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I would advise you to encourage his wife to have a loving, heartfelt talk with her husband about his increased drinking. If I were him, I would hope that her concern that she expresses about her husband mixing increased drinking of alcohol with a stimulant such as Adderall being very dangerous would stir something inside of me to get some help. This doesn't sound like a healthy situation at all. But unfortunately, he's the only one that can initiate that help. Does that address your concern or is there some other question or concern I can address?
I will admit it is unusual to have the eyes open when someone is passed out, but certainly not impossible. It's also possible that he may have had a seizure, accounting for his decreased awareness and state in which he was found. I would have him start with his primary care doctor who can assess the situation and see if he needs to be evaluated by a neurologist.
Do you have any other concerns about this topic that I haven't addressed?
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My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor.