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The two people I have known who died from mixing drugs/alcohol never counted that it would be their last high---I guarantee you that.
When you are mixing alcohol and other depressants you do not know the exact effect, therefore it is a BAD idea to mix them at all. The fact that he slurs his words is not a sign that he/she knows what he/she is doing. It is inherent in a addict to lie about drugs--it is just about a given. So OF COURSE the person is going to say it is kosher with his doc. If his doc did that and he OD's, then that might make a mighty pretty lawsuit. No doctor worth anything would risk that.