Alcohol & Physical Health Effects

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Latest Articles
2023-08-07 9:00
Alcohol and Health
Colon Cancer Alcohol Risk: The Science Explained
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Unravel the alcohol-colon cancer connection in our blog. Educate yourself on prevention strategies and make informed health decisions.

7 min read

Take Charge of Your Well-Being 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  →

When you think of alcohol’s impact on the body, what first comes to mind? Liver disease? Brain damage? Sleep disturbances? While these are common and serious effects of drinking too much, several other adverse effects can arise. In fact, alcohol has been linked to seven different types of cancer.

One of these, colon cancer, has been increasingly studied, in large part due to its increase in frequency among young adults. So what exactly is the link here? Does alcohol really cause colon cancer?

The Alcohol-Colon Cancer Connection: What Does the Science Say?

When we consume alcohol, our liver breaks it down into a chemical called acetaldehyde, a known carcinogen. This substance can damage our DNA and proteins, potentially leading to cancer.

We've seen how alcohol's metabolic products can pose a cancer risk, but does this apply to colon cancer? In fact, it can. Multiple studies suggest that excessive alcohol consumption is associated with a heightened risk of several types of cancer, including colon cancer.

A comprehensive meta-analysis revealed that people who consume 50g or more of alcohol (roughly equivalent to 3.5 standard drinks) per day have a 1.5 times higher risk of developing colorectal cancer compared to non-drinkers.

How Might Alcohol Lead to Colon Cancer?

But how exactly does alcohol contribute to colon cancer risk? While research is still ongoing, several mechanisms have been proposed:

  • Acetaldehyde formation. As previously mentioned, alcohol metabolism results in acetaldehyde, a substance that can damage our DNA and proteins, triggering cancer.
  • Nutrient absorption. Alcohol can affect our intestines' ability to absorb essential nutrients, including folate, a B-vitamin known for its protective effects against cancer.
  • Hormone levels. Alcohol can influence levels of hormones such as insulin, which have been linked with colorectal cancer development.
  • Gut microbiota. Alcohol can disturb the delicate balance of bacteria in our gut, potentially promoting carcinogenesis.

Making Sense of Moderation: How Much Is Too Much?

Understanding the risks posed by alcohol leads us to a crucial question: how much alcohol is too much? According to the American Cancer Society, people who choose to drink should limit their consumption to no more than 2 drinks per day for men and 1 drink per day for women. It's essential to note that these are upper limits, and less is always better when it comes to alcohol and cancer risk.

Reducing the Risk

While we've discussed the risks, it's important to remember that we do have control over our health and well-being. There are several steps we can take to reduce the risk of colon cancer:

  • Limit alcohol. Adhering to the recommended alcohol limits is a crucial step in minimizing our risk.
  • Eat a balanced diet. Consuming a diet rich in fruits, vegetables, and whole grains while minimizing red and processed meats can help protect against colon cancer.
  • Exercise regularly. Physical activity has been associated with a lower risk of colon cancer.
  • Quit smoking. Smoking has been linked to an increased risk of various types of cancer, including colon cancer.
  • Get screened. Regular colon cancer screenings can catch any changes early, improving the chances of successful treatment.

The Takeaway: Balancing Joy and Health

Navigating the maze of health and lifestyle choices might seem daunting at times. As we relish the clink of our glasses and the shared laughter that makes our lives vibrant, it's essential to remember that our health doesn't have to be the price we pay for our joy.

Life is a delicate balancing act, and we're all in this together. Enjoying alcohol in moderation, coupled with a healthy lifestyle, can allow us to celebrate life without undue worry about colon cancer.

Remember, knowledge is power, and understanding our bodies empowers us to make the choices that best serve us. And, as always, if we have concerns about alcohol consumption or colon cancer, it's best to consult a healthcare professional. Here’s to optimal wellness!

When you think of alcohol’s impact on the body, what first comes to mind? Liver disease? Brain damage? Sleep disturbances? While these are common and serious effects of drinking too much, several other adverse effects can arise. In fact, alcohol has been linked to seven different types of cancer.

One of these, colon cancer, has been increasingly studied, in large part due to its increase in frequency among young adults. So what exactly is the link here? Does alcohol really cause colon cancer?

The Alcohol-Colon Cancer Connection: What Does the Science Say?

When we consume alcohol, our liver breaks it down into a chemical called acetaldehyde, a known carcinogen. This substance can damage our DNA and proteins, potentially leading to cancer.

We've seen how alcohol's metabolic products can pose a cancer risk, but does this apply to colon cancer? In fact, it can. Multiple studies suggest that excessive alcohol consumption is associated with a heightened risk of several types of cancer, including colon cancer.

A comprehensive meta-analysis revealed that people who consume 50g or more of alcohol (roughly equivalent to 3.5 standard drinks) per day have a 1.5 times higher risk of developing colorectal cancer compared to non-drinkers.

How Might Alcohol Lead to Colon Cancer?

But how exactly does alcohol contribute to colon cancer risk? While research is still ongoing, several mechanisms have been proposed:

  • Acetaldehyde formation. As previously mentioned, alcohol metabolism results in acetaldehyde, a substance that can damage our DNA and proteins, triggering cancer.
  • Nutrient absorption. Alcohol can affect our intestines' ability to absorb essential nutrients, including folate, a B-vitamin known for its protective effects against cancer.
  • Hormone levels. Alcohol can influence levels of hormones such as insulin, which have been linked with colorectal cancer development.
  • Gut microbiota. Alcohol can disturb the delicate balance of bacteria in our gut, potentially promoting carcinogenesis.

Making Sense of Moderation: How Much Is Too Much?

Understanding the risks posed by alcohol leads us to a crucial question: how much alcohol is too much? According to the American Cancer Society, people who choose to drink should limit their consumption to no more than 2 drinks per day for men and 1 drink per day for women. It's essential to note that these are upper limits, and less is always better when it comes to alcohol and cancer risk.

Reducing the Risk

While we've discussed the risks, it's important to remember that we do have control over our health and well-being. There are several steps we can take to reduce the risk of colon cancer:

  • Limit alcohol. Adhering to the recommended alcohol limits is a crucial step in minimizing our risk.
  • Eat a balanced diet. Consuming a diet rich in fruits, vegetables, and whole grains while minimizing red and processed meats can help protect against colon cancer.
  • Exercise regularly. Physical activity has been associated with a lower risk of colon cancer.
  • Quit smoking. Smoking has been linked to an increased risk of various types of cancer, including colon cancer.
  • Get screened. Regular colon cancer screenings can catch any changes early, improving the chances of successful treatment.

The Takeaway: Balancing Joy and Health

Navigating the maze of health and lifestyle choices might seem daunting at times. As we relish the clink of our glasses and the shared laughter that makes our lives vibrant, it's essential to remember that our health doesn't have to be the price we pay for our joy.

Life is a delicate balancing act, and we're all in this together. Enjoying alcohol in moderation, coupled with a healthy lifestyle, can allow us to celebrate life without undue worry about colon cancer.

Remember, knowledge is power, and understanding our bodies empowers us to make the choices that best serve us. And, as always, if we have concerns about alcohol consumption or colon cancer, it's best to consult a healthcare professional. Here’s to optimal wellness!

Alcohol & Physical Health Effects
2023-08-07 9:00
Alcohol and Health
Red Itchy Spots on Skin? Alcohol Could Be the Cause
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Gain insight into how alcohol can cause skin reactions, worsen pre-existing skin conditions like eczema and rosacea, and leave us vulnerable to skin problems.

9 min read

Reduce Your Alcohol Intake 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  →

Ever noticed how some peoples’ cheeks start to turn rosy after drinking alcohol? Some of us are more prone to this than others based on how efficiently our body metabolizes alcohol. For instance, some people have a genetic mutation that reduces the activity of an important enzyme for breaking down alcohol’s toxic compounds. With limited ability to effectively process alcohol, our body experiences a buildup of toxins that can cause those rosy, flushed cheeks.

While this is perhaps the most widely known effect of alcohol on our skin, it’s certainly not the only one. Drinking alcohol can cause us to develop skin rashes, worsen pre-existing skin conditions, and leave us vulnerable to skin problems. How? Let’s find out!

Alcohol, Rashes, and Skin Conditions

Alcohol can cause skin reactions such as rashes, redness, itching, and other symptoms. While these rashes aren’t usually dangerous, they can range from mildly uncomfortable to severe, depending on the person.

Research indicates that those who misuse alcohol may be more likely to develop an alcohol-related skin rash or condition. Some of these skin reactions can occur almost immediately when we drink alcohol, while others might not develop for months or years, depending on various factors.

Here are some of the more common skin conditions associated with alcohol misuse:

  • Psoriasis: Psoriasis is a skin disease that causes a rash with itchy, scaly patches. It can develop at any point in a person’s life and affect different body parts, including arms, torso, scalp, face, genitals, and fingers. Research suggests that excessive alcohol consumption can cause the development of psoriasis or worsen an existing condition.
  • Eczema: Eczema is a common skin condition that includes symptoms such as itchy, red, dry, and inflamed patches of skin. Alcohol consumption can cause an existing eczema condition to flare up. This is partly because alcohol causes dehydration and can suppress the immune system for a prolonged period of time.
  • Rosacea: Rosacea is a common skin condition that usually begins in the nose and cheeks of those who tend to blush or flush easily. While alcohol doesn’t necessarily cause rosacea, it can trigger a flare up or rosacea symptoms. One study found that the risk of rosacea increased as alcohol intake increased.

Other skin conditions that can be caused or worsened by heavy alcohol use include pimples and acne, hives, dermatitis, severe itchiness (pruritus), stinging, tingling or burning sensations, red spots, hyperpigmentation, and cellulitis.

It’s worth noting that chronic alcohol use prevents the absorption of essential vitamins, including B and C — both of which are vital for healthy skin and immune function. Not getting enough of these vitamins could worsen any existing skin condition or contribute to the development of a new one.

Furthermore, excessive, prolonged use of alcohol can cause liver damage. Signs of liver damage often include skin-related symptoms, such as red or purple rash dots or splotches, severe itching in a particular spot or all over the body, spider veins, small, yellow bumps in the skin or eyelids, brown patches (hyperpigmentation), or patches of dehydrated skin.

Alcohol-Related Skin Reactions

Several conditions can cause a skin reaction after alcohol has been consumed:

  • Allergic reactions. While relatively rare, there have been some reported cases of a genuine allergic reaction, including itchiness, after consuming alcohol. However, when people have alcohol-related skin reactions to alcoholic drinks, it’s usually due to other components in the drink. For instance, someone who is allergic to wheat might have skin reactions after consuming beer or other alcohol made with wheat. Others might be more sensitive to the sulfites sometimes found in wine.
  • Alcohol intolerance. In general, skin reactions related to alcohol are due more to an intolerance rather than an actual allergy. This intolerance results from the genetic condition mentioned above, which prevents the body from metabolizing alcohol effectively. A person with an alcohol intolerance tends to develop facial redness immediately when they consume it, even small amounts.
  • Drug interactions. Alcohol can negatively interact with certain medications, including antibiotics, which can result in facial flushing or a body rash. This is more common in older adults, who are more likely to take medications and who metabolize alcohol more slowly. For example, metronidazole is a common antibiotic medication that can cause adverse effects with alcohol, including facial flushing, skin rashes, increased heart rate, and vomiting.

While these are some of the ways alcohol-related skin reactions occur, It’s important to note that some occur for unknown reasons.

Treatment for Alcohol Rashes & Skin-Related Problems

Although alcohol-related skin reactions and conditions can be irritating and uncomfortable, the vast majority are not life-threatening. As our body processes the alcohol out of our system, symptoms typically go away. However, the best way to prevent a reaction from occuring is to avoid drinking alcohol altogether or to minimize the amount consumed.

Keep in mind that we might experience skin-related problems that point to liver damage if we’ve been consuming alcohol heavily for a long time. It’s important to contact a medical professional right away if we notice any signs of liver damage. Our liver has a remarkable ability to heal itself when we stop consuming alcohol.

If you’re finding it difficult to cut back on our alcohol consumption, consider trying Reframe. We’ve helped millions of people change their drinking habits and become healthier, happier versions of themselves in the process.

Ever noticed how some peoples’ cheeks start to turn rosy after drinking alcohol? Some of us are more prone to this than others based on how efficiently our body metabolizes alcohol. For instance, some people have a genetic mutation that reduces the activity of an important enzyme for breaking down alcohol’s toxic compounds. With limited ability to effectively process alcohol, our body experiences a buildup of toxins that can cause those rosy, flushed cheeks.

While this is perhaps the most widely known effect of alcohol on our skin, it’s certainly not the only one. Drinking alcohol can cause us to develop skin rashes, worsen pre-existing skin conditions, and leave us vulnerable to skin problems. How? Let’s find out!

Alcohol, Rashes, and Skin Conditions

Alcohol can cause skin reactions such as rashes, redness, itching, and other symptoms. While these rashes aren’t usually dangerous, they can range from mildly uncomfortable to severe, depending on the person.

Research indicates that those who misuse alcohol may be more likely to develop an alcohol-related skin rash or condition. Some of these skin reactions can occur almost immediately when we drink alcohol, while others might not develop for months or years, depending on various factors.

Here are some of the more common skin conditions associated with alcohol misuse:

  • Psoriasis: Psoriasis is a skin disease that causes a rash with itchy, scaly patches. It can develop at any point in a person’s life and affect different body parts, including arms, torso, scalp, face, genitals, and fingers. Research suggests that excessive alcohol consumption can cause the development of psoriasis or worsen an existing condition.
  • Eczema: Eczema is a common skin condition that includes symptoms such as itchy, red, dry, and inflamed patches of skin. Alcohol consumption can cause an existing eczema condition to flare up. This is partly because alcohol causes dehydration and can suppress the immune system for a prolonged period of time.
  • Rosacea: Rosacea is a common skin condition that usually begins in the nose and cheeks of those who tend to blush or flush easily. While alcohol doesn’t necessarily cause rosacea, it can trigger a flare up or rosacea symptoms. One study found that the risk of rosacea increased as alcohol intake increased.

Other skin conditions that can be caused or worsened by heavy alcohol use include pimples and acne, hives, dermatitis, severe itchiness (pruritus), stinging, tingling or burning sensations, red spots, hyperpigmentation, and cellulitis.

It’s worth noting that chronic alcohol use prevents the absorption of essential vitamins, including B and C — both of which are vital for healthy skin and immune function. Not getting enough of these vitamins could worsen any existing skin condition or contribute to the development of a new one.

Furthermore, excessive, prolonged use of alcohol can cause liver damage. Signs of liver damage often include skin-related symptoms, such as red or purple rash dots or splotches, severe itching in a particular spot or all over the body, spider veins, small, yellow bumps in the skin or eyelids, brown patches (hyperpigmentation), or patches of dehydrated skin.

Alcohol-Related Skin Reactions

Several conditions can cause a skin reaction after alcohol has been consumed:

  • Allergic reactions. While relatively rare, there have been some reported cases of a genuine allergic reaction, including itchiness, after consuming alcohol. However, when people have alcohol-related skin reactions to alcoholic drinks, it’s usually due to other components in the drink. For instance, someone who is allergic to wheat might have skin reactions after consuming beer or other alcohol made with wheat. Others might be more sensitive to the sulfites sometimes found in wine.
  • Alcohol intolerance. In general, skin reactions related to alcohol are due more to an intolerance rather than an actual allergy. This intolerance results from the genetic condition mentioned above, which prevents the body from metabolizing alcohol effectively. A person with an alcohol intolerance tends to develop facial redness immediately when they consume it, even small amounts.
  • Drug interactions. Alcohol can negatively interact with certain medications, including antibiotics, which can result in facial flushing or a body rash. This is more common in older adults, who are more likely to take medications and who metabolize alcohol more slowly. For example, metronidazole is a common antibiotic medication that can cause adverse effects with alcohol, including facial flushing, skin rashes, increased heart rate, and vomiting.

While these are some of the ways alcohol-related skin reactions occur, It’s important to note that some occur for unknown reasons.

Treatment for Alcohol Rashes & Skin-Related Problems

Although alcohol-related skin reactions and conditions can be irritating and uncomfortable, the vast majority are not life-threatening. As our body processes the alcohol out of our system, symptoms typically go away. However, the best way to prevent a reaction from occuring is to avoid drinking alcohol altogether or to minimize the amount consumed.

Keep in mind that we might experience skin-related problems that point to liver damage if we’ve been consuming alcohol heavily for a long time. It’s important to contact a medical professional right away if we notice any signs of liver damage. Our liver has a remarkable ability to heal itself when we stop consuming alcohol.

If you’re finding it difficult to cut back on our alcohol consumption, consider trying Reframe. We’ve helped millions of people change their drinking habits and become healthier, happier versions of themselves in the process.

Alcohol & Physical Health Effects
2023-08-06 9:00
Alcohol and Health
Margarita Burn Treatment: What You Need to Know
This is some text inside of a div block.

The hidden peril of sun, citrus, and cocktails: margarita burn. Know the symptoms, learn who's at risk, and prevent it. Stay sun-safe!

7 min read

Take Charge of Your Well-Being 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  →

It’s a serene and picturesque summer day. You're comfortably lounging on the patio, savoring a chilled margarita in the sun's warm embrace. Your friend is slicing up limes and squeezing their tangy juice into your cocktail. You enjoy your drink and soak up as much sun as you can before heading back inside. A few days later, however, you're contending with a mysterious, painful sunburn. This isn’t just any sunburn — it’s the infamous “margarita burn.” Also referred to as lime burn or citrus burn, this condition tends to be triggered by eating citrus in the sun.

Demystifying the Margarita Burn

details womans sunburn skin from beach sun

Though the term “margarita burn” may sound playful, the reality is far from it. Rather than a true “burn,” it’s actually more of a margarita rash or margarita dermatitis. The formal name for this condition is phytophotodermatitis, an intense form of sunburn that can be incredibly painful. To break down the term, “phyto” stands for plant, “photo” signifies light or sun, and “dermatitis” points to a skin rash. It's a severe skin reaction to the sun after photosensitising chemicals (furanocoumarins), found in plant sap and fruits, make contact with the body. Phytophotodermatitis looks like blisters that can be confused with sun poisoning or a common rash.

Furocoumarins can increase the skin's sensitivity to the sun, escalating the effects of a sunburn. Interestingly, a variant of phytophotodermatitis, dubbed “berloque dermatitis,” was common in the 1920s among people who wore perfumes and colognes containing bergamot oil, derived from furocoumarin-loaded oranges.

Who’s Most Likely To Be Affected by Citrus Burn?

Generally speaking, as with any sun-related issue, fair-skinned individuals and those with a history of sun sensitivity are at a higher risk for developing phytophotodermatitis. People with darker skin tones don't usually exhibit such reactivity. Those working in the hospitality industry, such as chefs and bartenders, who handle food regularly, may have higher exposure to furocoumarin-rich foods, especially when serving on patios or at poolside bars. Nature enthusiasts like hikers and bikers could also be more vulnerable due to exposure to wild plants that contain furocoumarins.

Identifying a Margarita Burn

Margarita burns (and lime juice burns in general) can be deceptive, often masquerading as other skin rashes incited by phototoxic exposure. They can emerge on hands, lips, or faces, often presenting in odd patterns like streaks, splotches, or even handprints. The indicators may not surface immediately after sun exposure. Typically, about 24 to 48 hours later, the skin may start to feel tingly, tender, and may begin to redden. In a few more days, painful blisters could develop.

Treating Margarita Burn

Addressing a margarita burn depends on the severity of the symptoms. Here are some recommended steps to follow:

  • Maintain the cleanliness of the affected area and use cold, wet compresses for pain relief.
  • Apply a topical antibiotic cream and bandage the affected area, making sure it's kept out of direct sunlight.
  • Refrain from popping the blisters.

It’s also crucial to seek professional medical advice if the blisters are widespread, appear on your hands or face, or if they hinder your ability to use your hands.

Reducing Alcohol Consumption To Prevent Margarita Burn

In the context of preventing margarita burns, reducing alcohol consumption, or even opting for abstinence, could make a significant difference. Cocktails like margaritas often use fresh limes, and the juice splattered on your skin during the preparation can set the stage for phytophotodermatitis, especially when combined with sun exposure. 

Therefore, by reducing the frequency of cocktail consumption, we inherently lower the chance of lime juice coming in contact with our skin, minimizing the risk of a margarita burn. Additionally, being less intoxicated leads to a more mindful handling of citrus fruits, thus contributing to prevention.

Final Thoughts

As always, prevention reigns supreme. If you're handling food or ingredients rich in furocoumarins, make sure to wash your hands and arms thoroughly with soap and water afterward. If venturing outdoors, wear protective clothing like long pants to protect your skin from contact with wild flora containing furocoumarins.

The joys of summer and a love of citrus-infused cocktails shouldn't lead us to a painful bout of “margarita burn” By understanding the risks and adopting some simple preventative measures, we can continue to enjoy the sun without fear of unexpected dermatological surprises. Remember, prevention is always better than cure, especially when it comes to caring for our skin under the summer sun!

It’s a serene and picturesque summer day. You're comfortably lounging on the patio, savoring a chilled margarita in the sun's warm embrace. Your friend is slicing up limes and squeezing their tangy juice into your cocktail. You enjoy your drink and soak up as much sun as you can before heading back inside. A few days later, however, you're contending with a mysterious, painful sunburn. This isn’t just any sunburn — it’s the infamous “margarita burn.” Also referred to as lime burn or citrus burn, this condition tends to be triggered by eating citrus in the sun.

Demystifying the Margarita Burn

details womans sunburn skin from beach sun

Though the term “margarita burn” may sound playful, the reality is far from it. Rather than a true “burn,” it’s actually more of a margarita rash or margarita dermatitis. The formal name for this condition is phytophotodermatitis, an intense form of sunburn that can be incredibly painful. To break down the term, “phyto” stands for plant, “photo” signifies light or sun, and “dermatitis” points to a skin rash. It's a severe skin reaction to the sun after photosensitising chemicals (furanocoumarins), found in plant sap and fruits, make contact with the body. Phytophotodermatitis looks like blisters that can be confused with sun poisoning or a common rash.

Furocoumarins can increase the skin's sensitivity to the sun, escalating the effects of a sunburn. Interestingly, a variant of phytophotodermatitis, dubbed “berloque dermatitis,” was common in the 1920s among people who wore perfumes and colognes containing bergamot oil, derived from furocoumarin-loaded oranges.

Who’s Most Likely To Be Affected by Citrus Burn?

Generally speaking, as with any sun-related issue, fair-skinned individuals and those with a history of sun sensitivity are at a higher risk for developing phytophotodermatitis. People with darker skin tones don't usually exhibit such reactivity. Those working in the hospitality industry, such as chefs and bartenders, who handle food regularly, may have higher exposure to furocoumarin-rich foods, especially when serving on patios or at poolside bars. Nature enthusiasts like hikers and bikers could also be more vulnerable due to exposure to wild plants that contain furocoumarins.

Identifying a Margarita Burn

Margarita burns (and lime juice burns in general) can be deceptive, often masquerading as other skin rashes incited by phototoxic exposure. They can emerge on hands, lips, or faces, often presenting in odd patterns like streaks, splotches, or even handprints. The indicators may not surface immediately after sun exposure. Typically, about 24 to 48 hours later, the skin may start to feel tingly, tender, and may begin to redden. In a few more days, painful blisters could develop.

Treating Margarita Burn

Addressing a margarita burn depends on the severity of the symptoms. Here are some recommended steps to follow:

  • Maintain the cleanliness of the affected area and use cold, wet compresses for pain relief.
  • Apply a topical antibiotic cream and bandage the affected area, making sure it's kept out of direct sunlight.
  • Refrain from popping the blisters.

It’s also crucial to seek professional medical advice if the blisters are widespread, appear on your hands or face, or if they hinder your ability to use your hands.

Reducing Alcohol Consumption To Prevent Margarita Burn

In the context of preventing margarita burns, reducing alcohol consumption, or even opting for abstinence, could make a significant difference. Cocktails like margaritas often use fresh limes, and the juice splattered on your skin during the preparation can set the stage for phytophotodermatitis, especially when combined with sun exposure. 

Therefore, by reducing the frequency of cocktail consumption, we inherently lower the chance of lime juice coming in contact with our skin, minimizing the risk of a margarita burn. Additionally, being less intoxicated leads to a more mindful handling of citrus fruits, thus contributing to prevention.

Final Thoughts

As always, prevention reigns supreme. If you're handling food or ingredients rich in furocoumarins, make sure to wash your hands and arms thoroughly with soap and water afterward. If venturing outdoors, wear protective clothing like long pants to protect your skin from contact with wild flora containing furocoumarins.

The joys of summer and a love of citrus-infused cocktails shouldn't lead us to a painful bout of “margarita burn” By understanding the risks and adopting some simple preventative measures, we can continue to enjoy the sun without fear of unexpected dermatological surprises. Remember, prevention is always better than cure, especially when it comes to caring for our skin under the summer sun!

Alcohol & Physical Health Effects
2023-08-06 9:00
Alcohol and Health
Sperm Drink Side Effects: How Alcohol Harms Fertility
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Depending on how much and how frequently we drink, alcohol can significantly affect male fertility by lowering testosterone levels, sperm count, and sperm quality in men.

11 min read

Cut Back on 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  →

When it comes to fertility and alcohol, we usually think about women. Many of us know that drinking alcohol while pregnant can be incredibly risky, increasing the risk of miscarriage, stillbirth, premature birth, and fetal alcohol syndrome.

What’s less widely discussed, however, is how alcohol affects sperm and male fertility. Does alcohol affect sperm when trying to get pregnant? Does drinking heavily can lead to infertility and impotence in men? And does alcohol lower sperm count? Let’s find out!

Understanding Male Fertility

Blocks forming the word 'fertility' on a gray backdrop

Before we explore alcohol and male fertility, it’s helpful to look at the male reproductive system, which is specifically designed to produce, store, and transport sperm.

In order for men to produce sperm — a process referred to as “spermatogenesis” — three main hormones are needed: follicle-stimulating hormone (FSH), luteinizing hormone (LH), and testosterone.

Both FSH and LH are made by our pituitary gland, located at the base of our brain. LH promotes testosterone production in the testicles, and FSH stimulates testicular growth and helps sperm mature. Testosterone, on the other hand, is made in our testicles and is responsible for developing and maintaining masculine characteristics (such as deeper voices and facial hair).

These three hormones — FSH, LH, and testosterone — work together to help our body continuously produce sperm. Changes in hormones due to the aging process or health conditions, such as diabetes and testicular disease, can prevent our body from producing as much sperm.

Does Alcohol Lower Sperm Count?

Now let’s look at what happens when alcohol is in the picture. First, let’s consider the relationship between alcohol and sperm count. Research suggests that alcohol can significantly affect sperm count, depending on how much we drink. While the occasional drink is unlikely to make a huge difference, research shows that regular alcohol consumption may lower men’s sperm count.

Does Alcohol Affect Sperm When Trying To Get Pregnant?

What’s the connection between alcohol and male fertility, especially when trying to conceive? And is it true that drinking heavily can lead to infertility and impotence in men?

Several studies have noted that female partners of men who drink heavily are less likely to become pregnant. This is because heavy, consistent drinking can destroy sperm-producing cells in the testicles, affecting the quality and number of sperm.

More specifically, research has found that heavy drinking affects fertility in these ways:

  • Lowering levels of testosterone, FSH, and LH, and raising estrogen levels, which reduce sperm production
  • Shrinking the testes, which can cause impotence or infertility
  • Changing FSH and LH release, which impacts sperm production
  • Causing early ejaculation or decreasing the ability to ejaculate
  • Changing the shape, size, and movement of healthy sperm

Along with affecting hormone levels, alcohol can also inhibit the function of the testes, preventing sperm from developing properly and reducing the sperm’s ability to move towards an egg. This happens because alcohol stops the liver from properly metabolizing vitamin A, which is needed for sperm development.

These effects are further exacerbated if we combine alcohol with drugs like marijuana or opioids. Additionally, studies show that liver disease caused by excessive drinking can also change sperm quality.

Alcohol’s Effect on Sperm and Male Fertility

How Much Alcohol Affects Male Fertility?

As noted above, the amount of alcohol we consume plays a role in how severely male fertility is affected. Habitual, excessive alcohol consumption has a detrimental impact on both the male reproductive hormones and semen quality. In fact, more than 14 mixed drinks in a week can lower testosterone levels and affect sperm count.

One study found that sperm count in men who consumed 40 units or more of alcohol per week (which translates to 24 beers, 15 mixed drinks, or 4-5 bottles of wine) were approximately 33% lower than those who drank between 1 and 5 units per week. Similarly, the size and shape of sperm — referred to as sperm morphology — was also altered in 51% of the heavy drinkers.

In general, the higher the number of weekly units of alcohol consumed, the lower the sperm quality. One study noted that while negative effects can be seen in men who drink five or more drinks a week, it’s most apparent in men who drink 25 units of alcohol — the equivalent of 15 pints of beer — or more each week.

The good news is that the effects of alcohol can be reversed by quitting drinking. One study showed that it took three months for the return of healthy sperm production once alcohol consumption stops.

Other Links Between Alcohol and Male Fertility

Alongside the effects on hormone levels, sperm quality, and sperm quantity, alcohol can affect male fertility in several other ways:

  • Lower sex drive: Alcohol can affect our desire to have sex in the first place. Studies indicate that alcohol can lead to a lower libido (sex drive) due to decreased levels of testosterone. 
  • Erectile dysfunction: Alcohol can also make it difficult to have sex. It depresses our central nervous system and impacts the signals between our brain and penis, making it difficult to get or maintain an erection. 
  • Dehydration: As a diuretic, alcohol causes us to urinate more frequently than usual, which can lead to dehydration. Dehydration can affect semen volume, or the amount of semen that we ejaculate. 
  • Sugar: A lot of alcoholic beverages are high in sugar content. Multiple studies show a correlation between diets rich in sugar-sweetened beverages and impaired sperm motility (how well the sperm swims). Excess sugar can also lead to weight gain, which is also associated with reduced sperm count and quality. 

Tips To Support the Male Reproductive System

In addition to reducing our alcohol intake, there are several other things we can do to produce healthy sperm and promote fertility. Here are some:

  • Exercise: Physical activity can help our body boost levels of sperm-healthy antioxidant enzymes. It can also help us manage our weight, another important factor for fertility. Men with higher body mass indexes (BMI) might make fewer or less active sperm than men with healthier BMIs. 
  • Eat healthy: Eating healthy foods can help promote the production of healthy sperm. Antioxidants found in fruits and vegetables have been found to be particularly vital for producing and protecting healthy sperm. Also be mindful of eating too many soy products, as some research suggests components in soy may cause DNA in sperm cells. 
  • Manage stress: Stress can affect our hormones and make it more difficult to produce sperm. Try incorporating relaxation techniques — such as deep breathing exercises, mindful meditation, or progressive muscle relaxation — into your daily routine. 

The Bottom Line

While the occasional drink here and there isn’t likely to affect male fertility, regular and heavy consumption of alcohol can lower testosterone levels, sperm count, and sperm quality. The more alcohol we drink, the more severe the effects.

Cutting back on alcohol is not only beneficial for our fertility, but our overall health and well-being. If you want to reduce your alcohol consumption, but don’t know where or how to start, Reframe can help.

When it comes to fertility and alcohol, we usually think about women. Many of us know that drinking alcohol while pregnant can be incredibly risky, increasing the risk of miscarriage, stillbirth, premature birth, and fetal alcohol syndrome.

What’s less widely discussed, however, is how alcohol affects sperm and male fertility. Does alcohol affect sperm when trying to get pregnant? Does drinking heavily can lead to infertility and impotence in men? And does alcohol lower sperm count? Let’s find out!

Understanding Male Fertility

Blocks forming the word 'fertility' on a gray backdrop

Before we explore alcohol and male fertility, it’s helpful to look at the male reproductive system, which is specifically designed to produce, store, and transport sperm.

In order for men to produce sperm — a process referred to as “spermatogenesis” — three main hormones are needed: follicle-stimulating hormone (FSH), luteinizing hormone (LH), and testosterone.

Both FSH and LH are made by our pituitary gland, located at the base of our brain. LH promotes testosterone production in the testicles, and FSH stimulates testicular growth and helps sperm mature. Testosterone, on the other hand, is made in our testicles and is responsible for developing and maintaining masculine characteristics (such as deeper voices and facial hair).

These three hormones — FSH, LH, and testosterone — work together to help our body continuously produce sperm. Changes in hormones due to the aging process or health conditions, such as diabetes and testicular disease, can prevent our body from producing as much sperm.

Does Alcohol Lower Sperm Count?

Now let’s look at what happens when alcohol is in the picture. First, let’s consider the relationship between alcohol and sperm count. Research suggests that alcohol can significantly affect sperm count, depending on how much we drink. While the occasional drink is unlikely to make a huge difference, research shows that regular alcohol consumption may lower men’s sperm count.

Does Alcohol Affect Sperm When Trying To Get Pregnant?

What’s the connection between alcohol and male fertility, especially when trying to conceive? And is it true that drinking heavily can lead to infertility and impotence in men?

Several studies have noted that female partners of men who drink heavily are less likely to become pregnant. This is because heavy, consistent drinking can destroy sperm-producing cells in the testicles, affecting the quality and number of sperm.

More specifically, research has found that heavy drinking affects fertility in these ways:

  • Lowering levels of testosterone, FSH, and LH, and raising estrogen levels, which reduce sperm production
  • Shrinking the testes, which can cause impotence or infertility
  • Changing FSH and LH release, which impacts sperm production
  • Causing early ejaculation or decreasing the ability to ejaculate
  • Changing the shape, size, and movement of healthy sperm

Along with affecting hormone levels, alcohol can also inhibit the function of the testes, preventing sperm from developing properly and reducing the sperm’s ability to move towards an egg. This happens because alcohol stops the liver from properly metabolizing vitamin A, which is needed for sperm development.

These effects are further exacerbated if we combine alcohol with drugs like marijuana or opioids. Additionally, studies show that liver disease caused by excessive drinking can also change sperm quality.

Alcohol’s Effect on Sperm and Male Fertility

How Much Alcohol Affects Male Fertility?

As noted above, the amount of alcohol we consume plays a role in how severely male fertility is affected. Habitual, excessive alcohol consumption has a detrimental impact on both the male reproductive hormones and semen quality. In fact, more than 14 mixed drinks in a week can lower testosterone levels and affect sperm count.

One study found that sperm count in men who consumed 40 units or more of alcohol per week (which translates to 24 beers, 15 mixed drinks, or 4-5 bottles of wine) were approximately 33% lower than those who drank between 1 and 5 units per week. Similarly, the size and shape of sperm — referred to as sperm morphology — was also altered in 51% of the heavy drinkers.

In general, the higher the number of weekly units of alcohol consumed, the lower the sperm quality. One study noted that while negative effects can be seen in men who drink five or more drinks a week, it’s most apparent in men who drink 25 units of alcohol — the equivalent of 15 pints of beer — or more each week.

The good news is that the effects of alcohol can be reversed by quitting drinking. One study showed that it took three months for the return of healthy sperm production once alcohol consumption stops.

Other Links Between Alcohol and Male Fertility

Alongside the effects on hormone levels, sperm quality, and sperm quantity, alcohol can affect male fertility in several other ways:

  • Lower sex drive: Alcohol can affect our desire to have sex in the first place. Studies indicate that alcohol can lead to a lower libido (sex drive) due to decreased levels of testosterone. 
  • Erectile dysfunction: Alcohol can also make it difficult to have sex. It depresses our central nervous system and impacts the signals between our brain and penis, making it difficult to get or maintain an erection. 
  • Dehydration: As a diuretic, alcohol causes us to urinate more frequently than usual, which can lead to dehydration. Dehydration can affect semen volume, or the amount of semen that we ejaculate. 
  • Sugar: A lot of alcoholic beverages are high in sugar content. Multiple studies show a correlation between diets rich in sugar-sweetened beverages and impaired sperm motility (how well the sperm swims). Excess sugar can also lead to weight gain, which is also associated with reduced sperm count and quality. 

Tips To Support the Male Reproductive System

In addition to reducing our alcohol intake, there are several other things we can do to produce healthy sperm and promote fertility. Here are some:

  • Exercise: Physical activity can help our body boost levels of sperm-healthy antioxidant enzymes. It can also help us manage our weight, another important factor for fertility. Men with higher body mass indexes (BMI) might make fewer or less active sperm than men with healthier BMIs. 
  • Eat healthy: Eating healthy foods can help promote the production of healthy sperm. Antioxidants found in fruits and vegetables have been found to be particularly vital for producing and protecting healthy sperm. Also be mindful of eating too many soy products, as some research suggests components in soy may cause DNA in sperm cells. 
  • Manage stress: Stress can affect our hormones and make it more difficult to produce sperm. Try incorporating relaxation techniques — such as deep breathing exercises, mindful meditation, or progressive muscle relaxation — into your daily routine. 

The Bottom Line

While the occasional drink here and there isn’t likely to affect male fertility, regular and heavy consumption of alcohol can lower testosterone levels, sperm count, and sperm quality. The more alcohol we drink, the more severe the effects.

Cutting back on alcohol is not only beneficial for our fertility, but our overall health and well-being. If you want to reduce your alcohol consumption, but don’t know where or how to start, Reframe can help.

Alcohol & Physical Health Effects
2023-08-06 9:00
Alcohol and Health
Naltrexone for Alcohol: How It Helps You Quit
This is some text inside of a div block.

Gain insight into the four most common medications used to treat alcohol-use disorder and reduce cravings for alcohol: naltrexone, acamprosate, disulfiram, and topiramate.

10 min read

Reduce Your Alcohol Consumption 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  →

There’s no denying it: scaling back on alcohol use, or eliminating it entirely, is no easy feat. Especially for those of us who have developed regular drinking habits or come to depend on alcohol for easing physical or emotional discomfort, breaking free from this toxic substance can be challenging. 

Thankfully, many tools and treatment options can help us reduce — or quit — drinking. What we might not realize, however, is that medication is one of them. In this post, we’ll explore some of the most common medications used to stop drinking.

Alcohol Medication: Pills To Stop Drinking

There are four common alcohol pills, or medications to stop drinking, including naltrexone, acamprosate, disulfiram, and topiramate. Let’s take a closer look at each one of these:

Naltrexone

Also known as Vivitrol, naltrexone is one of the most popular medications for moderate to severe alcohol use disorder (AUD). It’s FDA-approved and works by decreasing alcohol cravings. As an opioid blocker, it blocks the areas of the body where opioids attach, essentially stopping the rewarding effects of alcohol.

A recent study found that naltrexone significantly reduces binge drinking among men with mild to moderate alcohol use disorder. Research also shows that naltrexone works best for people who have already stopped drinking for at least four days when they begin treatment. 

The medication can be taken daily as a pill or monthly as an injection. Healthcare professionals might recommend staying on it for at least one year, as some studies show that when naltrexone is stopped, the benefits are lost. 

As for side effects, some of the most common include nausea and vomiting, appetite changes, headaches, dizziness, and restlessness. More serious side effects include liver damage, depression, and thoughts of self-harm or suicide. For those of us with liver failure or acute hepatitis, it’s important not to take naltrexone. 

Acamprosate

Acamprosate is another popular choice for people with moderate to severe (AUD). It’s FDA-approved and often used instead of naltrexone for people who can’t take naltrexone, such as those of us with liver problems or who use opioids. 

Acamprosate helps rebalance chemicals in the brain that may have been altered by drinking too much. More specifically, it works by interacting with two chemical messenger systems in the brain: GABA (gamma-aminobutyric acid) and glutamate. GABA stifles certain nerve cells and may help control the fear or anxiety we feel when those cells are overexcited. Glutamate, on the other hand, stimulates nerve cells. These systems become imbalanced if we’ve been drinking heavily over time; acamprosate is designed to level them out. 

Several studies have found that acamprosate effectively helps people reduce alcohol use, even after the medication is stopped. The usual dosage is two tablets three times a day. This timing and dosage might make it difficult to take properly, lowering its effectiveness. 

Similar to naltrexone, acamprosate seems to work best if we stop drinking before starting treatment. The medication can cause some side effects, such as diarrhea, trouble sleeping, anxiety, tiredness, depression, and dizziness. For those of us with severe kidney damage, acamprosate might not be a good option.

Disulfiram

Disulfiram, otherwise known as Antabuse, is the oldest FDA-approved medication for alcohol-use disorder. While naltrexone and acamprosate are the most popular medications for reducing drinking, disulfiram might still be a good option for some of us.  

The medication is an alcohol blocker: it prevents alcohol from being broken down, or metabolized, by the liver. If we drink alcohol while taking disulfiram, it causes an unpleasant reaction that helps discourage drinking. For instance, we might experience flushing, nausea, vomiting, difficulty breathing, sweating, low blood pressure, or heart palpitations. These symptoms usually last for about an hour and can happen as late as two weeks after our last dose of disulfiram. 

Research has shown that disulfiram can help people reduce drinking. However, some studies show that it’s more effective when taken under the supervision of a family member, friend, or as part of a program. 

The medication comes in tablet form and is usually taken once in the morning. It can cause various side effects — such as numbness, skin irritation, headache, drowsiness, and sexual dysfunction — but these usually improve or go away after about two weeks. In rare cases, disulfiram can also cause liver damage (especially if we have existing liver problems), psychotic symptoms, or nerve problems. 

Topiramate 

Topiramate is a medication that’s FDA-approved to treat seizures and prevent migraines. However, some doctors also use it to treat alcohol use disorder (AUD), as it helps rebalance chemicals in the brain and correct the electrical activity of brain cells. 

While topiramate is not FDA-approved for alcohol use disorder, studies have suggested that it can be effective in reducing alcohol cravings and withdrawal symptoms. In fact, the American Psychiatric Association recommends it as an option for moderate to severe AUD, including for people who haven’t had success with naltrexone or acamprosate. 

One study of over 350 people found that when topiramate was taken for 14 weeks, it reduced heavy drinking days more than the placebo. Interestingly, another study found that while disulfiram was more likely to lead to continued abstinence, topiramate was better at reducing cravings. 

Topiramate comes as a tablet and sprinkle capsule. It’s generally advised to avoid drinking alcohol when starting the medication, even though it’s been shown to be safe and effective in people who are still actively drinking.

Common side effects include nausea and vomiting, headache, dizziness, drowsiness, “pins and needles” sensations in the hands and feet, changes in taste, and trouble with focus or memory. It can also cause more serious side effects, such as eye problems, skin reactions, suicidal thoughts, or high levels of acid in the blood called metabolic acidosis. 

The Bottom Line

Naltrexone, acamprosate, disulfiram, and topiramate are four common alcohol medications to stop drinking and help curb alcohol cravings. Naltrexone and acamprosate in particular are popular, FDA-approved options that have proven to be effective in helping stop or reduce drinking. However, it’s best to consult a medical professional to determine which medication might be best for you. 

Finally, Reframe is here to help. We’ve enabled millions of people to cut back on their alcohol consumption and enhance their overall health and well-being.

There’s no denying it: scaling back on alcohol use, or eliminating it entirely, is no easy feat. Especially for those of us who have developed regular drinking habits or come to depend on alcohol for easing physical or emotional discomfort, breaking free from this toxic substance can be challenging. 

Thankfully, many tools and treatment options can help us reduce — or quit — drinking. What we might not realize, however, is that medication is one of them. In this post, we’ll explore some of the most common medications used to stop drinking.

Alcohol Medication: Pills To Stop Drinking

There are four common alcohol pills, or medications to stop drinking, including naltrexone, acamprosate, disulfiram, and topiramate. Let’s take a closer look at each one of these:

Naltrexone

Also known as Vivitrol, naltrexone is one of the most popular medications for moderate to severe alcohol use disorder (AUD). It’s FDA-approved and works by decreasing alcohol cravings. As an opioid blocker, it blocks the areas of the body where opioids attach, essentially stopping the rewarding effects of alcohol.

A recent study found that naltrexone significantly reduces binge drinking among men with mild to moderate alcohol use disorder. Research also shows that naltrexone works best for people who have already stopped drinking for at least four days when they begin treatment. 

The medication can be taken daily as a pill or monthly as an injection. Healthcare professionals might recommend staying on it for at least one year, as some studies show that when naltrexone is stopped, the benefits are lost. 

As for side effects, some of the most common include nausea and vomiting, appetite changes, headaches, dizziness, and restlessness. More serious side effects include liver damage, depression, and thoughts of self-harm or suicide. For those of us with liver failure or acute hepatitis, it’s important not to take naltrexone. 

Acamprosate

Acamprosate is another popular choice for people with moderate to severe (AUD). It’s FDA-approved and often used instead of naltrexone for people who can’t take naltrexone, such as those of us with liver problems or who use opioids. 

Acamprosate helps rebalance chemicals in the brain that may have been altered by drinking too much. More specifically, it works by interacting with two chemical messenger systems in the brain: GABA (gamma-aminobutyric acid) and glutamate. GABA stifles certain nerve cells and may help control the fear or anxiety we feel when those cells are overexcited. Glutamate, on the other hand, stimulates nerve cells. These systems become imbalanced if we’ve been drinking heavily over time; acamprosate is designed to level them out. 

Several studies have found that acamprosate effectively helps people reduce alcohol use, even after the medication is stopped. The usual dosage is two tablets three times a day. This timing and dosage might make it difficult to take properly, lowering its effectiveness. 

Similar to naltrexone, acamprosate seems to work best if we stop drinking before starting treatment. The medication can cause some side effects, such as diarrhea, trouble sleeping, anxiety, tiredness, depression, and dizziness. For those of us with severe kidney damage, acamprosate might not be a good option.

Disulfiram

Disulfiram, otherwise known as Antabuse, is the oldest FDA-approved medication for alcohol-use disorder. While naltrexone and acamprosate are the most popular medications for reducing drinking, disulfiram might still be a good option for some of us.  

The medication is an alcohol blocker: it prevents alcohol from being broken down, or metabolized, by the liver. If we drink alcohol while taking disulfiram, it causes an unpleasant reaction that helps discourage drinking. For instance, we might experience flushing, nausea, vomiting, difficulty breathing, sweating, low blood pressure, or heart palpitations. These symptoms usually last for about an hour and can happen as late as two weeks after our last dose of disulfiram. 

Research has shown that disulfiram can help people reduce drinking. However, some studies show that it’s more effective when taken under the supervision of a family member, friend, or as part of a program. 

The medication comes in tablet form and is usually taken once in the morning. It can cause various side effects — such as numbness, skin irritation, headache, drowsiness, and sexual dysfunction — but these usually improve or go away after about two weeks. In rare cases, disulfiram can also cause liver damage (especially if we have existing liver problems), psychotic symptoms, or nerve problems. 

Topiramate 

Topiramate is a medication that’s FDA-approved to treat seizures and prevent migraines. However, some doctors also use it to treat alcohol use disorder (AUD), as it helps rebalance chemicals in the brain and correct the electrical activity of brain cells. 

While topiramate is not FDA-approved for alcohol use disorder, studies have suggested that it can be effective in reducing alcohol cravings and withdrawal symptoms. In fact, the American Psychiatric Association recommends it as an option for moderate to severe AUD, including for people who haven’t had success with naltrexone or acamprosate. 

One study of over 350 people found that when topiramate was taken for 14 weeks, it reduced heavy drinking days more than the placebo. Interestingly, another study found that while disulfiram was more likely to lead to continued abstinence, topiramate was better at reducing cravings. 

Topiramate comes as a tablet and sprinkle capsule. It’s generally advised to avoid drinking alcohol when starting the medication, even though it’s been shown to be safe and effective in people who are still actively drinking.

Common side effects include nausea and vomiting, headache, dizziness, drowsiness, “pins and needles” sensations in the hands and feet, changes in taste, and trouble with focus or memory. It can also cause more serious side effects, such as eye problems, skin reactions, suicidal thoughts, or high levels of acid in the blood called metabolic acidosis. 

The Bottom Line

Naltrexone, acamprosate, disulfiram, and topiramate are four common alcohol medications to stop drinking and help curb alcohol cravings. Naltrexone and acamprosate in particular are popular, FDA-approved options that have proven to be effective in helping stop or reduce drinking. However, it’s best to consult a medical professional to determine which medication might be best for you. 

Finally, Reframe is here to help. We’ve enabled millions of people to cut back on their alcohol consumption and enhance their overall health and well-being.

Alcohol & Physical Health Effects
2023-08-06 9:00
Alcohol and Health
Alcohol and Sleep: Why Your Nightcap Is Backfiring
This is some text inside of a div block.

Curious about alcohol and sleep? Learn how drinking affects REM sleep, disrupts your rest, and what you can do for better, more restorative sleep.

23

Get Your Sleeping on Track 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  →

That glass of wine with dinner seems like the perfect nightcap. Your mind finally quiets down, and you drift off to sleep almost instantly. But then, a few hours later, you’re wide awake, staring at the ceiling. Sound familiar? This frustrating pattern isn't just you. It’s a classic example of the complicated relationship between alcohol and sleep. While a drink can make you feel drowsy, understanding how alcohol affects sleep—especially crucial stages like REM sleep—is the key to getting a truly restful night.

You’re not imagining things. Alcohol really does help you fall asleep faster and more easily. This is because alcohol is a central nervous system depressant: it slows our brain activity. It also acts as a sedative, inducing feelings of relaxation and sleepiness.

But here’s the problem: even though alcohol can cause us to fall asleep quickly, it negatively affects our overall quality of sleep. In fact, the consumption of alcohol — especially large amounts — has been consistently linked to poor sleep quality and duration. More specifically, alcohol suppresses rapid eye movement (REM) sleep, one of the most important stages of sleep for physical and mental restoration. Let’s take a closer look.

Understanding the Sleep Cycle

When you sleep, your brain doesn’t just power down for the night. Instead, it moves through a series of stages in a predictable pattern, known as the sleep cycle. Each cycle lasts about 90 minutes and repeats several times throughout the night. The two main types of sleep are Non-Rapid Eye Movement (NREM) and Rapid Eye Movement (REM). NREM sleep is divided into three stages, ranging from light dozing to the deep, restorative sleep that helps your body repair tissues and strengthen its immune system. After moving through the NREM stages, you enter REM sleep, which is essential for your mind. Understanding this cycle is the first step to figuring out why that glass of wine is having such a disruptive effect on your rest.

The first half of the night is typically dominated by NREM deep sleep. This is the phase where your body does most of its physical restoration. Your breathing and heart rate are at their lowest points, and it’s very difficult to be woken up. Because alcohol is a sedative, it can actually help you fall into this deep sleep stage faster. This is why you might feel like you’re getting great sleep right after you doze off. However, as your body begins to process the alcohol, this is where the problems start. The initial deep sleep comes at a cost, creating an imbalance in your sleep cycle that your body will try to correct later in the night.

The second half of the night is when REM sleep is supposed to take center stage. This is the stage where most of your dreaming occurs, and it’s absolutely vital for cognitive functions like memory consolidation, learning, and emotional regulation. During REM, your brain is highly active, sorting through the day’s experiences and filing them away. According to the Sleep Foundation, alcohol significantly suppresses REM sleep, especially during the first few cycles. This means your brain doesn't get the time it needs to properly process information and recharge, which is why you might feel mentally foggy and unfocused the next day, even if you technically slept for seven or eight hours.

As the alcohol wears off, your body experiences a “rebound effect.” Your sleep becomes lighter and more fragmented, leading to those frustrating middle-of-the-night awakenings. Your body is essentially trying to catch up on the REM sleep it missed earlier, resulting in a restless second half of the night. The more you drink, and the closer you drink to bedtime, the more pronounced this disruption becomes. This cycle of falling asleep quickly only to wake up a few hours later feeling alert and anxious is a classic sign that alcohol is interfering with your natural sleep architecture, preventing you from getting the truly restorative rest you need.

First, How Does Sleep Actually Work?

To understand how alcohol impacts REM sleep, it’s important to understand the different stages of the human sleep cycle. Over the course of the night, we go through several complete sleep cycles, each of which is composed of four individual stages. On a typical night, we’ll go through four to six sleep cycles, which last about 90 minutes each.

Here are the four different stages of a sleep cycle:

  • Stage 1 (light sleep): This is when we first fall asleep. Our body isn’t fully relaxed, and our brain activity starts to slow with periods of brief movements. This stage normally lasts from 1-7 minutes. It’s usually pretty easy to wake someone up during this time.
  • Stage 2 (light sleep): This is when our body enters a more subdued state including a drop in temperature, relaxed muscles, and slowed breathing and heart rate. This stage can last for 10-25 minutes during the first sleep cycle. We typically spend about half our sleep time in this stage of sleep.
  • Stage 3 (deep sleep): During this stage, our muscle tone, pulse, and breathing rate decrease as our body relaxes even further. Because of this, it’s much harder to wake someone up if they’re in this phase. This stage is also referred to as “delta sleep” or “slow-wave sleep,” as our brain activity during this period has a pattern of what are known as delta waves. We usually spend about 20 to 40 minutes in this phase.
  • Stage 4 (REM sleep): We typically enter rapid eye movement (REM) sleep about 90 minutes after we initially fall asleep. Even though our eyes are closed, they can be seen moving quickly, which is how this stage gets its name. There is a significant uptick in brain activity, and our breathing rate and heartbeat quicken. We also experience the most vivid dreams in this stage, which usually accounts for about 25% of our sleep time.

REM sleep is vital for cognitive functions like memory consolidation, emotional processing, learning, and creativity. For instance, during REM sleep, our brain processes the day’s new lessons and motor skills, committing some to memory, maintaining others, and deciding which ones to delete. Researchers suggest that REM sleep also promotes brain development, since newborns spend most of their sleep time in REM (8 hours a day!).

Study after study demonstrates the importance of REM sleep. REM sleep deprivation interferes with memory formation and negatively impacts our mood and mental focus. Lack of REM sleep can even weaken our immune system, as the growth of new healthy cells and tissue in the body is blocked.

How Alcohol Affects Sleep Quality

The Initial Sedative Effect vs. The Rebound Effect

That glass of wine can feel like the perfect nightcap, helping you doze off more quickly. This happens because alcohol is a central nervous system depressant, creating a sedative effect that makes you feel relaxed and sleepy. It quiets the brain, which can feel like a welcome relief after a long day. However, this initial drowsiness is misleading and sets the stage for a much more disruptive night. While you might fall asleep faster, the quality of that sleep takes a major hit as your body begins to process the alcohol.

As your body metabolizes the alcohol, it disrupts your natural sleep cycle. Specifically, it suppresses REM sleep, the critical stage for memory consolidation and emotional regulation. According to the Sleep Foundation, even small amounts of alcohol can decrease sleep quality by over 9%. This means you're missing out on the most restorative part of your sleep, which is why you can get a full eight hours and still wake up feeling groggy, irritable, and unfocused. The very thing that seemed to help you sleep ends up stealing the most valuable part of it.

Then comes the "rebound effect." As the sedative effects wear off in the second half of the night, your brain essentially wakes up with a jolt. This surge in activity leads to lighter, more fragmented sleep and those frustrating middle-of-the-night awakenings. You might find yourself wide awake at 3 a.m., your heart racing, unable to get back to sleep. This happens because your body is trying to counteract the initial depressive effects, leading to a state of over-arousal once the alcohol is gone. The more you drink, and the closer you drink to bedtime, the more pronounced these disruptions become, preventing you from ever reaching the deep, restorative stages you need.

How Alcohol Disrupts Your REM Sleep

Alcohol suppresses and reduces the amount of time we spend in REM sleep. As we’ve noted, alcohol initially acts as a sedative, increasing the proportion of deep sleep at the beginning of the night. However, as alcohol’s effects start to wear off, our body spends more time in light sleep, which can result in shorter sleep duration and more sleep disruptions. This is why we tend to wake up frequently after drinking once several hours have passed.

Even just a couple of drinks can have a negative effect. For instance, one study found that having fewer than two servings of alcohol per day for men or one serving per day for women decreased sleep quality by nearly 10%. The more alcohol we consume, the more our quality of sleep decreases: more than 2 drinks for men and more than 1 for women decreased sleep quality by almost 40%.

Alcohol also increases levels of adenosine, a key component of the homeostatic drive, which is responsible for keeping our body balanced. It’s also one of the major mechanisms regulating our sleep-wake cycle. The homeostatic drive tells us it’s time to sleep by boosting levels of adenosine when we’ve been awake for too long.

After a few drinks, increased levels of adenosine send us into a deep sleep. But, once our body realizes it’s had too much slow wave sleep, the homeostatic drive compensates by allowing us less deep sleep in the second half of the night. This is why we might find ourselves tossing and turning.

Without adequate sleep, our cognitive functions and performance start to decline. We might find ourselves forgetting things more often or having difficulty concentrating. Over time, lack of REM sleep and chronic sleep deprivation can lead to serious health issues such as diabetes, depression, obesity, and cardiovascular disease.

Physical Effects on Sleep Quality

Beyond just messing with your REM cycle, alcohol introduces a whole host of other physical disruptions that sabotage a good night's rest. That initial sleepy feeling is misleading; once your body starts to process the alcohol, it can trigger a cascade of effects that leave you feeling anything but refreshed in the morning. From throwing off your internal clock to making it harder to breathe, alcohol’s impact on your sleep is more complex and disruptive than many of us realize. It’s not just about feeling a little groggy; it’s about a fundamental interruption of the restorative processes your body needs to function at its best. Let’s break down some of the specific ways a nightcap can backfire.

Changes to Your Sleep Stages Throughout the Night

As we’ve touched on, alcohol acts as a sedative at first, which is why it can feel like it’s helping you doze off. It tends to increase deep sleep during the first part of the night. However, this is a classic bait-and-switch. As your body metabolizes the alcohol, its sedative effects wear off, leading to a rebound effect. Your body then spends much more time in lighter, less restorative sleep stages and experiences more frequent awakenings. This is why you might fall asleep easily after a drink, only to find yourself wide awake and staring at the ceiling at 3 a.m., wondering why you can't get back to sleep.

Disrupts the Body's Internal Clock

We all have an internal 24-hour clock, known as our circadian rhythm, that regulates our sleep-wake cycle. It’s what tells our body when it’s time to feel sleepy and when to be alert. Alcohol can throw a major wrench in this finely tuned system. By disrupting this natural rhythm, alcohol can leave you feeling drowsy when you need to be awake and frustratingly alert when you’re trying to sleep. This disruption can make it difficult to maintain a consistent sleep schedule, further contributing to feelings of fatigue and making the practice of mindful drinking even more important for your overall well-being.

Worsens Breathing Problems and Sleep Apnea

If you or your partner snores more after drinking, there’s a physiological reason for it. Alcohol relaxes the muscles throughout your body, including those in your throat. For some, this just means louder snoring. But for others, it can worsen more serious conditions like obstructive sleep apnea, a disorder where breathing repeatedly stops and starts during sleep. According to the Sleep Foundation, this muscle relaxation can make it harder to breathe and increase the frequency and duration of these dangerous breathing pauses throughout the night, turning what should be a restful period into a struggle for air.

Causes Other Physical Disruptions

The consequences of alcohol-induced sleep deprivation extend far beyond just feeling tired. When we consistently miss out on quality sleep, especially REM sleep, our cognitive functions take a hit. You might notice yourself becoming more forgetful, struggling to concentrate, or feeling mentally foggy. Over the long term, as one article from MD Anderson points out, chronic poor sleep is linked to a higher risk of serious health problems, including diabetes, obesity, depression, and cardiovascular disease. It’s a stark reminder that what happens during our sleeping hours has a profound impact on our overall health and daily performance.

Increases Unusual Sleep Events

Ever had bizarrely vivid dreams after a night of drinking? Alcohol can also increase the likelihood of parasomnias, which are unusual behaviors that occur during sleep. This can include things like sleepwalking, sleep talking, and even experiencing night terrors or sleep paralysis — that unsettling feeling of being awake but unable to move. While these events might seem random, they are often a sign of a disrupted and fragmented sleep architecture. It’s another way alcohol can turn a night of intended rest into a chaotic and unrefreshing experience, leaving you feeling more exhausted than when you went to bed.

Risks and Long-Term Consequences

The short-term disruption to your REM sleep is just the beginning. Relying on alcohol for sleep can lead to a host of bigger issues down the road, creating patterns that are tough to break.

The Cycle of Insomnia and Alcohol Dependence

It’s a tempting thought: if you’re struggling to fall asleep, a drink might seem like a quick fix. But this strategy can easily backfire and create a difficult cycle. When you use alcohol to get to sleep, your body starts to associate it with rest. The problem is, as we've seen, the sleep you get is fragmented and not very restorative. This can lead to chronic insomnia, where you have trouble falling or staying asleep on your own. You might then feel the need to drink more to get the same sedative effect, which only worsens your sleep quality. This pattern can create a dependence on alcohol for sleep, making it incredibly hard to rest naturally and trapping you in a loop of poor sleep and reliance on a substance that’s ultimately harming your health.

Worsens Hangovers and Next-Day Fatigue

We’ve all been there: waking up after a few drinks feeling groggy, irritable, and completely drained. It’s easy to blame the hangover, but the poor sleep quality is a huge part of the problem. The lack of deep, restorative REM sleep means your brain and body never got the chance to properly repair and recharge overnight. This sleep disruption makes classic hangover symptoms like headaches, nausea, and sensitivity to light feel so much worse. The next-day fatigue isn't just about being tired; it affects your focus, mood, and ability to function. So, that feeling of being mentally "off" and physically exhausted is a direct result of alcohol interfering with your natural sleep architecture.

Dangers of Mixing Alcohol with Medications

This is a critical point that can’t be overstated: mixing alcohol with certain medications is extremely dangerous. Alcohol is a central nervous system depressant, and so are many common medications, including sleeping pills, anti-anxiety drugs (like benzodiazepines), and some opioid pain relievers. When you combine them, you’re essentially doubling down on their sedative effects. This can slow your breathing and heart rate to dangerously low levels, a condition known as respiratory depression, which can be fatal. Even over-the-counter sleep aids can have unpredictable interactions with alcohol. It’s essential to always read medication labels and talk to your doctor or pharmacist about potential interactions before having a drink. Your safety comes first.

Effects on Recovery from Alcoholism

For those working to change their relationship with alcohol, sleep can be a major hurdle. Sleep problems are incredibly common during the early stages of recovery and can persist for months. This ongoing insomnia can be a powerful trigger for relapse. When you’re exhausted and desperate for rest, the temptation to turn back to alcohol—the very thing you’re trying to move away from—can feel overwhelming. That’s why developing healthy, sustainable sleep habits is a cornerstone of long-term success. Learning new coping mechanisms for stress and sleeplessness, like meditation or a consistent bedtime routine, is crucial for breaking the cycle and supporting your journey toward mindful drinking and better overall health.

How Effects on Sleep Can Differ

While alcohol’s general impact on the sleep cycle is consistent, its specific effects aren't the same for everyone. How a glass of wine before bed affects your rest can depend on a variety of factors, including your gender, age, and underlying health conditions. Understanding these nuances is a key part of developing a more mindful relationship with alcohol and prioritizing your well-being. Certain groups may find their sleep is particularly sensitive to disruption from drinking, making it even more important to be aware of the potential consequences for a good night's rest.

Differences Between Men and Women

It turns out that alcohol can play favorites when it comes to sleep, and gender is a big factor. While both men and women experience suppressed REM sleep after drinking, women often draw the shorter stick. Research shows that women tend to experience more sleep disruptions after drinking than men do. This means they are more likely to wake up throughout the night, even if the initial changes to their deep sleep and REM cycles are similar. So, if you find yourself wide awake at 3 a.m. after a couple of drinks, while your male partner is sleeping soundly, you’re not just imagining it. This increased fragmentation can leave you feeling particularly groggy and unrested the next day, highlighting how differently our bodies can process alcohol's effects.

Risk Factors for Sleep Apnea

If you or a loved one snores loudly, it might be more than just an annoyance — it could be a sign of sleep apnea, a condition where breathing repeatedly stops and starts during sleep. Alcohol is particularly problematic for anyone with this condition. Because alcohol is a muscle relaxant, it can cause the tissues in your throat to relax more than usual, making it easier for your airway to become blocked. This can worsen the frequency and severity of breathing pauses for those who already have sleep apnea. Certain factors increase the risk for this condition, including being male, over 50, or overweight. If you fall into any of these categories, drinking alcohol before bed could significantly interfere with your breathing and sleep quality.

Teenagers and Sleep

The connection between alcohol and sleep in teenagers is a bit of a two-way street. We know that alcohol can disrupt the crucial sleep that adolescents need for their developing brains and bodies. However, the relationship might start even before they take their first drink. Studies suggest that teenagers who already struggle with poor sleep—whether it's not getting enough hours or having low-quality rest—may be at a higher risk for developing issues with alcohol later on. This creates a challenging cycle where poor sleep can be a precursor to drinking, and drinking then further damages their sleep. It underscores the importance of addressing sleep problems in young people as a proactive measure for their long-term health.

Rethinking That Nightcap for Better Sleep

It can be tempting to turn to alcohol as a sleep aid. But, even though it can help us fall asleep, the effects are short-lived and we don’t end up getting the restorative sleep we need to function well. Even just one or two drinks can be harmful. The alcohol in our system causes us to spend less time in the important REM stage of sleep, ultimately causing us to wake up feeling less refreshed. In fact, fatigue and poor sleep are signs our body is telling us to drink less alcohol.

If we’re struggling to fall asleep, there are healthier alternatives to alcohol. For instance, there are multiple mindfulness techniques we can use to promote relaxation and help quiet our mind. We can also try incorporating meditations for stress relief.

If you regularly turn to alcohol to help you fall asleep, consider downloading Reframe. We’ve helped millions of people cut back on their alcohol consumption and develop effective skills for better managing stress and getting a good night’s sleep.

Time Your Last Drink Carefully

If you enjoy an occasional drink but want to protect your sleep, timing is everything. The key is to give your body enough time to process the alcohol before you hit the hay. As a general rule, try to have your last drink at least three to four hours before you plan to go to bed. This buffer allows your liver to metabolize the alcohol, reducing its disruptive effects on your sleep cycle later in the night. Finishing your drink well before bedtime helps prevent the "rebound effect," where your body shifts into a lighter, more fragmented sleep as the initial sedative qualities of alcohol wear off. This simple adjustment can make a significant difference in how rested you feel the next morning.

Improve Your General Sleep Hygiene

Creating a strong foundation for sleep can make you less likely to reach for a nightcap in the first place. This is where good sleep hygiene comes in. Start by establishing a consistent schedule — go to bed and wake up around the same time every day, even on weekends. This helps regulate your body's internal clock. You can also create a relaxing bedtime routine to signal to your brain that it's time to wind down. This could include taking a warm bath, listening to calm music, or reading a book. Finally, make sure your bedroom is a sanctuary for sleep: keep it cool, dark, and quiet to minimize potential disturbances and improve your sleep habits.

Try Specific Alternatives to Alcohol

If you're struggling to fall asleep, there are much healthier and more effective alternatives to alcohol for quieting your mind. Exploring different mindfulness techniques can be a great way to promote relaxation without the negative side effects. Consider brewing a cup of caffeine-free herbal tea, like chamomile or lavender, to help you unwind. You could also try journaling to get your thoughts out of your head and onto paper, or listen to a guided meditation designed for sleep. The goal is to find a calming activity that works for you, creating a new, healthier ritual that supports truly restorative rest. These practices can help you build a better relationship with your evening routine.

Frequently Asked Questions

But I fall asleep so much faster with a glass of wine. Isn't that a good thing? I completely get why it feels that way. Alcohol does act as a sedative, which can quiet your mind and help you doze off more quickly. The catch is that this initial drowsiness is misleading. While you might fall asleep faster, the quality of that sleep is significantly worse. Your body pays for that quick entry into deep sleep by sacrificing the mentally restorative REM sleep you need later in the night.

Why do I always wake up around 3 a.m. after a night of drinking? This is a classic sign of alcohol's "rebound effect." In the first half of the night, your body is focused on processing the alcohol, and you experience a deeper, non-REM sleep. As the alcohol's sedative effects wear off, your brain essentially jolts awake. This surge in activity pulls you into a much lighter, more fragmented sleep, which is why you find yourself wide awake and often unable to get back to sleep.

Is even one drink enough to mess up my sleep? Unfortunately, yes. While more alcohol creates a bigger disruption, research shows that even a single drink can decrease your sleep quality. It might not feel as dramatic as the 3 a.m. wake-up call you get from having several drinks, but it still reduces the amount of REM sleep you get. This can leave you feeling less sharp and focused the next day, even if you don't feel particularly hungover.

Besides feeling tired, what are the long-term risks of using alcohol for sleep? Relying on alcohol to fall asleep can create a difficult cycle. Over time, your body can build a tolerance, meaning you might need more alcohol to get the same sleepy effect. This can lead to a dependence where you feel like you can't sleep without it. This pattern not only worsens your sleep quality night after night but can also contribute to chronic insomnia and other health issues linked to long-term sleep deprivation.

If I stop using alcohol to sleep, what can I do instead to wind down? Creating a new evening ritual is a great place to start. The goal is to signal to your body that it's time to rest without the negative effects of alcohol. You could try brewing a cup of calming herbal tea like chamomile, reading a book (on paper, not a screen), or listening to a guided meditation. Some people find that journaling for a few minutes helps clear their head. The key is to find a relaxing, consistent activity that helps you transition peacefully into sleep.

Key Takeaways

  • That nightcap is a bit of a trick: While alcohol's sedative effect can make you feel sleepy, it ultimately prevents the deep, restorative rest your brain and body need by disrupting your natural sleep cycle later in the night.
  • Alcohol sabotages your REM sleep: It suppresses the mentally restorative REM phase early on, causing a rebound of lighter, fragmented sleep in the second half of the night, which is why you might wake up at 3 a.m. feeling wide awake.
  • Protect your sleep with smarter habits: If you choose to drink, finish your last one at least three hours before bed to give your body time to process it. For a more reliable solution, create a relaxing bedtime routine with alternatives like herbal tea or journaling to help you unwind naturally.

Related Articles

That glass of wine with dinner seems like the perfect nightcap. Your mind finally quiets down, and you drift off to sleep almost instantly. But then, a few hours later, you’re wide awake, staring at the ceiling. Sound familiar? This frustrating pattern isn't just you. It’s a classic example of the complicated relationship between alcohol and sleep. While a drink can make you feel drowsy, understanding how alcohol affects sleep—especially crucial stages like REM sleep—is the key to getting a truly restful night.

You’re not imagining things. Alcohol really does help you fall asleep faster and more easily. This is because alcohol is a central nervous system depressant: it slows our brain activity. It also acts as a sedative, inducing feelings of relaxation and sleepiness.

But here’s the problem: even though alcohol can cause us to fall asleep quickly, it negatively affects our overall quality of sleep. In fact, the consumption of alcohol — especially large amounts — has been consistently linked to poor sleep quality and duration. More specifically, alcohol suppresses rapid eye movement (REM) sleep, one of the most important stages of sleep for physical and mental restoration. Let’s take a closer look.

Understanding the Sleep Cycle

When you sleep, your brain doesn’t just power down for the night. Instead, it moves through a series of stages in a predictable pattern, known as the sleep cycle. Each cycle lasts about 90 minutes and repeats several times throughout the night. The two main types of sleep are Non-Rapid Eye Movement (NREM) and Rapid Eye Movement (REM). NREM sleep is divided into three stages, ranging from light dozing to the deep, restorative sleep that helps your body repair tissues and strengthen its immune system. After moving through the NREM stages, you enter REM sleep, which is essential for your mind. Understanding this cycle is the first step to figuring out why that glass of wine is having such a disruptive effect on your rest.

The first half of the night is typically dominated by NREM deep sleep. This is the phase where your body does most of its physical restoration. Your breathing and heart rate are at their lowest points, and it’s very difficult to be woken up. Because alcohol is a sedative, it can actually help you fall into this deep sleep stage faster. This is why you might feel like you’re getting great sleep right after you doze off. However, as your body begins to process the alcohol, this is where the problems start. The initial deep sleep comes at a cost, creating an imbalance in your sleep cycle that your body will try to correct later in the night.

The second half of the night is when REM sleep is supposed to take center stage. This is the stage where most of your dreaming occurs, and it’s absolutely vital for cognitive functions like memory consolidation, learning, and emotional regulation. During REM, your brain is highly active, sorting through the day’s experiences and filing them away. According to the Sleep Foundation, alcohol significantly suppresses REM sleep, especially during the first few cycles. This means your brain doesn't get the time it needs to properly process information and recharge, which is why you might feel mentally foggy and unfocused the next day, even if you technically slept for seven or eight hours.

As the alcohol wears off, your body experiences a “rebound effect.” Your sleep becomes lighter and more fragmented, leading to those frustrating middle-of-the-night awakenings. Your body is essentially trying to catch up on the REM sleep it missed earlier, resulting in a restless second half of the night. The more you drink, and the closer you drink to bedtime, the more pronounced this disruption becomes. This cycle of falling asleep quickly only to wake up a few hours later feeling alert and anxious is a classic sign that alcohol is interfering with your natural sleep architecture, preventing you from getting the truly restorative rest you need.

First, How Does Sleep Actually Work?

To understand how alcohol impacts REM sleep, it’s important to understand the different stages of the human sleep cycle. Over the course of the night, we go through several complete sleep cycles, each of which is composed of four individual stages. On a typical night, we’ll go through four to six sleep cycles, which last about 90 minutes each.

Here are the four different stages of a sleep cycle:

  • Stage 1 (light sleep): This is when we first fall asleep. Our body isn’t fully relaxed, and our brain activity starts to slow with periods of brief movements. This stage normally lasts from 1-7 minutes. It’s usually pretty easy to wake someone up during this time.
  • Stage 2 (light sleep): This is when our body enters a more subdued state including a drop in temperature, relaxed muscles, and slowed breathing and heart rate. This stage can last for 10-25 minutes during the first sleep cycle. We typically spend about half our sleep time in this stage of sleep.
  • Stage 3 (deep sleep): During this stage, our muscle tone, pulse, and breathing rate decrease as our body relaxes even further. Because of this, it’s much harder to wake someone up if they’re in this phase. This stage is also referred to as “delta sleep” or “slow-wave sleep,” as our brain activity during this period has a pattern of what are known as delta waves. We usually spend about 20 to 40 minutes in this phase.
  • Stage 4 (REM sleep): We typically enter rapid eye movement (REM) sleep about 90 minutes after we initially fall asleep. Even though our eyes are closed, they can be seen moving quickly, which is how this stage gets its name. There is a significant uptick in brain activity, and our breathing rate and heartbeat quicken. We also experience the most vivid dreams in this stage, which usually accounts for about 25% of our sleep time.

REM sleep is vital for cognitive functions like memory consolidation, emotional processing, learning, and creativity. For instance, during REM sleep, our brain processes the day’s new lessons and motor skills, committing some to memory, maintaining others, and deciding which ones to delete. Researchers suggest that REM sleep also promotes brain development, since newborns spend most of their sleep time in REM (8 hours a day!).

Study after study demonstrates the importance of REM sleep. REM sleep deprivation interferes with memory formation and negatively impacts our mood and mental focus. Lack of REM sleep can even weaken our immune system, as the growth of new healthy cells and tissue in the body is blocked.

How Alcohol Affects Sleep Quality

The Initial Sedative Effect vs. The Rebound Effect

That glass of wine can feel like the perfect nightcap, helping you doze off more quickly. This happens because alcohol is a central nervous system depressant, creating a sedative effect that makes you feel relaxed and sleepy. It quiets the brain, which can feel like a welcome relief after a long day. However, this initial drowsiness is misleading and sets the stage for a much more disruptive night. While you might fall asleep faster, the quality of that sleep takes a major hit as your body begins to process the alcohol.

As your body metabolizes the alcohol, it disrupts your natural sleep cycle. Specifically, it suppresses REM sleep, the critical stage for memory consolidation and emotional regulation. According to the Sleep Foundation, even small amounts of alcohol can decrease sleep quality by over 9%. This means you're missing out on the most restorative part of your sleep, which is why you can get a full eight hours and still wake up feeling groggy, irritable, and unfocused. The very thing that seemed to help you sleep ends up stealing the most valuable part of it.

Then comes the "rebound effect." As the sedative effects wear off in the second half of the night, your brain essentially wakes up with a jolt. This surge in activity leads to lighter, more fragmented sleep and those frustrating middle-of-the-night awakenings. You might find yourself wide awake at 3 a.m., your heart racing, unable to get back to sleep. This happens because your body is trying to counteract the initial depressive effects, leading to a state of over-arousal once the alcohol is gone. The more you drink, and the closer you drink to bedtime, the more pronounced these disruptions become, preventing you from ever reaching the deep, restorative stages you need.

How Alcohol Disrupts Your REM Sleep

Alcohol suppresses and reduces the amount of time we spend in REM sleep. As we’ve noted, alcohol initially acts as a sedative, increasing the proportion of deep sleep at the beginning of the night. However, as alcohol’s effects start to wear off, our body spends more time in light sleep, which can result in shorter sleep duration and more sleep disruptions. This is why we tend to wake up frequently after drinking once several hours have passed.

Even just a couple of drinks can have a negative effect. For instance, one study found that having fewer than two servings of alcohol per day for men or one serving per day for women decreased sleep quality by nearly 10%. The more alcohol we consume, the more our quality of sleep decreases: more than 2 drinks for men and more than 1 for women decreased sleep quality by almost 40%.

Alcohol also increases levels of adenosine, a key component of the homeostatic drive, which is responsible for keeping our body balanced. It’s also one of the major mechanisms regulating our sleep-wake cycle. The homeostatic drive tells us it’s time to sleep by boosting levels of adenosine when we’ve been awake for too long.

After a few drinks, increased levels of adenosine send us into a deep sleep. But, once our body realizes it’s had too much slow wave sleep, the homeostatic drive compensates by allowing us less deep sleep in the second half of the night. This is why we might find ourselves tossing and turning.

Without adequate sleep, our cognitive functions and performance start to decline. We might find ourselves forgetting things more often or having difficulty concentrating. Over time, lack of REM sleep and chronic sleep deprivation can lead to serious health issues such as diabetes, depression, obesity, and cardiovascular disease.

Physical Effects on Sleep Quality

Beyond just messing with your REM cycle, alcohol introduces a whole host of other physical disruptions that sabotage a good night's rest. That initial sleepy feeling is misleading; once your body starts to process the alcohol, it can trigger a cascade of effects that leave you feeling anything but refreshed in the morning. From throwing off your internal clock to making it harder to breathe, alcohol’s impact on your sleep is more complex and disruptive than many of us realize. It’s not just about feeling a little groggy; it’s about a fundamental interruption of the restorative processes your body needs to function at its best. Let’s break down some of the specific ways a nightcap can backfire.

Changes to Your Sleep Stages Throughout the Night

As we’ve touched on, alcohol acts as a sedative at first, which is why it can feel like it’s helping you doze off. It tends to increase deep sleep during the first part of the night. However, this is a classic bait-and-switch. As your body metabolizes the alcohol, its sedative effects wear off, leading to a rebound effect. Your body then spends much more time in lighter, less restorative sleep stages and experiences more frequent awakenings. This is why you might fall asleep easily after a drink, only to find yourself wide awake and staring at the ceiling at 3 a.m., wondering why you can't get back to sleep.

Disrupts the Body's Internal Clock

We all have an internal 24-hour clock, known as our circadian rhythm, that regulates our sleep-wake cycle. It’s what tells our body when it’s time to feel sleepy and when to be alert. Alcohol can throw a major wrench in this finely tuned system. By disrupting this natural rhythm, alcohol can leave you feeling drowsy when you need to be awake and frustratingly alert when you’re trying to sleep. This disruption can make it difficult to maintain a consistent sleep schedule, further contributing to feelings of fatigue and making the practice of mindful drinking even more important for your overall well-being.

Worsens Breathing Problems and Sleep Apnea

If you or your partner snores more after drinking, there’s a physiological reason for it. Alcohol relaxes the muscles throughout your body, including those in your throat. For some, this just means louder snoring. But for others, it can worsen more serious conditions like obstructive sleep apnea, a disorder where breathing repeatedly stops and starts during sleep. According to the Sleep Foundation, this muscle relaxation can make it harder to breathe and increase the frequency and duration of these dangerous breathing pauses throughout the night, turning what should be a restful period into a struggle for air.

Causes Other Physical Disruptions

The consequences of alcohol-induced sleep deprivation extend far beyond just feeling tired. When we consistently miss out on quality sleep, especially REM sleep, our cognitive functions take a hit. You might notice yourself becoming more forgetful, struggling to concentrate, or feeling mentally foggy. Over the long term, as one article from MD Anderson points out, chronic poor sleep is linked to a higher risk of serious health problems, including diabetes, obesity, depression, and cardiovascular disease. It’s a stark reminder that what happens during our sleeping hours has a profound impact on our overall health and daily performance.

Increases Unusual Sleep Events

Ever had bizarrely vivid dreams after a night of drinking? Alcohol can also increase the likelihood of parasomnias, which are unusual behaviors that occur during sleep. This can include things like sleepwalking, sleep talking, and even experiencing night terrors or sleep paralysis — that unsettling feeling of being awake but unable to move. While these events might seem random, they are often a sign of a disrupted and fragmented sleep architecture. It’s another way alcohol can turn a night of intended rest into a chaotic and unrefreshing experience, leaving you feeling more exhausted than when you went to bed.

Risks and Long-Term Consequences

The short-term disruption to your REM sleep is just the beginning. Relying on alcohol for sleep can lead to a host of bigger issues down the road, creating patterns that are tough to break.

The Cycle of Insomnia and Alcohol Dependence

It’s a tempting thought: if you’re struggling to fall asleep, a drink might seem like a quick fix. But this strategy can easily backfire and create a difficult cycle. When you use alcohol to get to sleep, your body starts to associate it with rest. The problem is, as we've seen, the sleep you get is fragmented and not very restorative. This can lead to chronic insomnia, where you have trouble falling or staying asleep on your own. You might then feel the need to drink more to get the same sedative effect, which only worsens your sleep quality. This pattern can create a dependence on alcohol for sleep, making it incredibly hard to rest naturally and trapping you in a loop of poor sleep and reliance on a substance that’s ultimately harming your health.

Worsens Hangovers and Next-Day Fatigue

We’ve all been there: waking up after a few drinks feeling groggy, irritable, and completely drained. It’s easy to blame the hangover, but the poor sleep quality is a huge part of the problem. The lack of deep, restorative REM sleep means your brain and body never got the chance to properly repair and recharge overnight. This sleep disruption makes classic hangover symptoms like headaches, nausea, and sensitivity to light feel so much worse. The next-day fatigue isn't just about being tired; it affects your focus, mood, and ability to function. So, that feeling of being mentally "off" and physically exhausted is a direct result of alcohol interfering with your natural sleep architecture.

Dangers of Mixing Alcohol with Medications

This is a critical point that can’t be overstated: mixing alcohol with certain medications is extremely dangerous. Alcohol is a central nervous system depressant, and so are many common medications, including sleeping pills, anti-anxiety drugs (like benzodiazepines), and some opioid pain relievers. When you combine them, you’re essentially doubling down on their sedative effects. This can slow your breathing and heart rate to dangerously low levels, a condition known as respiratory depression, which can be fatal. Even over-the-counter sleep aids can have unpredictable interactions with alcohol. It’s essential to always read medication labels and talk to your doctor or pharmacist about potential interactions before having a drink. Your safety comes first.

Effects on Recovery from Alcoholism

For those working to change their relationship with alcohol, sleep can be a major hurdle. Sleep problems are incredibly common during the early stages of recovery and can persist for months. This ongoing insomnia can be a powerful trigger for relapse. When you’re exhausted and desperate for rest, the temptation to turn back to alcohol—the very thing you’re trying to move away from—can feel overwhelming. That’s why developing healthy, sustainable sleep habits is a cornerstone of long-term success. Learning new coping mechanisms for stress and sleeplessness, like meditation or a consistent bedtime routine, is crucial for breaking the cycle and supporting your journey toward mindful drinking and better overall health.

How Effects on Sleep Can Differ

While alcohol’s general impact on the sleep cycle is consistent, its specific effects aren't the same for everyone. How a glass of wine before bed affects your rest can depend on a variety of factors, including your gender, age, and underlying health conditions. Understanding these nuances is a key part of developing a more mindful relationship with alcohol and prioritizing your well-being. Certain groups may find their sleep is particularly sensitive to disruption from drinking, making it even more important to be aware of the potential consequences for a good night's rest.

Differences Between Men and Women

It turns out that alcohol can play favorites when it comes to sleep, and gender is a big factor. While both men and women experience suppressed REM sleep after drinking, women often draw the shorter stick. Research shows that women tend to experience more sleep disruptions after drinking than men do. This means they are more likely to wake up throughout the night, even if the initial changes to their deep sleep and REM cycles are similar. So, if you find yourself wide awake at 3 a.m. after a couple of drinks, while your male partner is sleeping soundly, you’re not just imagining it. This increased fragmentation can leave you feeling particularly groggy and unrested the next day, highlighting how differently our bodies can process alcohol's effects.

Risk Factors for Sleep Apnea

If you or a loved one snores loudly, it might be more than just an annoyance — it could be a sign of sleep apnea, a condition where breathing repeatedly stops and starts during sleep. Alcohol is particularly problematic for anyone with this condition. Because alcohol is a muscle relaxant, it can cause the tissues in your throat to relax more than usual, making it easier for your airway to become blocked. This can worsen the frequency and severity of breathing pauses for those who already have sleep apnea. Certain factors increase the risk for this condition, including being male, over 50, or overweight. If you fall into any of these categories, drinking alcohol before bed could significantly interfere with your breathing and sleep quality.

Teenagers and Sleep

The connection between alcohol and sleep in teenagers is a bit of a two-way street. We know that alcohol can disrupt the crucial sleep that adolescents need for their developing brains and bodies. However, the relationship might start even before they take their first drink. Studies suggest that teenagers who already struggle with poor sleep—whether it's not getting enough hours or having low-quality rest—may be at a higher risk for developing issues with alcohol later on. This creates a challenging cycle where poor sleep can be a precursor to drinking, and drinking then further damages their sleep. It underscores the importance of addressing sleep problems in young people as a proactive measure for their long-term health.

Rethinking That Nightcap for Better Sleep

It can be tempting to turn to alcohol as a sleep aid. But, even though it can help us fall asleep, the effects are short-lived and we don’t end up getting the restorative sleep we need to function well. Even just one or two drinks can be harmful. The alcohol in our system causes us to spend less time in the important REM stage of sleep, ultimately causing us to wake up feeling less refreshed. In fact, fatigue and poor sleep are signs our body is telling us to drink less alcohol.

If we’re struggling to fall asleep, there are healthier alternatives to alcohol. For instance, there are multiple mindfulness techniques we can use to promote relaxation and help quiet our mind. We can also try incorporating meditations for stress relief.

If you regularly turn to alcohol to help you fall asleep, consider downloading Reframe. We’ve helped millions of people cut back on their alcohol consumption and develop effective skills for better managing stress and getting a good night’s sleep.

Time Your Last Drink Carefully

If you enjoy an occasional drink but want to protect your sleep, timing is everything. The key is to give your body enough time to process the alcohol before you hit the hay. As a general rule, try to have your last drink at least three to four hours before you plan to go to bed. This buffer allows your liver to metabolize the alcohol, reducing its disruptive effects on your sleep cycle later in the night. Finishing your drink well before bedtime helps prevent the "rebound effect," where your body shifts into a lighter, more fragmented sleep as the initial sedative qualities of alcohol wear off. This simple adjustment can make a significant difference in how rested you feel the next morning.

Improve Your General Sleep Hygiene

Creating a strong foundation for sleep can make you less likely to reach for a nightcap in the first place. This is where good sleep hygiene comes in. Start by establishing a consistent schedule — go to bed and wake up around the same time every day, even on weekends. This helps regulate your body's internal clock. You can also create a relaxing bedtime routine to signal to your brain that it's time to wind down. This could include taking a warm bath, listening to calm music, or reading a book. Finally, make sure your bedroom is a sanctuary for sleep: keep it cool, dark, and quiet to minimize potential disturbances and improve your sleep habits.

Try Specific Alternatives to Alcohol

If you're struggling to fall asleep, there are much healthier and more effective alternatives to alcohol for quieting your mind. Exploring different mindfulness techniques can be a great way to promote relaxation without the negative side effects. Consider brewing a cup of caffeine-free herbal tea, like chamomile or lavender, to help you unwind. You could also try journaling to get your thoughts out of your head and onto paper, or listen to a guided meditation designed for sleep. The goal is to find a calming activity that works for you, creating a new, healthier ritual that supports truly restorative rest. These practices can help you build a better relationship with your evening routine.

Frequently Asked Questions

But I fall asleep so much faster with a glass of wine. Isn't that a good thing? I completely get why it feels that way. Alcohol does act as a sedative, which can quiet your mind and help you doze off more quickly. The catch is that this initial drowsiness is misleading. While you might fall asleep faster, the quality of that sleep is significantly worse. Your body pays for that quick entry into deep sleep by sacrificing the mentally restorative REM sleep you need later in the night.

Why do I always wake up around 3 a.m. after a night of drinking? This is a classic sign of alcohol's "rebound effect." In the first half of the night, your body is focused on processing the alcohol, and you experience a deeper, non-REM sleep. As the alcohol's sedative effects wear off, your brain essentially jolts awake. This surge in activity pulls you into a much lighter, more fragmented sleep, which is why you find yourself wide awake and often unable to get back to sleep.

Is even one drink enough to mess up my sleep? Unfortunately, yes. While more alcohol creates a bigger disruption, research shows that even a single drink can decrease your sleep quality. It might not feel as dramatic as the 3 a.m. wake-up call you get from having several drinks, but it still reduces the amount of REM sleep you get. This can leave you feeling less sharp and focused the next day, even if you don't feel particularly hungover.

Besides feeling tired, what are the long-term risks of using alcohol for sleep? Relying on alcohol to fall asleep can create a difficult cycle. Over time, your body can build a tolerance, meaning you might need more alcohol to get the same sleepy effect. This can lead to a dependence where you feel like you can't sleep without it. This pattern not only worsens your sleep quality night after night but can also contribute to chronic insomnia and other health issues linked to long-term sleep deprivation.

If I stop using alcohol to sleep, what can I do instead to wind down? Creating a new evening ritual is a great place to start. The goal is to signal to your body that it's time to rest without the negative effects of alcohol. You could try brewing a cup of calming herbal tea like chamomile, reading a book (on paper, not a screen), or listening to a guided meditation. Some people find that journaling for a few minutes helps clear their head. The key is to find a relaxing, consistent activity that helps you transition peacefully into sleep.

Key Takeaways

  • That nightcap is a bit of a trick: While alcohol's sedative effect can make you feel sleepy, it ultimately prevents the deep, restorative rest your brain and body need by disrupting your natural sleep cycle later in the night.
  • Alcohol sabotages your REM sleep: It suppresses the mentally restorative REM phase early on, causing a rebound of lighter, fragmented sleep in the second half of the night, which is why you might wake up at 3 a.m. feeling wide awake.
  • Protect your sleep with smarter habits: If you choose to drink, finish your last one at least three hours before bed to give your body time to process it. For a more reliable solution, create a relaxing bedtime routine with alternatives like herbal tea or journaling to help you unwind naturally.

Related Articles

Alcohol & Physical Health Effects
2023-08-06 9:00
Alcohol and Health
Does Alcohol Cause Sleep Apnea? The Sobering Facts
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Even if you don’t have sleep apnea, consuming alcohol can increase your chance of developing it. If you already have sleep apnea and are drinking regularly, you’re probably making it worse.

19 min read

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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.

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Read Full Article  →

As Anthony Burgess bluntly puts it: “Laugh and the world laughs with you, snore and you sleep alone.” Navigating the world of sleep can be tricky, and well, tiring, especially if you have sleep apnea, a pesky condition where breathing repeatedly stops and starts during sleep, potentially leading to a host of problems such as daytime fatigue, morning headaches, and even heart issues. 

In addition to causing snoring, sleep apnea can be uncomfortable and even scary. Imagine trying to rest with someone randomly pressing a “pause” button on your breathing! It’s like those annoying buffering moments while streaming your favorite show: you're immersed in the story and then — bam! — everything pauses. 

Research says that as much as over a quarter of the U.S. population suffers from sleep apnea as of 2023! Most are between the ages of 30 and 70, and as many as 40,000 die every year due to sleep apnea-related heart problems.

Adding alcohol to the mix can make things even more challenging. Let's explore the connection between alcohol and sleep apnea, and find ways to ensure that you get the best Zzz’s without those nightly interruptions.

The Science of Sleep Apnea

There are primarily two types of sleep apnea:

  • Obstructive sleep apnea (OSA). This is the most common form of sleep apnea. OSA occurs when the muscles at the back of the throat fail to keep the airway open. It’s like trying to sip a thick shake through a straw that keeps collapsing.
  • Central sleep apnea. Less common, this type of sleep apnea doesn't stem from a blocked airway. Instead, the brain fails to transmit the right signals to the muscles controlling your breathing. It’s a bit like forgetting to press the gas pedal while driving: everything's in place, but there’s just no action!

The “pauses” caused by sleep apnea can last from a few seconds to several minutes and might occur 30 times (or more) an hour, wreaking havoc on our sleep cycle. When your sleep is fragmented, we might wake up feeling like we've run a marathon, even if we’ve had a full night’s sleep. This can lead to irritability, difficulty concentrating, and a higher risk of accidents.

The aftermath isn't just waking up feeling groggy. Untreated sleep apnea is linked to a variety of health issues. Over time, it can contribute to hypertension, heart problems, type 2 diabetes, liver problems, and more.

Diagnosis and Treatment

If you or someone you know often feels extremely tired during the day, snores loudly, or wakes up with a choking sensation, it might be worth looking into sleep apnea. Getting a proper diagnosis is the first step to a solution! Potential treatments might be: 

  • Continuous Positive Airway Pressure (CPAP) therapy. This is the most common treatment for moderate to severe obstructive sleep apnea. Patients wear a face or nasal mask, which is connected to a machine that delivers a continuous stream of air to keep the breathing passages open.
  • Bilevel Positive Airway Pressure (BiPAP or BPAP) therapy. Unlike CPAP, which delivers steady, constant pressure, BiPAP delivers higher pressure when we inhale and lower pressure when we exhale.
  • Oral appliances. These are devices that are designed to keep the throat open by bringing the jaw forward, which can sometimes relieve snoring and mild obstructive sleep apnea. They are often used as an alternative to CPAP for people with mild to moderate sleep apnea who cannot tolerate CPAP.
  • Positional therapy. Some people experience sleep apnea primarily when sleeping on their back. In such cases, they might benefit from changes in sleep position, like sleeping on their side.
  • Adaptive Servo-Ventilation (ASV). This device can store information about our normal breathing pattern and then uses pressure to normalize it, preventing pauses in breathing.
  • Inspire therapy. This treatment uses a small pulse generator that’s implanted under the skin in the upper chest. The device monitors breathing signals during sleep and delivers mild stimulation to the airway muscles, keeping the airway open.
  • Lifestyle changes. Weight loss, avoiding alcohol (more on this later), and sleeping in a different position can sometimes help those with milder forms of sleep apnea.
  • Surgery. There are various surgical options, which might include uvulopalatopharyngoplasty (removing excess tissue from the throat), maxillomandibular advancement (moving the upper and lower part of the jaw forward to enlarge the space behind the tongue and soft palate), or genioglossus Advancement (moving the attachment for the tongue muscles forward).

Alcohol’s Role in the Mix

Now, let’s see how alcohol fits into this equation. Spoiler: it’s not a match made in dreamland!

Many have sworn by the "nightcap" — a drink before bedtime — believing it helps them nod off faster. And it's true: alcohol does have sedative properties. After we’ve had a drink, we might feel a wave of drowsiness inviting us to lie down and surrender to sleep.

But here's the twist: while alcohol can help us fall asleep faster, it doesn’t necessarily help us stay asleep or enjoy quality sleep, especially if sleep apnea is part of the mix. How? Here are four main ways booze can complicate the issue.

1: Muscle Relaxation

Alcohol acts as a muscle relaxant. While this might sound like a good thing — a relaxed body for relaxed sleep — this relaxation includes the muscles at the back of your throat. When these muscles get too relaxed, it makes it easier for the airway to become blocked, especially in those already predisposed to sleep apnea. The result? Disrupted breathing patterns and increased snoring.

Why does this happen? Alcohol is a central nervous system depressant, which means it slows down brain activity. As this slowing cascades through the system, muscles throughout the body get the memo to chill out: it’s why people might have a drink to "loosen up." However, when it comes to sleep, it's not all happiness and rainbows.

One key muscle group affected by this relaxation involves the muscles of the throat, especially the ones responsible for keeping our airway open. When these muscles relax too much, the airway can narrow or collapse entirely. This not only leads to an orchestra of snoring sounds but can also cause interruptions in breathing, which is a hallmark of sleep apnea.

Picture this: you're in a calm, gentle river on a float, but suddenly the water pathway narrows. It becomes harder to glide smoothly. This is similar to what happens when our throat muscles relax excessively: the "river" (or airway) narrows, making it tougher for air to flow smoothly.

For people already predisposed to conditions like sleep apnea, or for those who just naturally have a narrower airway, alcohol can accentuate the issue. But even for those without any predispositions, a heavy night of drinking can make sleep interruptions more frequent and pronounced.

2: Sleep Architecture Disruption

Our sleep follows a certain architecture, transitioning from light sleep to deep sleep and then REM (Rapid Eye Movement) sleep throughout the night. Each of these stages has its unique characteristics and plays a role in ensuring we wake up feeling rejuvenated.

  • NREM Stage 1. During this initial stage, we’re just drifting off: it's light, and we can be easily awakened.
  • NREM Stage 2. This stage is still relatively light, but it acts as a bridge to the deeper stages of sleep. Heart rate slows down, and body temperature drops.
  • NREM Stage 3. This is deep sleep. If someone tried to wake us, they’d have a tough time. During this phase the body repairs muscles, strengthens the immune system, and performs other essential restoration tasks.
  • REM sleep. This is where the magic happens. REM stands for Rapid Eye Movement, and it's the stage associated with vivid dreams. It’s also crucial for brain function and plays a role in memory, learning, and mood regulation.

Now, where does alcohol fit? Drinking, especially closer to bedtime, can propel us more rapidly into the deep sleep of NREM Stage 3. Sounds like a great shortcut, right? Well, the catch is that we spend more time in this stage early in the night and less time in REM sleep, which we would typically enter later. 

Missing out on that quality REM time, in turn, cuts our essential dream time short. In the long term, it can wreak havoc on our cognitive function and emotional health.

3: Frequent Bathroom Trips

We've all been there: waking up in the wee hours (pun intended) needing to make that groggy trek to the bathroom. If you've found that after a drink or two this calling seems to get louder and more frequent, you're not alone. Alcohol acts as a diuretic, increasing urine production and potentially causing dehydration. These middle-of-the-night wake-ups can interrupt the natural flow of our sleep cycle and make it harder to fall back asleep.

Alcohol inhibits the release of vasopressin, a hormone that helps our kidneys reabsorb water and reduce the amount of urine stored in the bladder. So when alcohol comes into play, less vasopressin is produced, leading to more fluid being directed to the bladder.

Here's the ripple effect in the pond of nighttime tranquility:

  • Increased urine production. After consuming alcohol, we might find ourselves visiting the bathroom more often even before we hit the hay. 
  • Interrupted sleep patterns. Once we’re asleep, the bladder fills up faster than usual. This means we might be pulled out of deep sleep or a dream-filled REM stage to dash to the restroom. In addition to breaking the rhythm of our sleep cycle, it makes it challenging to slide back into that restful state.
  • Potential dehydration. With all this frequent urination, there's a chance we’re losing more fluids than we’re taking in. Dehydration can lead to a dry mouth, headaches, and can further undermine the quality of our sleep.
4: The Rebound Effect

Remember how alcohol puts us on the fast track to deep sleep and disrupts our sleep architecture? Well, another consequence of this disruption is the so-called "rebound effect,” which can lead to lighter, fragmented sleep in the second half of the night, causing us to wake up feeling less than refreshed.

The rebound effect has to do with the fact that alcohol interferes with the balance of neurotransmitters in the brain, initially suppressing the ones that keep us alert and active. However, as it gets metabolized and its effects diminish, there's a surge in these previously suppressed neurotransmitters. It's like holding a bouncy ball under water and then suddenly letting go. It shoots up with force! Similarly, as alcohol's effects wane, the brain becomes more active, leading to the "rebound" in wakefulness.

The most noticeable outcome of the rebound effect? Waking up feeling like we’ve been shortchanged in the sleep department. Even if we;ve clocked in a good 7-8 hours, the disrupted second half of your night can leave us feeling groggy, irritable, and less alert.

7 Action Steps to Improve Sleep

If you're looking to quit or cut back on alcohol, kudos to you! Here are some steps to help you on your journey and improve your sleep:

  • Inform and educate. Awareness is the first step. Recognizing that the glass of wine or pint of beer might lead to trouble can help inform your drinking decisions, especially closer to bedtime. Maybe it's adjusting the timing, quantity, or simply ensuring you hydrate well with water in response.
  • Set boundaries. Limit alcohol intake several hours before bedtime. This gives your body time to process the alcohol.
  • Stay hydrated. Alcohol can be dehydrating. Ensure you drink plenty of water throughout the day to combat its effects.
  • Opt for alternatives. If you fancy a drink, consider non-alcoholic beverages. There's a plethora of delicious mocktails waiting for you!
  • Monitor your sleep. Consider using a sleep tracking app. This will help you see the direct effects of alcohol on your sleep patterns.
  • Get professional advice. If you think you might have sleep apnea or any other sleep disorder, seek advice from a sleep specialist.
  • Join a support group. There are tons of communities, both online and offline, where you can share your journey, learn from others, and get the motivation to continue.

Summing Up

When it comes to navigating sleep apnea, the more informed we are, the better. We all know how a restless night can spill over into our day, making us feel like we’re walking through molasses. And by understanding how alcohol interacts with our sleep patterns, we can make more informed decisions about our evening rituals. 

In conclusion, while alcohol might seem like your nighttime ally, it's worth pondering if it's doing more harm than good, especially when it comes to your sleep. A world of restful nights awaits you. So, why not take that first step? After all, the dreamy world of uninterrupted sleep is just around the corner!

As Anthony Burgess bluntly puts it: “Laugh and the world laughs with you, snore and you sleep alone.” Navigating the world of sleep can be tricky, and well, tiring, especially if you have sleep apnea, a pesky condition where breathing repeatedly stops and starts during sleep, potentially leading to a host of problems such as daytime fatigue, morning headaches, and even heart issues. 

In addition to causing snoring, sleep apnea can be uncomfortable and even scary. Imagine trying to rest with someone randomly pressing a “pause” button on your breathing! It’s like those annoying buffering moments while streaming your favorite show: you're immersed in the story and then — bam! — everything pauses. 

Research says that as much as over a quarter of the U.S. population suffers from sleep apnea as of 2023! Most are between the ages of 30 and 70, and as many as 40,000 die every year due to sleep apnea-related heart problems.

Adding alcohol to the mix can make things even more challenging. Let's explore the connection between alcohol and sleep apnea, and find ways to ensure that you get the best Zzz’s without those nightly interruptions.

The Science of Sleep Apnea

There are primarily two types of sleep apnea:

  • Obstructive sleep apnea (OSA). This is the most common form of sleep apnea. OSA occurs when the muscles at the back of the throat fail to keep the airway open. It’s like trying to sip a thick shake through a straw that keeps collapsing.
  • Central sleep apnea. Less common, this type of sleep apnea doesn't stem from a blocked airway. Instead, the brain fails to transmit the right signals to the muscles controlling your breathing. It’s a bit like forgetting to press the gas pedal while driving: everything's in place, but there’s just no action!

The “pauses” caused by sleep apnea can last from a few seconds to several minutes and might occur 30 times (or more) an hour, wreaking havoc on our sleep cycle. When your sleep is fragmented, we might wake up feeling like we've run a marathon, even if we’ve had a full night’s sleep. This can lead to irritability, difficulty concentrating, and a higher risk of accidents.

The aftermath isn't just waking up feeling groggy. Untreated sleep apnea is linked to a variety of health issues. Over time, it can contribute to hypertension, heart problems, type 2 diabetes, liver problems, and more.

Diagnosis and Treatment

If you or someone you know often feels extremely tired during the day, snores loudly, or wakes up with a choking sensation, it might be worth looking into sleep apnea. Getting a proper diagnosis is the first step to a solution! Potential treatments might be: 

  • Continuous Positive Airway Pressure (CPAP) therapy. This is the most common treatment for moderate to severe obstructive sleep apnea. Patients wear a face or nasal mask, which is connected to a machine that delivers a continuous stream of air to keep the breathing passages open.
  • Bilevel Positive Airway Pressure (BiPAP or BPAP) therapy. Unlike CPAP, which delivers steady, constant pressure, BiPAP delivers higher pressure when we inhale and lower pressure when we exhale.
  • Oral appliances. These are devices that are designed to keep the throat open by bringing the jaw forward, which can sometimes relieve snoring and mild obstructive sleep apnea. They are often used as an alternative to CPAP for people with mild to moderate sleep apnea who cannot tolerate CPAP.
  • Positional therapy. Some people experience sleep apnea primarily when sleeping on their back. In such cases, they might benefit from changes in sleep position, like sleeping on their side.
  • Adaptive Servo-Ventilation (ASV). This device can store information about our normal breathing pattern and then uses pressure to normalize it, preventing pauses in breathing.
  • Inspire therapy. This treatment uses a small pulse generator that’s implanted under the skin in the upper chest. The device monitors breathing signals during sleep and delivers mild stimulation to the airway muscles, keeping the airway open.
  • Lifestyle changes. Weight loss, avoiding alcohol (more on this later), and sleeping in a different position can sometimes help those with milder forms of sleep apnea.
  • Surgery. There are various surgical options, which might include uvulopalatopharyngoplasty (removing excess tissue from the throat), maxillomandibular advancement (moving the upper and lower part of the jaw forward to enlarge the space behind the tongue and soft palate), or genioglossus Advancement (moving the attachment for the tongue muscles forward).

Alcohol’s Role in the Mix

Now, let’s see how alcohol fits into this equation. Spoiler: it’s not a match made in dreamland!

Many have sworn by the "nightcap" — a drink before bedtime — believing it helps them nod off faster. And it's true: alcohol does have sedative properties. After we’ve had a drink, we might feel a wave of drowsiness inviting us to lie down and surrender to sleep.

But here's the twist: while alcohol can help us fall asleep faster, it doesn’t necessarily help us stay asleep or enjoy quality sleep, especially if sleep apnea is part of the mix. How? Here are four main ways booze can complicate the issue.

1: Muscle Relaxation

Alcohol acts as a muscle relaxant. While this might sound like a good thing — a relaxed body for relaxed sleep — this relaxation includes the muscles at the back of your throat. When these muscles get too relaxed, it makes it easier for the airway to become blocked, especially in those already predisposed to sleep apnea. The result? Disrupted breathing patterns and increased snoring.

Why does this happen? Alcohol is a central nervous system depressant, which means it slows down brain activity. As this slowing cascades through the system, muscles throughout the body get the memo to chill out: it’s why people might have a drink to "loosen up." However, when it comes to sleep, it's not all happiness and rainbows.

One key muscle group affected by this relaxation involves the muscles of the throat, especially the ones responsible for keeping our airway open. When these muscles relax too much, the airway can narrow or collapse entirely. This not only leads to an orchestra of snoring sounds but can also cause interruptions in breathing, which is a hallmark of sleep apnea.

Picture this: you're in a calm, gentle river on a float, but suddenly the water pathway narrows. It becomes harder to glide smoothly. This is similar to what happens when our throat muscles relax excessively: the "river" (or airway) narrows, making it tougher for air to flow smoothly.

For people already predisposed to conditions like sleep apnea, or for those who just naturally have a narrower airway, alcohol can accentuate the issue. But even for those without any predispositions, a heavy night of drinking can make sleep interruptions more frequent and pronounced.

2: Sleep Architecture Disruption

Our sleep follows a certain architecture, transitioning from light sleep to deep sleep and then REM (Rapid Eye Movement) sleep throughout the night. Each of these stages has its unique characteristics and plays a role in ensuring we wake up feeling rejuvenated.

  • NREM Stage 1. During this initial stage, we’re just drifting off: it's light, and we can be easily awakened.
  • NREM Stage 2. This stage is still relatively light, but it acts as a bridge to the deeper stages of sleep. Heart rate slows down, and body temperature drops.
  • NREM Stage 3. This is deep sleep. If someone tried to wake us, they’d have a tough time. During this phase the body repairs muscles, strengthens the immune system, and performs other essential restoration tasks.
  • REM sleep. This is where the magic happens. REM stands for Rapid Eye Movement, and it's the stage associated with vivid dreams. It’s also crucial for brain function and plays a role in memory, learning, and mood regulation.

Now, where does alcohol fit? Drinking, especially closer to bedtime, can propel us more rapidly into the deep sleep of NREM Stage 3. Sounds like a great shortcut, right? Well, the catch is that we spend more time in this stage early in the night and less time in REM sleep, which we would typically enter later. 

Missing out on that quality REM time, in turn, cuts our essential dream time short. In the long term, it can wreak havoc on our cognitive function and emotional health.

3: Frequent Bathroom Trips

We've all been there: waking up in the wee hours (pun intended) needing to make that groggy trek to the bathroom. If you've found that after a drink or two this calling seems to get louder and more frequent, you're not alone. Alcohol acts as a diuretic, increasing urine production and potentially causing dehydration. These middle-of-the-night wake-ups can interrupt the natural flow of our sleep cycle and make it harder to fall back asleep.

Alcohol inhibits the release of vasopressin, a hormone that helps our kidneys reabsorb water and reduce the amount of urine stored in the bladder. So when alcohol comes into play, less vasopressin is produced, leading to more fluid being directed to the bladder.

Here's the ripple effect in the pond of nighttime tranquility:

  • Increased urine production. After consuming alcohol, we might find ourselves visiting the bathroom more often even before we hit the hay. 
  • Interrupted sleep patterns. Once we’re asleep, the bladder fills up faster than usual. This means we might be pulled out of deep sleep or a dream-filled REM stage to dash to the restroom. In addition to breaking the rhythm of our sleep cycle, it makes it challenging to slide back into that restful state.
  • Potential dehydration. With all this frequent urination, there's a chance we’re losing more fluids than we’re taking in. Dehydration can lead to a dry mouth, headaches, and can further undermine the quality of our sleep.
4: The Rebound Effect

Remember how alcohol puts us on the fast track to deep sleep and disrupts our sleep architecture? Well, another consequence of this disruption is the so-called "rebound effect,” which can lead to lighter, fragmented sleep in the second half of the night, causing us to wake up feeling less than refreshed.

The rebound effect has to do with the fact that alcohol interferes with the balance of neurotransmitters in the brain, initially suppressing the ones that keep us alert and active. However, as it gets metabolized and its effects diminish, there's a surge in these previously suppressed neurotransmitters. It's like holding a bouncy ball under water and then suddenly letting go. It shoots up with force! Similarly, as alcohol's effects wane, the brain becomes more active, leading to the "rebound" in wakefulness.

The most noticeable outcome of the rebound effect? Waking up feeling like we’ve been shortchanged in the sleep department. Even if we;ve clocked in a good 7-8 hours, the disrupted second half of your night can leave us feeling groggy, irritable, and less alert.

7 Action Steps to Improve Sleep

If you're looking to quit or cut back on alcohol, kudos to you! Here are some steps to help you on your journey and improve your sleep:

  • Inform and educate. Awareness is the first step. Recognizing that the glass of wine or pint of beer might lead to trouble can help inform your drinking decisions, especially closer to bedtime. Maybe it's adjusting the timing, quantity, or simply ensuring you hydrate well with water in response.
  • Set boundaries. Limit alcohol intake several hours before bedtime. This gives your body time to process the alcohol.
  • Stay hydrated. Alcohol can be dehydrating. Ensure you drink plenty of water throughout the day to combat its effects.
  • Opt for alternatives. If you fancy a drink, consider non-alcoholic beverages. There's a plethora of delicious mocktails waiting for you!
  • Monitor your sleep. Consider using a sleep tracking app. This will help you see the direct effects of alcohol on your sleep patterns.
  • Get professional advice. If you think you might have sleep apnea or any other sleep disorder, seek advice from a sleep specialist.
  • Join a support group. There are tons of communities, both online and offline, where you can share your journey, learn from others, and get the motivation to continue.

Summing Up

When it comes to navigating sleep apnea, the more informed we are, the better. We all know how a restless night can spill over into our day, making us feel like we’re walking through molasses. And by understanding how alcohol interacts with our sleep patterns, we can make more informed decisions about our evening rituals. 

In conclusion, while alcohol might seem like your nighttime ally, it's worth pondering if it's doing more harm than good, especially when it comes to your sleep. A world of restful nights awaits you. So, why not take that first step? After all, the dreamy world of uninterrupted sleep is just around the corner!

Alcohol & Physical Health Effects
2023-08-04 9:00
Alcohol and Health
What is CBD? A Guide to Mixing with Alcohol
This is some text inside of a div block.

Unravel the complex interaction of CBD and alcohol. This blog post discusses their potential effects and provides actionable steps for safety.

9 min read

Unlock Optimal Well-Being 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  →

CBD products — tinctures, gummies, soaps, beverages, topical creams — have saturated the market in recent years. According to data by the Substance Abuse and Mental Health Services Administration, 1 in 3 American adults reported using CBD products in 2020. And in 2022, sales of CBD products in the U.S. reached a staggering 4.17 billion dollars. 

It’s clear that CBD isn’t going anywhere, but many of us may wonder if we’re safe mixing it with other substances, particularly alcohol. Can you mix CBD and alcohol safely? The short answer is no. It’s wise to avoid mixing alcohol with CBD — or any other substance, for that matter — to prevent adverse interactions. But what, specifically, are the dangers of mixing? Let’s take a deeper look. 

CBD: The Non-Psychoactive Cannabis Compound

view alcoholic cocktail with cbd oil infusion

Cannabidiol, or CBD, has come to the forefront of conversations surrounding natural wellness and alternative medicine. As one of the 100+ cannabinoids found in the Cannabis sativa plant, it's earned a reputation for its potential health benefits, despite its origins in the same plant as the often controversial tetrahydrocannabinol, or THC. Unlike THC, CBD won't leave you with a euphoric "high," but it might help you tackle a range of health concerns — scientifically, it's a very different molecule with very different effects.

Scientists believe that CBD exerts its effects primarily by interacting with our body's endocannabinoid system (ECS). The ECS is a complex cell-signaling system that plays a crucial role in regulating a wide range of functions and processes, including pain, mood, appetite, sleep, and immune system response. CBD is thought to work by preventing endocannabinoids — cannabinoids produced naturally in our body — from being broken down, thereby enhancing the ECS's regulatory capacity.

Early studies indicate that CBD might have pain-relieving and anti-inflammatory properties. Some research suggests that CBD might interact with the glycine receptors in the brain, which play a role in transmitting pain signals through the nervous system. By modulating these receptors, CBD could potentially help to dampen pain.

Anxiety and mood disorders represent another area where CBD might offer benefits. Preliminary research suggests that CBD could influence the way your brain’s receptors respond to serotonin, a hormone and neurotransmitter that plays a pivotal role in mental health. This interaction could help regulate mood and social behavior, potentially reducing anxiety and improving overall mental well-being.

Improvements in sleep patterns have also been reported among CBD users, although the exact mechanisms remain elusive. It's believed that by influencing the ECS and other areas of the brain responsible for the sleep-wake cycle, CBD might help to promote better sleep.

While the therapeutic potential of CBD appears promising, research in these areas is still very much ongoing. Although many of the benefits of CBD are supported by anecdotal evidence, randomized controlled trials — the gold standard of scientific research — are needed to definitively establish these effects and to fully understand how CBD works at a cellular level. As our understanding of this fascinating compound grows, it could unlock new avenues for managing a wide range of health issues.

Mixing CBD with alcohol: Tips for a safe and enjoyable experience

Alcohol: A Widely Misused Substance

As we know, alcohol is an integral part of many cultures worldwide, known for its relaxation and sociability-enhancing properties. People may also use it to relieve many of the same issues that CBD is used for: anxiety, insomnia, chronic pain. 

However, there's a flip side to the “medicinal alcohol” coin. According to a 2021 survey by the National Institute on Alcohol Abuse and Alcoholism, 29.5 million people ages 12 and older had an alcohol use disorder in the past year. Excessive or chronic consumption of alcohol can lead to a myriad of health issues, including impaired cognition, addiction, liver diseases, and a range of cancers

How Do CBD and Alcohol Interact?

So can you take CBD with alcohol? While both CBD and alcohol have been individually studied for their impacts on health, the science behind their interaction is relatively uncharted territory. 

Some research suggests that combining CBD and alcohol could potentially intensify the effects of each. This means that when consumed together, these substances could lead to heightened levels of sedation and drowsiness, and even potentially impair motor control.

Interestingly, initial studies have proposed that CBD might reduce blood alcohol levels, although it's important to note that this does not necessarily correlate with reduced impairment.

What About CBD Drinks and Their Effects?

Another question that comes up is about a different beverage altogether — what about CBD infused alcohol? While they are not currently available in the U.S. and are not approved by the FDA, some have been making CBD infused drinks on their own by mixing the two.

What are the CBD drink effects like? Pretty much as one would expect, infusing alcohol with CBD will have a similar outcome as consuming one alongside the other. In short, it’s a potentially dangerous combo, given the interaction between the two.

How To Stay Safe

Navigating the landscape of cannabidiol and alcohol use can be complex. Here are some steps we can take to ensure our safety and well-being:

  • Exercise caution: In the absence of robust research on the interactions between CBD and alcohol, it's wise to approach the combination of these substances with caution. Avoid mixing the two to prevent the risk of adverse outcomes.
  • Stay updated: As research progresses, new findings will shed more light on the subject. Keep an eye on the latest scientific studies related to CBD and alcohol to stay informed.
  • Pay attention to your body: Each person's body might react differently to CBD and alcohol. It's crucial to listen to your body and prioritize your well-being above all else.
  • Seek professional advice: If you're contemplating using CBD for health-related purposes, consult a healthcare provider. They can provide insights into the safety of CBD, as well as its potential interactions with other substances, including alcohol.

With the pervasive presence of both alcohol and CBD products, it's vital not to lose sight of the choices we make and their long-term impacts on our health. While we're still learning about the complex interaction between CBD and alcohol, it's important to approach this duo with caution so that we’re putting our health first. The choices we make today will impact who we are years down the road — let’s choose wisely! 

CBD products — tinctures, gummies, soaps, beverages, topical creams — have saturated the market in recent years. According to data by the Substance Abuse and Mental Health Services Administration, 1 in 3 American adults reported using CBD products in 2020. And in 2022, sales of CBD products in the U.S. reached a staggering 4.17 billion dollars. 

It’s clear that CBD isn’t going anywhere, but many of us may wonder if we’re safe mixing it with other substances, particularly alcohol. Can you mix CBD and alcohol safely? The short answer is no. It’s wise to avoid mixing alcohol with CBD — or any other substance, for that matter — to prevent adverse interactions. But what, specifically, are the dangers of mixing? Let’s take a deeper look. 

CBD: The Non-Psychoactive Cannabis Compound

view alcoholic cocktail with cbd oil infusion

Cannabidiol, or CBD, has come to the forefront of conversations surrounding natural wellness and alternative medicine. As one of the 100+ cannabinoids found in the Cannabis sativa plant, it's earned a reputation for its potential health benefits, despite its origins in the same plant as the often controversial tetrahydrocannabinol, or THC. Unlike THC, CBD won't leave you with a euphoric "high," but it might help you tackle a range of health concerns — scientifically, it's a very different molecule with very different effects.

Scientists believe that CBD exerts its effects primarily by interacting with our body's endocannabinoid system (ECS). The ECS is a complex cell-signaling system that plays a crucial role in regulating a wide range of functions and processes, including pain, mood, appetite, sleep, and immune system response. CBD is thought to work by preventing endocannabinoids — cannabinoids produced naturally in our body — from being broken down, thereby enhancing the ECS's regulatory capacity.

Early studies indicate that CBD might have pain-relieving and anti-inflammatory properties. Some research suggests that CBD might interact with the glycine receptors in the brain, which play a role in transmitting pain signals through the nervous system. By modulating these receptors, CBD could potentially help to dampen pain.

Anxiety and mood disorders represent another area where CBD might offer benefits. Preliminary research suggests that CBD could influence the way your brain’s receptors respond to serotonin, a hormone and neurotransmitter that plays a pivotal role in mental health. This interaction could help regulate mood and social behavior, potentially reducing anxiety and improving overall mental well-being.

Improvements in sleep patterns have also been reported among CBD users, although the exact mechanisms remain elusive. It's believed that by influencing the ECS and other areas of the brain responsible for the sleep-wake cycle, CBD might help to promote better sleep.

While the therapeutic potential of CBD appears promising, research in these areas is still very much ongoing. Although many of the benefits of CBD are supported by anecdotal evidence, randomized controlled trials — the gold standard of scientific research — are needed to definitively establish these effects and to fully understand how CBD works at a cellular level. As our understanding of this fascinating compound grows, it could unlock new avenues for managing a wide range of health issues.

Mixing CBD with alcohol: Tips for a safe and enjoyable experience

Alcohol: A Widely Misused Substance

As we know, alcohol is an integral part of many cultures worldwide, known for its relaxation and sociability-enhancing properties. People may also use it to relieve many of the same issues that CBD is used for: anxiety, insomnia, chronic pain. 

However, there's a flip side to the “medicinal alcohol” coin. According to a 2021 survey by the National Institute on Alcohol Abuse and Alcoholism, 29.5 million people ages 12 and older had an alcohol use disorder in the past year. Excessive or chronic consumption of alcohol can lead to a myriad of health issues, including impaired cognition, addiction, liver diseases, and a range of cancers

How Do CBD and Alcohol Interact?

So can you take CBD with alcohol? While both CBD and alcohol have been individually studied for their impacts on health, the science behind their interaction is relatively uncharted territory. 

Some research suggests that combining CBD and alcohol could potentially intensify the effects of each. This means that when consumed together, these substances could lead to heightened levels of sedation and drowsiness, and even potentially impair motor control.

Interestingly, initial studies have proposed that CBD might reduce blood alcohol levels, although it's important to note that this does not necessarily correlate with reduced impairment.

What About CBD Drinks and Their Effects?

Another question that comes up is about a different beverage altogether — what about CBD infused alcohol? While they are not currently available in the U.S. and are not approved by the FDA, some have been making CBD infused drinks on their own by mixing the two.

What are the CBD drink effects like? Pretty much as one would expect, infusing alcohol with CBD will have a similar outcome as consuming one alongside the other. In short, it’s a potentially dangerous combo, given the interaction between the two.

How To Stay Safe

Navigating the landscape of cannabidiol and alcohol use can be complex. Here are some steps we can take to ensure our safety and well-being:

  • Exercise caution: In the absence of robust research on the interactions between CBD and alcohol, it's wise to approach the combination of these substances with caution. Avoid mixing the two to prevent the risk of adverse outcomes.
  • Stay updated: As research progresses, new findings will shed more light on the subject. Keep an eye on the latest scientific studies related to CBD and alcohol to stay informed.
  • Pay attention to your body: Each person's body might react differently to CBD and alcohol. It's crucial to listen to your body and prioritize your well-being above all else.
  • Seek professional advice: If you're contemplating using CBD for health-related purposes, consult a healthcare provider. They can provide insights into the safety of CBD, as well as its potential interactions with other substances, including alcohol.

With the pervasive presence of both alcohol and CBD products, it's vital not to lose sight of the choices we make and their long-term impacts on our health. While we're still learning about the complex interaction between CBD and alcohol, it's important to approach this duo with caution so that we’re putting our health first. The choices we make today will impact who we are years down the road — let’s choose wisely! 

Alcohol & Physical Health Effects
2023-08-04 9:00
Alcohol and Health
How Does Alcohol Harm Your Dental Health?
This is some text inside of a div block.

Ready to flash your pearly whites with confidence? Dive into our latest blog to discover the not-so-sweet impact of alcohol on your dental health and how you can take action to protect that dazzling smile!

12 min read

Keep Your Pearly Whites in Top Shape and Start Your Healing Journey 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  →

When it comes to alcohol, many of us view it as a trusted friend, a confidence booster that adds a sparkle to our social interactions, a soothing balm after a hard day's work. But have you ever wondered what this "friend" might be doing to your oral health? In other words, is alcohol bad for your teeth? And what are the long-term effects of alcohol on your mouth?

Alcohol can wage a stealthy war against your teeth, gums, and overall mouth health. We’re going to shine a light on the darker side of drinking, detailing how alcohol's flirtatious dance with your dental health could lead to everything from cavities and gum disease, to tooth staining and even oral cancer. Pour yourself a non-alcoholic beverage and let's delve into the sobering truths about alcohol's attack on your dental health.

Is Alcohol Bad for Your Teeth?

Alcohol is often hailed as a social lubricant, helping to break the ice at gatherings or wind down after a long day. However, its effects on our bodies — particularly our mouths — are far from friendly. 

Our dental health isn't just about maintaining a great smile; it's an essential part of our overall health and general well-being. Let's dive into the details of how alcohol affects your teeth and learn more about the long-term effects of alcohol on the mouth.

  • Dry mouth. Ever wondered why you feel parched after a night of drinking? Alcohol is a known dehydrating agent. Dry mouth might not seem like a big deal, but it's actually damaging to oral health. Our saliva washes away food particles and neutralizes harmful acids. Without enough of it, we’re at a greater risk of tooth decay and gum disease.
  • Tooth decay and cavities. Alcoholic beverages — particularly mixed drinks — are often high in sugars and acids. These can damage your tooth enamel, leading to cavities and tooth decay. No amount of brushing and flossing can fully protect you if alcohol is a regular visitor to your mouth.
  • Gum disease. Alcohol can irritate and inflame your gums, leading to a condition called periodontitis. This can cause your gums to recede and lead to tooth loss. Not quite the picture-perfect smile, is it? Moreover, gum disease (especially if we neglect it) can lead to more serious health problems down the road. For one thing, it can cause tooth loss. The bacteria that causes it can also get into your bloodstream, possibly leading to respiratory disease, rheumatoid arthritis, coronary artery disease, preterm birth and low birth weight, and issues with blood sugar control in diabetes.
  • Tooth staining. Many alcoholic beverages, such as red wine, cola mixers, and dark liquors, contain chromogens. These are compounds that are rich in color and can cling to the enamel on our teeth, leading to staining. Moreover, the acidity in alcohol can wear down the enamel — the outer layer of our teeth that protects against staining. Once this enamel is weakened, our teeth are more vulnerable to discolorations from food, drinks, and, yes, more alcohol.
  • Mouth ulcers. Can alcohol cause mouth ulcers? While it doesn’t cause ulcers directly, booze can contribute to their development or make existing ones worse. How? A combination of dehydration, an acidic environment, nutritional deficiencies, and a compromised immune response are all contributing factors. 
  • Oral cancer. Did you know that regular, heavy alcohol use is a major risk factor for oral cancer? Alcohol can damage cells in the mouth, causing them to grow abnormally — a process that can lead to oral cancer.
  • Nutrient absorption. Chronic alcohol use can interfere with nutrient absorption, including vitamin B, folic acid, and iron. These nutrients are key players in maintaining a healthy mouth and a strong immune system.
  • Impact on dental work. Alcohol can potentially damage existing dental work such as fillings, crowns, and veneers. This may lead to additional dental procedures, discomfort, and added costs.
  • Bad breath. While not a health concern per se, bad breath can certainly impact our social and professional interactions. Alcohol’s drying effect encourages the growth of bacteria in the mouth that cause bad breath.

Can Your Dentist Tell If You Do Drugs?

A related question that comes up when talking about the long-term effects of alcohol on the mouth is, “Can your dentist tell if you do drugs?” Dentists are trained professionals who can often detect signs and symptoms in the oral cavity that may suggest a patient is using drugs, especially when it comes to substances that can cause noticeable physical changes or dental issues. Here are some ways in which drug use may become apparent to a dentist:

  • Tooth decay and gum disease. Many drugs can lead to severe tooth decay, dry mouth (xerostomia), and gum disease. The patterns of decay may be more rampant and severe than what would typically be seen from diet and hygiene factors alone.
  • Bruxism. Drug use, particularly stimulants, can lead to teeth grinding (bruxism), which can cause wearing down of teeth, fractures, and jaw disorders.
  • Oral lesions. Some drugs can cause distinctive lesions in the mouth.
  • Dry mouth. Many drugs reduce saliva production, which is a critical factor in neutralizing acids and protecting teeth and gums. Persistent dry mouth can be a sign of drug use.
  • Soft tissue damage. Smoking drugs like crack cocaine or methamphetamine can lead to burnt oral tissues, or sores, and distinctive staining and damage to the teeth.
  • Chemical erosion. Acidic drugs that are either ingested orally or cause acid reflux can lead to erosion of the enamel.
  • Poor oral hygiene. Some people who use drugs may neglect oral hygiene, which a dentist can often detect as an overall decline in the health of the oral cavity.

It's important to note that while dentists can observe these signs, they are not typically trained to diagnose substance misuse disorders. However, they can encourage patients to seek help or refer them to appropriate healthcare providers if there is a concern about drug use and its effects on their oral and overall health. Also, patient confidentiality laws require dentists to respect their patients’ privacy. So while your dentist might be able to spot the signs, think of them as an ally who can point you in the right direction to get extra support.

Taking a Bite out of the Problem

So is alcohol bad for your teeth? Unfortunately, yes. As sobering as the above may sound, there are steps you can take to protect your oral health, even if you're not ready to completely quit drinking.

  • Stay hydrated. Drink plenty of water before, during, and after consuming alcohol. This can help prevent dry mouth and flush away sugars and acids.
  • Limit sugary drinks. Opt for beverages that are lower in sugars and acids. A simple swap could spare your teeth a lot of harm. You might be surprised at how much better you — and your teeth — will feel!
  • Chew sugar-free gum with xylitol. Xylitol has been shown to reduce bacteria that can lead to cavities.
  • Don't skip your oral hygiene routine. Brushing and flossing regularly, and correctly, can help reduce the damage caused by alcohol. Use toothpaste with fluoride to strengthen enamel and protect against decay.
  • Avoid ice chewing. Chewing ice can damage dental work, such as crowns or fillings.
  • Have regular dental check-ups. Regular visits to your dentist can help catch potential problems early before they become more serious. Don’t hesitate to bring up any alcohol-related concerns or worry about being judged — there’s no shame in being proactive about your health, and they’ve heard it all before!

Remember, the best defense against alcohol-related oral health issues is to reduce your alcohol consumption or quit altogether. Taking care of your dental health is a step towards a healthier, happier life. Your future self — and your future smile! — will thank you for it.

When it comes to alcohol, many of us view it as a trusted friend, a confidence booster that adds a sparkle to our social interactions, a soothing balm after a hard day's work. But have you ever wondered what this "friend" might be doing to your oral health? In other words, is alcohol bad for your teeth? And what are the long-term effects of alcohol on your mouth?

Alcohol can wage a stealthy war against your teeth, gums, and overall mouth health. We’re going to shine a light on the darker side of drinking, detailing how alcohol's flirtatious dance with your dental health could lead to everything from cavities and gum disease, to tooth staining and even oral cancer. Pour yourself a non-alcoholic beverage and let's delve into the sobering truths about alcohol's attack on your dental health.

Is Alcohol Bad for Your Teeth?

Alcohol is often hailed as a social lubricant, helping to break the ice at gatherings or wind down after a long day. However, its effects on our bodies — particularly our mouths — are far from friendly. 

Our dental health isn't just about maintaining a great smile; it's an essential part of our overall health and general well-being. Let's dive into the details of how alcohol affects your teeth and learn more about the long-term effects of alcohol on the mouth.

  • Dry mouth. Ever wondered why you feel parched after a night of drinking? Alcohol is a known dehydrating agent. Dry mouth might not seem like a big deal, but it's actually damaging to oral health. Our saliva washes away food particles and neutralizes harmful acids. Without enough of it, we’re at a greater risk of tooth decay and gum disease.
  • Tooth decay and cavities. Alcoholic beverages — particularly mixed drinks — are often high in sugars and acids. These can damage your tooth enamel, leading to cavities and tooth decay. No amount of brushing and flossing can fully protect you if alcohol is a regular visitor to your mouth.
  • Gum disease. Alcohol can irritate and inflame your gums, leading to a condition called periodontitis. This can cause your gums to recede and lead to tooth loss. Not quite the picture-perfect smile, is it? Moreover, gum disease (especially if we neglect it) can lead to more serious health problems down the road. For one thing, it can cause tooth loss. The bacteria that causes it can also get into your bloodstream, possibly leading to respiratory disease, rheumatoid arthritis, coronary artery disease, preterm birth and low birth weight, and issues with blood sugar control in diabetes.
  • Tooth staining. Many alcoholic beverages, such as red wine, cola mixers, and dark liquors, contain chromogens. These are compounds that are rich in color and can cling to the enamel on our teeth, leading to staining. Moreover, the acidity in alcohol can wear down the enamel — the outer layer of our teeth that protects against staining. Once this enamel is weakened, our teeth are more vulnerable to discolorations from food, drinks, and, yes, more alcohol.
  • Mouth ulcers. Can alcohol cause mouth ulcers? While it doesn’t cause ulcers directly, booze can contribute to their development or make existing ones worse. How? A combination of dehydration, an acidic environment, nutritional deficiencies, and a compromised immune response are all contributing factors. 
  • Oral cancer. Did you know that regular, heavy alcohol use is a major risk factor for oral cancer? Alcohol can damage cells in the mouth, causing them to grow abnormally — a process that can lead to oral cancer.
  • Nutrient absorption. Chronic alcohol use can interfere with nutrient absorption, including vitamin B, folic acid, and iron. These nutrients are key players in maintaining a healthy mouth and a strong immune system.
  • Impact on dental work. Alcohol can potentially damage existing dental work such as fillings, crowns, and veneers. This may lead to additional dental procedures, discomfort, and added costs.
  • Bad breath. While not a health concern per se, bad breath can certainly impact our social and professional interactions. Alcohol’s drying effect encourages the growth of bacteria in the mouth that cause bad breath.

Can Your Dentist Tell If You Do Drugs?

A related question that comes up when talking about the long-term effects of alcohol on the mouth is, “Can your dentist tell if you do drugs?” Dentists are trained professionals who can often detect signs and symptoms in the oral cavity that may suggest a patient is using drugs, especially when it comes to substances that can cause noticeable physical changes or dental issues. Here are some ways in which drug use may become apparent to a dentist:

  • Tooth decay and gum disease. Many drugs can lead to severe tooth decay, dry mouth (xerostomia), and gum disease. The patterns of decay may be more rampant and severe than what would typically be seen from diet and hygiene factors alone.
  • Bruxism. Drug use, particularly stimulants, can lead to teeth grinding (bruxism), which can cause wearing down of teeth, fractures, and jaw disorders.
  • Oral lesions. Some drugs can cause distinctive lesions in the mouth.
  • Dry mouth. Many drugs reduce saliva production, which is a critical factor in neutralizing acids and protecting teeth and gums. Persistent dry mouth can be a sign of drug use.
  • Soft tissue damage. Smoking drugs like crack cocaine or methamphetamine can lead to burnt oral tissues, or sores, and distinctive staining and damage to the teeth.
  • Chemical erosion. Acidic drugs that are either ingested orally or cause acid reflux can lead to erosion of the enamel.
  • Poor oral hygiene. Some people who use drugs may neglect oral hygiene, which a dentist can often detect as an overall decline in the health of the oral cavity.

It's important to note that while dentists can observe these signs, they are not typically trained to diagnose substance misuse disorders. However, they can encourage patients to seek help or refer them to appropriate healthcare providers if there is a concern about drug use and its effects on their oral and overall health. Also, patient confidentiality laws require dentists to respect their patients’ privacy. So while your dentist might be able to spot the signs, think of them as an ally who can point you in the right direction to get extra support.

Taking a Bite out of the Problem

So is alcohol bad for your teeth? Unfortunately, yes. As sobering as the above may sound, there are steps you can take to protect your oral health, even if you're not ready to completely quit drinking.

  • Stay hydrated. Drink plenty of water before, during, and after consuming alcohol. This can help prevent dry mouth and flush away sugars and acids.
  • Limit sugary drinks. Opt for beverages that are lower in sugars and acids. A simple swap could spare your teeth a lot of harm. You might be surprised at how much better you — and your teeth — will feel!
  • Chew sugar-free gum with xylitol. Xylitol has been shown to reduce bacteria that can lead to cavities.
  • Don't skip your oral hygiene routine. Brushing and flossing regularly, and correctly, can help reduce the damage caused by alcohol. Use toothpaste with fluoride to strengthen enamel and protect against decay.
  • Avoid ice chewing. Chewing ice can damage dental work, such as crowns or fillings.
  • Have regular dental check-ups. Regular visits to your dentist can help catch potential problems early before they become more serious. Don’t hesitate to bring up any alcohol-related concerns or worry about being judged — there’s no shame in being proactive about your health, and they’ve heard it all before!

Remember, the best defense against alcohol-related oral health issues is to reduce your alcohol consumption or quit altogether. Taking care of your dental health is a step towards a healthier, happier life. Your future self — and your future smile! — will thank you for it.

Alcohol & Physical Health Effects