Tetanus shots are not recommended with alcohol consumption. Because tetanus shots are divided into tetanus toxoid, which requires a skin test and is relatively cheap, and tetanus immunoglobulin, which does not require a skin test and is quite expensive. The majority of outpatient and emergency departments use tetanus toxoid, which requires a skin test treatment. Patients who are allergic to the skin test are prohibited from using it. Drinking alcohol causes dilation of the capillaries throughout the body and skin flushing, which can affect the results of the skin test, bringing risks to the treatment, and also increasing the cost of treatment. It is generally recommended that the tetanus shot be administered within 24 hours of injury, especially for patients with deep wounds, heavily contaminated wounds, contamination with soil or rust, or large open fractures.