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AR15.COM
11/26/2009 12:32:20 PM EDT
My old man went through a spinal fusion surgery a couple weeks ago. He's on percocet, oxycontin, a sleep aid (the hallucinogenic one) and some other stuff I can't remember.



He normally enjoys to drink a bit of alcohol, but the doctor has forbid him from mixing the two. He's keeps insisting on having a glass of wine, and is getting pretty pissy about it. Actually he's a downright asshole right now, which I attribute to the drugs.










Anyway, I seem to remember that the reason the alcohol/painkiller combo is forbidden is because a chemical synthesis occurs between the two, creating a compound that your liver and kidneys cannot process. Is this correct?




I'd like a better explanation to give him to dissuade him from imbibing right now, than "because the doctor said so". Any info you arf docs can provide me with to scare him straight would be a big help. Thanks.



11/26/2009 12:35:15 PM EDT
[#1]
My roomate has been drinking on painkillers for weeks after a spinal fusion......

The risks are over rated by doctors afraid of getting sued
11/26/2009 12:37:40 PM EDT
[#2]
Quoted:
My old man went through a spinal fusion surgery a couple weeks ago. He's on percocet, oxycontin, a sleep aid (the hallucinogenic one) and some other stuff I can't remember.

He normally enjoys to drink a bit of alcohol, but the doctor has forbid him from mixing the two. He's keeps insisting on having a glass of wine, and is getting pretty pissy about it. Actually he's a downright asshole right now, which I attribute to the drugs.



Anyway, I seem to remember that the reason the alcohol/painkiller combo is forbidden is because a chemical synthesis occurs between the two, creating a compound that your liver and kidneys cannot process. Is this correct?

I'd like a better explanation to give him to dissuade him from imbibing right now, than "because the doctor said so". Any info you arf docs can provide me with to scare him straight would be a big help. Thanks.



No... there's no special fusion compound that I'm aware of (there is for cocaine and alcohol... but not for Percocet, Oxycontin, and ETOH)... the problem comes in the synergy between multiple CNS depressants.  

The business people have totally bastardized the term "synergy," but a synergistic effect is one where the whole is greater than the sum of its parts.  To explain in a quantitative fashion, you might get four units of CNS depression with just the Oxycontin alone, and four units of CNS depression with just alcohol alone... but mix them together and you end up with twelve units of CNS depression.

Clear as mud?
11/26/2009 12:40:29 PM EDT
[#3]
Quoted:
My roomate has been drinking on painkillers for weeks after a spinal fusion.....

The risks are over rated by doctors afraid of getting sued.


Right.  We're all lying to you.
11/26/2009 12:44:34 PM EDT
[#4]
Quoted:
Quoted:
My roomate has been drinking on painkillers for weeks after a spinal fusion.....

The risks are over rated by doctors afraid of getting sued.


Right.  We're all lying to you.




11/26/2009 12:48:39 PM EDT
[#5]



Quoted:



Quoted:

My old man went through a spinal fusion surgery a couple weeks ago. He's on percocet, oxycontin, a sleep aid (the hallucinogenic one) and some other stuff I can't remember.



He normally enjoys to drink a bit of alcohol, but the doctor has forbid him from mixing the two. He's keeps insisting on having a glass of wine, and is getting pretty pissy about it. Actually he's a downright asshole right now, which I attribute to the drugs.










Anyway, I seem to remember that the reason the alcohol/painkiller combo is forbidden is because a chemical synthesis occurs between the two, creating a compound that your liver and kidneys cannot process. Is this correct?




I'd like a better explanation to give him to dissuade him from imbibing right now, than "because the doctor said so". Any info you arf docs can provide me with to scare him straight would be a big help. Thanks.







No... there's no special fusion compound that I'm aware of (there is for cocaine and alcohol... but not for Percocet, Oxycontin, and ETOH)... the problem comes in the synergy between multiple CNS depressants.  



The business people have totally bastardized the term "synergy," but a synergistic effect is one where the whole is greater than the sum of its parts.  To explain in a quantitative fashion, you might get four units of CNS depression with just the Oxycontin alone, and four units of CNS depression with just alcohol alone... but mix them together and you end up with twelve units of CNS depression.



Clear as mud?


So the combination is likely to lead to depression?

 



I was under the impression that it had some negative affects on the liver and kidneys, exponentially multiplied by the combo. For lack of a better term, physical effects rather than psychological effects.



11/26/2009 12:51:51 PM EDT
[#6]
1 glass of wine on top of meds and he will be napping in a hour ...
11/26/2009 12:54:48 PM EDT
[#7]



Quoted:



Quoted:

My roomate has been drinking on painkillers for weeks after a spinal fusion.....



The risks are over rated by doctors afraid of getting sued.




Right.  We're all lying to you.
I knew it!!  












 
11/26/2009 12:56:06 PM EDT
[#8]
I dont think one glass of wine is going to put him over the edge, id say let him have one. it may even help with his pain, but im not a doctor



the only bad thing about alcohol is that when you drink and take painkillers with aceteminophen in it, (lortab,norco, etc.) it harms the liver. but that is in excess, ive drank a 6 pack ot two when i had my surgery and was poppin 3 or 4 painkiller at a time.
11/26/2009 12:58:26 PM EDT
[#9]



Quoted:


I dont think one glass of wine is going to put him over the edge, id say let him have one. it may even help with his pain, but im not a doctor


That's the plan. It's Thanksgiving, one won't kill him.

 


11/26/2009 1:02:29 PM EDT
[#10]
Quoted:

Quoted:
Quoted:
My old man went through a spinal fusion surgery a couple weeks ago. He's on percocet, oxycontin, a sleep aid (the hallucinogenic one) and some other stuff I can't remember.

He normally enjoys to drink a bit of alcohol, but the doctor has forbid him from mixing the two. He's keeps insisting on having a glass of wine, and is getting pretty pissy about it. Actually he's a downright asshole right now, which I attribute to the drugs.



Anyway, I seem to remember that the reason the alcohol/painkiller combo is forbidden is because a chemical synthesis occurs between the two, creating a compound that your liver and kidneys cannot process. Is this correct?

I'd like a better explanation to give him to dissuade him from imbibing right now, than "because the doctor said so". Any info you arf docs can provide me with to scare him straight would be a big help. Thanks.



No... there's no special fusion compound that I'm aware of (there is for cocaine and alcohol... but not for Percocet, Oxycontin, and ETOH)... the problem comes in the synergy between multiple CNS depressants.  

The business people have totally bastardized the term "synergy," but a synergistic effect is one where the whole is greater than the sum of its parts.  To explain in a quantitative fashion, you might get four units of CNS depression with just the Oxycontin alone, and four units of CNS depression with just alcohol alone... but mix them together and you end up with twelve units of CNS depression.

Clear as mud?

So the combination is likely to lead to depression?  

I was under the impression that it had some negative affects on the liver and kidneys, exponentially multiplied by the combo. For lack of a better term, physical effects rather than psychological effects.



No, CNS (Central Nervous System) depression, not psychiatric/psychological depression. Basically, the effects of the alcohol and pain killers will be intensified, causing him to potentially be drowsy and generally sluggish (like a drunk person). The big fear would be that his breathing would be slowed or stopped. One glass of wine with moderate doses of pain killers likely will not cause significant problems in that regard, though depending on what all he's taking he might need to take his liver into account (for example, if he's over doing the Percocets and taking in an excessive dose of Tylenol).
11/26/2009 1:05:55 PM EDT
[#11]
So the combination is likely to lead to depression?


Different kind of depression; not the in your head prozac kind, but the kind the slows your breathing so much it stops.
11/26/2009 1:08:14 PM EDT
[#12]
Quoted:


No, CNS (Central Nervous System) depression, not psychiatric/psychological depression. Basically, the effects of the alcohol and pain killers will be intensified, causing him to potentially be drowsy and generally sluggish (like a drunk person). The big fear would be that his breathing would be slowed or stopped. One glass of wine with moderate doses of pain killers likely will not cause significant problems in that regard, though depending on what all he's taking he might need to take his liver into account (for example, if he's over doing the Percocets and taking in an excessive dose of Tylenol).[/div]


Exactly... I should have elaborated.

The biggest worry isn't that he'd pass out... it's that he'd pass out and quit breathing... or pass out and vomit, such that his impaired airway reflexes would render him unable to protect his airway, leading to aspiration and death (ala Jimi Hendrix).

A single glass of wine is unlikely to be a huge deal unless he's truly loaded up on the narcotics.
11/26/2009 1:36:56 PM EDT
[#13]
Quoted:

Quoted:
Quoted:
My roomate has been drinking on painkillers for weeks after a spinal fusion.....

The risks are over rated by doctors afraid of getting sued.


Right.  We're all lying to you.
I knew it!!  



 


An admission... heck yea... I'm willing to bet they were lying to use about bacon and smoking also! Well?? Were you guys lying about that also??????
11/26/2009 1:41:15 PM EDT
[#14]
Quoted:
Quoted:
My roomate has been drinking on painkillers for weeks after a spinal fusion.....

The risks are over rated by doctors afraid of getting sued.


Right.  We're all lying to you.


You are right , he actually died weeks ago due to the combination and is really a fucking zombie.....
11/26/2009 1:43:15 PM EDT
[#15]
Quoted:
Quoted:

Quoted:
Quoted:
My roomate has been drinking on painkillers for weeks after a spinal fusion.....

The risks are over rated by doctors afraid of getting sued.


Right.  We're all lying to you.
I knew it!!  



 


An admission... heck yea... I'm willing to bet they were lying to use about bacon and smoking also! Well?? Were you guys lying about that also??????


The biggest lie was about all that fake penis-enlargement stuff you guys get in your email.

Why do you think all women want to marry doctors?  Hint: it's not for money... they'd marry stockbrokers and bankers if that were the case.  It's something else... IYKWIMAITTYD

We keep the real stuff for ourselves.
11/26/2009 1:45:15 PM EDT
[#16]
A glass of wine is fine, it's CNS deppression that's a danger with larger doses of alcohol/pain meds.  But I wouldn't do percocet with alcohol, just due to the acetaminophen content (both bad for the liver, worse together), but again a glass of wine won't hurt him.
11/26/2009 2:54:48 PM EDT
[#17]
Thanks guys.



Happy Thanksgiving.