Beta blockers and alcohol are ok if you keep the alcohol limited to 1-2 drinks per day. I would stay away from Xanax and alcohol. That could slow respirations down while you are seeping.
Lynn,
Thanks for the post.
An occasional glass of wine, properly prescribed antibiotics, and xanax should not illicit adverse reactions in the vast majority of patients. There always exist some patients who defy the "rules", but I do not dissuade patients from taking the these other things when I prescribe beta-blockers.
I am unaware of a connection between palpitations and beta-blocker/ibuprofen therapy. That doesn't mean it couldn't exist.
Hope that helps.