Alcohol - interventions and interactions

Case 1
Mr Davies is a 53 year-old business man. He has hypertension, which is proving difficult to control. You have been titrating up the doses of his antihypertensives, but have only achieved a very small reduction in his blood pressure (BP). Mr Davies says that he has been stressed at work recently and has been drinking a bottle of wine most nights.

What would you do next?

Case 2
Mr Robert James is 57 years old and attends your surgery with cellulitis affecting his left leg. You prescribe a seven-day course of flucloxacillin. Mr James asks you if it will be ok to ‘have a drink’ while taking the antibiotics.

How would you answer Mr James’ question?

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