebound effect, causing increased anxiety once the alcohol wears off.

3. Potential for Dependency: Mixing alcohol with anxiety medications can increase the risk of developing a dependency on either substance. This is particularly concerning with benzodiazepines, which are already associated with a risk of dependence.

Recommendations for Drinking Alcohol
Given your situation, here are some guidelines:
- Wait at Least 24 Hours: If you are considering drinking alcohol, it is generally advisable to wait at least 24 hours after taking your anxiety medication. This allows the medication to clear your system to some extent, reducing the risk of adverse interactions.

- Consult Your Doctor: Before making any decisions about drinking alcohol, especially if you are considering stopping your medication temporarily, it is essential to consult your healthcare provider. They can provide personalized advice based on your specific medications, dosage, and overall health.

- Moderation is Key: If you do choose to drink, do so in moderation. This means limiting your intake to one standard drink and spacing it out over time. For example, if you decide to have a beer, ensure that you have not taken your medication within the same timeframe.

- Listen to Your Body: Pay attention to how your body reacts. If you notice any adverse effects, such as increased anxiety, dizziness, or sedation, it is best to stop drinking and consult your doctor.

Alternatives to Consider
If you are concerned about the side effects of your medications, discuss this with your doctor. They may be able to adjust your dosage or suggest alternative treatments that have fewer side effects. Additionally, consider non-alcoholic options for social situations, such as mocktails or non-alcoholic beers, which can allow you to enjoy the experience without the risks associated with alcohol.

Conclusion
In summary, while it might be tempting to enjoy a drink while on anxiety medication, it is essential to prioritize your health and safety. Waiting at least 24 hours after taking your medication, consulting with your healthcare provider, and practicing moderation can help mitigate risks. Remember, managing anxiety effectively often requires a comprehensive approach, including medication, therapy, and lifestyle changes.

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