Psychotropic drugs and alcohol – is it compatible?

The drug group of psychotropic drugs describes preparations which influence certain processes in the brain and can thus have an effect on certain diseases. The term psychotropic drug thus describes a whole group of different drugs which can be used for different diseases. These include, for example, antidepressants, neuroleptics, tranquillants, hypnotics, as well as drugs that are used for diseases such as dementia or Parkinson’s disease.

As a result, drugs classified as psychotropic drugs can differ considerably from each other. For this reason, the consequences of taking psychotropic drugs and alcohol cannot be described in principle, since the interactions that can occur when alcohol and the respective drug are taken at the same time can also be different. Depending on the psychotropic drug taken, however, there may be considerable side effects, which can even be life-threatening. For this reason, no alcohol and a psychotropic drug should be taken at the same time without a doctor’s confirmation that both substances are harmless.

Symptoms when taking psychotropic drugs and alcohol at the same time

Characteristic symptoms can occur when certain psychotropic drugs and alcohol are taken at the same time. On the one hand, even small amounts of alcohol can cause intoxication due to the slower breakdown of the alcohol. The effect of the drugs can also be increased or weakened.

Especially when the substances have a mutually reinforcing effect, some protective reflexes as well as the drive to breathe may fail. In case of an incipient unconsciousness severe consequences may occur. If the respiratory drive decreases, a lack of oxygen and possibly respiratory arrest can occur. Further symptoms can be headaches, an increased feeling of intoxication, dizziness, very strong tiredness and, if the effect of the drug is weakened, symptoms of the underlying disease.

Interactions of psychotropic drugs and alcohol

Interactions between two substances can occur in the body if the effect of one or both substances is strengthened or weakened when taken at the same time. Interactions are often caused by the joint breakdown of the substances in the liver. Alcohol is largely broken down by specific enzymes.

However, a large amount of alcohol is also broken down by enzymes that are responsible for breaking down certain drugs. In these cases, the breakdown of the drug or alcohol may be delayed, resulting in a longer-lasting effect of the substances. In addition to the interactions that can occur when taking some psychotropic drugs and alcohol at the same time, undesirable side effects also occur frequently.