Good morning, ma'am,
It is indeed strongly recommended not to consume alcohol with this medication.
First, alcohol can worsen depressive and anxiety symptoms, even with small amounts. Alcohol can also worsen the side effects experienced, such as dizziness, drowsiness, and nausea.
Alcohol can also decrease the quality of sleep, which in turn can worsen or trigger anxiety or depressive symptoms.
People with mood disorders such as anxiety or depression are at much higher risk for substance use disorders, including alcohol. Alcohol can impair judgment and this can be amplified in the presence of anxiety or depressive symptoms.
I would also like to point out, in general, that alcohol consumption is associated with a negative impact on physical, mental and psychological health.
Alcohol use may be occasional, such as 1-2 drinks, but it is still at your own risk.
Sincerely,
Tom Samaha, pharmacist