Drugs Interacting with Alcohol

Potentially Deadly Combinations

 Medications for Infections

ANTIBIOTICS AND ANTIFUNGALS
Many different types of drugs are used to treat infections caused by bacteria and fungi. Some general advice to follow when taking any such product is:
  • Tell your doctor about any skin rashes you may have had with antibiotics or that you get while taking this medication. A rash can be a symptom of an allergic reaction, and allergic reactions can be very serious.
  • Tell your doctor if you experience diarrhea.
  • If you are using birth control, consult with your health care provider because some methods may not work when taken with antibiotics.
  • Be sure to finish all your medication even if you are feeling better.
  • Take with plenty of water.

    ANTIBACTERIALS
    PENICILLIN

    Some examples are:
    penicillin V / VEETIDS
    amoxicillin / TRIMOX, AMOXIL
    ampicillin / PRINCIPEN, OMNIPEN

    Interaction
    Food: Take on an empty stomach, but if it upsets your stomach, take it with food.

    QUINOLONES
    Some examples are:
    ciprofloxacin / CIPRO
    levofloxacin / LEVAQUIN
    ofloxacin / FLOXIN
    trovafloxacin / TROVAN

    Interactions
    Food: Take on an empty stomach one hour before or two hours after meals. If your stomach gets upset, take it with food. However, avoid calcium-containing products like milk, yogurt, vitamins or minerals containing iron, and antacids because they significantly decrease drug concentration.

    Caffeine: Taking these medications with caffeine- containing products (e.g., coffee, colas, tea, and chocolate) may increase caffeine levels, leading to excitability and nervousness.

    CEPHALOSPORINS
    Some examples are:
    cefaclor / CECLOR, CECLOR CD
    cefadroxil / DURICEF
    cefixime / SUPRAX
    cefprozil / CEFZIL
    cephalexin / KEFLEX, KEFTAB

    Interaction
    Food: Take on an empty stomach one hour before or two hours after meals. If your stomach gets upset, take with food.

    MACROLIDES
    Some examples are:
    azithromycin / ZITHROMAX
    clarithromycin / BIAXIN
    erythromycin / E-MYCIN, ERY-TAB, ERYC
    erythromycin + sulfisoxazole / PEDIAZOLE

    Interaction
    Food: Take on an empty stomach one hour before or two hours after meals. If your stomach gets upset, take with food.

    SULFONAMIDES
    An example is:
    sulfamethoxazole + trimethoprim /BACTRIM, SEPTRA

    Interaction
    Food: Take on an empty stomach one hour before or two hours after meals. If your stomach gets upset, take with food.

    TETRACYCLINES
    Some examples are:
    tetracycline / ACHROMYCIN, SUMYCIN
    doxycycline / VIBRAMYCIN
    minocycline / MINOCIN

    Interaction
    Food: Take on an empty stomach one hour before or two hours after meals. If your stomach gets upset, take with food. However, it is important to avoid taking tetracycline / ACHROMYCIN, SUMYCIN with dairy products, antacids and vitamins containing iron because these can interfere with the medication's effectiveness.

    NITROIMIDAZOLE
    An example is:
    metronidazole / FLAGYL

    Interaction
    Alcohol: Avoid drinking alcohol or using medications that contain alcohol or eating foods prepared with alcohol while you are taking metronidazole and for at least three days after you finish the medication. Alcohol may cause nausea, abdominal cramps, vomiting, headaches, and flushing.

    ANTIFUNGALS
    Some examples are:
    fluconazole / DIFLUCAN
    griseofulvin / GRIFULVIN
    ketoconazole / NIZORAL
    itraconazole / SPORANOX

    Interaction
    Food: It is important to avoid taking these medications with dairy products (milk, cheeses, yogurt, ice cream), or antacids.

    Alcohol: Avoid drinking alcohol, using medications that contain alcohol, or eating foods prepared with alcohol while you are taking ketoconazole/NIZORAL and for at least three days after you finish the medication. Alcohol may cause nausea, abdominal cramps, vomiting, headaches and flushing.

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