What makes binge drinking lethal is often when alcohol is combined with other drugs... as
@nothingleft pointed out, benzos and alcohol are particularly deadly, as they potentiate the effects of each other and can lead to respiratory arrest; the same is true for opiates.
Then too, we've all heard stories about famous folks like John Bonham, who drank 40 shots of vodka and died after he aspirated his own vomit while he was unconscious and choked to death.
In that awful, tragic story about the fraternity hazing, the article stated that antidepressants contributed to his intoxication. I'm not sure about this, unless he was taking a drug like Trazodone that causes drowsiness. Otherwise, I doubt SSRIs or SNRIs would really have any significant effect on intoxication. He didn't die from acute alcohol intoxication per se; he died from the traumatic brain injuries he sustained from falling. However, his BAC was 0.4, which can also be lethal.
As far as withdrawl goes, yeah, you can die from DT's, but you hafta be a
really dedicated drinker for some time... really heavy drinking for a really protracted time. Withdrawl from that will cause hallucinations ( hello, pink elephants!) and potentially lethal seizures.
Delirium tremens is a severe form of alcohol withdrawal. It involves sudden and severe mental or nervous system changes.
medlineplus.gov
Long story short, there's a lot of variables for actual blood alcohol poisoning, but death becomes a lot more certain once your BAC is >0.4. There are calculators online to determine BAC using your weight and # of drinks.
We are a non-profit with a serious mission to prevent the senseless loss of young adult lives from alcohol poisoning.
awareawakealive.org
Fentanyl can be reversed with Narcan (naloxone), but there's no way to reverse acute alcohol intoxication. All they can do is pump you full of IV fluids and, in extreme cases, emergently dialyze the individual to filter the alcohol out of their blood.