Alpha blockers Alcohol

ALPHA-BLOCKERS ALCOHOL t levels of both alcohol and indo-ramin occurs with concurrent use Uncertain Warn the patient about the risk of t sedation... 

Chronic moderate to heavy drinking raises the blood pressure and reduces, to some extent, the effectiveness of antihypertensive drugs. A few patients may experience postural hypotension, dizziness and fainting shortly after having drank alcohol. Alpha blockers may enhance the hypotensive effect of alcohol in subjects susceptible to the alcohol flush syndrome. 

For mention of the possibility of increased sedation with alcohol and clo-nidine or indoramin, see Clonidine and related drugs + CNS depressants , p.883 and Alcohol + Alpha blockers , p.42. 

Thyroid supplement Blood pressure medications Beta blockers Thiazide diuretics Alpha methyl DOPA Appetite suppressants Phentermine Sibutramine Other Alcohol Caffeine Cocaine Nicotine... 

A few patients taking some antihypertensives feel dizzy or begin to blank out or faint if they stand up quiekly or after exereise. This orthostatie and exertional hypotension may be exaggerated in some patients shortly after drinking alcohol, possibly beeause it ean lower the eardiae output (noted in patients with various types of heart disease ). For other reports of postural hypotension with alcohol, see alpha bloekers , (p.42), and ealeium channel blockers , (p.57). Some manufacturers of antihypertensives e.g. ACE inhibitors and thiazide diuretics" warn that acute alcohol intake may enhance the hypotensive effects, particularly at the start of treatment, and this could apply to any antihypertensive. Patients just beginning antihypertensive treatment should be warned. 

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