
Other than suicide, what do the esteemed members of the board suggest I do with myself?
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Fri 27 Mar 2009, 16:12,
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I have a collie looking at me with the exact same expression right now! (including tennis ball in mouth for bonus points)
Walk time I guess
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Fri 27 Mar 2009, 16:22,
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Walk time I guess

It's the prelude to the usual game of: me throwing ball, her running after it picking it up then NOT bringing it back
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Fri 27 Mar 2009, 16:24,
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experiment and see if yours is one of them.
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Fri 27 Mar 2009, 16:21,
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The only reason for not taking alcohol whilst on antibiotics is that the alcohol competes with the drug for the enzymes in the liver needed to metabolise it. The alcohol wins and this means that the antibiotic ends up going through the system without metabolising and ultimately being as much use as smarties.
No point taking antibiotics with drink because the drugs don't work.
Any other idea about being messed up whilst on both is urban myth.
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Fri 27 Mar 2009, 16:45,
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No point taking antibiotics with drink because the drugs don't work.
Any other idea about being messed up whilst on both is urban myth.

en.wikipedia.org/wiki/Antibiotics#Alcohol
Well, no, really.
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Fri 27 Mar 2009, 16:58,
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Well, no, really.

pub and I remember having this conversation over booze.
I'm happy to take my hazy recollection of his word over Wiki anyday. ( I'd take any fact I heard in the pub before I'll take Wiki at face value ).
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Fri 27 Mar 2009, 17:01,
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I'm happy to take my hazy recollection of his word over Wiki anyday. ( I'd take any fact I heard in the pub before I'll take Wiki at face value ).

So here are the websites which wikipedia cites:
www.nhs.uk/chq/pages/871.aspx?CategoryID=73&SubCategoryID=103&r=1&rtitle=http%3a%2f%2fwww.nhs.uk%2fchq+-+871%3fCategoryID%3d73%26SubCategoryID%3d103
www.mayoclinic.com/health/antibiotics-and-alcohol/AN01802
You're right in as far as it's probably alright to drink on antibiotics, but wrong in that if they're rarer kinds, you'll end up puking. You're half-right that alcohol might make the antibiotics stop working, but again, it depends what they are, and usually it won't. (And I don't get the metabolising part - I mean, sure, you don't metabolise the antibiotics, but that just means they don't get broken down, so they'd keep working for longer, wouldn't they?)
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Fri 27 Mar 2009, 17:06,
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www.nhs.uk/chq/pages/871.aspx?CategoryID=73&SubCategoryID=103&r=1&rtitle=http%3a%2f%2fwww.nhs.uk%2fchq+-+871%3fCategoryID%3d73%26SubCategoryID%3d103
www.mayoclinic.com/health/antibiotics-and-alcohol/AN01802
You're right in as far as it's probably alright to drink on antibiotics, but wrong in that if they're rarer kinds, you'll end up puking. You're half-right that alcohol might make the antibiotics stop working, but again, it depends what they are, and usually it won't. (And I don't get the metabolising part - I mean, sure, you don't metabolise the antibiotics, but that just means they don't get broken down, so they'd keep working for longer, wouldn't they?)

But I understand that the antibiotics make their way through your system at a set rate and the more of it going into your faeces the less effective it is. ( I think )
And I'm not saying it's ok to drink and take them. What would be the point? I'm just saying that there are many myths about it and only 5 or so antibiotics known to doctors to cause any kind of side-effect.
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Fri 27 Mar 2009, 17:11,
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And I'm not saying it's ok to drink and take them. What would be the point? I'm just saying that there are many myths about it and only 5 or so antibiotics known to doctors to cause any kind of side-effect.

if you can't metabolise the antibiotic, it's like taking a bigger dose, and that might not be pleasant.
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Fri 27 Mar 2009, 17:18,
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"My doctor drinks in my pub and I remember having this conversation over booze."
Ha ha, he must have been on the metronidazole first. :-S
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Fri 27 Mar 2009, 17:43,
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Ha ha, he must have been on the metronidazole first. :-S

(Or at least dangerously incomplete).
See:
www.nelm.nhs.uk/en/NeLM-Area/Evidence/Medicines-Q--A/Which-oral-antibiotics-interact-with-alcohol/
(It's a .doc, I'm afraid. Try Google's HTML rendering of it).
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Fri 27 Mar 2009, 16:59,
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See:
www.nelm.nhs.uk/en/NeLM-Area/Evidence/Medicines-Q--A/Which-oral-antibiotics-interact-with-alcohol/
(It's a .doc, I'm afraid. Try Google's HTML rendering of it).

But it seems like one or more of:
a) Alcohol competes for detoxifying enzymes, so leaving more of the antibiotic around for more intense side-effects
b) Heavy drinkers produce more detoxifying enzymes, so the drug is less effective (is broken down faster)
c) Alcohol can increase the sedative effect of some drugs, but also the effects of alcohol can be increased by the same sort of competing for binding sites.
Phew! (from : www.steadyhealth.com/articles/Antibiotics___Alcohol__The_truth_and_myths_a144_f0.html)
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Fri 27 Mar 2009, 17:05,
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a) Alcohol competes for detoxifying enzymes, so leaving more of the antibiotic around for more intense side-effects
b) Heavy drinkers produce more detoxifying enzymes, so the drug is less effective (is broken down faster)
c) Alcohol can increase the sedative effect of some drugs, but also the effects of alcohol can be increased by the same sort of competing for binding sites.
Phew! (from : www.steadyhealth.com/articles/Antibiotics___Alcohol__The_truth_and_myths_a144_f0.html)

there are a handful of antibiotics that can react with alcohol ( high blood pressure being the main effect I think ) but the absolute reason for not drinking is simply because it reduces their effects and you may as well not be taking them.
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Fri 27 Mar 2009, 17:08,
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"1. Metronidazole (AVOID ALL ALCOHOL)
Metronidazole can inhibit the metabolism of alcohol, so that metabolites build up in the body. These metabolites cause an unpleasant reaction characterised by symptoms such as flushing, nausea, vomiting, headache, hypotension, and palpitations (1-5). Not everyone is affected, but it is a common enough reaction for all people on metronidazole to be advised to avoid alcohol."
Metronidazole is certainly a commonly prescribed antibiotic.
The same document does say "Members of the public commonly believe that all antibiotics interact with alcohol. This is not true." They should have spelled "all" "ALL".
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Fri 27 Mar 2009, 17:12,
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Metronidazole can inhibit the metabolism of alcohol, so that metabolites build up in the body. These metabolites cause an unpleasant reaction characterised by symptoms such as flushing, nausea, vomiting, headache, hypotension, and palpitations (1-5). Not everyone is affected, but it is a common enough reaction for all people on metronidazole to be advised to avoid alcohol."
Metronidazole is certainly a commonly prescribed antibiotic.
The same document does say "Members of the public commonly believe that all antibiotics interact with alcohol. This is not true." They should have spelled "all" "ALL".

that people should drink and take antibiotics. Far from it. I'm just disputing the misconceptions behind why you are told not to.
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Fri 27 Mar 2009, 17:15,
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But the words "They don't react badly in the slightest" are wrong*, and might make someone ill if they acted on them.
(I agree with you that there are a lot of myths floating around on both sides).
(*: assuming we trust the NHS National electronic Library for Medicines (NeLM) as a competent authority. The Hedgehog From Hell, where are you? :-)
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Fri 27 Mar 2009, 17:20,
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(I agree with you that there are a lot of myths floating around on both sides).
(*: assuming we trust the NHS National electronic Library for Medicines (NeLM) as a competent authority. The Hedgehog From Hell, where are you? :-)

a very very small minority.. that actually react with the alcohol. My weekend plan for Mr. V was to see if it was one of them :)
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Fri 27 Mar 2009, 17:09,
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... or ... stay straight all weekend. Lazy Sunday morning where you can read the papers... Give Mrs Vagabond a 6 minute head start and then chase her...
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Fri 27 Mar 2009, 16:26,
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I'm finding it very hard to think of things that don't end up sitting in a Samuel Smith's bar pub putting the world to rights...
or naked on a tandem
I'd be very disappointed with myself if they weren't awesome ideas and I wasn't already drunk
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Fri 27 Mar 2009, 16:33,
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or naked on a tandem
I'd be very disappointed with myself if they weren't awesome ideas and I wasn't already drunk

... chessington world of disappointment...
see some of your friends who have children...
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Fri 27 Mar 2009, 16:35,
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see some of your friends who have children...

stick one in the other and smoke!
Read Fear and Loathing in Las Vegas...
download and listen to as much Just a Minute as you can do...
try and stalk Melvyn Bragg...
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Fri 27 Mar 2009, 16:37,
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Read Fear and Loathing in Las Vegas...
download and listen to as much Just a Minute as you can do...
try and stalk Melvyn Bragg...

Are you reading my "to do" list? *awaits delivery of developing fluid*
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Fri 27 Mar 2009, 16:42,
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