NIDA for Teens: The Science Behind Drug Abuse
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Over-the-Counter Medications

Medications and Alcohol Don't Mix

If you’re taking any medications—either those prescribed by a doctor or over-the-counter cold and allergy medicine—it’s not a good idea to drink alcohol. Often, the medication label will warn you not to—because of the possible dangerous side effects. Read the label! You’ll find lots of good info, like:

  • The medication’s active ingredients, including ingredient amounts in each dose
  • The medication’s purpose and uses
  • Dosage instructions—when and how to take it
  • Specific warnings about interactions (with alcohol and other drugs)
  • Activities to avoid
  • The medication’s inactive ingredients (important to help people avoid an allergic reaction)

Because the drug label information can be confusing, it’s a good idea to talk to your doctor or pharmacist about what side effects you might experience and not to mix medications and alcohol. Here’s what can happen:

  • Drinking alcohol while ibuprofen (Motrin) is in your system could cause stomach upset, stomach bleeding, and even liver damage.
  • If you’re taking a sleep medication like Ambien, alcohol could cause increased drowsiness, difficulty breathing, and memory problems.
  • Mixing caffeine and energy drinks with alcohol is also a bad idea since their opposite effects (alcohol is a depressant, caffeine a stimulant) can fool you into drinking more than your body can handle.

Here is a list of many common medications and what can happen if the user drinks alcohol while taking them. Some of them may surprise you.

warning label on medication advising against drinking alcohol

Cough and Cold Medications: Use Only as Directed

Winter is here and, with it, cold season. To arm themselves, many people purchase over-the-counter drugs, which are those that don’t require a doctor’s prescription. Taken as directed, over-the-counter cold medications like cough syrups are safe and can help relieve annoying cold symptoms that interrupt our lives.

However, some teens are abusing these otherwise safe medications. NIDA scientists refer to this dangerous practice as “robotripping.”

What Is Robotripping?

Named in reference to Robitussin, one of the most common cold medicines, “robotripping” describes the act of abusing cough and cold syrups by taking more than the recommended dose on the label. The active ingredient in cold syrups, Dextromethorphan (DXM), is a drug that suppresses coughing. Like many other medications, when DXM is abused—taken in high doses and for the wrong reasons—the consequences can be extremely dangerous.

Someone who consumes more than the recommended amount of DXM is likely to experience hallucinations or dissociative “out of body” feelings for up to 6 hours. These side effects are similar to the hallucinations people experience when they abuse an illegal drug like PCP.

But feeling detached from your body and hallucinating is just the start. Ingesting more cough syrup than recommended on the label can cause impaired motor function, numbness, nausea, vomiting, increased heart rate and blood pressure, permanent brain damage, and even death. Find out what else NIDA has to say about DXM.

Cough syrup being poured into a cup.

Alcohol and Drugs Don't Mix

A recent episode of the hit TV show “Glee” focused on the problem of underage drinking. Called “Blame It on the Alcohol,” the episode depicted glee club members narrowly avoiding school suspension for drinking on school grounds—never a smart idea! Not only is it illegal to drink before age 21, but drinking too much alcohol can impair brain function and motor skills and lead to addiction. Mixing alcohol with illicit or other drugs—even legal ones—greatly increases the dangers: Combining alcohol with another central nervous system depressant like Xanax or painkillers like Vicodin can slow your heartbeat and breathing and may lead to death. Mixing alcohol with stimulants like Adderall or club drugs like Ecstasy can cause heart problems, too, as well as strokes and convulsions. Cough and cold medicines that don’t need a prescription can mess you up if you abuse them or combine them with alcohol—once again, heart problems and trouble breathing. Play it safe and don’t mix alcohol with other drugs.

Catching Some ZZZZs: Safe Ways To Get to Sleep

Have you ever had a night when you just couldn’t fall asleep? It’s a terrible feeling. Tossing and turning, watching the minutes click closer to dawn, dreading how tired you’re going to be the next day—the more you try to sleep, the harder it gets. Everyone has trouble sleeping sometimes for many different reasons, like stress and anxiety, or disorders like sleep apnea. Some people are prescribed sleep aids called sedatives, a type of central nervous system depressant, to help them sleep. When used as prescribed—and only by the person they were prescribed for—sedatives are safe and effective for helping people sleep. When abused to get high or even to get sleep, sleep aids can be dangerous, something most teens don’t know. Abusing sleep aids can even be deadly if they are mixed with other substances like alcohol or certain allergy medications because they can slow heart rate and respiration. Six Tips To Help You Sleep If you have consistent trouble getting to sleep, talk to your doctor about it. Meanwhile, here are some things you can do to help you get the 9 hours of sleep you’re supposed to have as a teen.
  • Skip the caffeine. Drink a decaf latte or stick with water. Caffeine is a stimulant and can affect you for up to 24 hours and also cause you to wake often.
  • Keep a routine. Prime your body for sleep—go to bed at the same time each night and wake up at the same time each morning.
  • Exercise, but not before bed. Staying active can help you sleep better, but don’t exercise within 3 hours of going to bed because it can actually wake you up.
  • Block out the light. Cover your windows with heavy curtains or blackout shades. You might even try a sleep mask.
  • Use your bed for sleep. It may be tempting to check Twitter or Facebook before you go to sleep, but it’s best for your brain to associate your bed only with sleep, not socializing, work, or reading. Studies have shown that the computer screen’s bright light can reduce your body’s melatonin levels, which disrupts normal sleep cycles.
  • Try some toast. Carbohydrates like bread, graham crackers, pretzels, and fruit can help make you feel warm and lead you to feel sleepy.
Do you have any ideas that work when you can’t sleep? Tell us in the comments. Tired girl taking sleeping pill