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358304 tn?1409709492

Had 2 beers on while on meds... BIG NO NO!

Have a question. 27 male. 5'6 125lbs.

I had my company Christmas party this weekend. I was having a great day, and have been anxiety free for quite some time now! I started taking 10mg Lexapro about 2 months ago. Then I went to 5mg after a month. Now I've been only on 2.5mg Lexapro for about 3 days. I've also been taking .25mg Klonopin before bed everynight for the past 2 months.

I called my Uncle who's a Dr. and asked him if I could have a couple beers with what I'm on. He said "yeah 2 or 3 beers won't hurt ya, just don't drink anymore than that."

So I felt confident, and took his word!

I was already nervous as it was going to my Christmas Party b/c I put together a huge video production, a comedy film, for the party. It's a good laugh and everyone looks forward to it.

I had to set up the projector and test audio etc., It was a little stressful. Then I sat down had dinner with my wife and table, it was good.

Then after dinner I had one beer. No problem. I put on the DVD finally and everybody was enjoying it and laughing their heads off.

I had one more beer while watching my video, and drank it pretty fast I think.

All of a sudden while watching the video, out of no where, it was like a creeper! My face felt numb, so did my hands, and the inside of my mouth... I felt NOT RIGHT. I got up, used the restroom, and felt like I was having a hard time breathing, but I was breathing. I also felt like I couldnt keep my eyes focused... it was just scary! People were saying my eyes looked glossed over really bad, and my face was really flushed. Of course when people start saying "Are you okay?" it makes you freak out more. lol.

My wife was proud of me though, b/c I would normally call the Nurses Hotline... or make her take me to the ER. But I didnt. I kept myself together and cool and collective as much as I could. B/c I KNEW I was feeling BETTER and NOT WORSE. I was thinking LOGICALLY and not IRRATIONAL about it. :)

I had to get out of there, so my wife and I left quickly. As soon as we got home I felt better! As soon as the alcohol left my system, I felt more like myself. Took a hot shower and went to bed. I did take my .25mg klonopin and 2.5mg Lexapro before bed, but only after feeling better! Because I was having a little anxiety.

QUESTION: Do you think this was a bad mix of the 2 beers with my medication? Or do you think it was a combination of the pressure of my DVD playing, and the 2 beers, and a panic attack, all combined into one?
13 Responses
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358304 tn?1409709492
My Primary Dr. thinks I just had a bad panic attack, and feeling a little buzzed didnt help any. Oh well, I'm never chancing that again.

He's taking me off Klonopin and Lexapro, and I'm just going to be taking Ativan .5mg as needed.

I'm happy with this trial, b/c I've done it before. And even though I'd hit bumps in the road, the ativan would help me through the hard times, and i wouldnt have to take it very long.

I don't like being on something for long term. So I think this will help. :)
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Avatar universal
I'm on 40mgs celexa and 0.5 clonazepam and i drink on the weekends all the time, 6+ beers
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Avatar universal
Hey!
       Hummmm, no I never notice that any of the SSRI's make me crave for alcohol...  all the Benzo meds make me crave for alcohol... I remember that when I start the Rivotril back in 2005, I was drinking a lot at the time  but only vodka or Smirnoff drinks...and the first pill I put in my mouth give me a huge need to drink a beer, me who never like beer in the past...  it was strange... I never felt that huge need to drink on the SSRI's alone... I mean without a benzo med...

I drank with most of the SSRI's also as well as some SRNI's like the Effexor-XR ... I drank also with the old MAOI's like the Nardil (not with the Parnate, cause when I try the Parnate, I had already stop drinking), and with the Nardil, I drank only vodka since beer, especially taps beer can trigger hypertensives crisis...

The only 2 antidepressants who seem to have no effect while you drink or no interraction are the Paxil and the Effexor-XR... I remember than with the Effexor-XR, I had a kind of funny feeling, I was A LOT more sociable and was laughting a lot all the time, but it was really hard for the head (migraine each time)...

Maybe it's just on me, I don't know... but all the SSRI's with the exception of the Paxil make me very anxious and agitated to the point that I needed to increase a lot my Benzo meds intake... I had also a bad trail with the Remeron and the Desyrel... The Remeron make me a lot anxious, probably because of the adrenaline release action of it 5HT2C antagonist activity who increase the noreadrenaline in the brain and the adrenoreceptor 1 and 2 antagonist effects who increase freely the adrenaline in the blood... The Desyrel have a bad reputation for the anxiety, especially next day anxiety because of a metabolite who is produce by it (MCPP). The Remeron is one of the worse antidepressant to treat the anxiety, especially the anxiety who is more physically trigger (heart-OCD)... and it's the worse antidepressant to mix with the alcohol.

Anyway, it's usual that when you stop the Paxil, the anxiety return 10 times worse than it was before you start the Paxil !!! Each time I stop it, I had extreme rebound anxiety and the last time I stop it in october 2009, I had no rebound anxiety but had an important surgery 2 weeks after I stop it, so my minds was not overfocus on the anxiety but more on the pain from the surgery... but when the pain from the surgery stop, I had an extreme return of my anxiety to a state that I never reach before...

Also, I don't know why, but I can't start any kind of SSRI's now, even in low dose... that's ridiculous.... I really don't understand why... I'm so anxious that everything I put in my mouth trigger panic or increase my chronic anxiety symptoms... I hate that... Even food trigger panic now... Sometimes I eat foods with sugar and think that it will release adrenaline in my bloodstream and I feel extremely anxious and have a panic 1-2 hours after...

We are not lucky in the Canada, cause the SSRI's are not available in oral suspension liquid form, so it's a pain in the *** to make a 1 mg dose of Paxil... have to cut the 10 mg pill into 10 pieces, who is almost impossible... I have to find a way to make 1 mg dose of Paxil cause after the Christmas and holidays, I start it again, even if I feel sick or do 100000 panic a day for 3 months, I don't care... I need to return on it... Even if I know that on the Paxil I will gain weight, I don't care this time... will find a way to not gain weight... a diet, exercises... The Paxil is the only one SSRI  who do miracles on me, especially to stop the constant worries about my heart and also stop completly the panic attacks, especially the panic who are predictable (apprehension)... Interresting for the study, I have to read that... if I can find it on the internet...

Anyway, I don't recommend to mix alcohol with any kind of meds, even antibiotics meds... alcohol is bad for anxiety...and it can be dangerous... maybe I was just lucky.. but don't take any chance...

Well well... I write too much again... no wonder my head hurt!!! ;-) Take care buddy!!!
Helpful - 0
1402011 tn?1291411782
@ txQC, It's interesting that you drank allot on Paxil, so did I until I stopped it and immediately was unable to drink without panic or had any desire. There was a stanford study showing Paxil increased the urge to drink and drink heavily. Im not sure how the other SSRI's work with alcohol but I know for a fact paxil makes you crave alcohol and has zero effect on you when drinking beyond feeling high.
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Avatar universal
Hi Mister!
             I understand what you mean. Even if the Lexapro have something like 26 hours half-life in the blood, and the Klonopin is about 20-50 hours, but the real effect don't last for as long, well on me, I think it was not comming from the meds + beers, anyway your dose are low... 0.25 mg of Klonopin is nothing... for the Lexapro, 2.5 mg is for me too much, I hate that med... even if I took more than 40 mg at one time in my life... now I can tolerate it, even at 1 mg... Anyway, the beers was probably what trigger the panic because you are not use to drink and your slim... so I can probably imagine that feeling dizzy trigger the panic.

It's common for peoples with a panic disorder to want to have the total control of their body and of everything else in their life... the main problem is that it's impossible to have the control over everything!!!

You see, often, if I do a panic attack like the one you had, I remember the ones I had before and say that I never die... in the past, it was helping me a lot to recover fast from the panic, in less than 30 minutes... and I was ok after... but now it's not helping me anymore, strange... anyway...

This morning, I have an appointment with my PDoc and have to be in a car for 15 minutes to go and same to return home, since I have strong agoraphobia and social phobia with the panic disorder, it's really hard to go out of the house anymore, each time it's like i'm going to jump of a plane or do a ride in a roller coaster... and most of my severe panic attacks with fainting (black out) episodes happened in a car, so since 3 AM this morning, i'm awake and my heart beat so fast, I can't slow it.... even if I try to think about all the tricks I learn in Therapy, even if I try to change my minds, my heart race as 140-160 pulse minutes since 3 AM...my hands are all clammy, I feel dizzy, my head hurt, the lights make me very anxious, the noise also... I have the chest pain and thighness in my chest, it's not hard to breath but I feel like ****, like I  have a panic without having a full blow panic attack...I hate that feeling... but what I can do??? Nothing really... that's stupid to think that we fear the panic cause if we think more closely to panic, we fear of dying... but we will die anyway, in a panic, naturally or anywhere else... I don't know why the panic make us feel so afraid...

I find out that the more I want to have the control over my body and stop the symptoms, the worse I will feel and the worse will be the panic attack I will have... anyways...

Well, at least you can work, you seem to have a great life with the exception of the panic disorder.... you have friends, that's great!!! And the crowd loved your DVD, you can't ask for more!!! You should be proud of yourself and think only about the best part of that evening, and forget the panic you had.

I know, that's easy to write, but not easy to do... I can't forget the severe panic I had in my car or in the shower this year, especially the ones where I faint because of the very fast pulse rate above 220 and the angina pain in the chest... when I had them, it's like I forget everything else and focus on the panic all the times.... Even if after those severe panic attacks (the same day), I had great time with friends at the restaurant and I completly forget the fun I had and just remember the panic attack... that's so hard to stop focusing on the panic and the symptoms... and I also think that the more fears you have and the more panic you will have (sorry for my bad english...)... It's like we feed our own fears and make the whole thing bigger and bigger....

For the drink part, it's your own decision... What I can say is that i'm sober since 3 years now and don't want to drink again... I can't imagine being dizzy with the alcohol right now, it will be like i'm out of control over me and that's mean panic... you see, the control is everywhere.... even if I know it's impossible to have the control over everything, I always want to have the control of my body...

Well, I wish you good luck and take care of you!!! ;-)
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358304 tn?1409709492
You know what's funny is that I wasn't worried one bit about the mixing. Bc I don't take my .25mg Klonopin and 2.5mg lexapro til like 11pm or midnight. I had these 2 beers at like 7:30pm.

The more I think about it... I think I just had a really bad panic attack that snuck up on me out of nowhere. And maybe drinking those 2 beers didn't help bc it doesn't take but a couple beers for me to feel a slight buzz. I weigh a buck 25 wet. Lol. And I don't drink usually.

So I bet it was a mix of the nerves the instant buzz and the energy in the room while watching my movie I made.

Bc I know panic attacks can make you feel like you're having a bad high. Things don't feel right... My heart was racing and I felt like I couldn't breath right. Like I had to try harder to breath?

But I reminded myself that even though it was scary as heck... I knew I was breathing, I knew I was awake, I just was feeling like I was having a bad trip. I knew it was anxiety too. It was like a vicious little cycle of scaring myself more and more. Especially when I looked at myself in the mirror. Lol.

But knowing that the feelings stopped like 30 minutes later and after the 2 beers got out of me I felt fine and in control again.

So therefor it was probably just a bad panic attack, which I havnt had one in a long time... I usually suffer from general anxiety, just feeling nervous in the stomach ect. But dang. I'm not gonna drink ever again. And thats probably a good thing. :)

Peace dudes. Thanks for all your stories and reassurance. :)

I think in the long run... If we are feeling anxious, even while not knowing it fully, bc so much is going on, like at my party... Things like alchohol can actually set off anxiety or panic attacks bc it changes the way we feel a it is.

So stay away. :) I wish I just woulda not drank bc my day was awesome! I was pumped for the party!! And those 2 beers ruined it. I much would have rather brought some Klonopin and stayed sober and taken one of those and relaxed and enjoyed my evening. Afterall I deserved a good evening after making that movie. Took me 2 weeks to make and was a pretty high quality DVD. The crowd loved it. They are still talking about it.
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Avatar universal
I know Doctors always say to not drink with the SSRI's, but I drank a lot of Vodka, 3-4 nights a week in the past for almost 2 years, and never had panic attack or any kind of problems... Oh, I was on the Paxil at the time, 40 mg and was also on 4 mg of Rivotril (Klonopin).

Alcohol alone, especially in high dose, something like 10 oz of  Jack Daniel's will lead to extreme panic on me for sure, same for too much vodka... but mixing the alcohol with the Benzo meds was great for me, don't know why, but I never had panic with too much alcohol and Benzo at the same time... but I wasn't aware of the potential fatal interraction of those 2 substances take at the same time, especially respiratory problems and death... I can say that if the Doc who Rx the Rivotril had told me this before I mix the 2 things together, I will had panic, just because of the fear and apprehensions....

For the SSRI's + alcohol... I don't know really... for me it's ok... for someone else maybe not... I know that mixing a SSRI with some antibiotic meds can lead to serotonin syndrome... but for the panic attack, I think you experienced just fears and apprehensions of mixing the 2 things together... who lead to panic...

I don't think that have a drink or 2 can kill you, especially with a SSRI like the Lexapro... so don't worry ;-)

Take care of you!

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358304 tn?1409709492
Oh no, I'm not holding it against him. He probably thought it WOULDNT hurt me... but the moral of the story is "EVERYBODY REACTS DIFFERENTLY." LOL.

Plus the more I think about it, I think I was having a major panic attack and the effects of the alcohol wasn't helping the sensations.

And I do enjoy being center of the attention usually. But that night I was supposed to be enjoying myself, but found myself worrying about getting the DVD player and Projector set up, and having the DJ set the audio... etc.

I think it was just a "creeper" anxiety/panic attack... which I haven't had in A LONG TIME.
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650547 tn?1271773198
I think it was a combination of the 2 things, but the big thing was the beer.  Of course it's natural to get anxiety from the situation you were in (unless you enjoy high pressure and being on the spot in front of people - I know I don't!!), but I think drinking alcohol when you're on those medicines was a big mistake.  It sounds like that's the conclusion you've already come to, so I guess this is just to affirm that!
Anyway, why your uncle told you to go against the warning label makes no sense to me, especially if he's a doctor.  Maybe he just wanted you to have a good time?  I wouldn't hold it against him, but I would maybe just let him know it didn't work out too well!
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358304 tn?1409709492
Yeah, I had no idea. Well, I had SOMEWHAT of an idea that drinking while on meds is not a good idea... but if my uncle who is a Dr. said I'm taking such a small amount, and I'd be okay... then I thought I could trust him. Screw that!  My uncle who is a Dr. is a retard.

Seeing my regular Dr. tomorrow for a regular check up, will tell him what happened. :( He won't be happy with me or my uncle. lol.

I was just trying to have a good time at the party, and I DO NOT DRINK. I have had a couple beers here and there this summer, but I wasnt on meds.

Stupid stupid mistake.

But again, you live you learn. Will never do that again! EVER!

Now if I was on 1mg Klonopin daily or twice daily, and 10mg Lexapro still, I wouldnt have even THOUGHT of trying to drink.

But since I was on such a low low dose, I thought, "hey if my uncle who is a Dr. said it's fine, then it should be fine..."

BIG NO NO!

I'm actually having a little rebound anxiety today... just a tad of the nervous stomach.

Am thinking about taking a .25mg klonopin... but I can make it. :)

Peace everyone.
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Avatar universal
Alcohol does increase anxiety.
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Avatar universal
I dont know if this is true for a lot of people but if I drink any kind of alcohol being on medication or not I get severe anxiety when the buzz starts wearing off.
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Avatar universal
It tells us right on the bottle to not mix alcohol with these medications......there's a reason for this.  Your dosages on the medications are very low, so it could have been a panic attack with all the stress you were under, or both.  I think it's wonderful how you handled it!  I personally wouldn't mix any amount of alcohol with the medications, always better safe than sorry.  You made it through it all, that's what matters at this point.  Take care!
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