Question: Doctor,
I have been an alcoholic and weight trainer for over twenty years now. I do not drink for months when I am in the Gymnasium. The day I touch alcohol, I cannot stop for months, until admission to the hospital for Hepatotoxicity (from hepatic toxicity) . I start drinking in the morning during this phase and continue until I pass out. However, after release from the hospital, I get back to gymnasium and start my workout all over again. I have consulted many doctors and been to the rehab program six times , however after few months I always had a relapse. Since my last release from the hospital, it is now over 5 weeks since I have had alcohol.

I take Modafinil/ Provigil 200 mg in the morning, followed by 20 mg Librium in mid-afternoon and 20 mg in the evening. I also take Amitriptyline, sold under the brand name Tryptomer 25mg before I go to bed.

My query is that I also take loads of supplements for my workouts. So please can you advise me on the interactions of the above medication with supplements Phenethylamine (PEA), Methylhexanamine commonly known as Geranamine,1,3-dimethylamylamine (1,3-DMAA),

SARMS- MK677, Cardarine and Ostarine.

Pre-workout out Powder-ingredients Thyrosine, Vinpocetine, Gurana extract, Huperzita Seerata/Huperzine, Aegeline, Garcinia Cambogia,Cirsium Oligophyllum, Rauwolscine extract.
Please do not advise to abstain me from taking the workout supplements, however please let me know, if there are any interaction between work-out supplements and Modafinil, Librium and Amitriptyline.
If you can highlight particular ingredient, I can then omit it out from taking it with Modafinil, Librium and Amitriptyline.
Thanks

Thanks for your reply, however my question was whether Modafinil, Librium and Amitriptyline have interactions with the supplements and not alcohol. I am aware that all three of the medications have interaction with alcohol, so please answer whether they have interaction with the supplement, if yes ! then which supplement.

thanks

Doctor there are two supplements that interacts directly with SSRI/SNRIs that I am aware of hence, I have omitted it from my daily workout regime. It looks like you too do not have enough information on themeither

Thanks