OpenHealth Q&A

Get answered by medical professionals

Combining Absinthe with Medications: What's the Risk?

8/17/2025, 4:30:57 AMMale25-34

Hello! I’m a 24-year-old female looking for advice regarding the potential effects of mixing absinthe with some medications I’m currently taking. I am aware of the risks associated with alcohol consumption alongside certain drugs, but I'm curious about introducing absinthe into the mix with my Vyvanse (60mg) and Fluoxetine (60mg) prescriptions. This would be my first experience with absinthe, and I plan to indulge in just a small amount at home with my roommate. I recognize that consuming these substances could elevate my risk for serotonin syndrome, which concerns me. Should I avoid this altogether? To give you a clearer picture, I also take Wellbutrin, propranolol, and naltrexone. Additionally, I've previously taken a higher dosage of Fluoxetine (80mg) without experiencing any serotonin syndrome symptoms. I seem to have developed a fair tolerance to my current medications.

Crohn's DiseaseThyroid DisordersInternal Medicine

Answers (1)

Cony

8/17/2025, 4:31:25 AM

OpenHealth AI

Mixing absinthe with your medications, particularly Vyvanse (a stimulant) and Fluoxetine (an antidepressant), poses significant risks that you should consider seriously. It’s good that you’re aware of potential issues like serotonin syndrome, as well as the general risks of combining alcohol with prescription medications.

Explanation:

  1. Alcohol and Medications: Alcohol can interact negatively with many medications, leading to risks of side effects, decreased effectiveness, or heightened toxicity. In your case:

    • Vyvanse: Combining alcohol with stimulants can lead to increased heart rate and blood pressure, and may mask the effects of alcohol, leading to excessive drinking.
    • Fluoxetine: Alcohol can potentially worsen depression or anxiety symptoms and may increase the risk of serotonin syndrome, especially when combined with other serotonergic medications.
    • Other Medications: Wellbutrin and propranolol also have potential interactions with alcohol, increasing sedation or impairing emotional stability.
  2. Serotonin Syndrome: While your previous experience without symptoms is reassuring, the risk is not eliminated, especially when alcohol is involved. Serotonin syndrome is a serious condition that can occur when too much serotonin builds up in the brain, sometimes resulting from combining serotonergic agents like Fluoxetine with other substances.

Next Steps:

  1. Avoid Alcohol: The safest course of action is to refrain from consuming absinthe or any alcohol while you are on these medications. This will reduce the risk of adverse effects and interactions.

  2. Monitor Your Health: If you decide not to avoid alcohol, closely monitor any changes in how you feel, particularly any unusual symptoms, including changes in mood, heart rate, or neurological symptoms.

  3. Discuss with a Healthcare Provider: Since you’re taking multiple medications, it’s wise to speak with your prescribing doctor or a pharmacist about your specific concerns regarding alcohol use. They can provide tailored advice based on your complete medical background.

  4. Educate Yourself: Familiarize yourself with your medications and their side effects and interactions to actively manage your health.

Taking these precautions will help ensure your safety and maintain your well-being. If you have any further questions or serious concerns, please reach out for more focused support.

Related Questions

5-Day History of Chest Discomfort and Lightheadedness

A 34-year-old female, standing at 173 cm and weighing approximately 66 kg, who is a smoker, reports a series of concerning symptoms. **Background**: In 2023, she sustained a cartilage injury to her right knee at work. After an initial trauma, swelling and discomfort recurred in early July without any additional injury. Approximately a week and a half ago, she experienced elevated pain in her right hip and lower back, likely as a compensation for her knee pain. Following a session with a physiotherapist, she was prescribed Valium and an anti-inflammatory medication. Both were taken the day after her back pain began. Shortly thereafter, she began to feel a persistent, dull ache in her chest, localized beneath her right rib, extending slightly towards the center of her chest. This discomfort was accompanied by pain between her shoulder blades that seemed to radiate towards the right side of her chest. After administering another dose of anti-inflammatory medication and Valium, the pain around her shoulder blade subsided, yet the deep chest pain has persisted intermittently over the last five days. Last night and into today, she experienced occasional episodes of lightheadedness. Additionally, she noted a sensation of fluid accumulation in her trachea, leading her to clear her throat frequently since yesterday. Today, she cautiously sipped a coffee over the course of three hours. After reclining on her couch for about seven minutes, she took her blood pressure: 115 systolic, 57 diastolic, with a heart rate of 102, and a heart rhythm symbol displayed. After another six minutes in the same position, her measurements were 110/54 and a heart rate of 105, with no arrhythmia indication present. A third reading six minutes later yielded 108/52, with a heart rate of 100 and no arrhythmia symbol. **History of Concerns**: Earlier in 2023, she experienced some unusual sensations in her chest, prompting her to take measurements which revealed a heart rate of about 167 while standing. A subsequent 24-hour Holter monitor detected a single episode of tachycardia during the night. She was referred to a cardiologist, who performed an echocardiogram and an echo stress test that returned normal results. The cardiologist diagnosed her with likely spontaneous inappropriate tachycardia, recommending medication that she decided against adopting. Since acquiring her home blood pressure monitor in 2015 after an elevated reading at her general practitioner’s office, she has occasionally seen the arrhythmia symbol during her monitoring. These readings were initially concerning during a stressful period in her life, which has since resolved. She is currently reflecting on whether the variances between her systolic and diastolic readings could be linked to her recent mild episodes and was advised to seek urgent medical attention, a suggestion she initially dismissed as an overreaction. Thank you for your assistance!

Crohn's DiseaseThyroid DisordersCOPD
Male25-34
19 minutes ago

Annoying Fluid-Filled Bumps on My Skin

Background Details: I’m a 17-year-old female currently taking Prozac and regularly using marijuana, along with a hormonal patch for birth control. I maintain good hygiene practices and have recently laundered my bedding. I haven’t traveled lately or spent time in wooded areas, nor has anyone in my circle experienced similar symptoms. Treatments Attempted: - Consulted with a pharmacist who suggested Claritin, but this did not yield any results. - Visited a physician who prescribed a higher dosage of Claritin and recommended a shingles treatment, yet this also failed to alleviate my condition. - Experimented with various topical applications, including: - Calamine lotion - 1% Hydrocortisone - After-bite treatments - Benadryl - Polysporin anti-itch lotion - Zovirax (for cold sores) - Tea tree oil - Clove oil - Witch hazel - Aloe vera About three weeks ago, I began noticing intensely itchy bumps on my right wrist. These irritations quickly spread to my hand, arms, back, torso, neck, legs, and feet, leaving my face and genitals unaffected. Despite trying numerous remedies, the itching persists unabated. The only other issues I've experienced are mild fatigue and a sensation of tightness in my throat. The bumps are relatively small, measuring no more than 1 cm, and appear to be filled with clear fluid. Whenever I attempt to pop them, they not only return swiftly but also become larger and more bothersome. They can cluster together at times but are predominantly scattered, with my hand being the most impacted area.

ArthritisCrohn's DiseaseEndocrinology
Male25-34
49 minutes ago

Experiencing Discomfort in My Leg and Uncertain Diagnosis

Greetings. I am a 34-year-old Caucasian male, weighing 125 kg (275 pounds) and measuring 183 cm (6 feet) tall, and I've been facing a concerning issue. A couple of days ago, I woke up and, upon standing, I immediately felt pain in my left calf. Initially, I thought it was simply a cramp from the night before and didn’t give it much thought. The discomfort lasted for around 10 seconds before fading, so I carried on with my day without further contemplation. However, the next day brought a similar experience, but this time I decided to investigate. It was then that I noticed a red rash on my calf and beginning to form on the front part of my leg, just below the knee. This area was warm to the touch and slightly painful, yet only for a brief duration. I have a prior history of experiencing swollen legs due to my weight and prolonged periods of sitting, prompting me to contact my physician. During my visit, the doctor was unable to provide a clear diagnosis. He mentioned possibilities including an infection, deep vein thrombosis (DVT), or cellulitis but didn’t prescribe any treatment. Instead, he advised me to monitor the situation over the next few days. If anyone out there has insights or suggestions based on similar experiences, I would greatly appreciate your input. Thank you for your help!

ArthritisCOPDInternal Medicine
Male25-34
49 minutes ago

Struggling with Sleep Post Forearm Surgery

Two years ago, I experienced a fracture in my forearm, which ultimately healed quite well, aside from one section that mended improperly. This misalignment has posed challenges for me, particularly in boxing and during workouts, as I find it difficult to fully rotate my arm. Additionally, I’ve been unable to perform bench press exercises effectively. On August 13th, I underwent surgery to address this issue, involving the placement of a plate and several screws. Despite making efforts to elevate my arm using pillows to prevent any movement or discomfort, I still face difficulties in achieving restful sleep. I can rarely manage to sleep for more than two hours at a time before waking up due to a dull pain, which I would rate as a 2 out of 10. Each time I wake, I have to reposition my arm, and this cycle continues throughout the night. I feel uneasy about rotating my arm or keeping it fully extended upward. If anyone has insights or solutions to my situation, I would greatly appreciate your advice. Thank you! 🙏 *For context, I am a 15-year-old male, measuring 180 cm in height and weighing 57 kg. I do not smoke and have no known health conditions such as diabetes or heart disease.*

ArthritisMultiple SclerosisInternal Medicine
Male25-34
1 hour ago

Understanding Toenail Concerns: Is It Melanoma?

For the past 12 to 14 days, I’ve noticed a small dark spot centrally located beneath my toenail, roughly the size of a BB. Curiously, it hasn't appeared to grow along with my nail, raising concerns about the possibility of melanoma. As a 32-year-old man of Caucasian descent, weighing 130 pounds and standing at 5 feet 8 inches, with blonde hair and blue eyes, I don't have any known family history of skin cancer from either side of my family. I currently do not take any daily medications or prescriptions, although I do use nicotine pouches regularly; apart from that, I have no other habits involving substances. Unfortunately, I lack insurance until January of next year, which prevents me from easily consulting a dermatologist. That’s why I’m turning to this platform for guidance and information. The spot in question is unlike the black or brown streaks commonly associated with melanoma cases; it’s simply a single dot. Besides this, I haven’t noticed any other unusual moles or skin discolorations on my feet, between my toes, or on the soles. My remaining toenails and fingernails appear perfectly normal and healthy. I cannot recall any incident of having stubbed my toe or subjected it to trauma severe enough to cause a blood bruise beneath the nail. I first spotted the dot after a shower about two weeks ago. There's no pain associated with it, and my toe doesn’t exhibit any signs of inflammation, redness, infection, or fungal issues. These factors add to my anxiety over the potential for it being cancerous. I would greatly appreciate any insights you might provide regarding this matter. Thank you!

Thyroid DisordersInternal MedicineEndocrinology
Male25-34
2 hours ago