Alcoholism, risk

Lauterburg BH, Velez ME. Glutathione deficiency in alcoholics risk factor for paracetamol hepatotoxicity. Gut 1988 29 1153-1157. 

ANTIPSYCHOTICS ALCOHOL Risk of excessive sedation Additive effect Warn patients of this effect, and advise them to drink alcohol only in moderation... 

CYCLOSERINE ALCOHOL Risk of fits Additive effect cycloserine can cause fits Warn patients to drink alcohol minimally while taking cycloserine... 

LEVAMISOLE ALCOHOL Risk of a disulfiram-like reaction Uncertain Warn patients not to drink while taking levamisole... 

Folate antagonists (eg, methotrexate and certain antiepileptics) are used ia treatment for various diseases, but their adininistration can lead to a functional folate deficiency. Folate utilization can be impaired by a depletion of ziac (see Zinc compounds). In humans, the intestinal bmsh border folate conjugase is a ziac metaHoenzyme (72). One study iadicates that the substantial consumption of alcohol, when combiaed with an iaadequate iatake of folate and methionine, may iacrease the risk of colon cancer (73). Based on this study, it is recommended to avoid excess alcohol consumption and iacrease folate iatake to lower the risk of colon cancer. 

Rank the following materials in terms of their relative fire risks amyl alcohol, acetone, benzene, ethyl acetate, fuel oil, hexane, coal tar, mineral spirits, styrene monomer. 

FAS is normally characterized by growth retardation, anomalies of the head and face, and psychomotor dysfunctions. Excessive consumption of ethyl alcohol may lead to malformations of the heart, extremities, and kidneys. Since consumption of ethyl alcohol is socially acceptable and prevalent even in pregnant women, the risks associated with the use of ethyl alcohol are remarkable. However, it should be kept in mind that there are several chemical compounds in tlie occupational environment that may also cause malformations even at low doses. The oc-cupationally-important known human teratogens include methyl mercury, ethyl alcohol, PCB compounds, tobacco smoke, lead, TCDD, 2,4,5- F, carbon monoxide, nitrogen dioxide, gasoline, and fluoride. 

International. Agency for Research on Cancer (1988). Alcohol Drinking. IAR.C Monographs on the Evaluation of Carcinogenic Risks to Hum,ans, vol. 44. International Agency for Research on Cancer, [yon, France. 

The concentration of a solute has a considerable effect on the viscosity of the fluid and so on the surface convective resistance to heat flow. There is little published data on these effects, so applications need to be checked from basic principles. Industrial alcohol (comprising ethyl alcohol with a statutory addition of methyl alcohol to render it poisonous) may be used as a secondary refrigerant, either at 100% concentration or mixed with water. The fluid has a low viscosity and good heat transfer, but is nowlittle used on account of its toxicity and the fire risk in high concentrations. Other nonfreeze heat transfer fluids are used in specialist trades. 

Blood alcohol concentration and risk of crash. With increasing alcohol concentration in the blood, the risk of an automobile crash rises rapidly to 25 times the normal risk of a crash (that is, the risk with no alcohol consumption). 

Increased risk factors for suffering retinoid side effects are adipositas, alcohol abuse, diabetes, nicotine abuse, familiar lipid metabolism alterations and other concommittant therapies (see below). 

Acute acetaminophen poisoning or toxicily can occur after a single 10- to 15-g dose of acetaminophen. Dosses of 20 to 25 g may be fatal. With excessive dosages die liver cells necrose or die Death can occur due to liver failure The risk of liver failure increases in patients who are chronic alcoholics. 

When administering acetaminophen, the nurse assesses the overall health and alcohol usage of the patient before administration. fatients who are malnourished or abuse alcohol are at risk of developing hepatotoxicity (damage to the liver) with the use of acetaminophen. 

Amantadine is used cautiously in patients with seizure disorders, hepatic disease, psychosis, cardiac disease, and renal disease The antihistamines, pheno-thiazines, disopyramide, and alcohol increase the risk of adverse reactions when administered with amantadine... 

There is an increase in anticholinergic effects when antihistamines are administered with the monamine oxidase inhibitors (MAOIs) and additive sedative effects if administered with central nervous system depressants (eg, narcotic analgesics or alcohol). When cimetidine and loratadine are administered together there is a risk for increased loratadine levels. 

The antidiarrheal drugs cause an additive CNS depression when administered with alcohol, antihistamines, narcotics, and sedatives or hypnotics. There are additive cholinergic effects when administered with other drugp having anticholinergic activity, such as antidepressants or antihistamines. Concurrent use of the antidiarrheals witii a monoamine oxidase inhibitor increases the risk of a hypertensive crisis. 

There is a risk of acute renal failure when iodi-nated contrast material that is used for radiological studies is administered with metformin. Metformin therapy is stopped for 48 hours before and after radiological studies using iodinated material. Alcohol, amiloride, digoxin, morphine, procainamide, quini-dine, quinine ranitidine, triamterene, trimethoprim, vancomycin, cimetidine, and furosemide all increase the risk of hypoglycemia. There is an increased risk of lactic acidosis when metformin is administered with the glucocorticoids. 

There is an increased risk for bone marrow suppression when levamisole or hydroxyurea are administered witii other antineoplastic dni. Use of levamisole witii phenytoin increases die risk of phenytoin toxicity. Pegaspargase may alter drug response of the anticoagulants. When procarbazine is administered with other central nervous system (CNS) depressants, such as alcohol, antidepressants, antihistamines, opiates, or the sedatives, an additive CNS effect may be seen. Procarbazine may potentiate hypoglycemia when administered witii insulin or oral antidiabetic dru . ... 

From the detailed studies performed either using individual alcohol sulfates and alcohol ether sulfates or formulated products by oral administration and skin contact, no evidence of carcinogen risk was found. Similar conclusions were obtained when these sulfates or formulated products were tested for mutagenic and teratogenic properties. 

Pressing is carried out within a cemented carbide die between two steel or cemented carbide punches. In order to impart enough mechanical strength to the blank to permit further manipulation without risk, removable organic binders (camphor, natural or synthetic waxes, latex or synthetic rubber, methyl polymethacrylate, polyvinyl alcohol, carboxymethylcellulose, ammonium alginate) are mixed into the powder, dissolved in a convenient volatile solvent. Some of these also act as lubricants thus minimizing the wear on the die. 

---