What is, overall, safer for your body: alcohol or marijuana?

1) I have a large amount of course work, which is combined with a job and extra-curriculars, and while I want to succeed in all of them, I find that I simply don't have enough time, even though I currently sleep only 4 or 5 hours a night. I mentioned this to a group of my friends here at school, and it turns out they all take stimulants to help them manage jam-packed undergraduate life. The pills are called ADDERALL and PROVIGIL. I have acquired some for myself, but before I take them, could you tell me if either has serious health risks? I do not have any other health problems or take any other medications. A few of my friends tell me that they sometimes stay awake for as long as 3 or 4 days. If it is reasonably safe, that would be great! Thank you.

2) Given the fact that this is a top-notch school, it's total hoo-ha that you haven't included any info on all the non-hard core, but still illegal, "study stimulants." Is all this ADDERALL gonna do me permanent damage or what?

I recently drank one shot of absinth(e) mixed with water at a party. I read up on it online and opinions differ vastly as to the potential for negative side effects. At this point my imagination has me suffering every possible one.

I would like to know the true possible effects and if one drink could realistically cause them. If it helps, the brand I had contained 100mg of thujone and it was Czech and I'm told they use an extract which is worse than using straight wormwood.

I hope you can help because I'm a little freaked out, the guy who gave it to me drank it extensively and recently committed suicide and I'm convinced the cause in part was the Absinthe.

1) I have two friends who I think are drinking too much. I don't know what to do. They are very defensive should anyone say anything to them about their excessive habit, and a lot of our friends are giving up on them. This has become a daily thing and their schoolwork and friendships are all suffering. They are both 21; one recently broke up with his girlfriend of several years and the other has been single for a while and he hates it. I know that has a lot to do with it. Please suggest some non-intrusive ways to help them. I'm really at a loss.

2) Last year, I became very good friends with a guy on my floor. He was a little out of the ordinary in the way he dressed, as well as in some of his opinions and habits. I had the feeling that he did drink more than he should, and he also did pot. I did not worry too much about it because it appeared to be more of a lifestyle choice than an addiction, and it did not cause him major troubles.

Unfortunately, he started to have academic problems. He did not do his work, missed classes, and eventually exams as well. I still did not relate these things to his alcohol and drug habits, and I hoped that once he got over the adjustment everyone needed to make in freshman year, he would be fine. Well, he wasn't. He did not come back to school this fall, and when I called him, I learned that he had gone through a lot that summer. He was diagnosed with depression and a cocaine addiction, put on Prozac, and sent to therapy. At that point, I thought that he was on the right track because he was also going to get a job and planning to take classes at a nearby college.

However, when he came to visit me a month later, he had already had two beers before he even came here and got more and more drunk as the evening progressed. I would not let him drive home, but he ignored my warnings and left anyway. I was very disturbed because a friend of his had just been in a drunk driving accident. I was very mad at him, told him clearly that I will always be his friend but prefer not to talk to him or see him if he showed up drunk again. He did not call for a while and neither did I. When he called me yesterday and I told him that I thought he should do something about his alcohol problem, he kept repeating his excuses, that he drinks because he is Irish, that he doesn't care if he dies early as long as he had fun in life, etc. On the other hand, he can't find a job and seems to be very depressed. I want to help him, but I don't know how. Any ideas?

My new job requires me to travel by airplane quite a bit. While flying, I sometimes have a cocktail or two, and most of the time, I am really loopy by the time we land. Some colleagues of mine have told me that one drink in the air is the equivalent of two drinks on the ground. How is this possible?

I have been doing weed for about six months now and on occasion a few other drugs. I usually do it only on average three times a week and a lot more on the weekends. I feel that it is ruining my life because my concentration is terrible and my marks have dropped significantly (20 points). I feel like I'm in a dream all the time and it just isn't fun anymore. I have heard that pot is not addictive but I have tried to stop but I feel sick and irritable if I don't smoke up. I have realized I need to quit but I can't. Why can't I stop if this "soft drug" is not addictive? Am I crazy? Please help. I want my life back. Thank you so much.

Two questions on alcohol:

A friend has had a lot to drink, and they are on the verge of collapsing or throwing up, etc. I'm good at the emotional consolation stuff when people get upset, but what about what I should do physically?

Should they lie down, sit upon the floor, sit in a chair? Should they drink water? Should I get them to eat something? Should I take their wrists and make them wave their arms to keep blood rushing? Should I get them to walk? Should they be outside in the fresh air, or in the warmth? Where should I be, sitting side by side with them, sitting on the floor with my chest to their back?

Secondly, if I'm also drunk and I think that the atmosphere around me is getting aggressive, how can I accelerate sobering up to retain the role of a coordinator and get people sorted out?

Thanks if you can help.

I have never had a problem with alcohol tolerances in the past. I could drink at least four or five drinks and be fine that night and the next morning. Now, I find myself getting violently sick after drinking just one or two. Even after a glass of wine I want to puke it up. Is there something physically wrong with me? I know the obvious solution is to stop drinking entirely. But, I shouldn't be this sick after drinking just one drink. Have you ever heard of this before? Can you help me figure out the problem?

My girlfriend of about a year is going to college next year as am I but we are going to attend different colleges. We are about forty-five minutes apart in distance and we have no problem whatsoever in keeping the relationship and we plan on keeping it alive and healthy, but I have a problem with alcohol. I don't drink alcohol and don't ever plan on it but I am curious as to it being rude or improper to ask her not to? Is it my place at all to ask her that she not drink at college? I feel strongly about her in this situation. She doesn't drink but thinks she might like it... Is it fair or my place to ask her not to drink? Thanks, Alice...

I recently had a very bad experience with alcohol poisoning where I blacked out for several hours and had a horrible hangover the next day. Many of my friends told me that when they had blacked out or even just gotten sick from alcohol, they did not want to drink again for weeks or months. One friend even stopped drinking altogether from such an experience. I am worried, though, because it is only one week after my terrifying experience and I am already craving alcohol again. Why hasn't my horrible experience turned me off to alcohol, while the day after, I swore I would never drink again because it had been sooo scary? I cannot be an alcoholic, because I only started drinking two months ago. What is wrong with me?

My granddad has been an alcoholic for ages — way before I was born. I am really worried about my granddad’s drinking. My father doesn't like me to see him when he is drunk, but that is kind of hard. What are the best groups for alcoholics? And most importantly, what should I do?

My uncle shoots heroin. My father used to do cocaine. My moms' (both of them) used to smoke weed with their friends when I was eight. I smoked weed when I was twelve. I sold weed at 14.

I don't want to continue in the vein of my addictive family (no pun intended). How hereditary is addiction? What measures can I take to avoid falling into the same hazy trap of my family members?

I am a freshman on a collegiate varsity sports team. Team gatherings, when we are not practicing, usually consist of excessive drinking with and without drinking games. I did not drink in high school and when I tried drinking with the team it made me feel really sick. I want to bond with my teammates (they are really great when not drunk) but I don't know how because if I am the only guy in the room not drinking I can't play drinking games with them, discuss favorite types of alcohol, or even carry on a real conversation because at a certain point in the night they stop forming coherent sentences. I need to be friends with this group of people but I would like to do so in a way that allows me to remember the night in the morning. Is this possible? What should I do?

While I don't really approve of their lifestyle (why devote six days a week to practice only to reduce your performance with alcohol?), I make no moral judgement. I don't want to change their way of doing things, I just want them to respect my way.

I am curious about the effectiveness of ketamine for therapy and recovery of drug use in young people/teenager in depression and success rate.

I am a 23 year old female who enjoys a few glasses of wine but, in my opinion, doesn't drink more than the average college student. A few weeks ago, I had quite a bit to drink and haven't felt the same since. I am dizzy, forgetful, confused and my liver is very tender to the touch. I have continued to have a few glasses of wine a couple nights out of the week and it seems to be the only thing that gets me back to feeling "normal." Is this a normal way to feel or should I be concerned?

Is it alright to drink alcohol two months after having a Mallory-Weiss tear? Is the alcohol consumption a cause for a recurrence or is the vomiting that is the cause? Is it okay to continue drinking as long as there is no vomiting involved?

Does the classification of a "lightweight" with regard to alcohol consumption imply anything about the liver? In particular, is there anything abnormal about feeling tipsy after only one beer (vital stats = 155 lbs., 6 ft.). I know my family has a history of liver problems and I have in the past drank to excess on many occasions. It has never taken much to become inebriated and now it takes even a little less. Should I be worried?

1) Are there any adult children of alcoholics groups on campus?

2) My father is an alcoholic and I've been told that I should stay away from drinking altogether. I'm a freshman this year and it seems like most of my friends always want to go to keg parties or hang out and drink. Sometimes I drink with them, but then I feel guilty and worried afterwards as I think about my dad. It's hard to avoid alcohol here, but I don't want to follow in my father's footsteps either. Any advice or support you can give would help. Thanks.

My boyfriend is on steroids. He injects them through his rear end. I have seen no negative signs of this but I have read about them and I am worried that extended use of this drug will lead to serious problems, emotional and physical. I have told him about the problems steroids cause, but he doesn't think it will happen to him. What could I do to stop his use?

I never get hungover, yet I am a light female. You guys say that this is a sign of a serious problem, please explain.

I think it would be a good idea for me to stop smoking marijuana and cut down on my drinking, at least during the school year. The problem is, I have been doing it for so long it is almost as though I have forgotten how to have fun without it. Contributing to this problem is the fact that many of my friends smoke or drink to have fun. Many of my other friends just do not seem to have fun at all; they stay in Friday and Saturday nights to do work. I've found it difficult to quit, I think because I'm just not sure of what's out there to do that's fun without being stoned or drunk. Can you recommend anything that's fun whether you're intoxicated or sober, so that I don't have to stop hanging out with certain friends if I want to relax and have fun? I want to finally enjoy life without relying on an altered state of consciousness. What's there to do when you're sick of renting movies? Also, any tips for resisting the urge to take people up on their offer to toke up? (I'm never pressured into it, but it's like the dieter who's offered some chocolate cake — it's there, it looks sooo good, and the fact that other people are doing it makes it seem more "okay.") Thanks so much.

I get stressed out with everyday life and find drinking a great stress release, but I am finding that I drink more and more every week and my stress levels never really decrease. Does that signify a problem? Any suggestions?

Is alcoholism an habitual addiction or can it also be a chemical one? I have heard that it is not chemical, but have lived with people who needed the alcohol every night.

I have two friends who were recently diagnosed with depression. They were both prescribed Prozac by their respective doctors. Both of them are heavy marijuana users and both failed to mention that to their doctors. One has been on Prozac for two months and the other for six weeks. I have noticed that their behavior has become strange: mood swings, paranoia, oversleeping, fatigue. They continue taking their Prozac (20 mg a day) and continue smoking pot. I am afraid that there might be some negative interaction between the substances, one being an antidepressant and the other a depressant. Can you provide some insight?

I was really drunk and don't remember the night clearly, but I think I may have had sex. Now I don't know if I could be pregnant or not. I had never had sex before this. Help me please!

I have a friend at school who quit smoking last year in January, and went back to it in October. I have no idea why, and he also started doing other drugs, such as smoking blunts, doing ecstasy, and taking steroids. The drug that I am worried about him doing the most is ecstasy, because it's a dangerous drug. Also, he is always talking about doing drugs. How can I help him? I still want him to be my friend. Please help. This is serious.

Lately, I have been doing a drug called Special K. I know it is a sedative/tranquilizer (what's the difference?), but very little about side effects, etc. Also, can you go over similar information about the drug X?

I have been a smoker for about 8 years and smoke about a pack per day. I am also an alcoholic and now drink about 7 to 10 beers a day, and have been for the past 2.5 years. Last night I decided to quit drinking beer every day and today I am already shaky, nervous, and can't concentrate. I want to quit smoking also so I can join the army. Is it dangerous to quit both at once? Would it be too much stress on my body and mind? And also, would having just one beer a day for the next couple days help with the withdrawal symptoms?

I have a huge dilemma. I have an addiction to a certain drug that has turned my life upside down. That drug is crack cocaine. The worst part about it is that nobody knows this but me. Nobody knows that right now, my life is on the brink. How do you express this problem to people who don't even have a clue as to what you are dealing with? How do you reach out to the people who you love and trust when you are so ashamed of the truth? One thing that I do know is that I'd better do something fast because if I don't, I will lose my fight with life. HELP!!

I have been trying to find information about the hope for recovery for previous meth users, but there doesn't seem to be a consensus. Some sources say that meth causes permanent damage to the brain, while others are a little more hopeful and say some important brain functions might recover.

I used meth about fifteen times, which I gather isn't a lot in comparison to other meth users but is still a considerable amount. For a while I have felt paranoid and anxious and it has been more difficult to perform daily tasks and just generally think straight. Also, things I used to enjoy are not really that enjoyable anymore.

My question is, will I be able to have my brain back? If so, how much of it? Will I ever go back to being my old self?

I originally took a muscle relaxer because I was experiencing very bad back pain and could not sleep. I was not prescribed the muscle relaxers. My friend suggested I take one of hers. So I did, and now I will take one sometimes before bed if I can't fall asleep or if I want to actually just relax. It makes me just want to sleep, and I feel really calm after taking one. Is this bad that I take them for this reason? What are the side effects? Is it harmful?

If you have little resources (i.e., money) left, can you get some help in drug rehabilitation centers?

I have a very addictive personality. Fortunately, I am married and have a family and because of the added responsibility of taking care of my family I stay away from a lot of the harmful vices. However, for some stupid reason I decided to try out nicorette. I quit smoking about 12 years ago and thought I would just try out nicorette to see if I could get a buzz. Well two years later I am totally hooked on the stuff and wondering if I should start smoking/chew/patch to get off the stuff. How bad is nicorette for you and is it better than smoking?

I am an ex-hardcore drug user — speed and cocaine to heroin — with 25 months of sobriety from drugs and alcohol. Now that I do not go out to clubs or party, I am finding difficulty in relationships.

Women do not understand why I do not drink. When they ask, I tell them where drugs and alcohol have gotten me in the past. This always seems to scare them off.

I feel guilty not telling them that I used to be an intravenous drug user, but when they ask about the tattoo on my arm that symbolizes a promise to myself never to inject again. I am honest about what it stands for. I never shared needles, I have been tested for AIDS/Hep-C and all of the tests have returned negative.

I am having difficulty finding someone that understands.

I have been taking between 5 and 10 mgs of methadone daily. I cannot seem to stop. Every time I try, I get very, very depressed and experience abdominal pain, chills, hot flashes, and sleeplessness. The depression and tremendous anxiety are intolerable and I end up taking more to avoid it. Question: Am I harming my body and/or mind with this stuff? How can I get off without the horrible feelings?

I have just realized that I am not able to handle alcohol. Whenever I go to a bar or a club, I drink to excess. I do not have any urge to drink. However, when I am in a club or a bar, the same thing happens: I drink too much! This is making me think that I am an alcoholic. My question is: Where can I go for help? Thanks.

I want to thank you and Columbia for this wonderful service! I have been browsing your archives for some help, here is the situation: I want to know what I can do to support my significant other when he is released from Drug Rehabilitation. Please help me!

1) I found a white powder in my friend's car and I think it might be cocaine. I'm not sure if it is or not. I don't know if I should confront him with it or what I should do. I don't want to see my friend get hurt, but if I'm wrong, I don't want to falsely accuse him of something like this. How should I go about handling the situation?

2) I am a first-year business student and have a little sister who is a junior. I think she is doing cocaine because I found some "paraphernalia" in her room last week. What can I do without damaging my relationship with her?

Do different kinds of alcohol (specifically liquor) actually make you different kinds of drunk? Or is it a cultural/psychological thing? I've noticed that I feel different when drinking wine vs. vodka vs. tequila, and I'm wondering if there's a physiological reason.

My 21st birthday is coming up. I've already had two sets of friends and my mom's boyfriend offer to take me to the bar for drinks. The problem is, I have never been drunk before, let alone consumed alcohol. I chose not to drink for a few different reasons and am not sure if I should change anything for my birthday. On the other hand, I feel that I am obliged to go out drinking on this "special occasion."

I am a healthy, fit, 18-year-old male. I have tried both ways: consuming small amounts of alcohol regularly (one standard drink a day) and consuming a lot of alcohol irregularly (10 to 20 standard drinks in one night, but only two days a month, or thereabouts).

I have tended towards drinking a lot irregularly because I have found that I can't notice any effects until I have had at least four or five drinks, 80 to 100 proof shots, usually mixed with soft drink.

I was wondering if either way was less healthy or more of a risk as the same amount of alcohol is ultimately consumed. Also, I noticed that I got a bit more of a 'beer gut' when I had one-a-day than 15 at once; is that likely or just my imagination?

Recently (the last six months or so) I've been getting really tired after a couple of drinks (let's say three or four). By eleven at night, I'm ready to call it quits. My friends and boyfriend poke fun at me because I usually head home before they do. How can I last longer in a healthy way? I definitely try to drink water throughout the night, but is there anything else?

What can I say to prevent someone from drunk driving?

My friend recently told me that she has a serious blow problem. She lives with her boyfriend and she said that all they do is work, sleep, and blow. By telling me this I understand that she has taken some very important steps into wanting to get better, but I'm completely useless in trying to help because I just don't know enough about the drug and rehab and ways to support her.

So far I've made the suggestion that she come spend some time with me and away from home so that the reminder of it is lessened, I can prevent her from bringing it in, and can try and keep her occupied to take her mind off it. What else can you suggest?

Lately, my boyfriend has been sleepwalking. I'll wake up, and he will be sleeping elsewhere — downstairs on the couch, his roommate's room, etc. At first, we thought it was funny. However, now that it has reoccurred (more than once or twice), he is very upset about it. He thinks it is from drinking too much. Could this be the case?

(1) I have a daughter who just joined AA. She has a drinking problem. What are our responsibilities to her as a husband, father, mother?

(2) Should any alcohol be kept in her house or our house (we are the parents) when she is around?

(3) It has been said that alcoholism runs in families — is this true? Does it seem to skip generations? If so, why?

Do any alcohols have any specific benefits? As in, is tequila better than vodka? And is red wine the best choice because of its antioxidants?