Alcohol And Medications: How Long Should You Wait Before Mixing Them?

Updated Feb 2, 2025 | 11:00 AM IST

SummaryWhen alcohol interacts with medications, the consequences can range from mild discomfort to serious, life-threatening reactions. If you experience severe symptoms, seek medical attention immediately.
Alcohol And Medication

Alcohol And Medication (Credit: Canva)

Alcohol is injurious to your health, there is no doubt about it. But what happens when you combine it with your medications? It leads to serious health consequences. While many people think a single drink might not hurt, the truth is that even small amounts of alcohol can interact dangerously with some drugs. So how much should you wait after having that glass of wine before you could pop in your pills? And more importantly, why alcohol and medications are a risky combination?

When alcohol interacts with medications, the effects can range from mild to life-threatening. Common symptoms include drowsiness, dizziness, impaired judgment, and trouble concentrating. More severe consequences include liver damage, irregular heartbeats, and, in rare cases, death. These risks depend on several factors, such as the type of medication, the amount of alcohol consumed, and individual factors like age, sex, and metabolism.

When Can You Drink After Taking Medications?

The time when alcohol should be taken after taking any sort of pills varies widely based on the drug involved. Some medications may require only a few hours of abstinence, while others necessitate waiting days or even weeks.

Antihistamines, like diphenhydramine and loratadine, are medications used to treat seasonal allergies. Alcohol increases the sedative effects of these drugs, leading to heightened drowsiness and a higher risk of accidents. You should avoid alcohol entirely while taking these medications.

Antibiotics and Antifungals such as metronidazole and ketoconazole treat various bacterial and fungal infections. Combining these with alcohol can cause nausea, vomiting, rapid heartbeat, or even liver damage. Always check with your healthcare provider, but a general rule is to wait 48-72 hours after your last dose before drinking.

Mixing Antidepressants and Anti-Anxiety Medications with alcohol can worsen symptoms like dizziness, drowsiness, and impaired motor skills. Some antidepressants, such as monoamine oxidase inhibitors (MAOIs), can lead to dangerous spikes in blood pressure when combined with alcohol.

Medications That Require Extra Caution

Certain drug categories pose particularly high risks when combined with alcohol:

  • Blood Thinners including warfarin increase the risk of severe bleeding when paired with alcohol.
  • Cholesterol-Lowering Drugs like statins can lead to liver damage if combined with excessive alcohol.
  • Painkillers like Opioids and over-the-counter drugs like acetaminophen can cause slowed breathing, liver damage, or overdose when mixed with alcohol.
  • Sleeping Pills combining alcohol with sedatives increases the risk of slowed breathing, impaired motor skills, and even death.

It is pertinent to note that age and sex also influence how alcohol interacts with medications. Older adults metabolize alcohol more slowly and are more likely to be on multiple medications, increasing their risk. Similarly, people assigned female at birth generally have higher blood alcohol levels than their male counterparts, making them more susceptible to interactions.

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Stay Alert During Pregnancy: Common Infections Women Should Watch Out For

Updated Feb 19, 2026 | 12:22 PM IST

SummaryAs pregnancy is a sensitive period for a woman, early screenings and awareness about infections are key to a healthy mother and the baby. Adequate nutrition, hydration, and regular check-ups are important.
Credit: Canva

A majority of women may experience infections during the crucial phase of pregnancy. Some infections during pregnancy may also not show clear symptoms. However, timely awareness and prevention can protect both the mother and the baby.

Pregnancy is a special and sensitive phase in a woman’s life. While most women focus on nutrition and regular check-ups, infections during pregnancy can often be neglected.

Some infections may cause only mild symptoms in the mother but can seriously affect the unborn baby if not detected early. Hence, regular screening, good hygiene, and timely medical care are crucial to prevent most pregnancy-related infections and ensure a safe and healthy pregnancy.

Common Infections During Pregnancy

  • Urinary Tract Infections (UTIs)
UTIs are a common occurrence during pregnancy and may cause burning during urination, frequent urge to pass urine, or lower abdominal pain. Women shouldn’t suffer in silence. Remember that if left untreated, they can lead to kidney infections and preterm labor.

  • Vaginal infections
Conditions like yeast infections and bacterial vaginosis can cause itching, discharge, and discomfort by impacting the overall well-being. These infections may increase the risk of premature birth if ignored.

  • Respiratory infections
Unfortunately, flu, cold, and other respiratory infections can make pregnancy uncomfortable. Many women can also suffer from fever, which is harmful to the baby if prolonged.

  • TORCH infections
These include toxoplasmosis, rubella, cytomegalovirus, and herpes. These can affect the baby’s growth and development if the mother gets infected during pregnancy.

  • Hepatitis B and C can be passed from mother to baby during childbirth if not properly managed.
Seek help from an expert without any delay. Ignoring your health can land you in trouble.

Tips To Follow To Prevent Infections During Pregnancy

  • Pregnant women should go for regular antenatal check-ups, maintain good personal hygiene, and not use any chemical-laden products.
  • Stay hydrated and drink enough water, eat home-cooked food, avoid raw or undercooked items, wash your hands frequently, and get vaccinated as recommended by the doctor.
  • Take a flu shot on a priority basis. Avoid contact with rodents and pets.
  • Make sure to consult the expert in case of symptoms such as fever, pain, or unusual discharge for prompt intervention.
  • Get tested for sexually transmitted diseases (STDs) such as HPV, chlamydia, gonorrhea, herpes, syphilis, and trichomoniasis.
  • Early detection and treatment will be beneficial in safeguarding both mother and baby and ensuring a healthy pregnancy.

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Why do heart attacks increase during flu season?

Updated Feb 19, 2026 | 11:14 AM IST

SummaryA type of immune cell carries the Influenza A virus to the heart from the lungs and raises the risk of cardiovascular diseases, even after the infection is cleared in the lungs. An annual flu vaccine can help prevent damage to the heart.
Why do heart attacks increase during flu season?

Credit: Canva

A severe influenza A virus, commonly known as seasonal flu, may not only leave you coughing and feeling feverish, but also silently damage your heart, increasing the risk of heart attacks, according to a study.

A team of researchers from the Icahn School of Medicine at Mount Sinai, New York, US, unraveled that the influenza A virus directly damages the heart by hijacking immune cells. This leads to long-lasting cardiac dysfunction even after the lung infection is cleared.

The study, published in February 2026 in the journal Immunity, focused on an immune cell, known as pro-dendritic cell 3.

The researchers revealed that the pro-dendritic cell 3 acts as the ‘Trojan horse’ of the immune system during flu infection and carries the virus to the heart from the lungs.

Once in the heart, it produces large amounts of type 1 interferon and triggers the death of cardiomyocytes, impairing cardiac output.

Importantly, the findings showed that an annual flu vaccine can prevent damage to the heart.

“We have known for years that the frequency of heart attacks increases during flu season, yet outside of clinical intuition, scant evidence exists of the underlying mechanisms of that phenomenon,” said senior author Filip Swirski, Director of the Cardiovascular Research Institute at the Icahn.

“These findings offer great promise for the development of new therapies, which are desperately needed since there are currently no viable clinical options to prevent cardiac damage,” Swirski added.

What The Study Found

The team studied autopsies of 35 hospitalized patients who died of influenza. Of these, more than 85 percent had at least one significant cardiovascular comorbidity, such as hypertension. A majority of them also had multiple comorbidities, including atherosclerosis and cardiac fibrosis, underscoring cardiovascular disease as a major driver of influenza mortality.

The study also provided evidence that a cutting-edge modified mRNA treatment that dampens an interferon signaling pathway in the heart can significantly mitigate cardiac damage following viral infection while preserving the protective antiviral response of the immune system.

“The hopeful news for patients is that by injecting a novel mod-RNA therapeutic that modulates the IFN-1 signaling pathway, we reduced levels of cardiac damage, as evidenced by lower troponin, and improved cardiac function, as measured by higher left ventricular ejection fraction,” explained Jeffrey Downey, a member of Dr. Swirski’s laboratory who served as lead author.

Influenza A Virus And The Heart

Global statistics show that influenza A viruses cause an estimated 1 billion infections each year. This ranges from seasonal flu outbreaks locally to pandemics globally.

While most infections are mild and self-resolving, in some cases, they can become severe or even fatal. When the virus travels to the heart, it triggers the death of cardiomyocytes -- specialized muscle cells that are responsible for the rhythmic contraction and relaxation of the heart.

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Diabetic but planning to fast during Ramzan? Here's what to keep in mind

Updated Feb 18, 2026 | 05:27 PM IST

SummaryPeople with diabetes must undertake the month-long Ramzan fast with a doctor's advice. Glucose levels of elderly and pregnant women with diabetes are more at risk of being impacted. Regular monitoring, balanced meals, and timely medication are important.
Diabetic but planning to fast during Ramzan? Here's what to keep in mind

Credit: Canva

Ramzan, the holiest month in Islam, marked by dawn-to-dusk fasting, poses health risks for people with diabetes. Health experts urge patients to consult their doctors before observing the fast.

Ramzan is a period of intense spiritual reflection, self-discipline, and devotion for Muslims worldwide. During the month-long fasting period, the believers refrain from eating and even drinking (including water), from dawn to sunset.

The faithful eat a modest meal (sehri) before the first light of dawn to provide energy for the day. The fast is broken at sunset, traditionally starting with dates and water, followed by a larger meal (iftar).

According to health experts, for individuals whose diabetes is well controlled, fasting may be possible with proper adjustments.

"Diabetes requires regular monitoring, balanced meals, and timely medication. When eating patterns change during Ramzan, blood glucose levels can fluctuate. That is why I strongly recommend consulting your doctor before you plan to fast,” Dr. Saptarshi Bhattacharya, Senior Consultant, Endocrinology, Indraprastha Apollo Hospitals, told HealthandMe.

The expert advised people not to skip sehri, and to include complex carbohydrates such as whole grains, along with protein like eggs, dal, or curd, and plenty of fluids to help maintain stable glucose levels throughout the day.

At iftar, avoid overeating. Start with light, balanced food and limit fried items, sweets, and sugary drinks, as these can cause a sudden spike in blood glucose, Dr. Bhattacharya said.

Type 2 Diabetes patients with good glycemic control, lifestyle management, or stable oral medications can fast safely.

However, those on multiple insulin doses, with complications, or with poor control are considered moderate to high risk, Dr. Kartik Thakkar, Consultant Medicine, Ruby Hall Clinic, told HealthandMe.

The health expert also noted that most Type 1 diabetes patients are considered high risk, especially those with brittle diabetes, frequent hypoglycemia (low blood sugar), or a history of diabetic ketoacidosis (DKA). Many are medically advised not to fast, particularly if glucose control is unstable.

Children and adolescents with type 1 diabetes are considered high risk and are usually advised against fasting due to the unpredictable nature of insulin requirements.

Who Should Avoid Fasting Altogether?

  • People with a history of severe hypoglycemia in the last 3 months;
  • Recurrent hypoglycemia;
  • Advanced kidney disease;
  • Elderly patients with frailty; and
  • Pregnant women with diabetes

Dr. Thakkar said that such individuals fall into the very high-risk category and are medically exempt from fasting.

The expert also suggested clinical tests to determine whether a diabetic patient is fit to fast. These include:

  • Glycemic control (HbA1c levels)
  • Duration of diabetes (long-standing diabetes can increase complication risk)
  • Presence of complications (neuropathy, nephropathy, cardiovascular disease)
  • Kidney function and hydration status

What Warning Signs Should Prompt Breaking The Fast Immediately?

A diabetic patient must break the fast if:

  • Blood glucose <70 mg/dL (3.9 mmol/L)
  • Blood glucose >300 mg/dL (16.7 mmol/L)
  • Severe dizziness or fainting
  • Confusion or blurred vision
  • Persistent vomiting
  • Symptoms of dehydration (extreme thirst, very low urine output)
  • Chest pain or breathlessness

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