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Latest Articles
2024-04-27 9:00
Alcohol and Health
Can Alcohol Cause Diverticulitis?
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Scientists are divided about the relationship between diverticulitis and alcohol. Today, we answer all your questions, including, “Can alcohol cause diverticulitis?”

19 min read

Your Pocket-Sized Recovery Coach

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

You fidget on the paper-covered table, swinging your legs, waiting for the doctor to arrive. The nurse asks a lot of questions about your symptoms — nausea, fatigue, and lingering abdominal pain.

“How long has this been going on?”

You’re not quite sure.

“How many alcoholic drinks do you consume each week?”

You’re not sure about that, either.

Part of you thinks this appointment may be overkill, but then again, those late-night Google searches turned up some scary diagnoses — gastritis, appendicitis, and diverticulitis. The paper crinkles as you pull out your phone to look up that last one. What is diverticulitis, and could it be linked to your alcohol use?

Diverticula and Diverticular Disease Explained

A person wearing holding their stomach, indicating discomfort in that area.

First, we’ll need to familiarize ourselves with the differences between diverticulosis, diverticulitis, and diverticular disease. Stick with us — we promise it’ll make sense.

“Diverticula” is the scientific name for abnormal, marble-sized sacs that can form in the wall of the large intestine. Any medical problem involving these structures is classified as a diverticular disease.

There are two major forms of diverticular disease: diverticulosis and diverticulitis. The words look similar, but if you take a look at those suffixes, the differences are easy to spot:

  • -osis means “disease or condition of” 
  • -itis means “inflammation of”

Let’s explore the disease of and inflammation of diverticula. Hint: one is a prerequisite for the other.

What Is the Difference Between Diverticulosis and Diverticulitis?

Diverticulosis is a disease or condition of the diverticula. It’s the catch-all term for the formation of those tiny pockets in our intestinal wall. They’re created when our bowel muscles weaken and the inner layers push outwards. 

Most of us won’t realize we have diverticulosis; it tends to be symptomless. In fact, we may only get a diagnosis after those pouches get inflamed. That’s what diverticulitis is.

After intestinal antechambers have formed, they may tear, wear away, or begin to bleed. Diverticulitis is the medical term for the inflammation, perforation, or infection of those pockets. It’s a relatively rare condition that impacts just 4% of people with diverticula. Symptoms generally include persistent abdominal pain, nausea, and vomiting.

So, to recap: diverticulosis is the development of intestinal pockets. Diverticulitis is the inflammation or infection of those pockets. In this article, we’re talking about diverticulitis and alcohol.

How Alcohol Affects Our Digestive System

Symptoms of Diverticulitis

But let’s face it — no matter where we go, there will be alcohol. According to the World Gastroenterology Organisation, 75% of diverticular disease cases are simple. The other 25% come with complications like abscesses, bowel obstruction, peritonitis (inflammation of the abdominal lining), sepsis, and the formation of fistulas. The symptoms of diverticulitis vary from person to person, and they depend on the severity of our condition. 

The hallmark of diverticulitis is severe, persistent abdominal pain, especially on the lower left side. However, some people may experience more discomfort on the right side, which is why diverticulitis and appendicitis are often confused.

There are other symptoms, however, that can help differentiate the two:

  • Sensitivity to touch (abdomen)
  • Changes to bowel movements (usually constipation, more rarely diarrhea)
  • Fever
  • Cramps
  • Bloating
  • Nausea
  • Vomiting
  • Blood in stool


Many people refer to diverticulitis as a “flare-up,” since it occurs when those little pockets are inflamed. Pain, cramping, and changes to bowel movements can be signs of diverticular distress. Those previously diagnosed with diverticulosis should contact their treatment provider if these symptoms develop.

Causes of Diverticulitis

Because diverticulitis is correlated with age, it’s much more common in older people. When younger folks develop this condition, it’s usually due to factors like obesity and high-risk activities. Smoking, a sedentary lifestyle, and a high-fat, low-fiber diet can increase the risk of diverticulosis and, subsequently, diverticulitis.

Some researchers have begun to speculate about alcohol’s involvement in diverticular disease. Can alcohol cause diverticulitis?

How Alcohol Affects Our Digestive System

Few substances impact our esophagus, stomach, and intestines as strongly as alcohol. Diverticulitis and other GI conditions don’t just develop overnight; it may take years for us to begin experiencing symptoms. That’s because of the insidious ways booze affects our digestive system:

  • Motility issues. Alcohol restricts the movement of the muscles that line our esophagus, stomach, and intestines. This may cause heartburn, diarrhea, or constipation.
  • Mucosal damage. Mucosa is the scientific name for the delicate tissue lining structures like our esophagus. Long-term exposure to alcohol or recurrent vomiting can tear the mucosa or cause abnormal structures called varices to form on it.
  • Malabsorption. Alcohol use disorder (AUD) is associated with nutritional deficiencies, partially because it keeps the small intestine from absorbing the vitamins found in our food.
  • More toxins. Alcohol is also a bit of a traitor; even while restricting the absorption of nutrients, it increases the movement of toxins through the intestinal walls, which increases our risk of organ damage.

Conditions Associated With Heavy Alcohol Use

There’s more to gut health than diverticulitis and alcohol. In time, drinking can impact our overall gastrointestinal well-being. Many GI disorders are connected to heavy alcohol use:


  • Inflammation. Drinking can cause inflammation in the stomach lining (gastritis) and pancreas (pancreatitis), as well as other crucial structures. Symptoms include abdominal pain, indigestion, nausea, and vomiting.

  • Alcohol-related liver disease. Abbreviated ARLD, alcohol-related liver disease is a catch-all term for a variety of liver conditions, including cirrhosis (heavy scarring) and alcoholic hepatitis (inflammation of the liver).

  • Cancer. A pattern of heavy drinking places us at risk of several forms of cancer, including cancers of the colon, esophagus, and liver.

  • Vitamin deficiencies. Alcohol misuse keeps us from absorbing nutrients like vitamins B9, B12, and D. This deprivation suppresses our body’s ability to fight infections and disrupts crucial processes like red blood cell production, DNA synthesis, and cellular division.

  • Weakened immune system. Finally, drinking affects the immune system by hindering the production of white blood cells, disrupting our gut’s microbiome, and making us more susceptible to infections.

Diverticulitis and Alcohol: Correlation vs. Causation

Alcohol is related to myriad gastrointestinal disorders, but is it a major player in the irritation of diverticula? Scientific opinion is mixed.

One study from The Journal of Clinical Gastroenterology determined that alcohol consumption is a risk factor for diverticulosis (which, in turn, can lead to diverticulitis). Researchers found that the more a person drank, the more likely they were to develop the condition.

Another group of researchers published similar results in the journal Medicine (Baltimore). They analyzed a database of almost 260,000 people and found that those who consumed alcohol were more vulnerable to diverticular disease. This large-scale study illustrates a clear correlation between alcohol use and conditions related to diverticular disease.

However, some studies have identified an opposite trend. A good example is a meta-analysis published in The Hawaii Journal of Medicine and Public Health, which found no significant relationship between alcohol and diverticulitis or diverticulosis.

While researchers are still gathering information about whether alcohol causes diverticulitis, we’ve confirmed that drinking is not good for our digestive system.

Does Alcohol Affect Diverticulitis?

So, if we have diverticulitis, can we still drink?  

It’s probably not the best idea.

First, drinking weakens our immune system, which is a no-go when we’re fighting off any kind of diverticular infection. Alcohol also interacts with the antibiotic medications used to treat this condition, reducing their efficacy and increasing the likelihood of adverse reactions. Finally, severe cases of diverticulitis may result in fistulas, bowel obstructions, and other complications, and drinking might increase these health risks.

What Is the Best Type of Alcohol for Diverticulitis?

There’s no “best type” of alcoholic beverage to drink during a bout of diverticulitis. There is a worst one, though — liquor, or any libation with a high alcohol concentration. Check the alcohol by volume (ABV) before cheers-ing and consider booze-free alternatives.

How Much Is Too Much?

If we’re in the middle of a diverticulitis flare-up, it’s best to avoid alcohol altogether. Once we’ve recovered, we should talk to our doctor, who might give us the okay to begin reincorporating alcohol. They may also recommend that we continue to abstain, or only drink one or two beverages on special occasions. It is important to follow our physician’s advice to protect our health and safety after a diverticulitis diagnosis.

How To Treat Diverticulitis

If you’re experiencing a diverticulitis flare-up, follow your doctor’s orders, not listicles on the Internet! In addition to your doctor’s orders, however, some lifestyle changes can help alleviate symptoms and prevent future flare-ups: 

1. Forge a new relationship with fiber. Low dietary fiber is behind many cases of diverticular disease. Eating more roughage — a.k.a., vegetables you have to chew thoroughly — can do great things for your GI tract. High-fiber foods are more than just beans and broccoli. To keep diverticulitis at bay, try incorporating more bananas, berries, avocados, brussels sprouts, and whole grains into your meals. If you’re experiencing a flare-up, your doctor may recommend a low-fiber diet instead. This is why it’s important to speak to your doctor before making any major nutritional changes.

2. Move more. Exercise promotes regular bowel movements, improves digestion, and reduces stress, which can worsen the symptoms of diverticulitis. Once your flare-up has passed, ask your provider about low-impact physical activities to boost your health.

3. Take a fiber supplement. A variety of fiber sources can help regulate your bowel movements. For some of us, these supplements work wonders. Talk to a doctor before starting any dietary supplement, even Metamucil or Benefiber. If you do add fiber supplements to your regimen, do so gradually to avoid bloating and gas. 

4. Drink a lot of water. Hydration is especially important if we struggle with constipation or diarrhea. Drinking enough water keeps waste moving smoothly through our GI tract. Try to hit the recommended daily intake of 13 cups of water per day for men and nine for women.

5. Avoid NSAIDs. Nonsteroidal anti-inflammatory drugs (NSAIDs) like Advil and Aleve can irritate our GI tracts, especially our intestines. Cutting down on these over-the-counter pain remedies may be a good idea for those concerned about diverticulitis.

6. Try meatless Mondays. Researchers have found that diverticular disease is much less common in vegetarians. If you’re not down for a meat-free diet, try cutting it out once or twice a week.

7. Avoid alcohol. Drinking can increase our risk of diverticulitis flare-ups and the formation of new diverticula. Cut back on drinking or leave it behind for good! If you need help cutting back on your alcohol use, Reframe can help.

8. Seek medical attention. If you suspect diverticulitis, make an appointment with your doctor or go to the emergency room. Your physician may recommend surgery, prescribe antibiotics, or put you on a clear liquid diet (that doesn’t include alcohol).

When To See a Doctor

Whenever you experience persistent abdominal pain, it’s a good idea to seek medical attention. Don’t wait for the discomfort to pass — you never know what’s to blame. An experienced healthcare provider can rule out life-threatening conditions like appendicitis, which would require emergency surgery.

Pain isn’t the only sign that something is wrong. If you’ve already been diagnosed with diverticulitis or diverticulosis, consider calling the doctor when you experience the following:


  • A high fever, which could be a sign of a diverticular infection
  • Significant changes to your bowel movements
  • Bloating, vomiting, or nausea
  • Diverticulitis symptoms that haven’t improved with treatment

Divert Your Drinking

Back to that crinkly-papered exam table — if your doctor comes into the room and diagnoses you with diverticulitis, we hope this article will give you some actionable ideas about how to move forward. If they ask you to cut back on your drinking, Reframe can help you address your alcohol intake.

Reframe is a proven habit-change app that draws from leading behavioral research, a network of medical and lifestyle professionals, and neuroscientific best practices. With partners at Emory, Harvard, and other major institutions, we’ll show you how to live a fulfilling life with less (or no!) booze.

We made Reframe to help people like you discover the very best versions of themselves. To try the app free for 7 days, visit the App Store or Google Play. We can’t wait to see you thrive.

You fidget on the paper-covered table, swinging your legs, waiting for the doctor to arrive. The nurse asks a lot of questions about your symptoms — nausea, fatigue, and lingering abdominal pain.

“How long has this been going on?”

You’re not quite sure.

“How many alcoholic drinks do you consume each week?”

You’re not sure about that, either.

Part of you thinks this appointment may be overkill, but then again, those late-night Google searches turned up some scary diagnoses — gastritis, appendicitis, and diverticulitis. The paper crinkles as you pull out your phone to look up that last one. What is diverticulitis, and could it be linked to your alcohol use?

Diverticula and Diverticular Disease Explained

A person wearing holding their stomach, indicating discomfort in that area.

First, we’ll need to familiarize ourselves with the differences between diverticulosis, diverticulitis, and diverticular disease. Stick with us — we promise it’ll make sense.

“Diverticula” is the scientific name for abnormal, marble-sized sacs that can form in the wall of the large intestine. Any medical problem involving these structures is classified as a diverticular disease.

There are two major forms of diverticular disease: diverticulosis and diverticulitis. The words look similar, but if you take a look at those suffixes, the differences are easy to spot:

  • -osis means “disease or condition of” 
  • -itis means “inflammation of”

Let’s explore the disease of and inflammation of diverticula. Hint: one is a prerequisite for the other.

What Is the Difference Between Diverticulosis and Diverticulitis?

Diverticulosis is a disease or condition of the diverticula. It’s the catch-all term for the formation of those tiny pockets in our intestinal wall. They’re created when our bowel muscles weaken and the inner layers push outwards. 

Most of us won’t realize we have diverticulosis; it tends to be symptomless. In fact, we may only get a diagnosis after those pouches get inflamed. That’s what diverticulitis is.

After intestinal antechambers have formed, they may tear, wear away, or begin to bleed. Diverticulitis is the medical term for the inflammation, perforation, or infection of those pockets. It’s a relatively rare condition that impacts just 4% of people with diverticula. Symptoms generally include persistent abdominal pain, nausea, and vomiting.

So, to recap: diverticulosis is the development of intestinal pockets. Diverticulitis is the inflammation or infection of those pockets. In this article, we’re talking about diverticulitis and alcohol.

How Alcohol Affects Our Digestive System

Symptoms of Diverticulitis

But let’s face it — no matter where we go, there will be alcohol. According to the World Gastroenterology Organisation, 75% of diverticular disease cases are simple. The other 25% come with complications like abscesses, bowel obstruction, peritonitis (inflammation of the abdominal lining), sepsis, and the formation of fistulas. The symptoms of diverticulitis vary from person to person, and they depend on the severity of our condition. 

The hallmark of diverticulitis is severe, persistent abdominal pain, especially on the lower left side. However, some people may experience more discomfort on the right side, which is why diverticulitis and appendicitis are often confused.

There are other symptoms, however, that can help differentiate the two:

  • Sensitivity to touch (abdomen)
  • Changes to bowel movements (usually constipation, more rarely diarrhea)
  • Fever
  • Cramps
  • Bloating
  • Nausea
  • Vomiting
  • Blood in stool


Many people refer to diverticulitis as a “flare-up,” since it occurs when those little pockets are inflamed. Pain, cramping, and changes to bowel movements can be signs of diverticular distress. Those previously diagnosed with diverticulosis should contact their treatment provider if these symptoms develop.

Causes of Diverticulitis

Because diverticulitis is correlated with age, it’s much more common in older people. When younger folks develop this condition, it’s usually due to factors like obesity and high-risk activities. Smoking, a sedentary lifestyle, and a high-fat, low-fiber diet can increase the risk of diverticulosis and, subsequently, diverticulitis.

Some researchers have begun to speculate about alcohol’s involvement in diverticular disease. Can alcohol cause diverticulitis?

How Alcohol Affects Our Digestive System

Few substances impact our esophagus, stomach, and intestines as strongly as alcohol. Diverticulitis and other GI conditions don’t just develop overnight; it may take years for us to begin experiencing symptoms. That’s because of the insidious ways booze affects our digestive system:

  • Motility issues. Alcohol restricts the movement of the muscles that line our esophagus, stomach, and intestines. This may cause heartburn, diarrhea, or constipation.
  • Mucosal damage. Mucosa is the scientific name for the delicate tissue lining structures like our esophagus. Long-term exposure to alcohol or recurrent vomiting can tear the mucosa or cause abnormal structures called varices to form on it.
  • Malabsorption. Alcohol use disorder (AUD) is associated with nutritional deficiencies, partially because it keeps the small intestine from absorbing the vitamins found in our food.
  • More toxins. Alcohol is also a bit of a traitor; even while restricting the absorption of nutrients, it increases the movement of toxins through the intestinal walls, which increases our risk of organ damage.

Conditions Associated With Heavy Alcohol Use

There’s more to gut health than diverticulitis and alcohol. In time, drinking can impact our overall gastrointestinal well-being. Many GI disorders are connected to heavy alcohol use:


  • Inflammation. Drinking can cause inflammation in the stomach lining (gastritis) and pancreas (pancreatitis), as well as other crucial structures. Symptoms include abdominal pain, indigestion, nausea, and vomiting.

  • Alcohol-related liver disease. Abbreviated ARLD, alcohol-related liver disease is a catch-all term for a variety of liver conditions, including cirrhosis (heavy scarring) and alcoholic hepatitis (inflammation of the liver).

  • Cancer. A pattern of heavy drinking places us at risk of several forms of cancer, including cancers of the colon, esophagus, and liver.

  • Vitamin deficiencies. Alcohol misuse keeps us from absorbing nutrients like vitamins B9, B12, and D. This deprivation suppresses our body’s ability to fight infections and disrupts crucial processes like red blood cell production, DNA synthesis, and cellular division.

  • Weakened immune system. Finally, drinking affects the immune system by hindering the production of white blood cells, disrupting our gut’s microbiome, and making us more susceptible to infections.

Diverticulitis and Alcohol: Correlation vs. Causation

Alcohol is related to myriad gastrointestinal disorders, but is it a major player in the irritation of diverticula? Scientific opinion is mixed.

One study from The Journal of Clinical Gastroenterology determined that alcohol consumption is a risk factor for diverticulosis (which, in turn, can lead to diverticulitis). Researchers found that the more a person drank, the more likely they were to develop the condition.

Another group of researchers published similar results in the journal Medicine (Baltimore). They analyzed a database of almost 260,000 people and found that those who consumed alcohol were more vulnerable to diverticular disease. This large-scale study illustrates a clear correlation between alcohol use and conditions related to diverticular disease.

However, some studies have identified an opposite trend. A good example is a meta-analysis published in The Hawaii Journal of Medicine and Public Health, which found no significant relationship between alcohol and diverticulitis or diverticulosis.

While researchers are still gathering information about whether alcohol causes diverticulitis, we’ve confirmed that drinking is not good for our digestive system.

Does Alcohol Affect Diverticulitis?

So, if we have diverticulitis, can we still drink?  

It’s probably not the best idea.

First, drinking weakens our immune system, which is a no-go when we’re fighting off any kind of diverticular infection. Alcohol also interacts with the antibiotic medications used to treat this condition, reducing their efficacy and increasing the likelihood of adverse reactions. Finally, severe cases of diverticulitis may result in fistulas, bowel obstructions, and other complications, and drinking might increase these health risks.

What Is the Best Type of Alcohol for Diverticulitis?

There’s no “best type” of alcoholic beverage to drink during a bout of diverticulitis. There is a worst one, though — liquor, or any libation with a high alcohol concentration. Check the alcohol by volume (ABV) before cheers-ing and consider booze-free alternatives.

How Much Is Too Much?

If we’re in the middle of a diverticulitis flare-up, it’s best to avoid alcohol altogether. Once we’ve recovered, we should talk to our doctor, who might give us the okay to begin reincorporating alcohol. They may also recommend that we continue to abstain, or only drink one or two beverages on special occasions. It is important to follow our physician’s advice to protect our health and safety after a diverticulitis diagnosis.

How To Treat Diverticulitis

If you’re experiencing a diverticulitis flare-up, follow your doctor’s orders, not listicles on the Internet! In addition to your doctor’s orders, however, some lifestyle changes can help alleviate symptoms and prevent future flare-ups: 

1. Forge a new relationship with fiber. Low dietary fiber is behind many cases of diverticular disease. Eating more roughage — a.k.a., vegetables you have to chew thoroughly — can do great things for your GI tract. High-fiber foods are more than just beans and broccoli. To keep diverticulitis at bay, try incorporating more bananas, berries, avocados, brussels sprouts, and whole grains into your meals. If you’re experiencing a flare-up, your doctor may recommend a low-fiber diet instead. This is why it’s important to speak to your doctor before making any major nutritional changes.

2. Move more. Exercise promotes regular bowel movements, improves digestion, and reduces stress, which can worsen the symptoms of diverticulitis. Once your flare-up has passed, ask your provider about low-impact physical activities to boost your health.

3. Take a fiber supplement. A variety of fiber sources can help regulate your bowel movements. For some of us, these supplements work wonders. Talk to a doctor before starting any dietary supplement, even Metamucil or Benefiber. If you do add fiber supplements to your regimen, do so gradually to avoid bloating and gas. 

4. Drink a lot of water. Hydration is especially important if we struggle with constipation or diarrhea. Drinking enough water keeps waste moving smoothly through our GI tract. Try to hit the recommended daily intake of 13 cups of water per day for men and nine for women.

5. Avoid NSAIDs. Nonsteroidal anti-inflammatory drugs (NSAIDs) like Advil and Aleve can irritate our GI tracts, especially our intestines. Cutting down on these over-the-counter pain remedies may be a good idea for those concerned about diverticulitis.

6. Try meatless Mondays. Researchers have found that diverticular disease is much less common in vegetarians. If you’re not down for a meat-free diet, try cutting it out once or twice a week.

7. Avoid alcohol. Drinking can increase our risk of diverticulitis flare-ups and the formation of new diverticula. Cut back on drinking or leave it behind for good! If you need help cutting back on your alcohol use, Reframe can help.

8. Seek medical attention. If you suspect diverticulitis, make an appointment with your doctor or go to the emergency room. Your physician may recommend surgery, prescribe antibiotics, or put you on a clear liquid diet (that doesn’t include alcohol).

When To See a Doctor

Whenever you experience persistent abdominal pain, it’s a good idea to seek medical attention. Don’t wait for the discomfort to pass — you never know what’s to blame. An experienced healthcare provider can rule out life-threatening conditions like appendicitis, which would require emergency surgery.

Pain isn’t the only sign that something is wrong. If you’ve already been diagnosed with diverticulitis or diverticulosis, consider calling the doctor when you experience the following:


  • A high fever, which could be a sign of a diverticular infection
  • Significant changes to your bowel movements
  • Bloating, vomiting, or nausea
  • Diverticulitis symptoms that haven’t improved with treatment

Divert Your Drinking

Back to that crinkly-papered exam table — if your doctor comes into the room and diagnoses you with diverticulitis, we hope this article will give you some actionable ideas about how to move forward. If they ask you to cut back on your drinking, Reframe can help you address your alcohol intake.

Reframe is a proven habit-change app that draws from leading behavioral research, a network of medical and lifestyle professionals, and neuroscientific best practices. With partners at Emory, Harvard, and other major institutions, we’ll show you how to live a fulfilling life with less (or no!) booze.

We made Reframe to help people like you discover the very best versions of themselves. To try the app free for 7 days, visit the App Store or Google Play. We can’t wait to see you thrive.

Alcohol and Health
2024-04-26 9:00
Alcohol and Health
Can You Drink Alcohol While on Chemotherapy?
This is some text inside of a div block.

Guidance on drinking alcohol during chemotherapy varies depending on the source. Check out our latest blog for more clarity on the effects of drinking while on chemo.

11 min read

Say Goodbye to Alcohol With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

Chemotherapy is a challenging experience — it’s physically taxing, mentally draining, and the side effects seem to seep into just about every area of life. From physical changes to mood changes and strains on work and family life, it’s not controversial to say: chemotherapy (and cancer in general) sucks.

It’s plausible, then, that we might reach for a few drinks to relax when the stress of chemo has us feeling down. Unfortunately, that’s likely going to do more harm than good. Besides the fact that alcohol fuels depression and anxiety, cancer and excessive drinking have a somewhat reciprocal relationship. Over the years, more research has been done to show a more definitive link between alcohol as a cause of cancer. That being said, surveys also show that excessive drinking is common for cancer patients, even during chemotherapy.

Information online about the safety of drinking alcohol while on chemotherapy is a bit unclear, making it difficult to make our own informed decisions. That’s where we come in. This article will unpack the science behind the effects of alcohol on chemotherapy and come up with a clear answer. Let’s dive in!

The Relationship Between Alcohol and Cancer

Research has extensively linked alcohol to cancer. Recent changes to the American Cancer Society guidelines recommend avoiding alcohol in order to reduce the risk of developing cancer. While many factors are theorized to cause cancer, drinking alcohol directly leads to an increased risk of developing all different types of cancer.

What types of cancer, exactly? Well … all of them. To learn about specific threats, check out our blogs about alcohol-related risks of developing cancer in the throat, colon, liver, breast, and more.

Underneath Alcohol’s Cancer Risk

Alcohol’s cancer threat stems from the metabolism of ethanol, the main component of alcohol. Ethanol is broken down by our liver into a toxic compound called acetaldehyde (ACH). ACH is classified as a carcinogen, or a substance that can cause cancer. The International Agency for Research on Cancer (IARC) classifies carcinogens into four different categories based on the strength of evidence for their cancer-causing properties: known carcinogens, probable carcinogens, possible carcinogens, and non-classifiable. ACH is a known carcinogen — confirming alcohol’s role in the risk of developing cancer.

Alcohol also disrupts the hormones that promote cell division and growth, depletes essential vitamins and nutrients, and damages the immune system’s innate cancer-fighting power. Drinking during chemo is incredibly common, either in spite of this information or because we aren’t aware of it. To understand the negative effects of drinking while on chemotherapy, let’s first take a look at what chemo is.

Basics of Chemotherapy

Although often described under the umbrella term “chemotherapy” (or “chemo,” for short), this treatment frequently consists of a range of different drugs that attack our cells in different cycles to prevent cancer cells from reproducing. Chemotherapy drugs are cytotoxic, meaning they’re toxic to cells. They are also systemic, which means that they affect all the cells in the body — including healthy ones.

The same property that makes chemo effective at destroying cancer cells makes it dangerous to our healthy cells. This explains why chemo famously causes a reduction in our immune system function, making those of us undergoing chemo treatment immunocompromised. It also comes with a long list of uncomfortable side effects:

  • Fatigue 
  • Hair loss
  • Infection
  • Oral pain and sores
  • Mood changes
  • GI symptoms 
  • Anemia
  • Nerve issues 

Through the long list of potential side effects, we can see the extensive impact that chemo has on our body. Treatment typically lasts anywhere from six months to a year, but sometimes runs longer. Because cancer can be pesky to treat, chemo is often used in conjunction with other approaches and supporting therapies that help to attack cancer from multiple angles and alleviate chemo side effects. 

We know that chemotherapy and alcohol both have significant impacts on our body. Let’s see what experts suggest regarding drinking during chemo.

Can You Drink Alcohol While on Chemo Treatment?

Every chemotherapy regimen is different, using a different combination of drugs delivered on a strict schedule. Following the schedule of chemo cycles is crucial, as the effectiveness of the treatment depends on having sufficient levels of chemo in our body to fight cancer cells. If there are known interactions between alcohol and our chemo medication, treatment cycles may need to be pushed back.

Research shows that missing doses of chemo is associated with increased mortality — which drinking can certainly play a role in. Even though not all chemo or supporting medications have direct interactions with alcohol, drinking can still open the door to many complications (which we’ll get into).

Since alcohol is so heavily tied to the risk of developing cancer, drinking during and after chemo can also increase the risk of recurrence. Chemo causes extreme strain on our body as evidenced by its sometimes debilitating side effects. Drinking alcohol on top of that adds additional strain, pushing our body even harder and adding to our discomfort.

The Interaction Between Cancer Treatments, Chemo, and Alcohol

Cancer treatment requires an exhaustive approach that combines different methods and treatments. Alcohol can disrupt chemo in many different ways.

Alcohol and Chemo Drug Interactions

Chemo consists of a combination of different drugs to provide the best chance to eliminate cancer, and alcohol has many known interactions with common drugs used during chemo treatment. It also interacts with other medications used to support cancer treatment including pain relievers, anti-nausea medication, and anti-anxiety drugs.

Let’s take a look at how alcohol interacts with some of the most common chemo drugs:

  • Gleostine (lomustine). Drinking alcohol with Gleostine, commonly used for metastatic brain cancer, can cause serious GI side effects, including nausea and vomiting.
  • Matulane (procarbazine). Mixing alcohol with Matulane causes a range of serious side effects on our central nervous system. Symptoms include dizziness, headaches, drowsiness, or loss of balance.
  • Ultram (tramadol). Ultram is an opioid used as a supporting medication to relieve pain. When combined with alcohol, it can seriously slow our heart rate, suppress our blood pressure, and cause confusion. 
  • Antiemetics. When mixed with alcohol, some anti-nausea medications can cause severe dizziness, loss of coordination, and drowsiness. On top of that, alcohol is known to cause nausea — just like chemo drugs.
  • Anxiolytics. Xanax, Ativan, and other anti-anxiety medications can cause abnormal drowsiness, trouble concentrating, and extremely slowed breathing when combined with alcohol.

It’s best to consult with our oncology treatment team regarding specific interactions within our personalized medication regimen. Alcohol may not have direct interactions with all chemo treatment medications, but it can still cause negative effects. Medication and alcohol are metabolized in our liver — putting it into overdrive. This can lead to severe side effects and reduce the effectiveness of the chemo drugs. 

Other Cancer Treatments 

Much like the link between alcohol and chemotherapy, drinking also causes harmful impacts on non-chemo cancer treatments. The following therapies are impacted by the negative effects of alcohol:

  • Radiation therapy. This cancer treatment uses high doses of radiation to kill cancer cells. Drinking further dehydrates our body, making it more difficult to recover after treatment. It also increases the risk of oral pain and sores, which are common with radiation therapy.
  • Immunotherapy. This type of cancer treatment boosts our immune system to help eliminate cancer, which alcohol directly works against by dampening our immune system.
  • Hormonal therapy. Alcohol disrupts our hormones, which can make hormone therapy ineffective. This type of treatment blocks or alters specific hormones that cancer cells use to grow.
  • Targeted therapy. This precision treatment primarily uses drugs that attach to specific cancer cells or genes that help cancer survive. Common examples include crizotinib for lung cancer or lapatinib for breast cancer. These drugs can cause liver issues; drinking adds to an increased risk of damage and disease.

We can see that interactions between cancer treatments, chemotherapy, and alcohol can cause negative symptoms. As it turns out, the timing of our drinking has a lot to do with how alcohol affects our treatment.

Why You Shouldn’t Drink During Chemo

Timeline of Alcohol and Chemo Interactions

Chemo is primarily administered in medical settings such as a doctor’s office or outpatient clinic. It’s usually given intravenously, but it can also be in the form of an injection or pill. While drinking is not recommended for cancer patients at any stage (even those in remission), let’s dive deeper into the guidelines for drinking immediately after receiving chemo and after all cycles of treatment are completed.

Alcohol During Chemo

If there are no direct interactions between alcohol and our panel of chemo drugs, drinking immediately after a treatment session may not pose immediate risks or symptoms. However, it’s still not recommended as drinking can further aggravate the side effects of chemo. 

Chemo drugs typically stay in our system for 3-7 days, depending on the drug. If we choose to drink, it’s best to wait until the chemo medication exits our system to minimize any adverse effects. Treatment schedules also vary between patients, so it’s important to keep in mind when our next round will be.

Fitting in a drink while on chemo is a balancing act that only adds to the burden of treatment. If you do decide to drink during your treatment plan, be sure to communicate clearly with the treatment team so they can account for all elements.

Alcohol After Chemo

After all cycles of chemo are completed, drinking is still not recommended. Chemo may help some types of cancer, but, for more advanced cancers, it may only stop the cancer from spreading. This means that the cancer will require ongoing maintenance and therapy to delay progression. 

For patients who are cancer-free after chemo is completed, drinking is still not a good idea. Although the correlation between drinking and increased risk of cancer recurrence is still being studied, alcohol is clearly correlated with an increased risk of cancer.

If we do choose to drink, it’s best to wait until chemo symptoms subside, and thereafter follow recommended guidelines for drinking in moderation. Choosing to drink during and after chemo opens up “Pandora’s box,” leading to a host of potential complications and consequences.

How Much Is Too Much?

Cancer and chemo are extremely taxing on our body. Cancer cells attack from inside, and chemo can destroy healthy cells that decrease our immune defenses. During this vulnerable state, even having one standard drink is not recommended. 

If our chemo medication and supporting treatments have direct interactions with alcohol, any amount will cause negative harm to the way the drug works in our system. If our chemo medication doesn’t have direct interactions, we may not see or feel immediate symptoms, but alcohol still stresses out our body when it’s fighting to heal. As such, it’s generally best to avoid alcohol entirely while on chemo.

What Happens If You Drink Alcohol While on Chemo?

Drinking during chemo can lead to direct and indirect effects on our health and our fight against cancer. It can make cancer treatment more demanding on our body given these consequences:

  • Decreased effectiveness of treatment. Chemo drugs act on all the cells in our body. Since alcohol also affects all the systems in our body, the two can interact and decrease the effectiveness of cancer treatment.
  • Exacerbated side effects. Drinking is commonly accompanied by unpleasant hangover symptoms. This can add to the discomfort of common side effects of chemo.
  • Low blood counts. Chemo can often cause low blood cell counts, which lead to risk of infection, anemia, and excessive bleeding. Alcohol also interferes with the production of blood cells, further complicating and postponing chemo treatment.
  • Depression and anxiety. Alcohol is a depressant that can further exacerbate poor mental health associated with cancer diagnoses. 
  • Increased chance of complications. The toxins in alcohol affect all systems in our body, impacting their efforts to fight cancer cells. Alcohol may affect us in ways that we aren’t able to see directly, or that aren’t immediately apparent. 
  • Sleep disturbances. Our body needs rest to have the best chance to beat cancer. Chemo is also taxing on the body, requiring proper rest for recovery. Alcohol causes sleep disturbances that rob us of the restorative rest we need.
  • Dangerous medication interactions. As previously mentioned, direct interactions with certain chemo medications and supporting treatments can cause serious side effects that warrant immediate medical attention and can impact our chances of recovery. 

Drinking isn’t recommended in any amounts while on chemo, but hiding our drinking can cause even greater harm. Our treatment team will be better equipped to support us if we communicate honestly about our drinking habits. We can also make more intentional choices to help diminish the chances complicating our treatment. 

Navigating a Healthy Relationship With Alcohol After Chemo

Chemo can be an arduous journey that deserves celebration once completed. We can celebrate the end of chemo and a future of good health by implementing these intentional drinking habits:

  • Consult with a doctor. When choosing to drink, it's best to consult with a professional. Your treatment team will be most familiar with your needs and specific treatment regimen. Be honest about your drinking habits and follow recommended guidelines from health professionals.
  • Quit or cut back on alcohol. Alcohol is a known carcinogen. Quitting or cutting back on alcohol can only help. Luckily, there are many options for treatment that fit into every lifestyle. Reframe, for instance, offers science-backed support right in your pocket.
  • Focus energy elsewhere. Positive distractions such as physical movement, mindfulness practices, and social activities can help our physical and emotional well-being. Connecting with others, trying a new hobby, meditating, and walking are all great ways to channel our energy into more positive habits.
  • Reach out for support. Chemo is mentally and physically taxing. Navigating alcohol dependence can also be a challenge. Reaching out to family and friends, exploring online resources such as Reframe, and seeking professional treatment can help the journey feel less daunting. 

The Bottom Line

While guidelines for the safety of drinking during chemo aren’t cut and dry, medical professionals are unlikely to recommend drinking during cancer treatment. Whether or not drinking increases the chance of cancer recurrence is still inconclusive. However, alcohol has a direct correlation with an increased risk of developing cancer.

Not all chemo medications have interactions with alcohol at face value, but many do, and alcohol can interfere with treatment success in the long run. Cancer treatment can be a long and arduous road — alcohol only makes it more difficult. Quitting or cutting back on alcohol helps keep chemo on track!

Chemotherapy is a challenging experience — it’s physically taxing, mentally draining, and the side effects seem to seep into just about every area of life. From physical changes to mood changes and strains on work and family life, it’s not controversial to say: chemotherapy (and cancer in general) sucks.

It’s plausible, then, that we might reach for a few drinks to relax when the stress of chemo has us feeling down. Unfortunately, that’s likely going to do more harm than good. Besides the fact that alcohol fuels depression and anxiety, cancer and excessive drinking have a somewhat reciprocal relationship. Over the years, more research has been done to show a more definitive link between alcohol as a cause of cancer. That being said, surveys also show that excessive drinking is common for cancer patients, even during chemotherapy.

Information online about the safety of drinking alcohol while on chemotherapy is a bit unclear, making it difficult to make our own informed decisions. That’s where we come in. This article will unpack the science behind the effects of alcohol on chemotherapy and come up with a clear answer. Let’s dive in!

The Relationship Between Alcohol and Cancer

Research has extensively linked alcohol to cancer. Recent changes to the American Cancer Society guidelines recommend avoiding alcohol in order to reduce the risk of developing cancer. While many factors are theorized to cause cancer, drinking alcohol directly leads to an increased risk of developing all different types of cancer.

What types of cancer, exactly? Well … all of them. To learn about specific threats, check out our blogs about alcohol-related risks of developing cancer in the throat, colon, liver, breast, and more.

Underneath Alcohol’s Cancer Risk

Alcohol’s cancer threat stems from the metabolism of ethanol, the main component of alcohol. Ethanol is broken down by our liver into a toxic compound called acetaldehyde (ACH). ACH is classified as a carcinogen, or a substance that can cause cancer. The International Agency for Research on Cancer (IARC) classifies carcinogens into four different categories based on the strength of evidence for their cancer-causing properties: known carcinogens, probable carcinogens, possible carcinogens, and non-classifiable. ACH is a known carcinogen — confirming alcohol’s role in the risk of developing cancer.

Alcohol also disrupts the hormones that promote cell division and growth, depletes essential vitamins and nutrients, and damages the immune system’s innate cancer-fighting power. Drinking during chemo is incredibly common, either in spite of this information or because we aren’t aware of it. To understand the negative effects of drinking while on chemotherapy, let’s first take a look at what chemo is.

Basics of Chemotherapy

Although often described under the umbrella term “chemotherapy” (or “chemo,” for short), this treatment frequently consists of a range of different drugs that attack our cells in different cycles to prevent cancer cells from reproducing. Chemotherapy drugs are cytotoxic, meaning they’re toxic to cells. They are also systemic, which means that they affect all the cells in the body — including healthy ones.

The same property that makes chemo effective at destroying cancer cells makes it dangerous to our healthy cells. This explains why chemo famously causes a reduction in our immune system function, making those of us undergoing chemo treatment immunocompromised. It also comes with a long list of uncomfortable side effects:

  • Fatigue 
  • Hair loss
  • Infection
  • Oral pain and sores
  • Mood changes
  • GI symptoms 
  • Anemia
  • Nerve issues 

Through the long list of potential side effects, we can see the extensive impact that chemo has on our body. Treatment typically lasts anywhere from six months to a year, but sometimes runs longer. Because cancer can be pesky to treat, chemo is often used in conjunction with other approaches and supporting therapies that help to attack cancer from multiple angles and alleviate chemo side effects. 

We know that chemotherapy and alcohol both have significant impacts on our body. Let’s see what experts suggest regarding drinking during chemo.

Can You Drink Alcohol While on Chemo Treatment?

Every chemotherapy regimen is different, using a different combination of drugs delivered on a strict schedule. Following the schedule of chemo cycles is crucial, as the effectiveness of the treatment depends on having sufficient levels of chemo in our body to fight cancer cells. If there are known interactions between alcohol and our chemo medication, treatment cycles may need to be pushed back.

Research shows that missing doses of chemo is associated with increased mortality — which drinking can certainly play a role in. Even though not all chemo or supporting medications have direct interactions with alcohol, drinking can still open the door to many complications (which we’ll get into).

Since alcohol is so heavily tied to the risk of developing cancer, drinking during and after chemo can also increase the risk of recurrence. Chemo causes extreme strain on our body as evidenced by its sometimes debilitating side effects. Drinking alcohol on top of that adds additional strain, pushing our body even harder and adding to our discomfort.

The Interaction Between Cancer Treatments, Chemo, and Alcohol

Cancer treatment requires an exhaustive approach that combines different methods and treatments. Alcohol can disrupt chemo in many different ways.

Alcohol and Chemo Drug Interactions

Chemo consists of a combination of different drugs to provide the best chance to eliminate cancer, and alcohol has many known interactions with common drugs used during chemo treatment. It also interacts with other medications used to support cancer treatment including pain relievers, anti-nausea medication, and anti-anxiety drugs.

Let’s take a look at how alcohol interacts with some of the most common chemo drugs:

  • Gleostine (lomustine). Drinking alcohol with Gleostine, commonly used for metastatic brain cancer, can cause serious GI side effects, including nausea and vomiting.
  • Matulane (procarbazine). Mixing alcohol with Matulane causes a range of serious side effects on our central nervous system. Symptoms include dizziness, headaches, drowsiness, or loss of balance.
  • Ultram (tramadol). Ultram is an opioid used as a supporting medication to relieve pain. When combined with alcohol, it can seriously slow our heart rate, suppress our blood pressure, and cause confusion. 
  • Antiemetics. When mixed with alcohol, some anti-nausea medications can cause severe dizziness, loss of coordination, and drowsiness. On top of that, alcohol is known to cause nausea — just like chemo drugs.
  • Anxiolytics. Xanax, Ativan, and other anti-anxiety medications can cause abnormal drowsiness, trouble concentrating, and extremely slowed breathing when combined with alcohol.

It’s best to consult with our oncology treatment team regarding specific interactions within our personalized medication regimen. Alcohol may not have direct interactions with all chemo treatment medications, but it can still cause negative effects. Medication and alcohol are metabolized in our liver — putting it into overdrive. This can lead to severe side effects and reduce the effectiveness of the chemo drugs. 

Other Cancer Treatments 

Much like the link between alcohol and chemotherapy, drinking also causes harmful impacts on non-chemo cancer treatments. The following therapies are impacted by the negative effects of alcohol:

  • Radiation therapy. This cancer treatment uses high doses of radiation to kill cancer cells. Drinking further dehydrates our body, making it more difficult to recover after treatment. It also increases the risk of oral pain and sores, which are common with radiation therapy.
  • Immunotherapy. This type of cancer treatment boosts our immune system to help eliminate cancer, which alcohol directly works against by dampening our immune system.
  • Hormonal therapy. Alcohol disrupts our hormones, which can make hormone therapy ineffective. This type of treatment blocks or alters specific hormones that cancer cells use to grow.
  • Targeted therapy. This precision treatment primarily uses drugs that attach to specific cancer cells or genes that help cancer survive. Common examples include crizotinib for lung cancer or lapatinib for breast cancer. These drugs can cause liver issues; drinking adds to an increased risk of damage and disease.

We can see that interactions between cancer treatments, chemotherapy, and alcohol can cause negative symptoms. As it turns out, the timing of our drinking has a lot to do with how alcohol affects our treatment.

Why You Shouldn’t Drink During Chemo

Timeline of Alcohol and Chemo Interactions

Chemo is primarily administered in medical settings such as a doctor’s office or outpatient clinic. It’s usually given intravenously, but it can also be in the form of an injection or pill. While drinking is not recommended for cancer patients at any stage (even those in remission), let’s dive deeper into the guidelines for drinking immediately after receiving chemo and after all cycles of treatment are completed.

Alcohol During Chemo

If there are no direct interactions between alcohol and our panel of chemo drugs, drinking immediately after a treatment session may not pose immediate risks or symptoms. However, it’s still not recommended as drinking can further aggravate the side effects of chemo. 

Chemo drugs typically stay in our system for 3-7 days, depending on the drug. If we choose to drink, it’s best to wait until the chemo medication exits our system to minimize any adverse effects. Treatment schedules also vary between patients, so it’s important to keep in mind when our next round will be.

Fitting in a drink while on chemo is a balancing act that only adds to the burden of treatment. If you do decide to drink during your treatment plan, be sure to communicate clearly with the treatment team so they can account for all elements.

Alcohol After Chemo

After all cycles of chemo are completed, drinking is still not recommended. Chemo may help some types of cancer, but, for more advanced cancers, it may only stop the cancer from spreading. This means that the cancer will require ongoing maintenance and therapy to delay progression. 

For patients who are cancer-free after chemo is completed, drinking is still not a good idea. Although the correlation between drinking and increased risk of cancer recurrence is still being studied, alcohol is clearly correlated with an increased risk of cancer.

If we do choose to drink, it’s best to wait until chemo symptoms subside, and thereafter follow recommended guidelines for drinking in moderation. Choosing to drink during and after chemo opens up “Pandora’s box,” leading to a host of potential complications and consequences.

How Much Is Too Much?

Cancer and chemo are extremely taxing on our body. Cancer cells attack from inside, and chemo can destroy healthy cells that decrease our immune defenses. During this vulnerable state, even having one standard drink is not recommended. 

If our chemo medication and supporting treatments have direct interactions with alcohol, any amount will cause negative harm to the way the drug works in our system. If our chemo medication doesn’t have direct interactions, we may not see or feel immediate symptoms, but alcohol still stresses out our body when it’s fighting to heal. As such, it’s generally best to avoid alcohol entirely while on chemo.

What Happens If You Drink Alcohol While on Chemo?

Drinking during chemo can lead to direct and indirect effects on our health and our fight against cancer. It can make cancer treatment more demanding on our body given these consequences:

  • Decreased effectiveness of treatment. Chemo drugs act on all the cells in our body. Since alcohol also affects all the systems in our body, the two can interact and decrease the effectiveness of cancer treatment.
  • Exacerbated side effects. Drinking is commonly accompanied by unpleasant hangover symptoms. This can add to the discomfort of common side effects of chemo.
  • Low blood counts. Chemo can often cause low blood cell counts, which lead to risk of infection, anemia, and excessive bleeding. Alcohol also interferes with the production of blood cells, further complicating and postponing chemo treatment.
  • Depression and anxiety. Alcohol is a depressant that can further exacerbate poor mental health associated with cancer diagnoses. 
  • Increased chance of complications. The toxins in alcohol affect all systems in our body, impacting their efforts to fight cancer cells. Alcohol may affect us in ways that we aren’t able to see directly, or that aren’t immediately apparent. 
  • Sleep disturbances. Our body needs rest to have the best chance to beat cancer. Chemo is also taxing on the body, requiring proper rest for recovery. Alcohol causes sleep disturbances that rob us of the restorative rest we need.
  • Dangerous medication interactions. As previously mentioned, direct interactions with certain chemo medications and supporting treatments can cause serious side effects that warrant immediate medical attention and can impact our chances of recovery. 

Drinking isn’t recommended in any amounts while on chemo, but hiding our drinking can cause even greater harm. Our treatment team will be better equipped to support us if we communicate honestly about our drinking habits. We can also make more intentional choices to help diminish the chances complicating our treatment. 

Navigating a Healthy Relationship With Alcohol After Chemo

Chemo can be an arduous journey that deserves celebration once completed. We can celebrate the end of chemo and a future of good health by implementing these intentional drinking habits:

  • Consult with a doctor. When choosing to drink, it's best to consult with a professional. Your treatment team will be most familiar with your needs and specific treatment regimen. Be honest about your drinking habits and follow recommended guidelines from health professionals.
  • Quit or cut back on alcohol. Alcohol is a known carcinogen. Quitting or cutting back on alcohol can only help. Luckily, there are many options for treatment that fit into every lifestyle. Reframe, for instance, offers science-backed support right in your pocket.
  • Focus energy elsewhere. Positive distractions such as physical movement, mindfulness practices, and social activities can help our physical and emotional well-being. Connecting with others, trying a new hobby, meditating, and walking are all great ways to channel our energy into more positive habits.
  • Reach out for support. Chemo is mentally and physically taxing. Navigating alcohol dependence can also be a challenge. Reaching out to family and friends, exploring online resources such as Reframe, and seeking professional treatment can help the journey feel less daunting. 

The Bottom Line

While guidelines for the safety of drinking during chemo aren’t cut and dry, medical professionals are unlikely to recommend drinking during cancer treatment. Whether or not drinking increases the chance of cancer recurrence is still inconclusive. However, alcohol has a direct correlation with an increased risk of developing cancer.

Not all chemo medications have interactions with alcohol at face value, but many do, and alcohol can interfere with treatment success in the long run. Cancer treatment can be a long and arduous road — alcohol only makes it more difficult. Quitting or cutting back on alcohol helps keep chemo on track!

Alcohol and Health
2024-04-26 9:00
Alcohol and Health
Can You Drink Alcohol Before a Colonoscopy?
This is some text inside of a div block.

Drinking alcohol before a colonoscopy influences the safety and success of the screening. Learn more about the effects of drinking before a colonoscopy in our latest blog.

23 min read

Navigating Drinking With Other Health Issues? Check Out Reframe!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

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Colonoscopies are no glamorous procedure. To add to its unpleasantness, the procedure involves a comprehensive preparation regimen that boosts its accuracy. One of the many instructions in the prep booklet for a colonoscopy is to avoid alcohol. While testing our luck is fun and games when buying a lottery ticket, this “no drinking” guideline is one we’ll want to follow.

Understanding the risks of drinking before a colonoscopy will help us follow protocols and have a safe procedure. Let’s take a good look (no pun intended) at if and when it’s okay to drink before a colonoscopy. 

Understanding Colonoscopy Screenings

A medical professional showing an illustration of the human intestines

A colonoscopy is a screening procedure that is used to check the large intestine for abnormalities like swelling, polyps, irritated tissue, and diseases. To do this, they insert a colonoscope — a flexible tube with a tiny camera on the end — through the rectum to view the inside of our colon and surrounding areas. 

Although it’s relatively quick (typically under an hour), a colonoscopy is considered an invasive procedure that requires anesthesia and a lengthy pre-procedure regimen that ensures the physician gets a clear view of our colon. Standard colonoscopy preparation includes limiting certain substances. Let’s take a closer look at what these are.

What To Avoid Before a Colonoscopy 

Preparation for a colonoscopy typically starts three to four days before the scheduled procedure. However, it’s always important to check with our treatment team for specific instructions. 

To ensure that the gastroenterologist has an unobstructed view of our colon, we have to flush out our intestine. To do this, we are instructed to avoid certain foods and substances in the days leading up to the procedure: 

  • Fibrous foods. Foods such as raw fruits and vegetables, whole grains, nuts, and seeds take longer to digest. If particles of undigested food remain in our bowel, it may block crucial areas that our doctor needs to see.
  • Non-clear liquids. Beverages such as milk and fruit juices with pulp are considered non-clear liquids. These liquids may leave residue in our bowel, affecting color-sensitive screening such as tissue inflammation and polyps.
  • Blood thinners. Physicians recommend avoiding blood thinners before a colonoscopy to prevent the risk of excessive bleeding during or after the operation. It may also interact with sedation that is needed for the procedure. If we are prescribed routine blood thinners, it’s best to discuss individual recommendations with our treatment team.
  • Alcohol. Patients are advised to stop drinking alcohol once starting other colonoscopy protocols. Alcohol has blood-thinning properties and other effects that can impact the procedure. 

Avoiding these four things will give us the best chance of a successful procedure. But let’s dive into how alcohol, specifically, could complicate our colonoscopy.

Drinking Alcohol Before a Colonoscopy

Most clear liquids are permitted up to two to four hours before the procedure. While most alcoholic beverages are clear liquids, they are still not allowed. 

Why? There are several reasons. Alcohol dehydrates us, impacts anesthesia (the stuff that keeps us safe and asleep), and thins our blood. All of these can complicate what would normally be a standard procedure. 

But what about just one beer? Can one sip of wine hurt?

Effects of Different Types of Alcohol on Colonoscopy Screenings

When it comes to preparing for a colonoscopy (or any procedure for that matter), all alcohol is created equal. 

Spirits, indeed, contain higher alcohol by volume, but any amount of alcohol can impact a colonoscopy. Lower-alcohol beverages such as wine or beer may produce less of an impact, but any amount of alcohol can have serious adverse effects.

Negative Effects of Drinking Alcohol Before Colonoscopy Procedures 

People get colonoscopies for one reason: to detect abnormalities. If the doctor cannot get a clear picture, the whole procedure is pointless. When we drink before the procedure, we complicate the screening in multiple ways:

  • Impacted imaging. Depending on the alcoholic beverage, alcohol can leave a residue that may mask important areas that may have abnormalities. This can affect treatment and lead to further health complications. 

  • Cognitive impairment. Alcohol is known to lower inhibitions, cloud judgment, and increase food cravings, all of which could derail pre-op protocols and interfere with successful imaging.
 
  • Dehydration. Combined with the bowel prep instructions, which are designed to eliminate fluids, alcohol can cause further dehydration, elevating the risk of kidney issues and dehydration symptoms.
  • Dangerous sedation. Alcohol affects the same system as anesthesia — making the anesthesia less effective and causing dangerous symptoms. If our treatment team is not aware, they may increase the level of sedation due to ineffectiveness. Interactions with anesthesia can lead to nausea, vomiting, aspiration, accidental awareness, and other complications.

  • Risk of infection. A colonoscopy is an invasive procedure that is prone to infections. Alcohol suppresses proper immune function, which increases the risk of developing an infection. 

Drinking before a colonoscopy opens the door to complications that can be fatal. It is imperative that we tell our medical team if we have had anything to drink in the days leading up to our procedure. We might be hesitant to say anything for fear they will reschedule the procedure, but rescheduling is a small price to pay to avoid complications. 

Risks of Drinking Before a Colonoscopy

When Should You Stop Drinking Before a Colonoscopy

We should clear our calendars of all happy hours, weddings, or other festivities two to three days before a colonoscopy. A liquid diet and bowel emptying preparation typically start two days before colonoscopy procedures are scheduled. While avoiding alcohol for a longer period before a colonoscopy is beneficial, ensuring our last drink is at least 48 hours before is crucial for our safety.

Chronic drinking is also shown to impact anesthesia, regardless of following proper protocols. Be sure to communicate clearly with the operating physician and request individual direction if needed. Colonoscopy prep seems like it involves a lot of “no’s.” Let’s get into some “yes’s” and alternatives to alcohol.

What To Drink Instead of Alcohol Before a Colonoscopy

Colonoscopy prep can be unpleasant, but it doesn’t have to be miserable. As long as the beverage is non-alcoholic and meets the clear liquid criteria, we can still enjoy it. There are plenty of alternatives that won’t impact our colonoscopy:

  • Tea
  • Coffee 
  • Soda
  • Sports drinks
  • Juices without pulp 
  • Clear mocktails

Including variety in our clear liquid diet helps make the days leading up to our procedure less miserable. Water can get a bit old after two days of just that (even if it is the liquid of life). These alternatives can help us avoid alcohol the days before a colonoscopy, but what do we do if we slip up?

What To Do If You Drink Before a Colonoscopy

If we do accidentally have a drink within 48 hours of our colonoscopy, the first thing to do is note the time of our last drink. We can then inform our treatment team to receive further guidance on how to proceed. If necessary, the colonoscopy can be postponed to a later date.

We’ve warned against drinking before the procedure, but what about after?

Can You Drink After Colonoscopy Procedures?

Drinking right after a colonoscopy may not pose an immediate risk to our health, but it may lead to adverse symptoms and produce complications during recovery.

It may take hours or days to fully metabolize anesthesia. If we drink while anesthesia is still in our system, our liver may not be able to keep up. This can lead to increased side effects from anesthesia drugs and hangover symptoms from alcohol. 

Furthermore, if any abnormalities are discovered and removed during the procedure, we might be prescribed medications. Drinking after the operation can interact with prescribed medications and also impact recovery.

When dealing with invasive procedures, the fewer complications the better. We’ve determined that alcohol is one of these complications that negatively influences the safety and outcome of colonoscopy procedures. To set us up for success, we can make intentional choices during colonoscopy preparation. 

Practicing Safe Preparation for Medical Procedures

Implementing safe practices leading up to any medical procedure helps things go more smoothly. Here are four tips we can keep in our toolbox for colonoscopies and other medical procedures:

  • Follow procedures. The long list of protocols leading up to a colonoscopy is there for a reason. It may seem extensive, but each direction helps to increase the success of the operation and keep us safe. Even though it may not seem like it at the moment, the preparation guidebook doesn’t exist just to make us suffer. 
  • Limit complicating substances. Strict guidelines for drinking and smoking may be outlined in the 24-48 hours leading up to a procedure. However, limiting substances such as alcohol and tobacco before this period and after the procedure can further prevent unwanted complications. 
  • Stay hydrated. Proper hydration seems to be recommended for everything. That’s because it’s beneficial in all aspects. Drinking plenty of water helps our cells and organs function optimally and can aid in recovery.
  • Ask questions. When in doubt, it’s always better to ask for clarification. The preparation guidelines are helpful for general safety, but since we all have individual differences and circumstances, specific directions can be most beneficial. 

Key Takeaways

A colonoscopy and the prep leading up to it can be a pain in the butt (pun intended), but a successful procedure can help catch issues before they get more serious. The procedure is short but open to a host of complications when pre-procedure guidelines aren’t followed. One of these procedures is avoiding alcohol. We may think that a sip of wine can’t hurt, but any amount of alcohol before a colonoscopy can have detrimental effects on our safety and the conclusiveness of the test. Thankfully, there are plenty of alternatives to alcohol that we can still enjoy during colonoscopy prep. Avoid alcohol and follow protocol!

Colonoscopies are no glamorous procedure. To add to its unpleasantness, the procedure involves a comprehensive preparation regimen that boosts its accuracy. One of the many instructions in the prep booklet for a colonoscopy is to avoid alcohol. While testing our luck is fun and games when buying a lottery ticket, this “no drinking” guideline is one we’ll want to follow.

Understanding the risks of drinking before a colonoscopy will help us follow protocols and have a safe procedure. Let’s take a good look (no pun intended) at if and when it’s okay to drink before a colonoscopy. 

Understanding Colonoscopy Screenings

A medical professional showing an illustration of the human intestines

A colonoscopy is a screening procedure that is used to check the large intestine for abnormalities like swelling, polyps, irritated tissue, and diseases. To do this, they insert a colonoscope — a flexible tube with a tiny camera on the end — through the rectum to view the inside of our colon and surrounding areas. 

Although it’s relatively quick (typically under an hour), a colonoscopy is considered an invasive procedure that requires anesthesia and a lengthy pre-procedure regimen that ensures the physician gets a clear view of our colon. Standard colonoscopy preparation includes limiting certain substances. Let’s take a closer look at what these are.

What To Avoid Before a Colonoscopy 

Preparation for a colonoscopy typically starts three to four days before the scheduled procedure. However, it’s always important to check with our treatment team for specific instructions. 

To ensure that the gastroenterologist has an unobstructed view of our colon, we have to flush out our intestine. To do this, we are instructed to avoid certain foods and substances in the days leading up to the procedure: 

  • Fibrous foods. Foods such as raw fruits and vegetables, whole grains, nuts, and seeds take longer to digest. If particles of undigested food remain in our bowel, it may block crucial areas that our doctor needs to see.
  • Non-clear liquids. Beverages such as milk and fruit juices with pulp are considered non-clear liquids. These liquids may leave residue in our bowel, affecting color-sensitive screening such as tissue inflammation and polyps.
  • Blood thinners. Physicians recommend avoiding blood thinners before a colonoscopy to prevent the risk of excessive bleeding during or after the operation. It may also interact with sedation that is needed for the procedure. If we are prescribed routine blood thinners, it’s best to discuss individual recommendations with our treatment team.
  • Alcohol. Patients are advised to stop drinking alcohol once starting other colonoscopy protocols. Alcohol has blood-thinning properties and other effects that can impact the procedure. 

Avoiding these four things will give us the best chance of a successful procedure. But let’s dive into how alcohol, specifically, could complicate our colonoscopy.

Drinking Alcohol Before a Colonoscopy

Most clear liquids are permitted up to two to four hours before the procedure. While most alcoholic beverages are clear liquids, they are still not allowed. 

Why? There are several reasons. Alcohol dehydrates us, impacts anesthesia (the stuff that keeps us safe and asleep), and thins our blood. All of these can complicate what would normally be a standard procedure. 

But what about just one beer? Can one sip of wine hurt?

Effects of Different Types of Alcohol on Colonoscopy Screenings

When it comes to preparing for a colonoscopy (or any procedure for that matter), all alcohol is created equal. 

Spirits, indeed, contain higher alcohol by volume, but any amount of alcohol can impact a colonoscopy. Lower-alcohol beverages such as wine or beer may produce less of an impact, but any amount of alcohol can have serious adverse effects.

Negative Effects of Drinking Alcohol Before Colonoscopy Procedures 

People get colonoscopies for one reason: to detect abnormalities. If the doctor cannot get a clear picture, the whole procedure is pointless. When we drink before the procedure, we complicate the screening in multiple ways:

  • Impacted imaging. Depending on the alcoholic beverage, alcohol can leave a residue that may mask important areas that may have abnormalities. This can affect treatment and lead to further health complications. 

  • Cognitive impairment. Alcohol is known to lower inhibitions, cloud judgment, and increase food cravings, all of which could derail pre-op protocols and interfere with successful imaging.
 
  • Dehydration. Combined with the bowel prep instructions, which are designed to eliminate fluids, alcohol can cause further dehydration, elevating the risk of kidney issues and dehydration symptoms.
  • Dangerous sedation. Alcohol affects the same system as anesthesia — making the anesthesia less effective and causing dangerous symptoms. If our treatment team is not aware, they may increase the level of sedation due to ineffectiveness. Interactions with anesthesia can lead to nausea, vomiting, aspiration, accidental awareness, and other complications.

  • Risk of infection. A colonoscopy is an invasive procedure that is prone to infections. Alcohol suppresses proper immune function, which increases the risk of developing an infection. 

Drinking before a colonoscopy opens the door to complications that can be fatal. It is imperative that we tell our medical team if we have had anything to drink in the days leading up to our procedure. We might be hesitant to say anything for fear they will reschedule the procedure, but rescheduling is a small price to pay to avoid complications. 

Risks of Drinking Before a Colonoscopy

When Should You Stop Drinking Before a Colonoscopy

We should clear our calendars of all happy hours, weddings, or other festivities two to three days before a colonoscopy. A liquid diet and bowel emptying preparation typically start two days before colonoscopy procedures are scheduled. While avoiding alcohol for a longer period before a colonoscopy is beneficial, ensuring our last drink is at least 48 hours before is crucial for our safety.

Chronic drinking is also shown to impact anesthesia, regardless of following proper protocols. Be sure to communicate clearly with the operating physician and request individual direction if needed. Colonoscopy prep seems like it involves a lot of “no’s.” Let’s get into some “yes’s” and alternatives to alcohol.

What To Drink Instead of Alcohol Before a Colonoscopy

Colonoscopy prep can be unpleasant, but it doesn’t have to be miserable. As long as the beverage is non-alcoholic and meets the clear liquid criteria, we can still enjoy it. There are plenty of alternatives that won’t impact our colonoscopy:

  • Tea
  • Coffee 
  • Soda
  • Sports drinks
  • Juices without pulp 
  • Clear mocktails

Including variety in our clear liquid diet helps make the days leading up to our procedure less miserable. Water can get a bit old after two days of just that (even if it is the liquid of life). These alternatives can help us avoid alcohol the days before a colonoscopy, but what do we do if we slip up?

What To Do If You Drink Before a Colonoscopy

If we do accidentally have a drink within 48 hours of our colonoscopy, the first thing to do is note the time of our last drink. We can then inform our treatment team to receive further guidance on how to proceed. If necessary, the colonoscopy can be postponed to a later date.

We’ve warned against drinking before the procedure, but what about after?

Can You Drink After Colonoscopy Procedures?

Drinking right after a colonoscopy may not pose an immediate risk to our health, but it may lead to adverse symptoms and produce complications during recovery.

It may take hours or days to fully metabolize anesthesia. If we drink while anesthesia is still in our system, our liver may not be able to keep up. This can lead to increased side effects from anesthesia drugs and hangover symptoms from alcohol. 

Furthermore, if any abnormalities are discovered and removed during the procedure, we might be prescribed medications. Drinking after the operation can interact with prescribed medications and also impact recovery.

When dealing with invasive procedures, the fewer complications the better. We’ve determined that alcohol is one of these complications that negatively influences the safety and outcome of colonoscopy procedures. To set us up for success, we can make intentional choices during colonoscopy preparation. 

Practicing Safe Preparation for Medical Procedures

Implementing safe practices leading up to any medical procedure helps things go more smoothly. Here are four tips we can keep in our toolbox for colonoscopies and other medical procedures:

  • Follow procedures. The long list of protocols leading up to a colonoscopy is there for a reason. It may seem extensive, but each direction helps to increase the success of the operation and keep us safe. Even though it may not seem like it at the moment, the preparation guidebook doesn’t exist just to make us suffer. 
  • Limit complicating substances. Strict guidelines for drinking and smoking may be outlined in the 24-48 hours leading up to a procedure. However, limiting substances such as alcohol and tobacco before this period and after the procedure can further prevent unwanted complications. 
  • Stay hydrated. Proper hydration seems to be recommended for everything. That’s because it’s beneficial in all aspects. Drinking plenty of water helps our cells and organs function optimally and can aid in recovery.
  • Ask questions. When in doubt, it’s always better to ask for clarification. The preparation guidelines are helpful for general safety, but since we all have individual differences and circumstances, specific directions can be most beneficial. 

Key Takeaways

A colonoscopy and the prep leading up to it can be a pain in the butt (pun intended), but a successful procedure can help catch issues before they get more serious. The procedure is short but open to a host of complications when pre-procedure guidelines aren’t followed. One of these procedures is avoiding alcohol. We may think that a sip of wine can’t hurt, but any amount of alcohol before a colonoscopy can have detrimental effects on our safety and the conclusiveness of the test. Thankfully, there are plenty of alternatives to alcohol that we can still enjoy during colonoscopy prep. Avoid alcohol and follow protocol!

Alcohol and Health
2024-04-26 9:00
Alcohol and Health
Does Smelling Alcohol Help With Nausea?
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Can sniffing alcohol relieve nausea? Read our latest blog to find out!

16 min read

Say Goodbye to Alcohol-Induced Nausea!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

No one likes the feeling of an upset stomach, and most of us will do just about anything to alleviate the pain and avoid throwing up. If you scan the web, you may find that people swear by sniffing alcohol to alleviate nausea. Is it true? Does it work? This article will walk you through everything you need to know about nausea, alcohol, and whether or not smelling alcohol for nausea works.

Nausea: Our Body’s Urge to Purge

A woman sitting on a couch, covering her mouth and looking nauseated

Nausea is that queasy or uneasy feeling we get in our stomach. The urge to vomit or an uncomfortable feeling in our throats often accompanies nausea. Vomiting or “throwing up” is when we forcibly empty the contents of our stomach through our mouth. Muscles in our stomach contract to propel the stomach’s contents through our esophagus and out. Nausea and vomiting are not a disease of their own but symptoms of different conditions. There are many reasons people experience nausea:

  • Illness such as stomach flu, certain viruses, or infections.
  • Food poisoning
  • Motion sickness, vertigo, migraines 
  • Pregnancy
  • Gastrointestinal conditions such as ulcers, gastritis, or gastroparesis
  • Intense pain 
  • Certain medications such as chemotherapy 
  • Overconsumption of alcohol

Vomiting and nausea are typically harmless, but in some cases, they can be a sign of something more serious such as encephalitis, meningitis, some cancers, heart attack, concussion or brain injury, brain tumors, bowel obstruction, or appendicitis. If you think you are experiencing something more serious than general nausea and vomiting, seek medical attention. 

Can Alcohol Cause Nausea? 

Yes! It is not uncommon for us to feel nausea after drinking alcohol. Vomiting is a common result of alcohol consumption. Why? Alcohol irritates the lining of our stomach and slows the rate of digestion, which leads to fat building up in our liver, stomach, and pancreas secretions. The toxins released as we consume alcohol alert the “vomiting center” in our brain — the area postrema. The brain senses these toxins and tries to rid the body of them by signaling us to throw up. 

So, if alcohol can cause nausea or make us throw up, how would smelling alcohol help us with it? 

Isopropyl Alcohol vs. Ethanol 

To answer that question, we have to understand the different types of alcohol: 


  • Isopropyl alcohol (IPA). IPA is synthesized from propylene, a derivative of petroleum. It is pure alcohol and has no other ingredients. It is often used as a disinfectant, antiseptic, and solvent. It can be found in rubbing alcohol, cleaning products, and personal care items. Drinking isopropyl alcohol can cause nausea, vomiting, dizziness, or even death (if consumed in large amounts). 
  • Rubbing alcohol. The rubbing alcohol we keep in our medicine cabinets is simply IPA diluted with water. It is great for cleaning, but dangerous (and disgusting) to drink.

  • Ethanol. The alcohol we drink is made with ethanol. Ethanol is made out of sugar cane, wheat, or other plant-based sources through the fermentation process. It can also be used as a solvent in pharmaceuticals or personal care products.

When people recommend smelling alcohol to relieve nausea, they are not talking about sniffing an open bottle of vodka; they are talking about isopropyl alcohol (IPA). 

Smelling Alcohol for Nausea

But does it work? In some cases, a few big whiffs of rubbing alcohol can help alleviate nausea; however, there is limited scientific evidence to prove it.

One study found that isopropyl alcohol vapor aromatherapy provided faster relief of nausea and reduced the need for anti-nausea medications. Another study saw that inhaled isopropyl alcohol helped patients experiencing nausea in the emergency department. 

Although the limited evidence seems promising, there is still no guarantee that sniffing IPA will relieve our nausea. Furthermore, inhaling too much isopropyl alcohol can irritate or paralyze our respiratory system. We need to be careful when trying to use isopropyl alcohol to help with nausea and remember that it might not work for everyone. 

Why Does Smelling Alcohol Help With Nausea?

Smelling alcohol for nausea may work in some cases, but why? Since there has been limited research on this topic, we don’t know exactly how it can help with nausea. Some believe the strong smell of rubbing alcohol may be a distraction from our nausea. Another theory is that overloading our olfactory system (our sense of smell) overrides our senses and leads our brains to prioritize processing the strong scent over the feeling of nausea. 

Much of the evidence that smelling alcohol helps with nausea is found in anecdotal reports of people feeling better. With the limited research conducted, it is hard to conclude the true mechanism, but we know it works for some people.  

Alternatives To Help With Nausea

Smelling alcohol may not work for everyone, but other home remedies might help: 

  • Drink ginger or peppermint tea
  • Eat foods containing ginger
  • Use acupressure 
  • Sip cold water
  • Sit upright
  • Stay hydrated
  • Get fresh air 
  • Try acupuncture
  • Avoid alcohol

If nausea is persistent and home remedies do not help, seek medical attention. Physicians may suggest anti-nausea medications such as Ondansetron (Zofran), Metoclopramide, Olanzapine, or Promethazine. 

Key Takeaways

Sniffing alcohol might help with nausea, but it’s important to know the difference between isopropyl alcohol and the alcohol we drink (ethanol). We should not consume isopropyl alcohol, and sniffing ethanol won’t do anything. Still, the science behind nausea relief from sniffing IPA is unclear and unproven. Either way, quitting or cutting back on drinking alcohol (ethanol) can help us avoid nausea.

No one likes the feeling of an upset stomach, and most of us will do just about anything to alleviate the pain and avoid throwing up. If you scan the web, you may find that people swear by sniffing alcohol to alleviate nausea. Is it true? Does it work? This article will walk you through everything you need to know about nausea, alcohol, and whether or not smelling alcohol for nausea works.

Nausea: Our Body’s Urge to Purge

A woman sitting on a couch, covering her mouth and looking nauseated

Nausea is that queasy or uneasy feeling we get in our stomach. The urge to vomit or an uncomfortable feeling in our throats often accompanies nausea. Vomiting or “throwing up” is when we forcibly empty the contents of our stomach through our mouth. Muscles in our stomach contract to propel the stomach’s contents through our esophagus and out. Nausea and vomiting are not a disease of their own but symptoms of different conditions. There are many reasons people experience nausea:

  • Illness such as stomach flu, certain viruses, or infections.
  • Food poisoning
  • Motion sickness, vertigo, migraines 
  • Pregnancy
  • Gastrointestinal conditions such as ulcers, gastritis, or gastroparesis
  • Intense pain 
  • Certain medications such as chemotherapy 
  • Overconsumption of alcohol

Vomiting and nausea are typically harmless, but in some cases, they can be a sign of something more serious such as encephalitis, meningitis, some cancers, heart attack, concussion or brain injury, brain tumors, bowel obstruction, or appendicitis. If you think you are experiencing something more serious than general nausea and vomiting, seek medical attention. 

Can Alcohol Cause Nausea? 

Yes! It is not uncommon for us to feel nausea after drinking alcohol. Vomiting is a common result of alcohol consumption. Why? Alcohol irritates the lining of our stomach and slows the rate of digestion, which leads to fat building up in our liver, stomach, and pancreas secretions. The toxins released as we consume alcohol alert the “vomiting center” in our brain — the area postrema. The brain senses these toxins and tries to rid the body of them by signaling us to throw up. 

So, if alcohol can cause nausea or make us throw up, how would smelling alcohol help us with it? 

Isopropyl Alcohol vs. Ethanol 

To answer that question, we have to understand the different types of alcohol: 


  • Isopropyl alcohol (IPA). IPA is synthesized from propylene, a derivative of petroleum. It is pure alcohol and has no other ingredients. It is often used as a disinfectant, antiseptic, and solvent. It can be found in rubbing alcohol, cleaning products, and personal care items. Drinking isopropyl alcohol can cause nausea, vomiting, dizziness, or even death (if consumed in large amounts). 
  • Rubbing alcohol. The rubbing alcohol we keep in our medicine cabinets is simply IPA diluted with water. It is great for cleaning, but dangerous (and disgusting) to drink.

  • Ethanol. The alcohol we drink is made with ethanol. Ethanol is made out of sugar cane, wheat, or other plant-based sources through the fermentation process. It can also be used as a solvent in pharmaceuticals or personal care products.

When people recommend smelling alcohol to relieve nausea, they are not talking about sniffing an open bottle of vodka; they are talking about isopropyl alcohol (IPA). 

Smelling Alcohol for Nausea

But does it work? In some cases, a few big whiffs of rubbing alcohol can help alleviate nausea; however, there is limited scientific evidence to prove it.

One study found that isopropyl alcohol vapor aromatherapy provided faster relief of nausea and reduced the need for anti-nausea medications. Another study saw that inhaled isopropyl alcohol helped patients experiencing nausea in the emergency department. 

Although the limited evidence seems promising, there is still no guarantee that sniffing IPA will relieve our nausea. Furthermore, inhaling too much isopropyl alcohol can irritate or paralyze our respiratory system. We need to be careful when trying to use isopropyl alcohol to help with nausea and remember that it might not work for everyone. 

Why Does Smelling Alcohol Help With Nausea?

Smelling alcohol for nausea may work in some cases, but why? Since there has been limited research on this topic, we don’t know exactly how it can help with nausea. Some believe the strong smell of rubbing alcohol may be a distraction from our nausea. Another theory is that overloading our olfactory system (our sense of smell) overrides our senses and leads our brains to prioritize processing the strong scent over the feeling of nausea. 

Much of the evidence that smelling alcohol helps with nausea is found in anecdotal reports of people feeling better. With the limited research conducted, it is hard to conclude the true mechanism, but we know it works for some people.  

Alternatives To Help With Nausea

Smelling alcohol may not work for everyone, but other home remedies might help: 

  • Drink ginger or peppermint tea
  • Eat foods containing ginger
  • Use acupressure 
  • Sip cold water
  • Sit upright
  • Stay hydrated
  • Get fresh air 
  • Try acupuncture
  • Avoid alcohol

If nausea is persistent and home remedies do not help, seek medical attention. Physicians may suggest anti-nausea medications such as Ondansetron (Zofran), Metoclopramide, Olanzapine, or Promethazine. 

Key Takeaways

Sniffing alcohol might help with nausea, but it’s important to know the difference between isopropyl alcohol and the alcohol we drink (ethanol). We should not consume isopropyl alcohol, and sniffing ethanol won’t do anything. Still, the science behind nausea relief from sniffing IPA is unclear and unproven. Either way, quitting or cutting back on drinking alcohol (ethanol) can help us avoid nausea.

Alcohol and Health
2024-04-25 9:00
Alcohol and Health
What Is Cane Alcohol? Is It Bad for You?
This is some text inside of a div block.

Organic cane alcohol can sound like a better choice than conventional grain alcohol. But that’s not the case. Check out our latest blog for more info on the adverse effects of cane alcohol.

19 min read

Trying To Approach Alcohol Consumption Safely? Reframe Can Help!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today!

Read Full Article  →

Organic, natural, and non-GMO, among many other labels, are supposedly “better” alternatives to a normal generic product. But what about organic cane alcohol? We know that there are harmful effects of drinking alcoholic beverages and may be looking for a better option. 

On the surface, cane alcohol can seem like a viable alternative to other alcoholic beverages we may be more familiar with. However, a deeper dive into its adverse effects may suggest otherwise. Let’s further examine what it is and evaluate if it's a healthier option so we can make more well-informed alcohol choices. 

What Is Cane Alcohol?

A glass decanter filled with wine, on a table

Cane alcohol is alcohol that is made from the sugar cane plant. The two main types of cane alcohol are pure cane alcohol and alcohol made from molasses — which we know as rum.

Pure cane alcohol is made from organic sugar cane. The plant is cut and milled with water to produce raw sugar cane juice, which is then heated to remove the impurities. The sugar cane juice is fermented and distilled multiple times to reach a high level of purity, which organic cane alcohol is known for. Rum, on the other hand, is made from fermentation of molasses, a byproduct of the sugar-making process. It falls under the general category of cane alcohol but is distinct from pure cane alcohol.

Pure organic cane alcohol is known for its neutral taste and purity, making it adaptable to many different uses.

How Is Organic Cane Alcohol Used? 

Organic cane alcohol is used in a variety of different industries aside from alcoholic beverage companies. Some of its other uses include the following:

  • Production of pharmaceuticals. Cane alcohol is a quality solvent and is commonly used in producing over-the-counter and prescription medications.
  • Base for perfumes and cosmetics. The purity and neutrality of cane alcohol make it a perfect base for perfumes and cosmetics. It serves as a great solvent for fragrances and colors to be mixed and made into beauty products.
  • Preservative. Pure cane alcohol is commonly used as a preservative due to its high alcohol content. It prevents the growth of unwanted bacteria in skin care products and in flavorings and colorants used in the food industry.
  • Disinfectant. The high alcohol content gives cane alcohol its disinfectant properties. Cane alcohol is used in cleaning products, hand sanitizers, mouthwash, and more.

Cane alcohol is versatile, not just in its applications within different industries but also in the types of alcoholic beverages it can create.

Types of Cane Alcohol Approved for Consumption 

Pure cane alcohol, which is pure alcohol at 98% alcohol by volume, is used to make distilled alcoholic beverages such as liqueurs, vodkas, and bitters. Legality varies widely by country and region. When purchasing or consuming cane alcohol, it’s important to check regional regulations.

Cane alcoholic drinks are extremely popular in Brazil. Three of the most notable include cachaça, aguardente de cana, and simple alcoholic sugar cane distillate — all made from sugar cane juice. Each varies in ABV and has its own minimum and maximum ABV regulations in Brazil.

While cane alcoholic beverages are popular in Brazil, rum is the most popular cane alcohol approved for consumption in the U.S. According to the Alcohol and Tobacco Tax and Trade Bureau (TTB), rum may not exceed 95% alcohol by volume but can vary in regulations depending on the area. 

So is cane alcohol really so bad, given its popularity and various uses?

Is Organic Cane Alcohol Bad for You?

Organic sugar cane alcohol in the context of cosmetics preservation and pharmaceuticals can be a great alternative to synthetically produced chemicals. However, in the context of alcoholic beverages, being derived from an organic plant doesn’t negate the toxicity of alcohol. 

Just the way a basket of french fries or a carton of apple juice doesn't count as our serving of fruits and vegetables for the day, alcohol made from a plant doesn’t exactly make it a green juice. Organic cane alcohol has the same harmful effects as other alcoholic beverages that are made from other plants. It goes through the same fermentation process that creates alcohol by turning sugar into ethanol. When we consume ethanol, it’s broken down into a toxic compound known as acetaldehyde — the culprit of many of alcohol’s detrimental effects.

A particular study focused on sugar cane spirits found that their consumption produced anxiolytic-like effects in mice, reducing their inhibitions and causing them to behave out of the ordinary, while also causing them liver injury. While the alcohol content in organic cane alcohol can vary depending on the type of alcoholic beverage, it still contains toxic compounds that harm our health. 

So, we’ve learned that cane alcohol has the same harmful effects as grain alcohol, but let’s dive into the difference a little more.

Comparing Grain and Cane Alcohol

Grain and cane alcohol are similar in that they have various uses, and they’re both derived from plants: cane alcohol is from sugar cane and grain alcohol is from other grains such as corn, wheat, or barley. But grain and cane alcohol are distinct due to three main differences:

  • Sustainability. Sugar cane is more eco-friendly than grains as it requires less land and energy to farm. One sugar cane plant can yield seven harvests, whereas some plants such as corn would yield only one. This makes cane alcohol better for the environment and more cost-efficient to produce. 
  • Presence of gluten. Since cane alcohol is made from the sugar cane plant, it doesn’t contain gluten like most grain alcohols. This makes cane alcohol a better gluten-free alternative for those of us who are gluten intolerant or diagnosed with celiac disease. 
  • Popularity. Grain alcohol is more popular than cane alcohol in the U.S. due to the high availability of grains. Sugar cane is a tropical plant mostly grown in warm areas such as Brazil, India, and China — making cane alcohol more popular in these areas.

While sugar cane alcohol has some benefits over grain alcohol, consuming cane alcohol is still associated with many risks.

Risks of Consuming Sugar Cane Alcohol

Sugar cane alcohol is just like any other alcohol in that it is a toxic compound that opens the door to many different complications and consequences. Some of the issues that drinking alcohol leads to include the following:

  • Acute health effects. Alcohol depresses our central nervous system, which affects functions such as our coordination, judgment, and thinking. It also disrupts our blood pressure, impacts our blood sugar, and decreases our immune function. In short, drinking impacts all of the systems in our body, decreasing overall function. Another specific study on the effect of sugar cane alcohol in mice showed that consumption had negative effects on their nutritional and metabolic health.
  • Long-term health impacts. Prolonged exposure to the toxins in alcohol directly increases the risk of developing diseases and cancers. Long-term health conditions are the leading cause of alcohol-related mortalities.
  • Mental health issues. The stimulant and depressant effects of alcohol create mood fluctuations and can impact our stress response over time. Excess drinking is linked with poor mental health and can also lead to other mental health conditions, such as anxiety and depression.
  • Risk of dependence. Alcohol is a drug that can cause dependence and misuse. Cane alcohol typically contains a high alcohol content, adding to these risks.

Due to the way sugar cane alcohol is presented, it also comes with its own risk factors. 

  • Fluctuating alcohol content. Pure cane alcohol can come in varying levels of ABV. When mixing drinks at home (common in crafting cane alcoholic beverages), it can be difficult to determine the alcohol content in our drink. Cane alcohol is also made into distilled spirits such as rum. Distilled spirits have a high alcohol content, adding to their dangers.
  • Common misconceptions. False beliefs about cane alcohol can make it more dangerous. For example, if we believe cane alcohol has health benefits, we may be more prone to excessive consumption

Let’s clear up some of the confusion surrounding organic cane alcohol so we can make well-informed decisions about drinking.

Clearing Up Common Misconceptions About Cane Alcohol

Cane alcohol, specifically organic cane alcohol, is associated with many common misconceptions, such as: 

  • Organic cane alcohol is better for our health. Cane alcohol and grain alcohol both contain the same toxic compounds. Cane alcohol may be better for those of us who are gluten intolerant or celiac, but it is not better for our health than grain alcohol. 
  • Organic means nothing toxic. Grain and cane alcohol both come in organic varieties. According to the United States Department of Agriculture (USDA), certified organic products must not contain more than 5% nonorganic ingredients. Synthetic pesticides and fertilizers, growth hormones, and genetic engineering are prohibited. However, organic products can still have residue of these substances as long as it doesn’t exceed the 5% mark. Decreasing exposure to pesticides and chemicals is beneficial; however, it’s important to note that organic alcohol doesn’t take away the toxicity of alcohol. Alcohol is still alcohol.
  • Cane alcohol has high levels of antioxidants. Sugar cane is high in antioxidants, which help get rid of free radicals, the molecules that cause cell damage. However, research shows that alcohol causes oxidative stress, creating an imbalance between free radicals and antioxidants. This can counteract the antioxidant levels found in sugar cane.

After we understand exactly what cane alcohol is we are able to consume more mindfully and safely.

Navigating Safe Cane Alcohol Consumption

Navigating Safe Cane Alcohol Consumption

As we’ve learned, consuming cane alcohol comes with many risks. If we choose to drink cane alcohol, we can limit its negative consequences through mindful drinking practices:

  • Learn more. Alcohol itself is a complex substance that interacts with our body in multifarious ways. The confusing aspects of cane alcohol can further add to its complexity. From a quick glance, organic cane alcohol doesn’t sound too bad compared to Everclear and other better known substances. However, learning more about organic cane alcohol’s negative effects can help us better understand the consequences and consume more mindfully.
  • Quit or cut back on alcohol. Although alcohol is such a large part of our social culture, at the end of the day, it’s still a toxic substance that can have substantial impacts on our well-being. Finding alternatives and seeking support are ways we can reduce our overall alcohol consumption.
  • Keep track. Tracking our alcohol consumption helps us identify any triggers we may have and helps us set intentional goals to quit or cut back. 
  • Manage other facets of our health. We’ve established that alcohol is detrimental to our health. However, other substances and activities can also be harmful to our well-being. Aside from quitting or cutting back on alcohol, prioritizing a balanced diet, connecting with others, and engaging in physical activities can improve our overall health.

Mindfully approaching cane alcohol and alcohol in general can help minimize its adverse effects. However, at the end of the day, alcohol is still alcohol, no matter if it’s organic or derived from a sugar cane plant.

Without “Sugarcoating” It

We may have all been duped at some point in our lives by product labeling. Free-range, all-natural, and organic may not always be what we think. Debunking common myths about organic cane alcohol helps us see it for what it is. Pure cane alcohol is a useful, eco-friendly substance when used in the cosmetics, pharmaceutical, and food industries. However, as an alcoholic beverage, organic cane alcohol has the same toxic effects as grain alcohol, which we may be more familiar with. The lack of clarity and regulations surrounding cane alcohol makes it even more dangerous than other alcoholic beverages. Gain a better relationship with alcohol by cutting back, whether it be from grain or cane!

Organic, natural, and non-GMO, among many other labels, are supposedly “better” alternatives to a normal generic product. But what about organic cane alcohol? We know that there are harmful effects of drinking alcoholic beverages and may be looking for a better option. 

On the surface, cane alcohol can seem like a viable alternative to other alcoholic beverages we may be more familiar with. However, a deeper dive into its adverse effects may suggest otherwise. Let’s further examine what it is and evaluate if it's a healthier option so we can make more well-informed alcohol choices. 

What Is Cane Alcohol?

A glass decanter filled with wine, on a table

Cane alcohol is alcohol that is made from the sugar cane plant. The two main types of cane alcohol are pure cane alcohol and alcohol made from molasses — which we know as rum.

Pure cane alcohol is made from organic sugar cane. The plant is cut and milled with water to produce raw sugar cane juice, which is then heated to remove the impurities. The sugar cane juice is fermented and distilled multiple times to reach a high level of purity, which organic cane alcohol is known for. Rum, on the other hand, is made from fermentation of molasses, a byproduct of the sugar-making process. It falls under the general category of cane alcohol but is distinct from pure cane alcohol.

Pure organic cane alcohol is known for its neutral taste and purity, making it adaptable to many different uses.

How Is Organic Cane Alcohol Used? 

Organic cane alcohol is used in a variety of different industries aside from alcoholic beverage companies. Some of its other uses include the following:

  • Production of pharmaceuticals. Cane alcohol is a quality solvent and is commonly used in producing over-the-counter and prescription medications.
  • Base for perfumes and cosmetics. The purity and neutrality of cane alcohol make it a perfect base for perfumes and cosmetics. It serves as a great solvent for fragrances and colors to be mixed and made into beauty products.
  • Preservative. Pure cane alcohol is commonly used as a preservative due to its high alcohol content. It prevents the growth of unwanted bacteria in skin care products and in flavorings and colorants used in the food industry.
  • Disinfectant. The high alcohol content gives cane alcohol its disinfectant properties. Cane alcohol is used in cleaning products, hand sanitizers, mouthwash, and more.

Cane alcohol is versatile, not just in its applications within different industries but also in the types of alcoholic beverages it can create.

Types of Cane Alcohol Approved for Consumption 

Pure cane alcohol, which is pure alcohol at 98% alcohol by volume, is used to make distilled alcoholic beverages such as liqueurs, vodkas, and bitters. Legality varies widely by country and region. When purchasing or consuming cane alcohol, it’s important to check regional regulations.

Cane alcoholic drinks are extremely popular in Brazil. Three of the most notable include cachaça, aguardente de cana, and simple alcoholic sugar cane distillate — all made from sugar cane juice. Each varies in ABV and has its own minimum and maximum ABV regulations in Brazil.

While cane alcoholic beverages are popular in Brazil, rum is the most popular cane alcohol approved for consumption in the U.S. According to the Alcohol and Tobacco Tax and Trade Bureau (TTB), rum may not exceed 95% alcohol by volume but can vary in regulations depending on the area. 

So is cane alcohol really so bad, given its popularity and various uses?

Is Organic Cane Alcohol Bad for You?

Organic sugar cane alcohol in the context of cosmetics preservation and pharmaceuticals can be a great alternative to synthetically produced chemicals. However, in the context of alcoholic beverages, being derived from an organic plant doesn’t negate the toxicity of alcohol. 

Just the way a basket of french fries or a carton of apple juice doesn't count as our serving of fruits and vegetables for the day, alcohol made from a plant doesn’t exactly make it a green juice. Organic cane alcohol has the same harmful effects as other alcoholic beverages that are made from other plants. It goes through the same fermentation process that creates alcohol by turning sugar into ethanol. When we consume ethanol, it’s broken down into a toxic compound known as acetaldehyde — the culprit of many of alcohol’s detrimental effects.

A particular study focused on sugar cane spirits found that their consumption produced anxiolytic-like effects in mice, reducing their inhibitions and causing them to behave out of the ordinary, while also causing them liver injury. While the alcohol content in organic cane alcohol can vary depending on the type of alcoholic beverage, it still contains toxic compounds that harm our health. 

So, we’ve learned that cane alcohol has the same harmful effects as grain alcohol, but let’s dive into the difference a little more.

Comparing Grain and Cane Alcohol

Grain and cane alcohol are similar in that they have various uses, and they’re both derived from plants: cane alcohol is from sugar cane and grain alcohol is from other grains such as corn, wheat, or barley. But grain and cane alcohol are distinct due to three main differences:

  • Sustainability. Sugar cane is more eco-friendly than grains as it requires less land and energy to farm. One sugar cane plant can yield seven harvests, whereas some plants such as corn would yield only one. This makes cane alcohol better for the environment and more cost-efficient to produce. 
  • Presence of gluten. Since cane alcohol is made from the sugar cane plant, it doesn’t contain gluten like most grain alcohols. This makes cane alcohol a better gluten-free alternative for those of us who are gluten intolerant or diagnosed with celiac disease. 
  • Popularity. Grain alcohol is more popular than cane alcohol in the U.S. due to the high availability of grains. Sugar cane is a tropical plant mostly grown in warm areas such as Brazil, India, and China — making cane alcohol more popular in these areas.

While sugar cane alcohol has some benefits over grain alcohol, consuming cane alcohol is still associated with many risks.

Risks of Consuming Sugar Cane Alcohol

Sugar cane alcohol is just like any other alcohol in that it is a toxic compound that opens the door to many different complications and consequences. Some of the issues that drinking alcohol leads to include the following:

  • Acute health effects. Alcohol depresses our central nervous system, which affects functions such as our coordination, judgment, and thinking. It also disrupts our blood pressure, impacts our blood sugar, and decreases our immune function. In short, drinking impacts all of the systems in our body, decreasing overall function. Another specific study on the effect of sugar cane alcohol in mice showed that consumption had negative effects on their nutritional and metabolic health.
  • Long-term health impacts. Prolonged exposure to the toxins in alcohol directly increases the risk of developing diseases and cancers. Long-term health conditions are the leading cause of alcohol-related mortalities.
  • Mental health issues. The stimulant and depressant effects of alcohol create mood fluctuations and can impact our stress response over time. Excess drinking is linked with poor mental health and can also lead to other mental health conditions, such as anxiety and depression.
  • Risk of dependence. Alcohol is a drug that can cause dependence and misuse. Cane alcohol typically contains a high alcohol content, adding to these risks.

Due to the way sugar cane alcohol is presented, it also comes with its own risk factors. 

  • Fluctuating alcohol content. Pure cane alcohol can come in varying levels of ABV. When mixing drinks at home (common in crafting cane alcoholic beverages), it can be difficult to determine the alcohol content in our drink. Cane alcohol is also made into distilled spirits such as rum. Distilled spirits have a high alcohol content, adding to their dangers.
  • Common misconceptions. False beliefs about cane alcohol can make it more dangerous. For example, if we believe cane alcohol has health benefits, we may be more prone to excessive consumption

Let’s clear up some of the confusion surrounding organic cane alcohol so we can make well-informed decisions about drinking.

Clearing Up Common Misconceptions About Cane Alcohol

Cane alcohol, specifically organic cane alcohol, is associated with many common misconceptions, such as: 

  • Organic cane alcohol is better for our health. Cane alcohol and grain alcohol both contain the same toxic compounds. Cane alcohol may be better for those of us who are gluten intolerant or celiac, but it is not better for our health than grain alcohol. 
  • Organic means nothing toxic. Grain and cane alcohol both come in organic varieties. According to the United States Department of Agriculture (USDA), certified organic products must not contain more than 5% nonorganic ingredients. Synthetic pesticides and fertilizers, growth hormones, and genetic engineering are prohibited. However, organic products can still have residue of these substances as long as it doesn’t exceed the 5% mark. Decreasing exposure to pesticides and chemicals is beneficial; however, it’s important to note that organic alcohol doesn’t take away the toxicity of alcohol. Alcohol is still alcohol.
  • Cane alcohol has high levels of antioxidants. Sugar cane is high in antioxidants, which help get rid of free radicals, the molecules that cause cell damage. However, research shows that alcohol causes oxidative stress, creating an imbalance between free radicals and antioxidants. This can counteract the antioxidant levels found in sugar cane.

After we understand exactly what cane alcohol is we are able to consume more mindfully and safely.

Navigating Safe Cane Alcohol Consumption

Navigating Safe Cane Alcohol Consumption

As we’ve learned, consuming cane alcohol comes with many risks. If we choose to drink cane alcohol, we can limit its negative consequences through mindful drinking practices:

  • Learn more. Alcohol itself is a complex substance that interacts with our body in multifarious ways. The confusing aspects of cane alcohol can further add to its complexity. From a quick glance, organic cane alcohol doesn’t sound too bad compared to Everclear and other better known substances. However, learning more about organic cane alcohol’s negative effects can help us better understand the consequences and consume more mindfully.
  • Quit or cut back on alcohol. Although alcohol is such a large part of our social culture, at the end of the day, it’s still a toxic substance that can have substantial impacts on our well-being. Finding alternatives and seeking support are ways we can reduce our overall alcohol consumption.
  • Keep track. Tracking our alcohol consumption helps us identify any triggers we may have and helps us set intentional goals to quit or cut back. 
  • Manage other facets of our health. We’ve established that alcohol is detrimental to our health. However, other substances and activities can also be harmful to our well-being. Aside from quitting or cutting back on alcohol, prioritizing a balanced diet, connecting with others, and engaging in physical activities can improve our overall health.

Mindfully approaching cane alcohol and alcohol in general can help minimize its adverse effects. However, at the end of the day, alcohol is still alcohol, no matter if it’s organic or derived from a sugar cane plant.

Without “Sugarcoating” It

We may have all been duped at some point in our lives by product labeling. Free-range, all-natural, and organic may not always be what we think. Debunking common myths about organic cane alcohol helps us see it for what it is. Pure cane alcohol is a useful, eco-friendly substance when used in the cosmetics, pharmaceutical, and food industries. However, as an alcoholic beverage, organic cane alcohol has the same toxic effects as grain alcohol, which we may be more familiar with. The lack of clarity and regulations surrounding cane alcohol makes it even more dangerous than other alcoholic beverages. Gain a better relationship with alcohol by cutting back, whether it be from grain or cane!

Alcohol and Health
2024-04-23 9:00
Alcohol and Health
Can I Drink Alcohol If I Have Rhabdomyolysis?
This is some text inside of a div block.

If you’ve had rhabdo before, can you drink alcohol now, or should you wait a few months? Learn the facts about rhabdomyolysis and alcohol on the Reframe blog.

17 min read

Reduce Your Risk of Rhabdo With Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

A 19-year-old consumed two liters of red wine. Six hours later, he entered the emergency room intoxicated, uneasy, and sore. He hadn’t taken any medications or other substances, and his medical history was completely unremarkable. After running numerous tests, however, the doctors spotted muscle damage and concluded he had alcohol-induced rhabdomyolysis

Fortunately, he was diagnosed and treated quickly and was able to make a full recovery. But what happens the next time his friends invite him out for drinks? Is it safe to drink alcohol after a rhabdo diagnosis? 

What Is Rhabdo?

a woman with crutches and a doctor

Rhabdomyolysis, nicknamed “rhabdo,” is a rare, rapid breakdown of damaged muscle tissue. When our muscles are injured, they deteriorate, releasing a slew of proteins and electrolytes into the bloodstream. This can worsen kidney function and alter the body’s electrolyte balance. If left untreated, rhabdomyolysis can even lead to organ failure.

Any form of muscle damage may cause rhabdo. The most common culprits are physical overexertion, traumatic injury, and excessive heat exposure. More rarely, muscle breakdown occurs due to drug and alcohol use, certain medications, or illnesses.

If left untreated, rhabdo can be deadly. Knowing the signs of this condition helps us seek medical care before it’s too late.

What Are the Symptoms of Rhabdomyolysis?

Clinicians identify rhabdomyolysis through a triad of symptoms: myalgia, myoglobinuria, and asthenia. For those of us who aren’t doctors, that translates to muscle pain, tea-colored urine, and weakness.

It’s important to note that experiencing all of these symptoms at once is a bit rare; fewer than 10% of us will have all three. Instead, we’ll probably just notice one common symptom — the dark, discolored urine emblematic of rhabdomyolysis.

The following symptoms are also associated with rhabdo:

  • Muscle swelling, especially in one specific area
  • Persistent cramping sensations
  • Dehydration
  • Nausea
  • Infrequent urination
  • Fainting

Regardless of how your muscle damage manifests, prompt medical care is crucial. If you experience extreme muscle pain, dark urine, swelling, or any of the other symptoms outlined above, head to the hospital. This condition can be life-threatening.

What Happens If You Have Rhabdomyolysis?

When we have rhabdo, our deteriorating muscles dump a ton of potassium, phosphate, creatine kinase (CK), urate, and myoglobin into our bloodstream. All that gunk eventually reaches our kidneys, which may struggle to filter out those unexpected hemoglobinic pollutants. That’s a fast track to kidney failure and a whole host of other issues.

The consequences of rhabdo are serious. If left untreated, this condition can cause big problems:

  • Nausea and vomiting
  • Kidney damage and failure
  • Electrolyte imbalance
  • Cardiac arrhythmia (abnormal heartbeat)
  • Seizures
  • Metabolic acidosis (acid buildup)
  • Compartment syndrome (poor circulation and necrosis caused by swelling)
  • Disability
  • Death

Because rhabdomyolysis threatens our lives, we want to take every possible measure to avoid it. In addition to avoiding triggers like prolonged heat exposure and heavy exercise, we may want to consider one other lifestyle change — cutting back on our alcohol intake. 

Alcohol and Rhabdomyolysis

Alcohol is one of the lesser-known causes of rhabdo. Some patients develop this condition after episodes of intoxication or alcohol-induced comas (acute alcoholic myopathy). Others only exhibit symptoms after years of heavy drinking, which we call chronic alcoholic myopathy.

When we consume large amounts of alcohol, we become dehydrated and uninhibited. Both of these changes contribute to our risk of rhabdo. For example, our impaired judgment may lead us to make decisions we usually wouldn’t, resulting in muscle injury from falls or overexertion. These short-term risks may cause us to develop rhabdo.

There’s another facet to alcohol-induced rhabdomyolysis: drinking accelerates the muscle breakdown associated with rhabdo. When our liver metabolizes the ethanol found in beer, wine, or cocktails, it produces carcinogenic acetaldehyde. This substance triggers the formation of free radicals — unstable, reactive molecules that destroy the protective membranes of our cells. Over time, this damage adds up, meaning that those of us who drink heavily in the long term may experience muscle breakdown, weakness, and (you guessed it) rhabdo.

So, what can we do if we have this condition? If your urine is tea-colored after drinking or you notice out-of-control muscle aches, you may need to go to the hospital.

Preventing Rhabdo Recurrence

How Do You Treat Alcohol-Induced Rhabdomyolysis?

Seek medical care immediately if you experience any symptoms of rhabdo. This potentially fatal condition isn’t one we can treat on our own — it requires expert clinical care.

As in most medical emergencies, prompt intervention for rhabdomyolysis is key. The sooner we get to the hospital, the better our outcome will be. Our medical team will strive to promote muscle healing, stop further muscle damage, and protect our kidney function.

All types of rhabdo, including alcohol-induced rhabdomyolysis, are treated with fluid management. Mild cases may resolve with a combo of rest and lots of water. In moderate to severe instances, we might require “aggressive repletion” in the form of intravenous fluids administered at the hospital. Those typically include saline or a solution of glucose and sodium bicarbonate (commonly known as baking soda). The purpose of this approach is to flush out the muscle proteins that cause arrhythmia and kidney damage.

Research: New Treatments for Rhabdo

Because rhabdo is such a dangerous condition, scientists continue searching for more (and better) ways to treat it. At present, there is no standardized second-line treatment for those whose conditions aren’t improved by fluids. Fortunately, it seems like that’s changing.

Researchers from Tulane University found that corticosteroids dramatically improved the condition of an alcohol-induced rhabdomyolysis patient who didn’t respond to fluid management. These drugs have a low toxicity profile, making them potentials option for those who don’t respond to aggressive repletion.

Additionally, medical experts have begun looking into ways to prevent recurrent episodes of rhabdomyolysis.

Preventing Rhabdo Recurrence

While we can’t completely eliminate the risk of rhabdo, we can make lifestyle changes that reduce it:


  • Learn the warning signs. Keep an eye out for warning signs of rhabdo — especially alcoholic rhabdomyolysis symptoms. Remember, you may not experience dark urine, weakness, and muscle pain all at once, but any one of these is cause for medical attention.

  • Take it easy. Overexertion causes most cases of rhabdo — especially if we’re jumping into heavy, prolonged physical activity after a long break. Be mindful of this and consider setting limits on exercise or hard labor whenever possible. Your health comes first!

  • Hydrate. Drinking enough water is crucial for rhabdo prevention. The average woman needs 2.7 liters of fluid each day, while men need a full liter more (3.7). You also may want to stay away from caffeine, alcohol, and other dehydrating substances.

  • Stay cool. Heat exposure drastically increases our chances of developing rhabdomyolysis. If you must stay outside in high temperatures, take breaks, stick to the shade, and head indoors from time to time. Know your limits and take care of yourself!

  • Rule out health conditions. Discovering what’s behind your rhabdo can help you fend off future flare-ups. Have a conversation with your primary care physician after receiving treatment for muscle damage. They can order diagnostic tests to identify any underlying conditions that predispose you to rhabdomyolysis, such as autoimmune myositis.

  • Eat well (and consistently). Fresh fruits and veggies provide the antioxidant boost we need to keep rhabdo at bay. Eat well and avoid long periods of fasting, especially before strenuous workouts or long days in the heat.

  • Abstain from alcohol. At best, drinking may counteract the efforts you’ve made to repair your muscles post-rhabdo. At worst, it can trigger another episode or contribute to lasting organ damage. Consider cutting back on booze (or cutting it out entirely) — especially if you have alcohol rhabdomyolysis.

Any small change you make in the right direction will help you avoid rhabdo and improve your overall health.

How Long After Rhabdo Can I Drink Alcohol?

Rhabdomyolysis and alcohol don’t mix, but can you drink at all after rhabdo? If so, how long should you wait? Is it okay to drink during treatment? Below is a quick reference guide answering the question, “How long after rhabdo can I drink alcohol?”


  • If you currently have rhabdo: If you’re in the middle of treatment for rhabdo, do not drink any alcohol at all. Drinking puts a ton of additional stress on your internal organs, including your kidneys, which are currently doing their best to recover from rhabdomyolysis. Alcohol also contributes to dehydration, which can prolong your symptoms and counteract the fluid therapy you’re currently receiving.

  • If your rhabdo has resolved and was not caused by alcohol: Talk to your medical team if you’re hoping to have a few cocktails post-treatment. Their recommendation should take priority over any advice you see online. They’ll probably ask you to wait anywhere from several weeks to a few months for your kidney function and muscles to return to normal. Once your doctor has given you the okay, you may begin slowly reincorporating alcohol into your life. Just make sure you have the go-ahead, and don’t go overboard! Moderating your intake is a good idea to prevent future episodes.

  • If your rhabdo has resolved and was caused by alcohol: If your doctor determined that you had alcohol-induced rhabdomyolysis, they may advise you to quit drinking (or at least drink less). They can offer you resources and support for navigating this major lifestyle shift. If your provider says it’s all right to drink in moderation, consider tracking your alcohol intake with Reframe. If they ask you to quit entirely, Reframe can help you do that, too.


Abstaining from alcohol entirely is the safest option, but your doctor will have the best recommendations for your particular case. 

Avoid Alcohol Rhabdomyolysis

The connection between alcohol and rhabdomyolysis is complex. Drinking contributes to muscle damage and weakens our immune system — a recipe for rhabdo recurrence. Our best bet is to enjoy some non-alcoholic alternatives while putting our well-being first.

If you start developing health conditions due to drinking, you may want to reevaluate your relationship with alcohol. Reframe offers a framework to help you do just that. Our one-of-a-kind app provides daily inspiration and valuable information, whether you’re quitting or cutting back. You can also enjoy peer support in our 24/7 Forum or regular Zoom meetings. We’re with you every step of the way. Visit the App Store or Google Play today for more information.

A 19-year-old consumed two liters of red wine. Six hours later, he entered the emergency room intoxicated, uneasy, and sore. He hadn’t taken any medications or other substances, and his medical history was completely unremarkable. After running numerous tests, however, the doctors spotted muscle damage and concluded he had alcohol-induced rhabdomyolysis

Fortunately, he was diagnosed and treated quickly and was able to make a full recovery. But what happens the next time his friends invite him out for drinks? Is it safe to drink alcohol after a rhabdo diagnosis? 

What Is Rhabdo?

a woman with crutches and a doctor

Rhabdomyolysis, nicknamed “rhabdo,” is a rare, rapid breakdown of damaged muscle tissue. When our muscles are injured, they deteriorate, releasing a slew of proteins and electrolytes into the bloodstream. This can worsen kidney function and alter the body’s electrolyte balance. If left untreated, rhabdomyolysis can even lead to organ failure.

Any form of muscle damage may cause rhabdo. The most common culprits are physical overexertion, traumatic injury, and excessive heat exposure. More rarely, muscle breakdown occurs due to drug and alcohol use, certain medications, or illnesses.

If left untreated, rhabdo can be deadly. Knowing the signs of this condition helps us seek medical care before it’s too late.

What Are the Symptoms of Rhabdomyolysis?

Clinicians identify rhabdomyolysis through a triad of symptoms: myalgia, myoglobinuria, and asthenia. For those of us who aren’t doctors, that translates to muscle pain, tea-colored urine, and weakness.

It’s important to note that experiencing all of these symptoms at once is a bit rare; fewer than 10% of us will have all three. Instead, we’ll probably just notice one common symptom — the dark, discolored urine emblematic of rhabdomyolysis.

The following symptoms are also associated with rhabdo:

  • Muscle swelling, especially in one specific area
  • Persistent cramping sensations
  • Dehydration
  • Nausea
  • Infrequent urination
  • Fainting

Regardless of how your muscle damage manifests, prompt medical care is crucial. If you experience extreme muscle pain, dark urine, swelling, or any of the other symptoms outlined above, head to the hospital. This condition can be life-threatening.

What Happens If You Have Rhabdomyolysis?

When we have rhabdo, our deteriorating muscles dump a ton of potassium, phosphate, creatine kinase (CK), urate, and myoglobin into our bloodstream. All that gunk eventually reaches our kidneys, which may struggle to filter out those unexpected hemoglobinic pollutants. That’s a fast track to kidney failure and a whole host of other issues.

The consequences of rhabdo are serious. If left untreated, this condition can cause big problems:

  • Nausea and vomiting
  • Kidney damage and failure
  • Electrolyte imbalance
  • Cardiac arrhythmia (abnormal heartbeat)
  • Seizures
  • Metabolic acidosis (acid buildup)
  • Compartment syndrome (poor circulation and necrosis caused by swelling)
  • Disability
  • Death

Because rhabdomyolysis threatens our lives, we want to take every possible measure to avoid it. In addition to avoiding triggers like prolonged heat exposure and heavy exercise, we may want to consider one other lifestyle change — cutting back on our alcohol intake. 

Alcohol and Rhabdomyolysis

Alcohol is one of the lesser-known causes of rhabdo. Some patients develop this condition after episodes of intoxication or alcohol-induced comas (acute alcoholic myopathy). Others only exhibit symptoms after years of heavy drinking, which we call chronic alcoholic myopathy.

When we consume large amounts of alcohol, we become dehydrated and uninhibited. Both of these changes contribute to our risk of rhabdo. For example, our impaired judgment may lead us to make decisions we usually wouldn’t, resulting in muscle injury from falls or overexertion. These short-term risks may cause us to develop rhabdo.

There’s another facet to alcohol-induced rhabdomyolysis: drinking accelerates the muscle breakdown associated with rhabdo. When our liver metabolizes the ethanol found in beer, wine, or cocktails, it produces carcinogenic acetaldehyde. This substance triggers the formation of free radicals — unstable, reactive molecules that destroy the protective membranes of our cells. Over time, this damage adds up, meaning that those of us who drink heavily in the long term may experience muscle breakdown, weakness, and (you guessed it) rhabdo.

So, what can we do if we have this condition? If your urine is tea-colored after drinking or you notice out-of-control muscle aches, you may need to go to the hospital.

Preventing Rhabdo Recurrence

How Do You Treat Alcohol-Induced Rhabdomyolysis?

Seek medical care immediately if you experience any symptoms of rhabdo. This potentially fatal condition isn’t one we can treat on our own — it requires expert clinical care.

As in most medical emergencies, prompt intervention for rhabdomyolysis is key. The sooner we get to the hospital, the better our outcome will be. Our medical team will strive to promote muscle healing, stop further muscle damage, and protect our kidney function.

All types of rhabdo, including alcohol-induced rhabdomyolysis, are treated with fluid management. Mild cases may resolve with a combo of rest and lots of water. In moderate to severe instances, we might require “aggressive repletion” in the form of intravenous fluids administered at the hospital. Those typically include saline or a solution of glucose and sodium bicarbonate (commonly known as baking soda). The purpose of this approach is to flush out the muscle proteins that cause arrhythmia and kidney damage.

Research: New Treatments for Rhabdo

Because rhabdo is such a dangerous condition, scientists continue searching for more (and better) ways to treat it. At present, there is no standardized second-line treatment for those whose conditions aren’t improved by fluids. Fortunately, it seems like that’s changing.

Researchers from Tulane University found that corticosteroids dramatically improved the condition of an alcohol-induced rhabdomyolysis patient who didn’t respond to fluid management. These drugs have a low toxicity profile, making them potentials option for those who don’t respond to aggressive repletion.

Additionally, medical experts have begun looking into ways to prevent recurrent episodes of rhabdomyolysis.

Preventing Rhabdo Recurrence

While we can’t completely eliminate the risk of rhabdo, we can make lifestyle changes that reduce it:


  • Learn the warning signs. Keep an eye out for warning signs of rhabdo — especially alcoholic rhabdomyolysis symptoms. Remember, you may not experience dark urine, weakness, and muscle pain all at once, but any one of these is cause for medical attention.

  • Take it easy. Overexertion causes most cases of rhabdo — especially if we’re jumping into heavy, prolonged physical activity after a long break. Be mindful of this and consider setting limits on exercise or hard labor whenever possible. Your health comes first!

  • Hydrate. Drinking enough water is crucial for rhabdo prevention. The average woman needs 2.7 liters of fluid each day, while men need a full liter more (3.7). You also may want to stay away from caffeine, alcohol, and other dehydrating substances.

  • Stay cool. Heat exposure drastically increases our chances of developing rhabdomyolysis. If you must stay outside in high temperatures, take breaks, stick to the shade, and head indoors from time to time. Know your limits and take care of yourself!

  • Rule out health conditions. Discovering what’s behind your rhabdo can help you fend off future flare-ups. Have a conversation with your primary care physician after receiving treatment for muscle damage. They can order diagnostic tests to identify any underlying conditions that predispose you to rhabdomyolysis, such as autoimmune myositis.

  • Eat well (and consistently). Fresh fruits and veggies provide the antioxidant boost we need to keep rhabdo at bay. Eat well and avoid long periods of fasting, especially before strenuous workouts or long days in the heat.

  • Abstain from alcohol. At best, drinking may counteract the efforts you’ve made to repair your muscles post-rhabdo. At worst, it can trigger another episode or contribute to lasting organ damage. Consider cutting back on booze (or cutting it out entirely) — especially if you have alcohol rhabdomyolysis.

Any small change you make in the right direction will help you avoid rhabdo and improve your overall health.

How Long After Rhabdo Can I Drink Alcohol?

Rhabdomyolysis and alcohol don’t mix, but can you drink at all after rhabdo? If so, how long should you wait? Is it okay to drink during treatment? Below is a quick reference guide answering the question, “How long after rhabdo can I drink alcohol?”


  • If you currently have rhabdo: If you’re in the middle of treatment for rhabdo, do not drink any alcohol at all. Drinking puts a ton of additional stress on your internal organs, including your kidneys, which are currently doing their best to recover from rhabdomyolysis. Alcohol also contributes to dehydration, which can prolong your symptoms and counteract the fluid therapy you’re currently receiving.

  • If your rhabdo has resolved and was not caused by alcohol: Talk to your medical team if you’re hoping to have a few cocktails post-treatment. Their recommendation should take priority over any advice you see online. They’ll probably ask you to wait anywhere from several weeks to a few months for your kidney function and muscles to return to normal. Once your doctor has given you the okay, you may begin slowly reincorporating alcohol into your life. Just make sure you have the go-ahead, and don’t go overboard! Moderating your intake is a good idea to prevent future episodes.

  • If your rhabdo has resolved and was caused by alcohol: If your doctor determined that you had alcohol-induced rhabdomyolysis, they may advise you to quit drinking (or at least drink less). They can offer you resources and support for navigating this major lifestyle shift. If your provider says it’s all right to drink in moderation, consider tracking your alcohol intake with Reframe. If they ask you to quit entirely, Reframe can help you do that, too.


Abstaining from alcohol entirely is the safest option, but your doctor will have the best recommendations for your particular case. 

Avoid Alcohol Rhabdomyolysis

The connection between alcohol and rhabdomyolysis is complex. Drinking contributes to muscle damage and weakens our immune system — a recipe for rhabdo recurrence. Our best bet is to enjoy some non-alcoholic alternatives while putting our well-being first.

If you start developing health conditions due to drinking, you may want to reevaluate your relationship with alcohol. Reframe offers a framework to help you do just that. Our one-of-a-kind app provides daily inspiration and valuable information, whether you’re quitting or cutting back. You can also enjoy peer support in our 24/7 Forum or regular Zoom meetings. We’re with you every step of the way. Visit the App Store or Google Play today for more information.

Alcohol and Health
2024-04-22 9:00
Alcohol and Health
Alcohol and Esophageal Cancer: What Is the Relation and How Does It Happen?
This is some text inside of a div block.

Worried about esophagus cancer and wondering if alcohol might be one of the causes? Learn about the science behind the link in our latest blog!

20 min read

Protect Your Health by Changing Your Relationship With Alcohol!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

Many of us will remember when Robert Kardashian — O.J. Simpson’s notorious lawyer and Kris Kardashian’s first husband — was diagnosed with esophagus cancer. It seemed to take hold with lightning speed, leaving him unable to talk and eat within weeks. Kardashian passed away only two months after his diagnosis, at age 59.

No matter what you might think of Robert Kardashian — or the whole Kardashian clan, for that matter — we can agree that esophagus cancer is a serious, devastating problem. It is estimated that 22,370 new cases will be diagnosed, and 16,130 lives will be lost to the disease in 2024. 

The good news is that esophageal cancer can be prevented by avoiding two of the main causes: smoking and alcohol use. In this article, we will explore the connection between drinking and esophageal cancer and how we can minimize our risks.

What Is Esophageal Cancer?

A doctor examining a man

Esophageal cancer, or cancer of the esophagus, forms when cells in the lining of the esophagus begin to grow out of control. 

The esophagus, also known as the “food pipe,” allows everything we chew and swallow to slide down into our stomach to be digested. While esophagus cancer can start anywhere along this 10- to 13-inch-long tube, it falls into one of two basic types:

  • Squamous cell carcinoma. This type of esophagus cancer starts in the inner lining of the esophagus, known as the mucosa. At one point, it was the most common type of esophagus cancer in the U.S.; now, it makes up less than a third of the total.
  • Adenocarcinoma. This type of esophagus cancer is usually found in the lower third of the “food pipe” and starts in the mucus-making glands. A major risk factor is the so-called Barrett’s esophagus — a condition in which the inner lining gets damaged by stomach acid over time.

Though it originates in the esophagus, esophageal cancer can spread to other parts of the body in three ways: through body tissue, the lymphatic system, and blood. When a doctor makes a diagnosis, the rate at which the cancer has spread will be marked by “stage” numbers ranging from 1 to 4. The lower the number, the better the prognosis — in earlier stages, it might be possible to remove the cancer completely! 

What Are the Symptoms of Esophageal Cancer?

Because its symptoms often overlap with other diseases, esophageal cancer tends to sneak up on its victims. What seems like an innocent cough or bout of indigestion could be something more, especially if it persists and comes with other symptoms. Check with your doctor if you have any doubts! 

Here are some of the most common symptoms:

  • Pain or difficulty swallowing. Also known as dysphagia, this is the trademark symptom of esophageal cancer. It can feel like there’s something stuck in the back of our throat or chest and can even make us feel like we’re choking. This symptom tends to start out fairly mild, getting stronger over time. Unless there’s an obvious cause, it’s best to have it checked out if it persists. 
  • Weight loss. Esophagus cancer can make it harder to swallow, so people might change their diet without realizing it. Eating might take longer, bites tend to get smaller, and certain foods become too much trouble to deal with. At some point, solid foods might be difficult to tackle at all, causing people to switch to a liquid diet. Naturally, these changes might lead to unexpected, and possibly unhealthy, weight loss. 
  • Pain behind the breastbone. In addition to causing a sensation of a “burning throat,” cancer of the esophagus can cause persistent pain or discomfort in the middle of the chest. It can feel like pressure or burning, much like heartburn, but it doesn’t go away. 
  • Hoarseness and cough. A hoarse or husky voice might be a remnant of a lingering cold (or even something we’re born with!), but when it’s new or coupled with other symptoms, it’s important to check out the cause. 
  • Indigestion and heartburn. Persistent heartburn, especially when coupled with other symptoms, is also worth investigating.
  • Lumps under the skin. Occasionally, lumps can be felt or even seen from the outside, depending on the exact location.
  • Bleeding from the throat. One of the more severe signs — coughing up or throwing up blood — definitely warrants a closer look.

While some of these symptoms are a clear sign of a problem, others are more subtle and are not necessarily a sign that something is seriously wrong. However, it’s always best to err on the side of caution and have concerns checked out to catch any problems before they get worse (or just to put our minds at ease!).

What Causes Esophageal Cancer?

The tissues of our digestive tract are sensitive, and many things can irritate them, damaging cells and causing potentially cancerous mutations over time. Here are a few common causes:

  • Tobacco use. This one’s major — smoking and other forms of tobacco are strong irritants and their use is a huge risk factor as far as esophagus cancer is concerned.
  • Heavy alcohol use. Drinking too much irritates the esophagus — among other effects, which we’ll discuss in a lot more detail later on!
  • Barrett’s esophagus. As previously mentioned, irritation to the esophagus lining known as Barrett’s esophagus can pose a risk.
  • Obesity. Obesity is another contributing factor.
  • Aging. As we get older, our bodies can lose the ability to fight off invaders — including malignant cells in our body — making us more vulnerable.
Tips for Reducing Cancer Risk 

How Is Esophageal Cancer Diagnosed?

What happens if we go to the doctor and they suspect esophagus cancer? They will run several tests to make a diagnosis or rule it out:

  • Physical exam and health history overview. The doctor will perform a physical exam and go over previous illnesses and current lifestyle habits. They’ll want to know about our alcohol use and other substances, so it is important to be completely honest with them for the best course of treatment. 
  • Imaging tests. To get a closer look, a doctor might perform a chest x-ray with a barium swallow test. The thick barium liquid coats the esophagus, providing an image of what’s inside. Depending on the situation, they might also order a CT, MRI, or PET scan.
  • Endoscopy. If imaging shows something concerning, they might schedule an endoscopy to get an even better view. For this test, they use anesthesia to keep us asleep and comfortable while they send a tube with a camera down our throat.

  • Biopsy. If they find an abnormality during the endoscopy, they will take a small sample of cells from our esophagus to examine more closely in a lab. This is how they can ultimately and officially confirm or rule out cancer. 

All these tests can seem overwhelming, but your medical team won’t run any that aren’t necessary. Either way, it’s worth it to have peace of mind and, if necessary, early treatment. 

How Is Esophageal Cancer Treated?

Treatment for esophageal cancer depends on the stage (how much the cancer has spread), the size of the tumor, and whether or not the lymph nodes have been affected. While earlier stages can be treated and sometimes cured, the situation gets increasingly difficult in later stages. This is why it’s so important to get tested as soon as we suspect something is wrong.

Treatment usually involves a combination of radiation, chemotherapy, or surgery. Because these methods often come with some severe side effects of their own, we may need additional help maintaining proper nutrition. It’s a challenging time, but staying hopeful is crucial! Recovery is possible, and being in the right mindset is critical when it comes to giving ourselves the best possible chance. The body’s ability to heal is amazing, and we’re stronger than we think!

Now that we have an idea of what esophageal cancer is and how it’s treated, let’s take a closer look at one of its potential triggers — alcohol.

Alcohol and Esophagus Cancer: The Basics

Alcohol is a carcinogen, meaning it is a cancer-causing substance. It is responsible for many types of cancer, including liver cancer, breast cancer, head and neck cancer, colorectal cancer (or cancer in the colon and/or rectum), and, yes, esophageal cancer. 

The CDC makes it clear: “The less alcohol you drink, the lower your risk for cancer.” The type of alcohol doesn’t matter, either: “All alcoholic drinks, including red and white wine, beer, and liquor, are linked with cancer. The more you drink, the higher your cancer risk.”

How Does Alcohol Cause Cancer?

According to the WHO, as many as 4% of all cancers diagnosed around the world in 2020 could be linked to drinking. In the U.S., alcohol-related cancers add up to about 75,000 cases and claim up to 19,000 lives each year.

But what is it about alcohol that makes it carcinogenic? There are a few different mechanisms behind alcohol’s cancer-causing properties, but all of them come down to how alcohol interacts with the cells in our body. 

  • Metabolism. Our body treats alcohol like poison; as soon as it enters our system, the liver starts working to usher it out. That said, it can only do so much at a time — one standard drink (1 ounce of alcohol) per hour. The process of alcohol metabolism produces acetaldehyde —- a toxic compound that’s more dangerous than ethanol. While it eventually gets converted to harmless acetic acid, if we drink a lot, acetaldehyde can build up, damaging DNA and proteins.
  • Nutrition. With alcohol in the picture, the body puts other metabolic processes on hold. The result? We end up absorbing fewer of the vitamins and minerals that keep our body healthy and functioning well. Moreover, as we get more focused on booze, our diet often falls by the wayside, depriving us of cancer-fighting antioxidants found in foods like fruits and vegetables.
  • Hormones. This one is particularly relevant to breast cancer: alcohol increases the levels of estrogen in our blood, amping up the risk.
  • Oral microorganisms. As for esophageal cancer, oral microorganisms could be a contributing factor. One study found that the presence of acetaldehyde in the saliva could be the culprit, encouraging cell proliferation. Microbes present in the oral cavity, in turn, tend to boost the process.

Does Quitting or Cutting Back Change Our Cancer Risk?

So is it all doom and gloom, or is there something we can do to minimize our risk? The good news is that by staying away from booze, we are much less likely to develop esophagus cancer (assuming we don’t continue or pick up smoking and other risky habits). 

The process of getting to “low risk” status can take time, but it’s certainly worth it. One pooled analysis showed that after not drinking alcohol for 20 years, people who used to drink regularly had the same risk of esophageal cancer as those who never drank at all. That’s reassuring!

Alcohol-related risk of other cancers also decreases over time as we stop using or cut back on alcohol. Even if the cancer risk doesn’t vanish immediately, our body will begin to heal the moment we make a change. We can also look at it this way: while we can’t guarantee a life without illness if we quit or cut back on drinking, we can guarantee that our risk for cancer continues to rise by continuing to drink too much.

Tips for Reducing Cancer Risk 

Is there anything else we can do to minimize our risk of esophageal cancer? Absolutely! Some relatively small lifestyle modifications can work wonders when it comes to improving our chances of living a long, happy life:

  • Watch your intake. First and foremost, it’s important to take a close look at our habits around alcohol. Cut back on alcohol use and avoid binge drinking.
  • Nourish your body. Eat a healthy diet rich in whole grains, proteins, and healthy fats. Make sure you are getting the right vitamins and minerals. 
  • Consider cauliflower. Studies show that cruciferous vegetables in particular help lower esophagus cancer risk, so load up on cauliflower and cabbage!
  • Keep active. Exercise works wonders for reducing cancer risk, including esophageal cancer. As a bonus, the natural rush of feel-good chemicals will help keep cravings at bay.

Summing Up

Esophagus cancer is a heavy topic, but it’s encouraging to know there are ways to decrease our risk. Let’s thank our bodies for the incredible work they do by giving them the care they deserve! In the words of author Jess C. Scott, “The human body is the best work of art.” It’s never too late to give this work of art a bit of extra attention and love.

Many of us will remember when Robert Kardashian — O.J. Simpson’s notorious lawyer and Kris Kardashian’s first husband — was diagnosed with esophagus cancer. It seemed to take hold with lightning speed, leaving him unable to talk and eat within weeks. Kardashian passed away only two months after his diagnosis, at age 59.

No matter what you might think of Robert Kardashian — or the whole Kardashian clan, for that matter — we can agree that esophagus cancer is a serious, devastating problem. It is estimated that 22,370 new cases will be diagnosed, and 16,130 lives will be lost to the disease in 2024. 

The good news is that esophageal cancer can be prevented by avoiding two of the main causes: smoking and alcohol use. In this article, we will explore the connection between drinking and esophageal cancer and how we can minimize our risks.

What Is Esophageal Cancer?

A doctor examining a man

Esophageal cancer, or cancer of the esophagus, forms when cells in the lining of the esophagus begin to grow out of control. 

The esophagus, also known as the “food pipe,” allows everything we chew and swallow to slide down into our stomach to be digested. While esophagus cancer can start anywhere along this 10- to 13-inch-long tube, it falls into one of two basic types:

  • Squamous cell carcinoma. This type of esophagus cancer starts in the inner lining of the esophagus, known as the mucosa. At one point, it was the most common type of esophagus cancer in the U.S.; now, it makes up less than a third of the total.
  • Adenocarcinoma. This type of esophagus cancer is usually found in the lower third of the “food pipe” and starts in the mucus-making glands. A major risk factor is the so-called Barrett’s esophagus — a condition in which the inner lining gets damaged by stomach acid over time.

Though it originates in the esophagus, esophageal cancer can spread to other parts of the body in three ways: through body tissue, the lymphatic system, and blood. When a doctor makes a diagnosis, the rate at which the cancer has spread will be marked by “stage” numbers ranging from 1 to 4. The lower the number, the better the prognosis — in earlier stages, it might be possible to remove the cancer completely! 

What Are the Symptoms of Esophageal Cancer?

Because its symptoms often overlap with other diseases, esophageal cancer tends to sneak up on its victims. What seems like an innocent cough or bout of indigestion could be something more, especially if it persists and comes with other symptoms. Check with your doctor if you have any doubts! 

Here are some of the most common symptoms:

  • Pain or difficulty swallowing. Also known as dysphagia, this is the trademark symptom of esophageal cancer. It can feel like there’s something stuck in the back of our throat or chest and can even make us feel like we’re choking. This symptom tends to start out fairly mild, getting stronger over time. Unless there’s an obvious cause, it’s best to have it checked out if it persists. 
  • Weight loss. Esophagus cancer can make it harder to swallow, so people might change their diet without realizing it. Eating might take longer, bites tend to get smaller, and certain foods become too much trouble to deal with. At some point, solid foods might be difficult to tackle at all, causing people to switch to a liquid diet. Naturally, these changes might lead to unexpected, and possibly unhealthy, weight loss. 
  • Pain behind the breastbone. In addition to causing a sensation of a “burning throat,” cancer of the esophagus can cause persistent pain or discomfort in the middle of the chest. It can feel like pressure or burning, much like heartburn, but it doesn’t go away. 
  • Hoarseness and cough. A hoarse or husky voice might be a remnant of a lingering cold (or even something we’re born with!), but when it’s new or coupled with other symptoms, it’s important to check out the cause. 
  • Indigestion and heartburn. Persistent heartburn, especially when coupled with other symptoms, is also worth investigating.
  • Lumps under the skin. Occasionally, lumps can be felt or even seen from the outside, depending on the exact location.
  • Bleeding from the throat. One of the more severe signs — coughing up or throwing up blood — definitely warrants a closer look.

While some of these symptoms are a clear sign of a problem, others are more subtle and are not necessarily a sign that something is seriously wrong. However, it’s always best to err on the side of caution and have concerns checked out to catch any problems before they get worse (or just to put our minds at ease!).

What Causes Esophageal Cancer?

The tissues of our digestive tract are sensitive, and many things can irritate them, damaging cells and causing potentially cancerous mutations over time. Here are a few common causes:

  • Tobacco use. This one’s major — smoking and other forms of tobacco are strong irritants and their use is a huge risk factor as far as esophagus cancer is concerned.
  • Heavy alcohol use. Drinking too much irritates the esophagus — among other effects, which we’ll discuss in a lot more detail later on!
  • Barrett’s esophagus. As previously mentioned, irritation to the esophagus lining known as Barrett’s esophagus can pose a risk.
  • Obesity. Obesity is another contributing factor.
  • Aging. As we get older, our bodies can lose the ability to fight off invaders — including malignant cells in our body — making us more vulnerable.
Tips for Reducing Cancer Risk 

How Is Esophageal Cancer Diagnosed?

What happens if we go to the doctor and they suspect esophagus cancer? They will run several tests to make a diagnosis or rule it out:

  • Physical exam and health history overview. The doctor will perform a physical exam and go over previous illnesses and current lifestyle habits. They’ll want to know about our alcohol use and other substances, so it is important to be completely honest with them for the best course of treatment. 
  • Imaging tests. To get a closer look, a doctor might perform a chest x-ray with a barium swallow test. The thick barium liquid coats the esophagus, providing an image of what’s inside. Depending on the situation, they might also order a CT, MRI, or PET scan.
  • Endoscopy. If imaging shows something concerning, they might schedule an endoscopy to get an even better view. For this test, they use anesthesia to keep us asleep and comfortable while they send a tube with a camera down our throat.

  • Biopsy. If they find an abnormality during the endoscopy, they will take a small sample of cells from our esophagus to examine more closely in a lab. This is how they can ultimately and officially confirm or rule out cancer. 

All these tests can seem overwhelming, but your medical team won’t run any that aren’t necessary. Either way, it’s worth it to have peace of mind and, if necessary, early treatment. 

How Is Esophageal Cancer Treated?

Treatment for esophageal cancer depends on the stage (how much the cancer has spread), the size of the tumor, and whether or not the lymph nodes have been affected. While earlier stages can be treated and sometimes cured, the situation gets increasingly difficult in later stages. This is why it’s so important to get tested as soon as we suspect something is wrong.

Treatment usually involves a combination of radiation, chemotherapy, or surgery. Because these methods often come with some severe side effects of their own, we may need additional help maintaining proper nutrition. It’s a challenging time, but staying hopeful is crucial! Recovery is possible, and being in the right mindset is critical when it comes to giving ourselves the best possible chance. The body’s ability to heal is amazing, and we’re stronger than we think!

Now that we have an idea of what esophageal cancer is and how it’s treated, let’s take a closer look at one of its potential triggers — alcohol.

Alcohol and Esophagus Cancer: The Basics

Alcohol is a carcinogen, meaning it is a cancer-causing substance. It is responsible for many types of cancer, including liver cancer, breast cancer, head and neck cancer, colorectal cancer (or cancer in the colon and/or rectum), and, yes, esophageal cancer. 

The CDC makes it clear: “The less alcohol you drink, the lower your risk for cancer.” The type of alcohol doesn’t matter, either: “All alcoholic drinks, including red and white wine, beer, and liquor, are linked with cancer. The more you drink, the higher your cancer risk.”

How Does Alcohol Cause Cancer?

According to the WHO, as many as 4% of all cancers diagnosed around the world in 2020 could be linked to drinking. In the U.S., alcohol-related cancers add up to about 75,000 cases and claim up to 19,000 lives each year.

But what is it about alcohol that makes it carcinogenic? There are a few different mechanisms behind alcohol’s cancer-causing properties, but all of them come down to how alcohol interacts with the cells in our body. 

  • Metabolism. Our body treats alcohol like poison; as soon as it enters our system, the liver starts working to usher it out. That said, it can only do so much at a time — one standard drink (1 ounce of alcohol) per hour. The process of alcohol metabolism produces acetaldehyde —- a toxic compound that’s more dangerous than ethanol. While it eventually gets converted to harmless acetic acid, if we drink a lot, acetaldehyde can build up, damaging DNA and proteins.
  • Nutrition. With alcohol in the picture, the body puts other metabolic processes on hold. The result? We end up absorbing fewer of the vitamins and minerals that keep our body healthy and functioning well. Moreover, as we get more focused on booze, our diet often falls by the wayside, depriving us of cancer-fighting antioxidants found in foods like fruits and vegetables.
  • Hormones. This one is particularly relevant to breast cancer: alcohol increases the levels of estrogen in our blood, amping up the risk.
  • Oral microorganisms. As for esophageal cancer, oral microorganisms could be a contributing factor. One study found that the presence of acetaldehyde in the saliva could be the culprit, encouraging cell proliferation. Microbes present in the oral cavity, in turn, tend to boost the process.

Does Quitting or Cutting Back Change Our Cancer Risk?

So is it all doom and gloom, or is there something we can do to minimize our risk? The good news is that by staying away from booze, we are much less likely to develop esophagus cancer (assuming we don’t continue or pick up smoking and other risky habits). 

The process of getting to “low risk” status can take time, but it’s certainly worth it. One pooled analysis showed that after not drinking alcohol for 20 years, people who used to drink regularly had the same risk of esophageal cancer as those who never drank at all. That’s reassuring!

Alcohol-related risk of other cancers also decreases over time as we stop using or cut back on alcohol. Even if the cancer risk doesn’t vanish immediately, our body will begin to heal the moment we make a change. We can also look at it this way: while we can’t guarantee a life without illness if we quit or cut back on drinking, we can guarantee that our risk for cancer continues to rise by continuing to drink too much.

Tips for Reducing Cancer Risk 

Is there anything else we can do to minimize our risk of esophageal cancer? Absolutely! Some relatively small lifestyle modifications can work wonders when it comes to improving our chances of living a long, happy life:

  • Watch your intake. First and foremost, it’s important to take a close look at our habits around alcohol. Cut back on alcohol use and avoid binge drinking.
  • Nourish your body. Eat a healthy diet rich in whole grains, proteins, and healthy fats. Make sure you are getting the right vitamins and minerals. 
  • Consider cauliflower. Studies show that cruciferous vegetables in particular help lower esophagus cancer risk, so load up on cauliflower and cabbage!
  • Keep active. Exercise works wonders for reducing cancer risk, including esophageal cancer. As a bonus, the natural rush of feel-good chemicals will help keep cravings at bay.

Summing Up

Esophagus cancer is a heavy topic, but it’s encouraging to know there are ways to decrease our risk. Let’s thank our bodies for the incredible work they do by giving them the care they deserve! In the words of author Jess C. Scott, “The human body is the best work of art.” It’s never too late to give this work of art a bit of extra attention and love.

Alcohol and Health
2024-04-22 9:00
Alcohol and Health
Alcoholic Myopathy: Signs, Causes, and Treatment
This is some text inside of a div block.

Did you know that alcohol is just as harmful to the muscles as it is to the liver? Learn all about alcoholic myopathy and how it’s treated in our latest blog!

18 min read

Ready To Move on to a New Relationship With Alcohol? Reframe Can Help!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

We all know those muscle aches we wake up with the morning after we finish a long hike, try a new kickboxing workout, or stretch our limbs in a new yoga routine. But maybe you’ve experienced this effect after a night of drinking. What gives? Was there a set of jumping jacks (or 10, or 20) you forgot you did between rounds of Trivia Night? Or did a night out on the town magically serve as an equivalent of a trip to the gym?

Turns out, booze itself might be the culprit. Alcohol can induce a condition known as alcoholic myopathy, an uncomfortable muscle condition. Let’s learn what those sore muscles after drinking are all about — and what we can do about it!

What Is Myopathy?

A man holding his neck in discomfort

Derived from the Greek “myo” (muscle) and “pathy” (suffering), the term myopathy describes various types of muscle disease. What’s behind this “muscle suffering”? It could have a number of different causes, but the result is that the structure, metabolism, or function of our skeletal muscles is affected to the point of interfering with our daily life.

Myopathy can be chronic or acute. Symptoms can range from mildly unpleasant to downright debilitating:

  • Muscle cramps
  • Spasms
  • Muscle stiffness
  • Decreased muscle mass

The causes can vary, but generally fall into two categories: inherited and acquired.

Inherited vs. Acquired Myopathy

Inherited myopathy includes congenital myopathies (in which all muscles are usually affected), those caused by mitochondrial deficiencies, metabolic myopathies (caused by faulty metabolic processes that deplete the muscles of resources they need to function) and muscular dystrophies (progressive degeneration of muscles).

Acquired myopathies, on the other hand, have a number of possible causes ranging from autoimmune or inflammatory diseases to endocrine issues, electrolyte imbalances, illness, and — yes — toxins, such as alcohol.

Early detection is key! A healthcare professional can help pinpoint the root of the problem and make an accurate diagnosis. In the case of alcoholic myopathy, we can do a great deal of prevention before we even get to the point of symptoms.

All About Alcoholic Myopathy

So what does alcohol have to do with it? Can it really affect our muscles? Science says yes! While the mechanism isn’t very well understood, it’s well-documented and can lead to serious problems if left unaddressed.

How common is alcoholic myopathy? According to an Alcohol Research article, as many as 40% to 60% of people diagnosed with alcohol use disorder (AUD) will develop alcoholic myopathy. While the liver gets the most airtime when it comes to the negative effects of alcohol on the body, muscle disease is actually about five times more common.

Alcoholic Myopathy Signs and Symptoms

Alcoholic myopathy can be acute (arising after a heavy binge) or chronic (building up over time). Here are the signs of each:

  • Acute alcoholic myopathy: Our muscles might swell and feel tender. We might experience unusually intense muscle aches after drinking that feel a lot different than everyday aches and pains. Cramping, dark urine, and (in severe cases) kidney failure are also possibilities (and should never be ignored).
  • Chronic alcoholic myopathy: Chronic alcoholic myopathy signs and symptoms creep up in more subtle ways. It might be painless, showing up as muscle atrophy — the so-called “alcoholic’s skinny legs.” Symptoms can also include tightness or twitching after drinking alcohol for a long period of time.

The Science Behind Alcoholic Myopathy

There are three main ways in which alcohol messes with our muscles:

  1. Nutritional deficiencies. This cause is especially common in heavy drinkers. Booze is notorious for sapping our bodies of much-needed nutrients, and our muscles can suffer as a result. For one thing, we might not be eating enough protein, which serves as the building material for muscle fibers. Moreover, chronic malnutrition often leaves us deficient in many micronutrients, such as folate, thiamine, vitamin B6, zinc, iron, and vitamin D. (The last in particular has been associated with alcoholic myopathy).
  2. Protein synthesis disruption. Alcohol misuse is known to put a damper on protein synthesis — and scientists have figured out exactly why. Alcohol affects a group of proteins called mammalian target of rapamycin (mTOR), which act as the production crew in charge of integrating signals necessary for protein synthesis. Those signals come from anabolic hormones, nutrients, and myokines. 

    In addition to messing with mTOR, alcohol decreases insulin-like growth factor-1 (IGF-1) and disrupts the dynamics of the SMAD family of transcription factors involved in muscle generation. All this is to say alcohol slows (and can prevent) muscle growth, no matter how much we work out.
  3. Protein degeneration. To make matters worse, alcohol also leads to protein degeneration by interfering with two molecular systems — the ubiquitin proteasome pathway (UPP) and the autophagic–lysosomal system. The result? A double-whammy as far as muscles are concerned.

While these three are the main mechanisms behind alcoholic myopathy, booze contributes in other ways as well. Its tendency to cause inflammation can make matters worse. It can also cause oxidative stress (a process that contributes to tissue damage), mitochondrial dysfunction (glitches in the ways muscle cells use energy), and epigenetic changes that tweak the cellular processes supporting muscle function.

Finally, alcohol can also make it more difficult to bounce back from tissue injuries — not just because of its effects on muscle growth, but by causing dehydration and electrolyte imbalances.

Risk Factors for Alcoholic Myopathy

How long does alcoholic myopathy take to develop? It depends. For some of us, the symptoms start cropping up sooner rather than later. However, there are a few factors that tend to make chronic alcoholic myopathy in particular more likely to show up.

  • Liver cirrhosis. Scientists have found a strong correlation between liver cirrhosis and alcoholic myopathy. Once alcohol has taken a toll on our liver, it tends to cause muscle degeneration as well, contributing to chronic alcoholic myopathy in particular.
  • Lifetime alcohol consumption. The total amount of alcohol we put in our bodies has a cumulative effect, so the longer we spend drinking excessively, the higher the chances that our muscles will suffer the consequences.
  • Certain medical conditions. Health conditions that broadly affect our body (for example, diabetes or chronic infection related to HIV) can speed up the process of alcoholic myopathy.
  • Inactivity. It goes without saying that being inactive makes it harder for our muscles to thrive. Add alcohol to the mix, and things can go downhill quickly.
  • Age. Unfortunately, as we age, we tend to lose muscle mass. Alcohol speeds up aging and accelerates the process of age-related muscle degeneration.
  • Gender. While men are about four times as likely to end up with acute alcoholic myopathy, women are more likely to develop the chronic kind.

Diagnosis and Treatment: Pathways to Recovery

Now for the big question, can alcoholic myopathy be reversed? Yes, it can (phew!). If we go easy on the booze, our muscles have a chance to recover. There are several strategies doctors use to give our muscles a helping hand.

  • Quit or cut back on alcohol. This one shouldn’t come as a surprise — putting a stop on alcohol misuse gets right to the root of the problem.
  • Therapies to boost muscle synthesis. Some therapies boost the process of muscle synthesis, mainly by targeting certain molecules (such as insulin-like growth factor-1 (IGF-1)) that speed up our natural muscle regeneration processes.
  • Therapies to curb muscle degradation. On the flip side, some methods start from the other end and try to put a stop to muscle degradation by tweaking the molecular pathways involved.
  • Exercise and flexibility training. Last but not least, exercise can boost our muscles’ regenerative power, leading to improved recovery. Aerobic exercise, as well as resistance training, has been shown to help.

Tips for the Journey

So what can you do to give your muscles (and the rest of your body and mind) a breather when it comes to alcohol? Here are a few tips: 

  1. Track your drinking. Start by becoming a “scientist” of your own drinking habits. When do you usually drink? On the couch with friends? At a bar on Thursday night while watching a sports game? Out on the town with the usual suspects on a Saturday night? There’s no judgment here — just start by gathering information to get an idea of what your patterns are.
  2. Find your “why.” Changing your habits can be tricky (especially at first) and having a reason to change can provide that much-needed boost of motivation. If you’re struggling with alcoholic myopathy, focus on what you’ll be able to do once your muscles have a chance to recover. Maybe it’s going for a run or a hike, maybe it’s trying a new workout routine, or maybe it’s simply going about your day with ease and comfort. Focusing on these perks will help you get there!
  3. Decide on a limit. Set a limit ahead of time and try to stick to it. Writing it down, setting a reminder on your phone, or telling an accountability buddy can help!
  4. Take days off. Schedule booze-free days and try to stick to your plan. Your muscles will thank you in the morning!
  5. Find joy in movement. Find a form of exercise you enjoy and make it a habit. If going to the gym isn’t your thing — no problem! These days, all you need is a yoga mat (or any non-slippery surface that has some cushioning to it) and an internet connection. Try any of the free exercise routines on YouTube, where you can find anything from simple yoga sequences to cardio kickboxing, HIIT workouts, or fun dance workouts. Popsugar Fitness is a great one to start with if you want a little bit of everything. Fitness Blender, created by professional physical therapists, is very helpful as well.
  6. Talk to a physical therapist or doctor. Speaking of physical therapists, they can be a lifeline when it comes to correcting any muscle issues before they get worse through targeted routines and bodywork. But if you’re feeling like alcohol has taken a real toll on your overall health and might require medical help, don’t hesitate to talk to your doctor about it. They can help direct you to any treatment you might need (for your muscles or otherwise) to nip the problem in the bud before it progresses. You got this!

Summing Up

We rarely think about how much our muscles do for us every day until something goes wrong or doesn’t feel quite like it should. Let’s be proactive about our health — both when it comes to our muscles and in our journey to a happier, healthier version of ourselves. In the words of writer Haruki Murakami, “I move, therefore I am.” So let’s keep moving!

We all know those muscle aches we wake up with the morning after we finish a long hike, try a new kickboxing workout, or stretch our limbs in a new yoga routine. But maybe you’ve experienced this effect after a night of drinking. What gives? Was there a set of jumping jacks (or 10, or 20) you forgot you did between rounds of Trivia Night? Or did a night out on the town magically serve as an equivalent of a trip to the gym?

Turns out, booze itself might be the culprit. Alcohol can induce a condition known as alcoholic myopathy, an uncomfortable muscle condition. Let’s learn what those sore muscles after drinking are all about — and what we can do about it!

What Is Myopathy?

A man holding his neck in discomfort

Derived from the Greek “myo” (muscle) and “pathy” (suffering), the term myopathy describes various types of muscle disease. What’s behind this “muscle suffering”? It could have a number of different causes, but the result is that the structure, metabolism, or function of our skeletal muscles is affected to the point of interfering with our daily life.

Myopathy can be chronic or acute. Symptoms can range from mildly unpleasant to downright debilitating:

  • Muscle cramps
  • Spasms
  • Muscle stiffness
  • Decreased muscle mass

The causes can vary, but generally fall into two categories: inherited and acquired.

Inherited vs. Acquired Myopathy

Inherited myopathy includes congenital myopathies (in which all muscles are usually affected), those caused by mitochondrial deficiencies, metabolic myopathies (caused by faulty metabolic processes that deplete the muscles of resources they need to function) and muscular dystrophies (progressive degeneration of muscles).

Acquired myopathies, on the other hand, have a number of possible causes ranging from autoimmune or inflammatory diseases to endocrine issues, electrolyte imbalances, illness, and — yes — toxins, such as alcohol.

Early detection is key! A healthcare professional can help pinpoint the root of the problem and make an accurate diagnosis. In the case of alcoholic myopathy, we can do a great deal of prevention before we even get to the point of symptoms.

All About Alcoholic Myopathy

So what does alcohol have to do with it? Can it really affect our muscles? Science says yes! While the mechanism isn’t very well understood, it’s well-documented and can lead to serious problems if left unaddressed.

How common is alcoholic myopathy? According to an Alcohol Research article, as many as 40% to 60% of people diagnosed with alcohol use disorder (AUD) will develop alcoholic myopathy. While the liver gets the most airtime when it comes to the negative effects of alcohol on the body, muscle disease is actually about five times more common.

Alcoholic Myopathy Signs and Symptoms

Alcoholic myopathy can be acute (arising after a heavy binge) or chronic (building up over time). Here are the signs of each:

  • Acute alcoholic myopathy: Our muscles might swell and feel tender. We might experience unusually intense muscle aches after drinking that feel a lot different than everyday aches and pains. Cramping, dark urine, and (in severe cases) kidney failure are also possibilities (and should never be ignored).
  • Chronic alcoholic myopathy: Chronic alcoholic myopathy signs and symptoms creep up in more subtle ways. It might be painless, showing up as muscle atrophy — the so-called “alcoholic’s skinny legs.” Symptoms can also include tightness or twitching after drinking alcohol for a long period of time.

The Science Behind Alcoholic Myopathy

There are three main ways in which alcohol messes with our muscles:

  1. Nutritional deficiencies. This cause is especially common in heavy drinkers. Booze is notorious for sapping our bodies of much-needed nutrients, and our muscles can suffer as a result. For one thing, we might not be eating enough protein, which serves as the building material for muscle fibers. Moreover, chronic malnutrition often leaves us deficient in many micronutrients, such as folate, thiamine, vitamin B6, zinc, iron, and vitamin D. (The last in particular has been associated with alcoholic myopathy).
  2. Protein synthesis disruption. Alcohol misuse is known to put a damper on protein synthesis — and scientists have figured out exactly why. Alcohol affects a group of proteins called mammalian target of rapamycin (mTOR), which act as the production crew in charge of integrating signals necessary for protein synthesis. Those signals come from anabolic hormones, nutrients, and myokines. 

    In addition to messing with mTOR, alcohol decreases insulin-like growth factor-1 (IGF-1) and disrupts the dynamics of the SMAD family of transcription factors involved in muscle generation. All this is to say alcohol slows (and can prevent) muscle growth, no matter how much we work out.
  3. Protein degeneration. To make matters worse, alcohol also leads to protein degeneration by interfering with two molecular systems — the ubiquitin proteasome pathway (UPP) and the autophagic–lysosomal system. The result? A double-whammy as far as muscles are concerned.

While these three are the main mechanisms behind alcoholic myopathy, booze contributes in other ways as well. Its tendency to cause inflammation can make matters worse. It can also cause oxidative stress (a process that contributes to tissue damage), mitochondrial dysfunction (glitches in the ways muscle cells use energy), and epigenetic changes that tweak the cellular processes supporting muscle function.

Finally, alcohol can also make it more difficult to bounce back from tissue injuries — not just because of its effects on muscle growth, but by causing dehydration and electrolyte imbalances.

Risk Factors for Alcoholic Myopathy

How long does alcoholic myopathy take to develop? It depends. For some of us, the symptoms start cropping up sooner rather than later. However, there are a few factors that tend to make chronic alcoholic myopathy in particular more likely to show up.

  • Liver cirrhosis. Scientists have found a strong correlation between liver cirrhosis and alcoholic myopathy. Once alcohol has taken a toll on our liver, it tends to cause muscle degeneration as well, contributing to chronic alcoholic myopathy in particular.
  • Lifetime alcohol consumption. The total amount of alcohol we put in our bodies has a cumulative effect, so the longer we spend drinking excessively, the higher the chances that our muscles will suffer the consequences.
  • Certain medical conditions. Health conditions that broadly affect our body (for example, diabetes or chronic infection related to HIV) can speed up the process of alcoholic myopathy.
  • Inactivity. It goes without saying that being inactive makes it harder for our muscles to thrive. Add alcohol to the mix, and things can go downhill quickly.
  • Age. Unfortunately, as we age, we tend to lose muscle mass. Alcohol speeds up aging and accelerates the process of age-related muscle degeneration.
  • Gender. While men are about four times as likely to end up with acute alcoholic myopathy, women are more likely to develop the chronic kind.

Diagnosis and Treatment: Pathways to Recovery

Now for the big question, can alcoholic myopathy be reversed? Yes, it can (phew!). If we go easy on the booze, our muscles have a chance to recover. There are several strategies doctors use to give our muscles a helping hand.

  • Quit or cut back on alcohol. This one shouldn’t come as a surprise — putting a stop on alcohol misuse gets right to the root of the problem.
  • Therapies to boost muscle synthesis. Some therapies boost the process of muscle synthesis, mainly by targeting certain molecules (such as insulin-like growth factor-1 (IGF-1)) that speed up our natural muscle regeneration processes.
  • Therapies to curb muscle degradation. On the flip side, some methods start from the other end and try to put a stop to muscle degradation by tweaking the molecular pathways involved.
  • Exercise and flexibility training. Last but not least, exercise can boost our muscles’ regenerative power, leading to improved recovery. Aerobic exercise, as well as resistance training, has been shown to help.

Tips for the Journey

So what can you do to give your muscles (and the rest of your body and mind) a breather when it comes to alcohol? Here are a few tips: 

  1. Track your drinking. Start by becoming a “scientist” of your own drinking habits. When do you usually drink? On the couch with friends? At a bar on Thursday night while watching a sports game? Out on the town with the usual suspects on a Saturday night? There’s no judgment here — just start by gathering information to get an idea of what your patterns are.
  2. Find your “why.” Changing your habits can be tricky (especially at first) and having a reason to change can provide that much-needed boost of motivation. If you’re struggling with alcoholic myopathy, focus on what you’ll be able to do once your muscles have a chance to recover. Maybe it’s going for a run or a hike, maybe it’s trying a new workout routine, or maybe it’s simply going about your day with ease and comfort. Focusing on these perks will help you get there!
  3. Decide on a limit. Set a limit ahead of time and try to stick to it. Writing it down, setting a reminder on your phone, or telling an accountability buddy can help!
  4. Take days off. Schedule booze-free days and try to stick to your plan. Your muscles will thank you in the morning!
  5. Find joy in movement. Find a form of exercise you enjoy and make it a habit. If going to the gym isn’t your thing — no problem! These days, all you need is a yoga mat (or any non-slippery surface that has some cushioning to it) and an internet connection. Try any of the free exercise routines on YouTube, where you can find anything from simple yoga sequences to cardio kickboxing, HIIT workouts, or fun dance workouts. Popsugar Fitness is a great one to start with if you want a little bit of everything. Fitness Blender, created by professional physical therapists, is very helpful as well.
  6. Talk to a physical therapist or doctor. Speaking of physical therapists, they can be a lifeline when it comes to correcting any muscle issues before they get worse through targeted routines and bodywork. But if you’re feeling like alcohol has taken a real toll on your overall health and might require medical help, don’t hesitate to talk to your doctor about it. They can help direct you to any treatment you might need (for your muscles or otherwise) to nip the problem in the bud before it progresses. You got this!

Summing Up

We rarely think about how much our muscles do for us every day until something goes wrong or doesn’t feel quite like it should. Let’s be proactive about our health — both when it comes to our muscles and in our journey to a happier, healthier version of ourselves. In the words of writer Haruki Murakami, “I move, therefore I am.” So let’s keep moving!

Alcohol and Health
2024-04-20 9:00
Alcohol and Health
Why Ambien and Alcohol Don’t Mix
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Discover why Ambien and alcohol don’t mix, the bad side effects of Ambien, and whether this drug is addictive. We’re answering all your sleep med questions on today’s blog.

18 min read

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Read Full Article  →

After yet another night of tossing and turning, you decide to ask your doctor about medications for insomnia. You’ve only heard of one — Ambien — but you’re not sure whether it’s a good fit for your symptoms. It seems like a pretty serious drug; can you even drink while taking it?

No, you can’t mix alcohol and Ambien. Why not?

Today, we’re exploring the dangerous combination of taking Ambien with alcohol. We’ll also answer your frequently asked questions about this sleep med, including “Is Ambien addictive?” and “Can you take Ambien every night?”

Ambien Explained

a man lying on a bed with a pill in his hand

Ambien, available under the generic name zolpidem, is a prescription drug used to treat insomnia — difficulty falling or staying asleep — in adults. It’s part of a drug class called “sedative-hypnotics,” which includes most sleeping pills and tranquilizers.

Ambien works by activating a neurotransmitter called GABA (gamma-aminobutyric acid, for our fellow neuroscience fans), which inhibits neuronal behaviors responsible for insomnia. It’s so strong that most of us will be out like a light within 30 minutes of taking it.

Despite that efficacy, zolpidem isn’t prescribed much these days. There are three reasons that Ambien has fallen from popularity: its harsh side effects, addictive potential, and severe interactions with substances like alcohol.

Side Effects of Ambien

Like any medication, Ambien is associated with side effects. While some issues may only manifest when starting the drug or upping our dose, we should talk to our doctor about those that don’t improve over time. The following are considered common complications of zolpidem:

  • Drowsiness
  • Headache
  • Nausea
  • Dizziness
  • Feeling lightheaded or “drugged”
  • Motor side effects: stumbling or struggling to balance
  • Gastrointestinal side effects like constipation, gas, or diarrhea
  • Tingling, shaking, or numbness in our arms, hands, legs, or feet
  • Strange, vivid dreams

Doctors classify certain side effects as severe; if we experience any of these, we should immediately seek medical attention:

  • Signs of an allergic reaction (hives, itching, swelling, rash)
  • Shortness of breath
  • Yellowed skin or eyes (jaundice)
  • Chest pain
  • Delusions (thinking things that aren’t true)
  • Memory loss
  • Hallucinations (seeing or hearing things that aren’t there)
  • Vision changes including blurred vision
  • Vomiting
  • Pounding heartbeat

When people talk about the bad side effects of Ambien, they’re usually talking about the dangerous sleep behaviors associated with this drug. While under the influence of zolpidem, some patients have gotten out of bed and driven their cars, sleepwalked, prepared food, or initiated sex with their partners. They were fully unaware the entire time. Upon waking, they could not remember doing any of it. If we learn that we have engaged in any activity while taking Ambien, we should discontinue the medication and contact our doctor immediately.

Is Ambien Addictive?

While Ambien is technically less habit-forming than benzodiazepines (Valium and Xanax, to name a few), it still has a high addictive potential. Our body becomes accustomed to the neurochemical changes associated with the drug, which means that we might develop a tolerance for zolpidem and need more of it to achieve the same effect.

We may also experience withdrawal symptoms like irritability, rebound insomnia, anxiety, and even seizures when we skip a dose. This occurs because the brain expects Ambien-induced neurochemical activity every night. When that doesn’t happen, our brain kicks into high gear in an attempt to reach equilibrium.

At the same time, we begin to associate Ambien with sleep and may doubt our ability to get a good night’s rest on our own. Some people take more of the drug than recommended or ask their doctor to continue prescribing it. Over time, this combination of physical and psychological dependence can develop into a full-blown addiction.

Can You Take Ambien Every Night?

So, is it safe to take 5mg of Ambien every night? What about 10mg?

We can take Ambien every night for the duration of our treatment, which should not exceed six weeks. Most of us will only receive prescriptions lasting between a few days and four weeks. This is because the FDA specifically cautions providers that long-term administration of this drug is not recommended, and “treatment should be as short as possible.”

To put it more directly: we may take Ambien every night while it is prescribed to us, but we probably won’t be on it for very long. Part of the reason for the FDA’s warning is the risk of dependence (as outlined above). Another deterrent is Ambien’s strong interaction with other central nervous system (CNS) depressants like alcohol.

Alcohol and Ambien: A Dangerous Mixture

Both Ambien and alcohol are CNS depressants, which means they slow down our brain’s activity. When combined, the depressant effects of both the drug and the drink are doubled, which impairs us further and makes us vulnerable to life-threatening health problems.

For example, combining alcohol and Ambien can cause severe levels of sedation, cognitive impairment, and worsened motor functioning. This makes us more likely to fall, accidentally injure ourselves, or make poor decisions with lasting consequences.

However, there’s a much bigger risk of mixing these substances. Together, Ambien and alcohol may cause respiratory depression. This is the medical term for slow, shallow breathing that causes carbon dioxide to build up in our blood and reduces the amount of oxygen that can reach our lungs. We may not realize anything is wrong and think we’re just falling asleep. Our loved ones might observe symptoms like labored breathing, blue skin, nausea, headache, and fatigue. Respiratory depression is a leading cause of fatal overdoses.

Practicing Safe Habits When Using Ambien

Stay Safe While Taking Ambien

If your doctor has prescribed Ambien, they have determined that the benefits of this drug outweigh the downsides associated with it. By following their advice and the medication guidelines, we can stay safe while taking zolpidem. There are a few best practices we can follow while on this medication:

  • Take Ambien exactly as prescribed. Never take more than the recommended dose, even on a particularly hard night. It’s always best to contact our medical team with questions about dosage and efficacy.

  • Don’t take risks. Activities like driving or cooking with sharp objects require a lot of mental alertness. They can also quickly go wrong if we’re not careful! Never drive or handle dangerous objects after taking a sedative.

  • Stay on schedule. A consistent sleep schedule can help us maximize Ambien’s effectiveness, improve our sleep quality, and create a routine that works for our needs.

  • Store it safely. Keep prescription medications in a cool, dry place according to package instructions while also ensuring they remain out of the reach of children or pets.

  • Report serious side effects. It’s important to stay open with our medical team about any issues we have after starting Ambien. If we experience persistent or severe side effects, or if our loved ones have noticed us engaging in activities while under the influence of this medication, we should immediately reach out to our doctor.

  • Avoid alcohol. Finally, steer clear of alcoholic beverages while taking zolpidem. Combining Ambien and alcohol places us at risk of respiratory depression, which may be life-threatening.

Before starting any new prescription drug regimen, it’s a good idea to do some research about the way your meds can interact with substances like alcohol. 

When Can You Safely Take Ambien After Drinking?

Because of the risks inherent in mixing these two substances, it’s best to abstain entirely from alcohol while taking Ambien.

If we must imbibe, it’s crucial to wait for alcohol to completely leave our system before taking this sedative-hypnotic medication. How long that process takes depends on our weight, gender, and what we drink.  

While the internet is full of estimates — for example, it generally takes an hour for the average person to metabolize a standard drink versus 14 to 17 hours to clear Ambien from their system — it’s best to talk to our doctor instead of guessing when it’ll be safe to take sleeping pills after drinking. The risks are too great to leave it up to chance.

Most medical professionals will assure us that it’s never a good idea to combine Ambien and alcohol. If we’ve been prescribed this drug and drink often, we should discuss our alcohol intake with our primary care provider and come up with a new plan moving forward. After all, there are plenty of substitutes for zolpidem.

Alternatives for the Always-Awake

Ambien isn’t the only option for those of us struggling with insomnia. To improve our sleep quality without taking zolpidem, let’s consider other medications, herbal remedies, supplements, and behavioral changes.

Other Prescriptions

First, we can talk to our doctor about prescription alternatives to Ambien. Sleep aids like Lunesta (eszopiclone), Sonata (zaleplon), and Vistaril (hydroxyzine) are popular options. These medications use different methods of action and may better meet our needs. Depending on our experience with Ambien or concerns about the drug, our provider might choose to prescribe one of these substitutes instead of zolpidem.

Herbal Remedies and Supplements

We may also want to explore the wide variety of herbs and supplements on the market. Many of us have probably taken melatonin to help with insomnia, which is a hormone available in the form of pills or teas. If that hasn’t worked in the past, we can consider valerian root, chamomile, lavender, green tea, and magnesium, which are all recommended for those struggling to sleep.

Lifestyle Changes

Finally, behavioral changes can make a massive difference in our insomnia. Establishing a consistent bedtime and practicing mindfulness are two easy ways to prime ourselves for a good night’s rest. We can also cut back on caffeine, naps, and screen time, which all disrupt our sleep-wake cycle. Incorporating regular exercise into our routine can also contribute to some well-timed, much-needed exhaustion.

Slumber, Not Spirits

Now we know that mixing Ambien and alcohol is a bad idea — in fact, drinking while on this drug can be life-threatening. Because both substances are CNS depressants, we may be more likely to experience side effects like dizziness, falling, confusion, difficulty concentrating, and respiratory depression when we combine them. In short, drinking on Ambien is never worth the risk.

Fortunately, there are plenty of ways to address sleep disorders without Ambien. Alcohol may play a role in our insomnia. If we’re looking for relief from sleepless nights, we may want to start by reevaluating our relationship with alcohol. Drinking disrupts our sleep-wake cycle, which increases our risk of issues like insomnia.

If you’d like to quit or cut back, Reframe offers science-backed readings and community support that can kickstart your journey to recovery. To learn more, visit the App Store or Google Play today!

After yet another night of tossing and turning, you decide to ask your doctor about medications for insomnia. You’ve only heard of one — Ambien — but you’re not sure whether it’s a good fit for your symptoms. It seems like a pretty serious drug; can you even drink while taking it?

No, you can’t mix alcohol and Ambien. Why not?

Today, we’re exploring the dangerous combination of taking Ambien with alcohol. We’ll also answer your frequently asked questions about this sleep med, including “Is Ambien addictive?” and “Can you take Ambien every night?”

Ambien Explained

a man lying on a bed with a pill in his hand

Ambien, available under the generic name zolpidem, is a prescription drug used to treat insomnia — difficulty falling or staying asleep — in adults. It’s part of a drug class called “sedative-hypnotics,” which includes most sleeping pills and tranquilizers.

Ambien works by activating a neurotransmitter called GABA (gamma-aminobutyric acid, for our fellow neuroscience fans), which inhibits neuronal behaviors responsible for insomnia. It’s so strong that most of us will be out like a light within 30 minutes of taking it.

Despite that efficacy, zolpidem isn’t prescribed much these days. There are three reasons that Ambien has fallen from popularity: its harsh side effects, addictive potential, and severe interactions with substances like alcohol.

Side Effects of Ambien

Like any medication, Ambien is associated with side effects. While some issues may only manifest when starting the drug or upping our dose, we should talk to our doctor about those that don’t improve over time. The following are considered common complications of zolpidem:

  • Drowsiness
  • Headache
  • Nausea
  • Dizziness
  • Feeling lightheaded or “drugged”
  • Motor side effects: stumbling or struggling to balance
  • Gastrointestinal side effects like constipation, gas, or diarrhea
  • Tingling, shaking, or numbness in our arms, hands, legs, or feet
  • Strange, vivid dreams

Doctors classify certain side effects as severe; if we experience any of these, we should immediately seek medical attention:

  • Signs of an allergic reaction (hives, itching, swelling, rash)
  • Shortness of breath
  • Yellowed skin or eyes (jaundice)
  • Chest pain
  • Delusions (thinking things that aren’t true)
  • Memory loss
  • Hallucinations (seeing or hearing things that aren’t there)
  • Vision changes including blurred vision
  • Vomiting
  • Pounding heartbeat

When people talk about the bad side effects of Ambien, they’re usually talking about the dangerous sleep behaviors associated with this drug. While under the influence of zolpidem, some patients have gotten out of bed and driven their cars, sleepwalked, prepared food, or initiated sex with their partners. They were fully unaware the entire time. Upon waking, they could not remember doing any of it. If we learn that we have engaged in any activity while taking Ambien, we should discontinue the medication and contact our doctor immediately.

Is Ambien Addictive?

While Ambien is technically less habit-forming than benzodiazepines (Valium and Xanax, to name a few), it still has a high addictive potential. Our body becomes accustomed to the neurochemical changes associated with the drug, which means that we might develop a tolerance for zolpidem and need more of it to achieve the same effect.

We may also experience withdrawal symptoms like irritability, rebound insomnia, anxiety, and even seizures when we skip a dose. This occurs because the brain expects Ambien-induced neurochemical activity every night. When that doesn’t happen, our brain kicks into high gear in an attempt to reach equilibrium.

At the same time, we begin to associate Ambien with sleep and may doubt our ability to get a good night’s rest on our own. Some people take more of the drug than recommended or ask their doctor to continue prescribing it. Over time, this combination of physical and psychological dependence can develop into a full-blown addiction.

Can You Take Ambien Every Night?

So, is it safe to take 5mg of Ambien every night? What about 10mg?

We can take Ambien every night for the duration of our treatment, which should not exceed six weeks. Most of us will only receive prescriptions lasting between a few days and four weeks. This is because the FDA specifically cautions providers that long-term administration of this drug is not recommended, and “treatment should be as short as possible.”

To put it more directly: we may take Ambien every night while it is prescribed to us, but we probably won’t be on it for very long. Part of the reason for the FDA’s warning is the risk of dependence (as outlined above). Another deterrent is Ambien’s strong interaction with other central nervous system (CNS) depressants like alcohol.

Alcohol and Ambien: A Dangerous Mixture

Both Ambien and alcohol are CNS depressants, which means they slow down our brain’s activity. When combined, the depressant effects of both the drug and the drink are doubled, which impairs us further and makes us vulnerable to life-threatening health problems.

For example, combining alcohol and Ambien can cause severe levels of sedation, cognitive impairment, and worsened motor functioning. This makes us more likely to fall, accidentally injure ourselves, or make poor decisions with lasting consequences.

However, there’s a much bigger risk of mixing these substances. Together, Ambien and alcohol may cause respiratory depression. This is the medical term for slow, shallow breathing that causes carbon dioxide to build up in our blood and reduces the amount of oxygen that can reach our lungs. We may not realize anything is wrong and think we’re just falling asleep. Our loved ones might observe symptoms like labored breathing, blue skin, nausea, headache, and fatigue. Respiratory depression is a leading cause of fatal overdoses.

Practicing Safe Habits When Using Ambien

Stay Safe While Taking Ambien

If your doctor has prescribed Ambien, they have determined that the benefits of this drug outweigh the downsides associated with it. By following their advice and the medication guidelines, we can stay safe while taking zolpidem. There are a few best practices we can follow while on this medication:

  • Take Ambien exactly as prescribed. Never take more than the recommended dose, even on a particularly hard night. It’s always best to contact our medical team with questions about dosage and efficacy.

  • Don’t take risks. Activities like driving or cooking with sharp objects require a lot of mental alertness. They can also quickly go wrong if we’re not careful! Never drive or handle dangerous objects after taking a sedative.

  • Stay on schedule. A consistent sleep schedule can help us maximize Ambien’s effectiveness, improve our sleep quality, and create a routine that works for our needs.

  • Store it safely. Keep prescription medications in a cool, dry place according to package instructions while also ensuring they remain out of the reach of children or pets.

  • Report serious side effects. It’s important to stay open with our medical team about any issues we have after starting Ambien. If we experience persistent or severe side effects, or if our loved ones have noticed us engaging in activities while under the influence of this medication, we should immediately reach out to our doctor.

  • Avoid alcohol. Finally, steer clear of alcoholic beverages while taking zolpidem. Combining Ambien and alcohol places us at risk of respiratory depression, which may be life-threatening.

Before starting any new prescription drug regimen, it’s a good idea to do some research about the way your meds can interact with substances like alcohol. 

When Can You Safely Take Ambien After Drinking?

Because of the risks inherent in mixing these two substances, it’s best to abstain entirely from alcohol while taking Ambien.

If we must imbibe, it’s crucial to wait for alcohol to completely leave our system before taking this sedative-hypnotic medication. How long that process takes depends on our weight, gender, and what we drink.  

While the internet is full of estimates — for example, it generally takes an hour for the average person to metabolize a standard drink versus 14 to 17 hours to clear Ambien from their system — it’s best to talk to our doctor instead of guessing when it’ll be safe to take sleeping pills after drinking. The risks are too great to leave it up to chance.

Most medical professionals will assure us that it’s never a good idea to combine Ambien and alcohol. If we’ve been prescribed this drug and drink often, we should discuss our alcohol intake with our primary care provider and come up with a new plan moving forward. After all, there are plenty of substitutes for zolpidem.

Alternatives for the Always-Awake

Ambien isn’t the only option for those of us struggling with insomnia. To improve our sleep quality without taking zolpidem, let’s consider other medications, herbal remedies, supplements, and behavioral changes.

Other Prescriptions

First, we can talk to our doctor about prescription alternatives to Ambien. Sleep aids like Lunesta (eszopiclone), Sonata (zaleplon), and Vistaril (hydroxyzine) are popular options. These medications use different methods of action and may better meet our needs. Depending on our experience with Ambien or concerns about the drug, our provider might choose to prescribe one of these substitutes instead of zolpidem.

Herbal Remedies and Supplements

We may also want to explore the wide variety of herbs and supplements on the market. Many of us have probably taken melatonin to help with insomnia, which is a hormone available in the form of pills or teas. If that hasn’t worked in the past, we can consider valerian root, chamomile, lavender, green tea, and magnesium, which are all recommended for those struggling to sleep.

Lifestyle Changes

Finally, behavioral changes can make a massive difference in our insomnia. Establishing a consistent bedtime and practicing mindfulness are two easy ways to prime ourselves for a good night’s rest. We can also cut back on caffeine, naps, and screen time, which all disrupt our sleep-wake cycle. Incorporating regular exercise into our routine can also contribute to some well-timed, much-needed exhaustion.

Slumber, Not Spirits

Now we know that mixing Ambien and alcohol is a bad idea — in fact, drinking while on this drug can be life-threatening. Because both substances are CNS depressants, we may be more likely to experience side effects like dizziness, falling, confusion, difficulty concentrating, and respiratory depression when we combine them. In short, drinking on Ambien is never worth the risk.

Fortunately, there are plenty of ways to address sleep disorders without Ambien. Alcohol may play a role in our insomnia. If we’re looking for relief from sleepless nights, we may want to start by reevaluating our relationship with alcohol. Drinking disrupts our sleep-wake cycle, which increases our risk of issues like insomnia.

If you’d like to quit or cut back, Reframe offers science-backed readings and community support that can kickstart your journey to recovery. To learn more, visit the App Store or Google Play today!

Alcohol and Health