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My friend took klonopin, wellbutrin, 15 shots of ...

Sent to Health Experts April 15 2007 at 2:15 AM
   

My friend took klonopin, wellbutrin, 15 shots of tequila, some hits of marijuana, and hit his head on the toilet. I am about 45 minutes away from him and he is home with intoxicated people. I am an EMT, but am worried about him. According to people at the house, his pupils are constricted, and not unequal.

 

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Male, Age: 20, Louisiana

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April 15 2007 at 2:22 AM (7 minutes and 26 seconds later)
         
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Klonopin is a benzodiazepine, and mixing drugs of this class with alcohol can be very dangerous, resulting in a possible severe depression of breathing. In high enough doses, it can be fatal when mixed with alcohol. Depending on how hard he fell, a concussion is also a possibility, and not one you'd want to mix with the above factors. It would be best to keep him awake until he sobers up, but if this is not an option, medical monitoring might be best.


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April 15 2007 at 2:30 AM (8 minutes and 20 seconds later)
         
Reply to Melissa's Post: They said he is "sleeping it off." I had told them to moniter his breathing and pulse and all that. They told me he began drinking at 7:15 until about 12. He supposedly drank the 15 shots and the marijuana, and his regular dose of wellbutrin. I am worried because all of these are CNS depressants and might compromise his breathing. Do you think a regular dose of klonopin mixed with the alcohol will affect his respiratory drive? They said he was "as coherent as a drunk guy could be", but a head injury is also presented in the same way. I guess with the pupils being equal, it is not indicative of a head injury. They also said at one point he couldnt lift his head. This might be the alcohol, but I still don't want to rule out the head injury. I would moniter him, but am unable to because of the distance. In this situation, I would have possibly brought him to the hospital because of the things I see on a daily basis working as an EMT, but the people at the house see to think he might just be drunk. How many drinks per hour/total would constitute an alcohol overdose? Thanks for your response, Matt
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April 15 2007 at 2:51 AM (20 minutes and 5 seconds later)
         
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An alcohol overdose would depend on how big of a guy he is, rate of metabolism, rate of drinking (even though you know the time frame within which he drank, we don't know if he downed more drinks at a faster rate during one hour than another). The amount of alcohol that causes someone to pass out is usually dangerously close to the level that would cause alcohol poisoning. It's important to remember that klonopin and alcohol affect the body in similar ways... they both increase the amount of the neurotransmitter GABA (which decreasing the rate of brain signals). The effect of this is that klonopin increases the effects of alcohol and alcohol increases the effects of klonopin. The use of klonopin OR wellbutrin with alcohol can pose a risk of seizure, and he took both of these meds, which only doubles that risk. And as I mentioned before, his breathing can be depressed enough so that he isn't breathing at all... leading to brain damage or death.

Because he's "sleeping it off," it's going to be hard to tell what's going on there. There's little difference between just a drunk person and a person with severe alcohol poisoning when they're sleeping. Ideally, because of his risk for drug interactions, alcohol poisoning, and head injury, he should be monitored in the ER. But if your friends are going to be stubborn about that, they will need to wake him periodically in light of the alcohol consumption and the head injury... if he does not wake up, or if his skin is blue, cold, or clammy, or if he is breathing less than 8 times per minute, or goes 10 or more seconds between breaths, or has irregular breathing, or vomits while he sleeps and doesn't wake up, this is a true medical emergency and they will need to call 911. The same is true if any indication of a seizure is noticed, which probably would not be noticed if he's sleeping.

 



Edited by Melissa on April 15 2007 at 2:51 AM



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