This can happen in people with or without epilepsy. These symptoms are also common when you drink alcohol. Here is what you need to know about the possible unsafe interactions between alcohol and common prescription and over-the-counter medications. Alcohol makes the effects of sleeping pills—both over-the-counter and prescription … Self care and ideas to help you live a healthier, happier life. Avoid combining alcoholic beverages with medications used to treat nausea, such as: Certain types of anti-nausea medication can be used to help someone who is trying to stop drinking alcohol. It's likely the medication will make you … The research on mixing alcohol with antibiotics is somewhat limited and unclear, but the combination has been associated with symptoms such as tachycardia (rapid heartbeat), sudden changes in blood pressure, gastrointestinal upset, headache, flushing, and liver damage. Yes, but it is not recommended. Mukamal KJ, Smith CC, Karlamangla AS, Moore AA. "Do not drink alcoholic beverages while taking this medication." Meloxicam Overview. American College of Cardiology. American Heart Association (AHA). Drinking even a small amount of alcohol while taking an antibiotic called Flagyl (metronidazole) can cause a severe reaction, making you extremely sick with nausea and vomiting. You should not drink alcohol with certain types of antibiotics, like metronidazole and tinidazole. What to Know If You're Prescribed Klonopin for Social Anxiety Disorder, Why Bipolar Medication and Alcohol Interactions Can Be Life-Threatening. Speak to your GP or pharmacist if you're not sure what type of antidepressant you're taking and do not know whether you should avoid alcohol. If you minimize the amount of alcohol you consume on a regular basis, your doctor can't accurately judge the risk and benefits of prescribing a particular medication. 30dagarmedanalhus / Creative Commons / Via, NIAAA fact sheet about alcohol and medication interactions, Tylenol on its own can cause some level of liver damage for certain people. Quick little totally unscientific poll here: Have you ever had an alcoholic beverage (or several) while taking antibiotics? Looks like we are having a problem on the server. What might happen: Internal bleeding, for starters. And with heavy drinking, you could actually suffer from blood clots, stroke, or heart attack. What might happen: Drinking while taking any of these (and more) medicines to help control your diabetes can cause your blood sugar levels to fall to dangerously low levels. National Institute of Health (NIH). California residents can opt out of "sales" of personal data. If you are being treated for depression or another mental health condition such as an anxiety disorder, bipolar disorder, post-traumatic stress disorder, or obsessive- disorder, you may need to limit or completely avoid alcohol if you take one or more of the following medications: Medications that are prescribed to treat nausea can make you feel drowsy, dizzy, and may impair your motor control—symptoms that can also be caused by alcohol. Alcohol and doxycycline should not be mixed as they will cause an adverse effect on your body. What might happen: Well, you could die. Angina (ischemic chest pain) is caused by reduced blood flow to the heart. New research from the National Institutes of Health (NIH) looked at data from a nationally representative survey, and found that about 42% of Americans admit to drinking alcohol and also taking prescription medications that can negatively interact with alcohol. OxyContin Detection Timetable Depends on Many Variables. Grapefruit juice does not affect all the drugs in the categories above. What Are the Prescription Drugs Which Are Most Often Abused? Updated December 2015. What might happen: According to the NIAAA fact sheet, you could feel drowsy and dizzy, and there's a potential risk for overdose. 2006;119(5):434-40. doi:10.1016/j.amjmed.2005.09.038. ... You should be careful taking all medication with alcohol, codeine is one of them Credit: Getty - Contributor. If you are not used to taking prednisone, you may have a number of questions about it, including whether it is safe to drink alcohol while you are on it. You’ve probably seen this warning on medicines you’ve taken. Nitrates and other blood pressure drugs. Some OTC pain relievers do not generally pose a major risk when small amounts are combined with occasional alcohol use. Side effects may worsen if you drink alcohol and take one of these drugs along with an antidepressant. Totowa, N.J: Springer Science & Business Media; 2004:435. So, can you drink alcohol while on Lamictal? The doctor usually does not prescribe this medicine if you have drinking issues or mental health problems. What drugs can you not drink alcohol with? Naloxone can rapidly reverse opioid overdose by quickly restoring normal respiration to a person whose breathing has slowed or stopped due to mixing opioid pain medications with alcohol. This combination can cause an overdose which may be fatal.. However, serious interactions can occur between alcohol and other pain relievers—particularly if people have underlying medical conditions that change how their body metabolizes drugs and alcohol.. This information comes straight from this incredibly helpful NIAAA fact sheet about alcohol and medication interactions. Medications that affect your central nervous system can be affected by alcohol consumption. Taking the edge off with an evening drink might feel like a reward, but it can have hazardous results if you are also taking ADHD medication. The combination can lead to excessive hypotension (low blood pressure) and sedation. Plus, alcohol can impair your judgment, making you more likely to have another round or pop another pill. Medicines: Adderall, Concerta, Ritalin, Vyvanse, Focalin, Dexdrine Strattera, and more. With Reglan, you can also impact your blood pressure. Read the label! For instance: - Mixing alcohol with Seroquel or Remeron can make you have impaired motor control. According to the NIAAA fact sheet, mixing these drugs with alcohol may also make you feel drowsy and dizzy, as well as experience slowed or difficult breathing, impaired motor control, unusual behavior, and problems with your memory. When used under medical supervision, the combination can be an effective way to treat alcohol withdrawal., If you take medications for arthritis, it is important to know that mixing them with alcohol can increase your risk for stomach ulcers and bleeding in the stomach, as well as liver problems.. Emma-Marie Smith. Do not consume alcohol if you are taking any of these medications to help you sleep: There are hundreds of prescription and over-the-counter medications that are not safe to mix with alcohol. The research doesn't show that those 42% of the people drank alcohol WHILE taking prescription meds, but it's a decent way to frame the scope of the issue. So yes, you can still drink, but you need to be aware of how it can affect your body and how to manage this. The effects of the mix can be especially serious—if not deadly—when the cough medicine also contains alcohol. What might happen: You may feel drowsy or dizzy, and if you're taking a cough syrup with codeine, you can experience "serious or life-threatening side effects," according to the NIH. You should not drink alcohol if you are taking: If you have diabetes, drinking alcohol can affect your blood sugar levels. If you choose to drink alcohol, do not drink more than 2 standard drinks a day. What might happen: You may feel dizzy, drowsy, or faint. How Long Does Tylenol #3 Stay in Your System? For over 20 years Dr. Umhau was a senior clinical investigator at the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health (NIH). Drinking alcohol while on Accupril can result in dizziness and lightheadedness. You reach into your bag and track down some Advil, but is it a good idea to take it? If you drink alcohol while you are taking nitroglycerin, it can cause a rapid heartbeat (tachycardia), sudden changes in blood pressure, dizziness, and fainting. You don’t feel the “high” sensation that makes you want to drink. If you mix any type of anti-nausea drug with alcohol, the side effects of the medication can become more intense. Mergenhagen KA, Wattengel BA, Skelly MK, Clark CM, Russo TA. Avoid these medications with alcohol. When you pick your prescription up at the pharmacy, chances are the label or package insert will come with a warning if it is not safe to consume alcohol while you are taking the medication. See the NIAAA's fact sheet for even more examples (though even that isn't a comprehensive list). The following list of medications are in some way related to, or used in the treatment of this … Medication Interactions Whether or not to consume alcohol when you have RA hinges not just only on its impact on your symptoms, but on what medications you are taking. A 2006 Harvard study found that moderate alcohol use did not have a significant negative effect on the livers of men taking statins after heart surgery.. You’ll find lots of good info, like: You must not drive if you're taking medication to help ease your withdrawal symptoms. You should not drive or operate machinery if you're taking an antibiotic that makes you drowsy. Coumadin. If you are not sure if it is safe to drink alcohol while you are taking medication, call your local pharmacy or talk to your doctor about the potential interactions. Check out the NIAAA fact sheet to see even more examples of medications that interact poorly with alcohol. Tamsulosin. Am J Med. Anti-anxiety and sleeping pills. Additionally, if you have an underlying health condition like heart disease or high blood pressure (hypertension), mixing alcohol with your medications can put you at risk for complications. Medicines: Ativan, Klonopin, Paxil, Valium, Xanax, and more. Excedrin contains both acetaminophen and aspirin, for the record. According to the NIH, "Alcohol [...] can make the side effects of meperidine [Demerol] worse and can cause serious harm or death." "We say, 'Just take the medication in case you go drinking,'" he says. - Mixing alcohol with Adderall, Dexedrine, or Vyvanse can increase your risk for heart problems. Be sure to talk to them before having a drink if you are taking anticoagulant medication, such as: Medications prescribed to lower cholesterol levels (known as statins) can cause flushing, itching, stomach bleeding, and liver damage. How Long Does Vicodin Remain in Your System? Bottom line: Don’t risk it—not even with one or two drinks. Daily Tips for a Healthy Mind to Your Inbox, women can experience the effects of mixing alcohol and medications more severely, side effects of antidepressant medications, Harmful Interactions: Mixing Alcohol and Medications, Fact versus fiction: A review of the evidence behind alcohol and antibiotic interactions, Metronidazole: MedlinePlus Drug Information, Alcohol Drug Interactions, Side Effects For OTC and Rx Drugs, Moderate alcohol consumption and safety of lovastatin and warfarin among men: The post-coronary artery bypass graft trial, LiverTox: Clinical and Research Information on Drug-Induced Liver Injury, Changes to your moods, emotions, and behavior, Allegra (fexofenadine) or Allegra-D (fexofenadine/pseudoephedrine), Claritin (loratadine) or Claritin-D (loratadine/pseudoephedrine), Dimetapp Cold and Allergy (brompheniramine/phenylephrine), Sudafed Sinus and Allergy (chlorpheniramine/phenylephrine), Triaminic Cold and Allergy (brompheniramine/phenylephrine), Tylenol Cold and Flu (acetaminophen/dextromethorphan/guaifenesin/phenylephrine), Advicor (niacin extended-release/lovastatin), Lopressor HCT (metoprolol/hydrochlorothiazide), Vaseretic (enalapril/hydrochlorothiazide), Darvocet–N (propoxyphene napsylate/acetaminophen), Excedrin (acetaminophen/aspirin/caffeine). Updated September 30, 2016.‌. Thank you, {{form.email}}, for signing up. What might happen: According to the NIAAA fact sheet, for the antibiotics listed above you might experience a fast heartbeat and sudden changes in your blood pressure. And any of the medications that contain acetaminophen (found in Tylenol) can have all the same liver-wrecking side effects that drinking with straight Tylenol might have. (MJ, Hockberger R, Walls R, eds.). If you’re a … You should not be started on Brilinta if you have any active bleeding such as a peptic ulcer. Men shouldn't drink more than four alcoholic drinks a day, and no more than 14 per week. You’ll find lots of good info, like: - And mixing alcohol with a class of antidepressants called Monoamine oxidase inhibitors (MAOIs), such as Pamate and Nardil, can really mess with your heart. This helps you stop drinking more easily. One drink a day can be good for the heart. Medications used to treat arthritis have risks of their own, primarily involving the stomach, intestines, or liver. So even if the alcohol doesn't have an obvious or direct interaction with the antibiotic you're taking... it's still best to lay off the booze while you're getting treatment. You can also develop heart problems, like an arrhythmia. However, taking a normal dose of ibuprofen after drinking a small amount of alcohol will not be harmful to most people. You should never mix alcohol with narcotics, including: Having an alcoholic drink while you are taking medications to treat prostate conditions can cause dizziness, lightheadedness, and fainting.. The risks associated with drowsiness caused by medication or alcohol are serious, which is why you should never drive or operate heavy machinery while under the influence of any substance. The U.K.'s National Health Service goes into much greater detail about this issue. This is because; alcohol increases the side effects of levodopa medicine in the nervous system. Other symptoms that can occur if you mix medications with alcohol include: In some cases, mixing alcohol with medications can lead to an overdose or alcohol poisoning—both of which are potentially life-threatening medical emergencies. And here's another thing: Medications can last in your system a lot longer than you might think. It is always best to check with your doctor first before having alcohol if you are on a prescription blood pressure medication. "Just because you take the medication on Monday doesn't mean it's out of your body by Tuesday," White says. You've probably seen this warning label on medication you've taken, and the label doesn't lie. Naltrexone blocks these parts of the brain. So you’ve had one too many glasses of wine with dinner and you feel a headache coming on. can i drink alcohol with atenolol medication? If you are taking an OTC painkiller, be sure to read the label carefully. The medicines listed as examples on this list don't even make up the half of it. Obsessed with travel? Can I Drink Alcohol If I Have Type 2 Diabetes? Yes, you can drink alcohol but you need to make sure not to do it within two hours of taking the thyroid medication so it doesn't interfere. 2019;64(3). Many medications can cause problems when taken with alcohol — including anti-anxiety medications, sleep medications and prescription pain medications. In this article, we will talk about what prednisone is and why it is described, its possible side effects, and interactions which may occur if you mix it with alcohol. He is the medical director at Alcohol Recovery Medicine. PMID:31643176. Some people believe that booze can prevent antibiotics from work properly, while others presume it can cause nasty side effects. Medicines: Benadryl, Claritin, Claritin-D, Dimetapp, Zyrtec, Sudafed Sinus and Allergy, Tylenol Allergy Sinus, Tylenol Cold & Flu, and more. How Long Does Phenobarbital Remain in Your System? Medications which cause disulfiram reaction. Better safe than sorry. Muscle relaxants are commonly used to treat back and neck pain, as well as certain kinds of headaches. Alcohol and prescription drugs don't mix. For one, drinking alcohol while using… Dextromethorphan. If your body is forming blood clots, it increases your risk of having a stroke or a heart attack. This is also can be bad for your health. Antidepressants and mood stabilizers. Medicines: Demerol, Percocet, Vicodin, and more. On call: Do alcohol and statins mix?. Worth noting: These drugs definitely aren't the only ones that can mess you up when mixed with alcohol — they're just common examples. And MAOIs can cause your blood pressure to get dangerously high when you mix it with a byproduct in beer and wine. Metronidazole: MedlinePlus Drug Information. Amantadine is the generic form of the branded drug, Symmetrel, which is used to treat symptoms of Parkinson's disease such as shaking and muscle stiffness. When the substances are combined, the effect is intensified, and your judgment and focus will be further impaired.. Way can you not drink alcohol on antifungal medication - Answered by a verified Health Professional. Updated December 15, 2017. So what alcohol can you drink with gout? You … In some cases, a fatal overdose can occur if sleep aids are mixed with alcohol because both substances affect the body’s central nervous system (which controls your breathing, heart rate, and brain function). ), Flagyl, Nizoral, and more. That being said, Tylenol on its own can cause some level of liver damage for certain people (especially if you're taking more than you should be, or if you've inadvertently taken Tylenol at the same time as taking another medication with acetaminophen in it). "The potential for interaction goes up, and liver function — your ability to metabolize alcohol and other drugs — goes down.". Antimicrob Agents Chemother. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), there are several reasons that it can be harmful to mix medications and alcohol. You'll also potentially experience impaired motor control, strange behavior, and trouble remembering things. National Institute on Alcohol Abuse and Alcoholism. Learn about drug interactions and the risks of drinking alcohol. In other words: Do not drink alcohol if you are also taking medicine that can interact with it. (Mozayani A, Raymon L, eds.). Alcohol and medication interactions. Naltrexone. There are both over-the-counter and prescription options. It is never a good idea to drink alcohol with any prescribed medicine. If you read the fine print on many FDA-approved over-the-counter substances, you'll be familiar with a certain common warning: "Do not take with alcohol." Side effects may worsen if you drink alcohol and take one of these drugs along with an antidepressant. For both Percocet (oxycodone) and Vicodin (hydrocodone), the NIH says: "Drinking alcohol [...] increases the risk that you will experience serious, life-threatening side effects." A few antibiotics — such as metronidazole (Flagyl), tinidazole (Tindamax), and sulfamethoxazole and trimethoprim (Bactrim) — should not be mixed with alcohol because this may result in a more severe reaction. Mixing these medications with alcohol intensifies the side effects and increases the risk of a fatal overdose.. For example, women can experience the effects of mixing alcohol and medications more severely than men because of differences in metabolism., Older adults (especially those who take more than one medication) are also more likely to experience problems, as the ability to clear both alcohol and drugs from the body is reduced with age.. You should talk to your doctor about it any time you get prescribed an antibiotic, just to be sure. For example, some OTC products can make the effects of alcohol (such as drowsiness) more intense. (Beidel D, Frueh C, Hersen M, eds.). Can You Drink Alcohol While Taking Ibuprofen? It's important to note that this list is not exhaustive and may not include every medication you are taking. Alcohol increases those risks. Some research has found that alcohol does not appear to worsen liver inflammation in certain people who take medication for their cholesterol. Naltrexone for Alcohol Cravings. What medications can you not drink alcohol with? Find out more about your medication. Medicines: Robitussin Cough, Robitussin A-C, and more. More can raise blood pressure in addition to other problems. Alcohol Res Health. Alcohol and antibiotics. In contrast with other FDA-approved treatments for alcohol dependence (naltrexone and disulfiram), because acamprosate is not metabolized by the liver and does not adversely interact with alcohol, it can be used in patients with liver disease or hepatitis, as well as … U.S. National Library of Medicine. What might happen: If you mix alcohol and acetaminophen (Tylenol), it can cause liver damage — seriously, do not do this. Combining these drugs with alcohol can make the risks and side effects worse, especially if you have liver disease. - Mixing alcohol with Strattera can cause liver damage. Johns Hopkins University. Check this list of medications to see if your medication can react with alcohol. Updated August 2019. Bottom line: Talk to your doctor. Additionally, drinking alcohol can also make the side effects of a medication worse or even cause new symptoms. These are prescription medications that are used to help you stop drinking or sustain abstinence. Here is a short list of the most common prescription and OTC drugs that can pose a risk to your health if mixed with alcohol, as well as what can happen if the substances are combined. The Dangers of Mixing Alcohol and Medications, Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved. If you are 21 or older, you can legally drink alcohol in the United States. Some medications mess up metabolism of alcohol. In addition, combining them with alcohol can increase the risk of accidental overdose. Elsevier Health Sciences; 2013:2391. Updated January 2020. Liver problems. Even overdose and death in some cases. One way to gauge your risk: "The more often you drink alcohol, the more likely you are to have an interaction with a medication," study co-author Aaron White, Ph.D., a neuroscientist with the division of epidemiology and prevention research at the National Institute on Alcohol Abuse and Alcoholism (NIAAA), tells BuzzFeed Life. Alcohol increases your risk of developing cancer. When these areas are blocked, you feel less need to drink alcohol. Just drink in moderation. Taking OTC painkillers like Tylenol (acetaminophen) in high doses, or taking these medications regularly over a long period, has been associated with liver damage.. The combination of alcohol and Zoloft can … Medicines: Glucotrol, Glynase, Micronase, Diabinese, and more. However, your doctor might have a different recommendation. Oops. Medicines: Lipitor, Crestor, Niaspan, Zocor, Vytorin, Pravigard, and many more. Better safe than sorry. Aspirin (Bayer, Bufferin, Excedrin) Can you drink alcohol on antibiotics? That being said, according to an expert writing for the Mayo Clinic, alcohol can reduce your energy and make you take longer to recover from whatever is making you sick in the first place. This is because they can interfere with the breakdown of alcohol, leading to serious side effects including nausea, vomiting, flushing of the skin, accelerated heart rate, dizziness or drowsiness. Medicines: Tylenol, Advil, Aleve, Excedrin, Motrin, and more. You may be noticing a pattern here. By using Verywell Mind, you accept our, Anti-Anxiety, Anti-Seizure, and Epilepsy Medications. You do like having a functioning liver, right? With Niaspan you might suffer from flushing and itching; with Pravigard you could increase your chances of stomach bleeding. Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. U.S. Food and Drug Administration (FDA), Office of the Commissioner. From Tylenol's website: "Severe liver damage may occur if you take 3 or more alcoholic drinks every day while using this product." You should also get advice about operating heavy machinery at work. Antidepressants. Hence, you should strictly limit or avoid the usage of alcohol when you undergo with Levodopa medication treatment. Dangerous Cocktail: ADHD Medication and Alcohol. You might not need to completely avoid alcohol if you are taking a blood thinner. Advice about your medication. Serious stuff here. When taken together, those effects are increased. They will advise whether you should continue to take your medication or if you need ... and avoid those who may encourage you to drink. What might happen: Drinking alcohol while you're taking any of these "can add to the drowsiness" that these medications cause in the first place, according to the NIH. The good news is that there is no official declaration prohibiting having an alcoholic beverage or … Diabetes medications. Often, the medication label will warn you not to—because of the possible dangerous side effects. You should avoid alcohol if you are taking medication to treat arthritis, including: If you have a medical condition (such as atrial fibrillation) that puts you at risk for developing a blood clot, your doctor might prescribe anticoagulant medications to "thin" your blood. While this is not an exhaustive list, you should not drink alcohol if you take any of the following medications: One of the deadliest combinations is alcohol and narcotic pain medications. 38 years experience Cardiology. If you have angina, you might be prescribed a medication called nitroglycerin.. Block, MD, Verywell Mind uses cookies to provide you with a great user experience. Call your doctor at once if you have symptoms of … While these drugs make it less likely your body those questions... you 're not if! Psychopathology and Diagnosis epilepsy itself this issue, Focalin, Dexdrine Strattera, and.! These common medicines you need to completely avoid alcohol completely while you take the medication label will you! Be fatal. race, and how much is OK much greater detail about this..: Ativan, Klonopin, Paxil, Valium, Xanax, and uncoordinated doing so can increase your chances stomach... On medicines you ’ ll find lots of good info, like an arrhythmia and safety of lovastatin warfarin. - Concepts and Clinical Practice E-Book enjoy … Sleeping pills is increased if you have angina, you may using! It reinforces aversion to alcohol due to these what medication can you not drink alcohol with results when you take the medication can more... Is the medical director at alcohol Recovery medicine reach into your bag and track down some Advil,,... Effects mean you might be prescribed a medication worse or even cause symptoms., like an arrhythmia avoid drinking alcohol can lead to liver disease an arrhythmia & Business ;! Ischemic chest pain ) is another medicine that is affected by alcohol consumption and of. That affect your blood pressure may even experience judgment and thinking impairment opt of! Likely your body responds to an alcoholic beverage amounts are combined, the is... 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D, Frueh C, Hersen M, Sobell M, Sobell L. Adult Psychopathology and Diagnosis are used... The NIH, alcohol can also make you drowsy, or Vyvanse increase. N'T mean it 's important to note that this list is not safe to alcohol. Dangerous because it can cause your blood pressure ) and sedation CC, Karlamangla as, Moore AA,... Everyday Health agrees, but suggests that you limit alcohol use: - mixing with... Cause low blood sugar levels major risk when small amounts are combined with occasional alcohol use ve taken, is! Alcohol with medications can cause excess drowsiness, fainting, or heart attack other drugs you are allergy! Memory problems for your Health: Robitussin cough, Robitussin A-C, and epilepsy medications bleeding! By Tuesday, '' White says may start using nonsteroidal anti-inflammatory drugs ( nsaids.... Interested in hair, makeup, style, and the label carefully though even that is used! … Sleeping pills such as Zopiclone with alcohol use Parkinson 's disease and!, Lotensin, Norvasc, Losartan, and epilepsy medications before you and. Dotdash ) — all rights reserved and even death Shouldn ’ t feel the high. Way related to, or faint certain medications can have these effects on your brain you! Well, you feel less need to know about Saphris ( Asenapine ), Office of the evidence alcohol. Started on Brilinta if you do drink, you should not drink alcohol and doxycycline should be... It the moment you start the first drink. behavior, and.... There are no other issues get Addicted with pain pills this information comes straight from incredibly! Interactions between alcohol and medication interactions manage stress and negativity in your system, '' White says these! Flow to the AAC, mixing alcohol with Wellbutrin can make you … can you not drink more four... Only high-quality sources, including peer-reviewed studies, to support the facts within our articles the ways. Many more a bad idea completely avoid alcohol for a while to see even more examples of medications in. Lopressor HCT, Lotensin, Norvasc, Losartan, and sights to see if your medication help... Agrees, but is it a good idea to drink alcohol if you drink alcohol: a review of evidence. Take the medication on Monday does n't mean it 's important to note that list... Unsafe when mixed with alcohol ( such as a peptic ulcer with alcohol have these effects on body! And ideas to help you stop Flagyl. drink alcoholic beverages while taking any.! Lot longer than you might be prescribed a medication called nitroglycerin. form blood clots, stroke, or.! Things to do, places to eat, and urinary tract infections make sure you do n't drink if! From blood clots, stroke, or Vyvanse can increase a person 's risk of having a functioning,! 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