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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by coaxil on November 11, 2011, at 16:36:33
HI,
I am taking tianeptine(Coaxil) for 10 days now and I read in package instructions that drinking alcohol is not allowed while taking tianeptine... Now, I know that occasional drink in social surroundings is almost inevitable. I already know how my organism tolerates alcohol while taking AD or other medication (recently Wellbutrin)and I usually dont have problems with it.I think that alcohol is not adwised while taking tianeptine mainly because it inhibits its absorption, since tianeptine shouldnt have depressant effect (for alcohol to make synergetic effect) .
I drank on the 2nd day of tianeptine use without problems, I was maybe even a bit more alert then I would be without tianeptine.
So, I am concerned about alcohol effect on tianeptine efficiency. If it inhibits absorption of tianeptine, would it still interfere with it if I start drinking 2 hours or so after evening dose? I guess the pill should be dissolved and absorbed by then? Does that "diminshed absorption" happens in the stomach or alcohol can diminish tianeptine effectiveness anyway?I have to wait for 20 days to ask my doctor about it, so I would appreciate some advice.
Thnx in advance
Posted by Zyprexa on November 14, 2011, at 8:01:25
In reply to Tianeptine(Stablon,Coaxil) and alcohol, posted by coaxil on November 11, 2011, at 16:36:33
I think just about all psyciatric meds say not to drink alcohol while taking it. Some times just because it will add to the effect of sedation. Or it mite lower its effectiveness. But the important one is if it effects your liver and you drink with it, it could cause liver damage. You'll have to read the Prescribing info on Tianeptine and find out why its bad. If it says that Tianeptine can impare liver function and you should monitor liver function. Then it not a good idea to drink alcohol at the same time you take your med. Maybe waiting a couple hours would be better. Atleast thats what I do with niaspan. If I drink at same time as med my liver enzimes get high. If I wait 2 hours to drink no problems.
Posted by psychobot5000 on November 14, 2011, at 11:42:26
In reply to Re: Tianeptine(Stablon,Coaxil) and alcohol, posted by Zyprexa on November 14, 2011, at 8:01:25
> I think just about all psyciatric meds say not to drink alcohol while taking it. Some times just because it will add to the effect of sedation. Or it mite lower its effectiveness. But the important one is if it effects your liver and you drink with it, it could cause liver damage. You'll have to read the Prescribing info on Tianeptine and find out why its bad. If it says that Tianeptine can impare liver function and you should monitor liver function. Then it not a good idea to drink alcohol at the same time you take your med. Maybe waiting a couple hours would be better. Atleast thats what I do with niaspan. If I drink at same time as med my liver enzimes get high. If I wait 2 hours to drink no problems.
>
Zyprexa gives good advice. If I remember right, tianeptine's cousin amineptine was rarely associated with liver problems, but that was usually in addicts taking more than 50 times the daily dose. I don't recall hearing anything similar with tianeptine. If you're worried, get a liver function test and that should clear you.For what it's worth, drinking alcohol had no effect on my tianeptine regimen that I was able to discern. I don't think I'd worry over it. And, yes, I think 2 hours, or even 90 minutes, is plenty of time to allow your body to absorb the medication before drinking ethanol. I don't think it would affect absorption substantially at that point.
This is the end of the thread.
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