December holidays are fun, but they also disrupt routines. Travel, late nights, big meals, and social drinking all make it easier to forget a dose or decide to “skip just this once”. That one slip can snowball into complications, emergency visits, or even a hospital stay. Here’s what you need to know, and how to protect yourself and your family.
Why People Skip Medication in December
Festive season pressures are real. Pharmacies and doctors operate on reduced hours, people travel without planning refills, pill boxes stay at home, and social plans disrupt sleep and meal schedules. Some stop meds intentionally because they feel “fine”, want to drink alcohol, are worried about side effects, or assume a short break won’t matter.
What Can Go Wrong? Here are Some Examples:
- Blood pressure & heart disease: Missing antihypertensives or statins can lead to rebound high blood pressure, chest pain, heart attack, or stroke. Some cold/flu remedies can raise blood pressure or interact with heart medications, so always check with your doctor before using them.
- Diabetes (type 1 and 2): Skipping insulin or tablets can drive glucose dangerously high. Rich meals, alcohol, and late nights increase the risk of dehydration and diabetic ketoacidosis (DKA) or hyperosmolar states, both of which are medical emergencies.
- Asthma/COPD: Stopping preventer inhalers raises the risk of a flare-up. Festive triggers, smoke, cold air, and dust from decorations can make matters worse. Keep reliever inhalers handy and don’t let controllers lapse.
- HIV treatment: Even short interruptions can allow the virus to rebound and develop resistance, narrowing future treatment options.
- Epilepsy: Missing doses increases seizure risk, which can be life-threatening, especially around water, roads, or heights during holiday activities.
- Mental health medicines: Abruptly stopping antidepressants, antipsychotics, mood stabilisers, or benzodiazepines can cause withdrawal, relapse, or severe symptoms (anxiety spikes, insomnia, mood swings).
- Thyroid disease: Stopping levothyroxine leads to fatigue, weight gain, and slowed thinking; long gaps can worsen cardiovascular strain.
- Blood thinners: Missing doses raises clot risk (stroke, DVT/PE). Conversely, binge drinking or mixing with certain painkillers can increase bleeding risk.
- Antibiotics & TB treatment: Pausing or taking “holiday breaks” fuels drug resistance and treatment failure. Always complete the course.
- Contraception: Skipping pills means an unplanned pregnancy risk. Familiarise yourself with your pill’s “late/missed” rules and have information on emergency contraception readily available.
Alcohol, Party Meds, and Interactions
Alcohol can dangerously amplify drowsiness (when used with sedatives, some antihistamines, pain tablets), raise blood pressure, trigger hypoglycaemia in people on insulin or sulfonylureas, and irritate the stomach, especially if you’re on anti-inflammatories or blood thinners. Grapefruit juice and certain festive cocktails also interact with common meds (some statins, calcium-channel blockers). When in doubt, ask a pharmacist or GP before you party.
Travel and Time Zones
Flying or long road trips disrupt dosing times. For once-daily medicines, keep doses roughly 24 hours apart; for multiple-daily medicines, carry alarms to stay in rhythm. Keep medication in original packaging in your hand luggage (not checked bags), along with a written list of your doses. Temperature matters: insulin and some biologics require cooling; inhalers and test strips must be kept dry; tablets shouldn’t bake in a hot car.
“Sick-Day Rules” for Diabetes and Chronic Illness
Festive stomach bugs happen. If you can’t keep food down or have diarrhoea, some medicines need to be paused while others become more important. People with diabetes should check their glucose more often, hydrate with sugar-free fluids, and never stop insulin without medical advice. If blood glucose stays high, ketones appear, or you can’t drink, seek urgent help.
What to Do if You Miss a Dose
Read your patient leaflet. The general rule for many medicines is: take it as soon as you remember unless it’s close to the next dose, in which case, skip the missed dose (never double up). Exceptions exist (e.g., certain anti-seizure and HIV meds), so confirm with a professional.
Red-Flag Symptoms: Don’t Wait
Call for urgent care if you have chest pain, severe shortness of breath, one-sided weakness or trouble speaking, a seizure lasting more than five minutes, severe dehydration, confusion, blood in vomit or stool, or signs of DKA (nausea, vomiting, abdominal pain, rapid breathing, fruity breath).
The Bottom Line
Skipping medication during the festive season may seem harmless, but even short breaks can cause serious complications and undo months of progress. Your treatment keeps your body stable, especially during times of stress, heat, and indulgence. This holiday, plan ahead: refill prescriptions early, pack enough medicine for travel, and set reminders so you never miss a dose.
Always check with your doctor or pharmacist before mixing medication with alcohol or other remedies. Taking your medicine as prescribed is an act of self-care that protects your health and peace of mind. Affinity Health offers 24/7 telehealth GP consultations and a wide network of healthcare providers to help you stay safe and on track this festive season.
