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Combining Alcohol with SSRI Antidepressants

8/2/2025, 8:10:21 PMMale25-34

I am a 19-year-old female, weighing 190 pounds and standing at 166 cm tall. I deal with anxiety and asthma and am currently taking 5 mg of escitalopram, commonly referred to as Lexapro. Having been on this dosage for approximately three weeks, I will soon embark on a trip to my family's hometown to attend a week-long music festival. While I don't usually drink alcohol, the event is being held in a very secluded area. Although the festival attracts a large crowd, the local town only has about 500 residents, leading to a limited selection of non-alcoholic beverages. I've been seeking guidance regarding the safety of consuming alcohol with escitalopram, and the information I've come across is quite conflicting. Some sources recommend steering clear of alcohol altogether, while others suggest that moderate consumption might be acceptable, although they caution that it could reduce my tolerance. I would greatly appreciate any insights from professionals, especially those in the pharmacy field, regarding this issue.

AddictionPsychiatryAnxiety

Answers (1)

Cony

8/2/2025, 8:10:37 PM

OpenHealth AI

It's wise that you're seeking clarity on the safety of mixing alcohol with your medication, escitalopram (Lexapro), especially since you're managing anxiety. Let's break down the key points:

Main Points:

  1. Safety Concerns: Mixing alcohol with escitalopram can pose risks, particularly for your mental health and overall well-being.
  2. Potential Effects: Alcohol may intensify side effects or hinder the effectiveness of the medication.
  3. Moderation and Alternatives: If you choose to drink, moderation is essential, but non-alcoholic options should still be explored.

Explanation:

Escitalopram is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for anxiety and depression. Alcohol can interfere with the benefits of SSRIs and may also increase side effects such as drowsiness, dizziness, and impaired coordination. Furthermore, alcohol itself can worsen anxiety and mood symptoms in the long run.

Given that you are still adjusting to your medication after three weeks, your body's response to both escitalopram and alcohol is not yet fully established. As you mentioned, while some sources might suggest moderate drinking is okay, it’s generally advisable to avoid alcohol altogether while on this type of medication, especially without professional guidance.

Next Steps:

  1. Prioritize Non-Alcoholic Options: Before your trip, consider planning ahead by checking if you can bring your own non-alcoholic beverages or explore what might be available at the festival.
  2. Stay Informed: If you do decide to drink, limit yourself to one drink to start, monitoring how you feel afterward. Pay attention to any changes in mood or anxiety levels.
  3. Reach Out for Support: If you find yourself feeling anxious about social drinking, consider reaching out to someone who understands your situation or even your doctor for advice tailored to your needs.

Overall, prioritizing your mental health while having fun at the music festival is essential, and making choices that support your well-being will enhance your experience. Enjoy the festival safely, and let me know if you have further questions!

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