When medications say do not take with alcohol does that mean i cant ever drink or does that mean don't take it with alcohol still in your system?

Depends: Most meds labelled like that can actually be taken with alcohol. Manufacturers are known to be overly cautious like that. But there are a few notable exceptions. In the vast majority of cases you can take the warning to mean not with alcohol in your system. Your specific case may be different so best to ask your doc. Of course excessive use of alcohol should be discouraged whether you take any o