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.
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.
Certain drug categories pose particularly high risks when combined with alcohol:
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.
Salt stomping has gone viral as a bedtime ritual, with creators claiming it can improve sleep and reduce stress. Sleep experts, however, say there is no scientific evidence that standing on salt provides these benefits. (Image Credits: Instagram - @tamsskyn)
TikTok has a new sleep obsession every few months. Mouth taping, "cognitive shuffling," and now this: pouring salt onto a tray and stomping on it barefoot before bed. It's called "salt stomping," and doctors have doubts.
The trend was popularised by TikTok creator Tammy Weatherhead, who films herself pouring Epsom salt onto a baking sheet and shuffling her feet on it, according to the New York Post. "If you are not standing on salt before bed, you are missing out," she says in her videos. Other creators pour the salt onto baking sheets, towels or straight onto the shower floor, according to the New York Post.
The practice is framed as a type of "grounding," or direct contact with the earth, which some people normally do by walking barefoot on grass or sand, the New York Post notes. Weatherhead claims the salt version also exfoliates feet, reduces inflammation, and shifts the body into "rest mode" by lowering cortisol and raising serotonin.
Also Read: Heart Valve Clips Explained: How a Tiny Clip Can Help Repair a Leaking Valve
Doctors say no. Saema Tahir, a board-certified sleep physician, told the New York Post, "There's no evidence that standing on salt calms anything." IOL, a South African outlet, reported the same conclusion. There is currently no scientific evidence that standing directly on salt improves sleep.
There is some research on grounding in general, separate from salt. A small 2004 study published in the Journal of Alternative and Complementary Medicine found that people who slept in contact with a grounding mat had lower night-time cortisol levels. But the study didn't test salt, involved a small group of people, and hasn't been repeated at a larger scale since.
What might actually help is the ritual itself, not the salt. Jacqueline Geer, a sleep medicine specialist at Yale School of Medicine, told Vogue, as reported by Yahoo, that the benefit "lies in the fact that this trend requires a certain level of focus and disconnect" from a busy day. A psychologist identified as Dr. Bostock told the Huffington Post UK there's likely a placebo effect too: "If you believe something helps you sleep, the odds are you will fall asleep faster and stay asleep longer."
Standing barefoot on salt can cause harm. Chris Winter, a neurologist and sleep specialist, told Vogue, as reported by Yahoo, that salt stomping can cause skin irritation, worsen cracks on the feet, and create small cuts that let bacteria into the body.
Sleep experts point to simpler, low-risk habits: calming, repetitive routines before bed that signal to the nervous system it's time to rest, per IOL. Geer's advice, per Yahoo, is to build in a period of focus and disconnection from screens and stress, rather than a specific trick. If anxiety is what's keeping you up at night, that's worth raising with a doctor directly, rather than testing viral hacks with no real evidence behind them.
Credit: AI
Heart clips—also referred to as heart valve clips—are part of a minimally invasive medical procedure known as Transcatheter Edge-to-Edge Repair (TEER). Designed to repair leaking heart valves without open-heart surgery, this advanced treatment restores proper blood flow, relieves debilitating symptoms, and helps patients return to their daily lives.
The heart's valves rely on thin flaps of tissue called leaflets to regulate blood flow.
When a valve is leaking, the leaflets fail to close completely, leaving a gap. Blood leaks backward through this opening toward the lungs, increasing lung pressure and directly causing chronic breathlessness and fatigue.
During a Transcatheter Edge-to-Edge Repair, cardiologists repair the valve using a tiny clip delivered through the vascular system:
Once the clip brings the leaflets together, backward leakage stops immediately, allowing the entire volume of blood to pump forward as intended.
Because the procedure is catheter-based rather than open-chest, patient recovery is remarkably swift:
Credit: AI
Frequent cannabis use may worsen epilepsy-related symptoms, new research. It discovered that raised that people with drug-resistant epilepsy who used cannabis often had more frequent convulsive seizures and sought advanced epilepsy care much sooner than non-users.
Published in Epilepsia, the study analysed health records of 64 adults with drug-resistant epilepsy. It found that frequent cannabis users reached an intensive epilepsy monitoring stage an average of five years after their first seizure, compared to 18 years reported among non-users.
The difference of 13 years is attention-worthy but it must be noted that the study shows an association, not proof that cannabis worsens epilepsy.
Researchers compared 22 people who used cannabis at least 20 days a month to 42 people who did not.
The frequent users reported to have a heavier burden of seizure, one of the symptoms of epilepsy. They had more than twice as many convulsive seizures per year than non-users.
About 91% of frequent cannabis users experienced convulsive seizures, compared to roughly half of the non-users.
Seizures involve stiffening and jerking of the body and loss of consciousness. They constitute medical emergency as they are associated with sudden death in epilepsy.
Also read: Does Cannabis Really Help You Sleep? Experts Say It Is Complicated
Epilepsy is considered drug-resistant when seizures continue despite appropriate treatment with two antiseizure medications.
People with drug-resistant epilepsy may need to visit specialised epilepsy centres, where doctors can monitor them and recommend changes in medication, surgery, or other treatment options. In this study, frequent cannabis users reached this stage much earlier.
They were also discharged from hospital after taking an average of 3.05 antiseizure medications, compared with 2.21 among non-users.
Also read: Why Can’t Millennials Sleep? The Crisis Keeping An Entire Generation Up At Night
This was a retrospective study based on health records of a small sample size. There may be other differences between people who used cannabis often and those who did not that could affect the severity of the seizures.
However, researchers were able to establish the timing of cannabis use for 15 of the 22 users. All 15 had started using cannabis before their first seizure, making it less likely that they had simply begun using cannabis to cope with an already existing seizure disorder.
The researchers say larger studies can determine whether cannabis contributes to worsening seizures.
The association between cannabis and seizures is complicated as CBD (cannabidiol) is reported to have beneficial effect on severe epilepsy.
To understand the seeming contradiction, we must understand the distinction between cannabis and purified cannabidiol (CBD).
A purified form of CBD is an approved treatment for certain severe forms of epilepsy. CBD is different from THC, the psychoactive element responsible for the “high” associated with cannabis. Recreational cannabis products may contain high concentrations of THC.
According to the researchers, animal studies suggest CBD can suppress seizures, while THC may have the opposite effect.
Hence, evidence that a specific CBD-based medicine can help certain epilepsy syndromes cannot be used to conclude that recreational cannabis is an epilepsy treatment.
Researchers suggest that THC acts on receptors concentrated in brain regions involved in seizures, raising the possibility that cannabis could influence how brain circuits fire. But this is a hypothesis that needs further investigation.
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