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I took 800mg of Ketoconazole for a skin fungus over Tuesday and Wednesday, with my last dose @ 12:30am on Wed. On Sunday, I got the OK from the doc to have a beer at a party I was at, I didn't even finish the beer. This was the first alcoholic beverage I've had in 8+ days. I got to bed at about 1am

This morning I woke up at 7:30am very tired, and have become more fatigued as the day has went on. I've had a slightly upset stomach and have had BMs more frequently today than usual. My arms and legs, esp my thighs and forearms, are very sore; my limbs feel as if I've been working out. The only heavy lifting I did was a backpack full of clothes a few blocks.

I'm really afraid that my liver is going crazy from the single beer I had and the Ketoconazole 3 days before. Is this possible? or did I just not get enough sleep last night?
I don't think it was the beer, nor do I think it was the ketoconazole. You might just be getting sick.

You weren't on that high of a dose for any period. You didn't have that much alcohol.

Do you notice any yellowing of the skin or eyes (jaundice)?

If your symptoms worsen check with the doctor.
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