Sunday, May 07, 2006

THE MEDICATION-ALCOHOL DILEMMA

By Toney Atkins


    In an earlier posting, headlined "Addictions," I opined about medication issues as related to the much-reported "confession" and "apology" by Rhode Island Congressman Patrick Kennedy in announcing that he was checking into a facility to get help for his addiction to painkillers. Not wanting to harp on the issue, I simply want to be a bit redundant in elaborating and opining on the previous writing.


    The medications he said that he took before driving, allegedly not even remembering getting out of bed and operating the vehicle, were Ambien and something for his stomach, neither of which have anything to do with killing pain, according to doctors and medical reference information. Whatever the case, he obviously needs help if he has been mixing medications without researching potential side effects from the combinations. He says he was not drinking alcohol at the time of his car crash, and even if he wasn't, that definitely draws attention to the public about examining the issue of prescribed drugs combined with alcohol.


    My experience has been that if medications are taken as directed -- and the majority advise NOT to combine them with alcoholic beverages -- they work as they are intended to do. For example, I've chided acquaintances about drinking a lot while taking antibiotics for whatever condition requires them. For one thing, experience and research has shown me that the antibiotics do no good if combined with alcohol, and some people wonder why they don't get well.


    A number of medications can be addictive if taken for long periods of time. However, many people need certain medications in order to do their jobs and to maintain a quality of life. An example here is something such as Alprazolam for panic attacks. If taken as prescribed, I don't see a major addiction problem, especially if a physician will take time to wean the person off the medication (and that includes something like Zoloft, a good medication for depression) -- and IF the health problem is resolved. Ambien, a sleep aid, did not present a withdrawal problem when I was without it for a while, although I suffer from a sometimes serious sleep disorder possibly caused by post-traumatic stress after being mugged and kicked in the face and head many, many times about a decade ago (but that's a separate and unrelated story in itself).


    Information about these and other medications (including those for pain and muscle relaxation) are usually provided by the doctor or pharmacist and should be read carefully, particularly by drinkers who don't (or can't) stop with just one alcoholic beverage. The individual can avoid potentially dangerous side effects simply by knowing about the medication and following the instructions.


    Most don't see it as such, but that beer, wine or stronger beverages are drugs themselves, therein the danger of combining them with any other kind of drug. Taking aspirin while drinking booze and burn the stomach. Taking Tylenol-type drugs in combination with alcohol can impact the liver and even cause coma or death.


    On the issue of alcohol by itself, we all know that addiction as the disease of alcoholism. Symptoms can be frequently  having to have a beer or other drink when arising from bed, many more drinks during the day and evening and before going to sleep. Alone, such an addiction can result in mental and general health problems. (I'm not speaking of an average drinker who does not rely on alcohol for confidence to get through the day, to relieve a hangover from the night before or as an aid to try to sleep.) Controlled drinking is fine, as long as the person is not getting behind the wheel of a vehicle, operating potentially dangerous equipment or drinking too much too drown sorrows or to attempt an escape from personal problems. When the alcohol controls the person, that's when there can be all kinds of problems. That person can get treatment at facilities and get support from such fine groups as Alcoholics Anonymous.


    This is not written to appear that I'm "holier than thou." In some of the instances mentioned above, I've been there or I've dealt with many people who have -- and I've done a lot of research. This is not meant to be preaching. It's intended to be informational. I had to learn about a lot of things the hard way -- and then I learned to educate myself as much as possible, with the prayer that something I write can help even just one person.


    People have real and painful issues that require medication and even regular treatment by a physician. It's nothing to be ashamed of. We all just need to be in control of what we need and not allow it to control us.


    Don't just trust what I write here, though. Do some research from reliable sources on your own. It's your health.


   IMPORTANT POSTSCRIPT: Do NOT abruptly stop taking any prescribed medication before consulting your physician. Doing such could have very serious health repercussions.


    "God grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference." -- The Serenity Prayer.


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