If you are taking metronidazole, it inhibits an enzyme in the liver, aldehiddehidrohenazy. This enzyme required for detoxification of acetaldehyde, a product of the collapse of alcohol. The accumulation strattera without prescritpion of acetaldehyde causes the symptoms of hot flashes, racing heart rate, nausea and vomiting, and even psychosis, confusion and sudden death with lots of alcohol or drugs. This same mechanism as Antabuse (disulfiram), medicine, recovering alcoholics may voluntarily accept as obstacles to the use of alcohol as the reaction is so unpleasant, even after a small amount to drink. .
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