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Latest Articles
2023-11-08 9:00
Alcohol and Medications
Should You Drink Alcohol While Taking Birth Control?
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Explore the ins and outs of alcohol and birth control in our new blog post! We unpack the science, debunk myths, and lay out the facts clearly.

20 min read

Ready To Leave Alcohol Behind? Try 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  →

Birth control has been a hot topic ever since it first came on the scene — it gets some people riled up and carries some hefty political, social, and even spiritual weight. But let’s set all that aside for now and focus on the science behind it!

If you’ve ever taken birth control, you might have wondered whether or not it’s okay to mix alcohol with it. It's a question we've heard many times before, and we're here to give you the lowdown. Let's dive into the science behind the combo to help you make an informed decision!

How Does Oral Birth Control Work?

Birth control pills, also known as oral contraceptives, work primarily by releasing hormones such as estrogen and progestin into the bloodstream. Some pills are a combination of both, while others contain only progestin. These hormones prevent ovulation, thicken the cervical mucus, and thin the uterine lining, making it harder for sperm to reach an egg and for an egg to implant in the womb.

  • Ovulation prevention. A primary way contraceptives work is by preventing the ovaries from releasing an egg each month. No egg means there's nothing for the sperm to fertilize. 
  • Creating a barrier. The hormones in birth control pills also cause the cervical mucus to thicken, making it harder for sperm to swim through and reach an egg.
  • Changing the playing field. The hormones also make the lining of the uterus thinner, so in the rare event that an egg does get fertilized, it has a tough time attaching and developing further. (It's kind of like trying to plant a seed in inhospitable soil.)
  • Ending with placebos. Why do some birth control packs have those differently colored pills at the end? They’re placebos! Because they don’t contain active hormones, they trigger a monthly menstrual period, though it's not the same as a natural period and is often lighter and shorter. Besides this false period, the placebos also keep the user in the habit of taking a pill each day.

For these mechanisms to work efficiently, it's crucial to take the pill every day around the same time to keep the reproductive system in its protective mode.

What Happens When We Mix Alcohol and Birth Control?

Mixing alcohol and birth control might not seem like a big deal, but there's more to the story. Let's take a closer look at this duo and see what's really going on.

  • Liver trouble. The liver is the body's chemical processing plant: it breaks down and filters out substances, including alcohol and the hormones in birth control. When we drink, the liver prioritizes metabolizing alcohol — in fact, processing everything else falls by the wayside. Interfering with hormone metabolism in birth control pills can decrease the levels of these hormones in the bloodstream, potentially reducing the pill’s effectiveness.
  • Alcohol and digestion. Excessive drinking can lead to vomiting or diarrhea. If this occurs shortly after taking a birth control pill, the body might not absorb the pill's hormones effectively, hampering the pill's full contraceptive benefits.
  • Amplifying side effects. Alcohol and birth control can each have side effects on their own. When combined, these effects might be magnified. For example, both alcohol and birth control pills can lead to headaches, nausea, or dizziness. (More on this topic later!)
  • Cognitive consequences. Drinking can cloud judgment and impact memory. We might forget to take our birth control pill altogether or engage in risky behaviors, increasing the risk of unwanted pregnancy or STIs.
  • Hormonal fluctuations. Alcohol can cause temporary spikes in estrogen levels, so consuming large amounts might lead to an overdrive of estrogen, heightening some side effects of the pill. We’ll discuss the effects of alcohol on hormone levels in more detail next!

Will Drinking Affect My Hormone Levels?

Yes and no. Occasional light drinking may not have a significant effect, but heavy or binge drinking can. Alcohol has the potential to temporarily increase estrogen levels, which can exacerbate side effects of the pill, increasing nausea, breast tenderness, and headaches.

  • The estrogen effect. Alcohol is known to temporarily boost estrogen levels, so taking birth control while drinking might cause a transient increase in this hormone. In addition to the effect on contraception, this temporary spike can influence other body functions regulated by estrogen.
  • The progesterone factor. Progesterone, another hormone present in birth control pills, can also be affected by alcohol. While alcohol can increase estrogen, it can potentially reduce progesterone levels. This imbalance can disrupt the menstrual cycle and other reproductive functions.
  • Potential for long-term impact. While an occasional drink might cause short-term hormone fluctuations, chronic and heavy drinking can lead to more persistent hormonal imbalances, which can have broader implications on menstrual health, bone density, and mood.

Can Alcohol Increase Side Effects of Birth Control?

Absolutely. Both alcohol and birth control pills have a number of side effects, and the combination is often far from pleasant.

Diagram about the side effects of birth control
  • Bloating and nausea. Both alcohol and birth control pills can cause stomach upset in some people. Mixing the two might also intensify bloating and nausea: that queasy feeling might just get a bit more intense. 
  • Mood fluctuations. Hormonal fluctuations can play with our moods. Birth control is known to cause mood swings in some people, and alcohol can amp them up. 
  • Dizziness and dehydration. Feeling a bit wobbly? Both birth control and alcohol can cause dizziness. Combine them, and it might feel like the world spinning just a little faster. Additionally, both can lead to dehydration, so we might feel parched or end up with dry skin and eyes.
  • Blood pressure spikes. Some birth control pills can cause a slight increase in blood pressure. Alcohol, particularly in excess, can also raise blood pressure levels. Mixing them might compound the effect, leading to a more significant increase in blood pressure.
  • Liver issues. Our liver works hard to metabolize both the hormones in birth control pills and alcohol. Regularly combining large amounts of alcohol with contraceptives can strain the liver, leading to long-term liver issues. Moreover, some birth control side effects, such as jaundice (yellowing of the skin and eyes), might become more pronounced with drinking.
  • Worsened headaches. That nagging headache that can result from birth control? Alcohol might just turn it into a pounding one. Both substances can trigger headaches, so combining them can be a recipe for intensified discomfort.

In the grand scheme of things, while an occasional drink might not lead to severe side effects for everyone, it's important to be aware of the potential interplay between alcohol and birth control. Observing our body's reactions and staying in tune with any changes can help us make informed decisions that prioritize your health and comfort. 

What About Other Contraceptives?

Sure, pills are the poster child for birth control, but there's a whole lineup of other options in the contraceptive world. How might alcohol interact with some of these alternatives?

  • The patch and the ring. Similar to birth control pills, both the patch and the vaginal ring release synthetic hormones (usually a combination of estrogen and progestin) to prevent pregnancy. The effects of alcohol are largely similar to those we discussed with pills — potential hormonal fluctuations and heightened side effects.
  • Intrauterine devices (IUDs). IUDs come in two main varieties: hormonal and copper. The hormonal IUD releases progestin, and the copper IUD works by releasing copper to create a hostile environment for sperm. Alcohol doesn't have a direct interaction with the function of IUDs. However, the side effects of a hormonal IUD (such as headaches or breast tenderness) might get more intense with drinking.
  • Injections. Birth control shots, such as Depo-Provera, release progestin. When mixed with alcohol, the side effects of the injection, such as mood changes or weight gain, could get more pronounced. Again, while booze doesn't directly reduce the efficacy of the shot, the combination can affect our well-being.
  • Birth control implants. These are tiny rods implanted under the skin of the upper arm, releasing progestin over time. Much like the other hormone-based methods, combining with alcohol could intensify some side effects.
  • Barrier methods. Condoms, diaphragms, and cervical caps work as physical barriers to prevent sperm from meeting an egg. Alcohol doesn’t interfere with the functionality of these methods. However, impaired judgment from drinking could lead to using them incorrectly or forgetting to use them altogether.
  • Emergency contraception. Popularly known as the morning-after pill, this is a backup method for emergency situations. Excessive drinking close to the time of taking the pill might impact its absorption, especially if vomiting happens.

Contraceptives and the Judgment Factor of Alcohol

This is a biggie! We've all heard it before: drinking can cloud our judgment. Alcohol acts as a depressant on the central nervous system and can impact cognitive functions. Decisions that seem perfectly fine under the influence might not align with our choices in a sober state.

When it comes to birth control, this means we might forget to take the pill or might make risky decisions about protection. Let's unravel the impact of alcohol on decision-making in the context of birth control.

  • Forgetfulness. Let’s face it: remembering to take a pill daily is already a chore. Throw in some alcohol, and the odds of forgetting the pill shoot up. Inconsistent pill-taking compromises the effectiveness of birth control, potentially leaving us unprotected.
  • Risky business. With impaired judgment, there's a likelihood of engaging in riskier behaviors, including unprotected sex. This not only increases the chance of unwanted pregnancy but also potentially exposes us to sexually transmitted infections (STIs).
  • Emotional rollercoasters. Alcohol can magnify emotions, and coupled with the hormonal effects of birth control, we might experience intensified emotional reactions. This can affect interpersonal relationships and decision-making dynamics within intimate situations.
  • Missing the alarm. Those who rely on reminders or alarms to take their birth control might end up sleeping through alarms or press snooze, missing the crucial window.

Are There Long-term Effects of Mixing Alcohol and Birth Control?

We've talked a lot about the immediate implications of mixing alcohol with birth control, but let's not forget about the long game. The cumulative effects of our habits play a significant role in our health journey. Here's what you need to know about the potential long-term effects of combining alcohol and birth control.

  • Hormonal disruptions. Repeatedly drinking alcohol while on birth control can lead to chronic hormonal imbalances. Over time, these can affect menstrual health, mood stability, and bone density. 
  • Liver overload. Both alcohol and birth control pills tax the liver. Long-term simultaneous use can strain this vital organ, potentially leading to fatty liver disease or exacerbating existing liver issues.
  • Heart concerns. Prolonged alcohol consumption combined with certain birth control methods can elevate the risk of cardiovascular issues, such as high blood pressure or blood clots, especially if we have other risk factors.
  • Nutritional issues. Alcohol can interfere with the absorption of essential nutrients, such as B vitamins, folic acid, and zinc. When combined with birth control pills’ nutrient depletion and absorption interference, this can pave the way for deficiencies that compromise overall health and wellness.
  • Emotional equilibrium. Chronic drinking can lead to mood disorders such as depression or anxiety. When combined with the potential mood-related side effects of birth control, it might lead to prolonged emotional disturbances or intensify pre-existing conditions.
  • Memory matters. Frequent drinking can impact cognitive functions, including memory, leading to inconsistent contraception use over time.

Alcohol and Birth Control: Action Steps 

Here are some ideas for navigating the world of booze and birth control:

  • Know the facts. Always be aware of potential interactions between alcohol and any medications you're taking, not just birth control. Read up, ask questions, and consult with your healthcare provider.
  • Set an alarm. If you do decide to drink, set an alarm to remind you to take your birth control pill. It’s easy to forget when you're having fun or feeling a bit foggy.
  • Stay hydrated. Both alcohol and birth control can dehydrate you. Drink plenty of water to stay hydrated, especially if you're consuming alcohol.
  • Check in with yourself. Keep a diary of how you feel after drinking. Note any intensified side effects or changes in mood. This will help you understand your body's reactions better.
  • Switch drinks. If you're out with friends, try alternating between alcoholic and non-alcoholic beverages. This helps moderate alcohol intake and keeps you hydrated.
  • Rethink your method. If you’re concerned about the interaction, discuss other contraceptive methods less influenced by alcohol with your healthcare provider.
  • Remember your goals. Always circle back to why you’re using Reframe and trying to reduce or quit alcohol. Keeping your goals in mind can help you make decisions that are right for your health and wellness journey.

Summing Up

While occasional light drinking might not drastically impact the efficacy of your birth control, it's always smart to be aware and cautious. Stay informed, make wise decisions, and always prioritize your well-being!

All in all, navigating the world of health and wellness can be tricky, especially when it comes to making informed decisions about things like alcohol and birth control. But every step you take towards understanding and assessing your choices is a step towards a brighter, healthier future!

Birth control has been a hot topic ever since it first came on the scene — it gets some people riled up and carries some hefty political, social, and even spiritual weight. But let’s set all that aside for now and focus on the science behind it!

If you’ve ever taken birth control, you might have wondered whether or not it’s okay to mix alcohol with it. It's a question we've heard many times before, and we're here to give you the lowdown. Let's dive into the science behind the combo to help you make an informed decision!

How Does Oral Birth Control Work?

Birth control pills, also known as oral contraceptives, work primarily by releasing hormones such as estrogen and progestin into the bloodstream. Some pills are a combination of both, while others contain only progestin. These hormones prevent ovulation, thicken the cervical mucus, and thin the uterine lining, making it harder for sperm to reach an egg and for an egg to implant in the womb.

  • Ovulation prevention. A primary way contraceptives work is by preventing the ovaries from releasing an egg each month. No egg means there's nothing for the sperm to fertilize. 
  • Creating a barrier. The hormones in birth control pills also cause the cervical mucus to thicken, making it harder for sperm to swim through and reach an egg.
  • Changing the playing field. The hormones also make the lining of the uterus thinner, so in the rare event that an egg does get fertilized, it has a tough time attaching and developing further. (It's kind of like trying to plant a seed in inhospitable soil.)
  • Ending with placebos. Why do some birth control packs have those differently colored pills at the end? They’re placebos! Because they don’t contain active hormones, they trigger a monthly menstrual period, though it's not the same as a natural period and is often lighter and shorter. Besides this false period, the placebos also keep the user in the habit of taking a pill each day.

For these mechanisms to work efficiently, it's crucial to take the pill every day around the same time to keep the reproductive system in its protective mode.

What Happens When We Mix Alcohol and Birth Control?

Mixing alcohol and birth control might not seem like a big deal, but there's more to the story. Let's take a closer look at this duo and see what's really going on.

  • Liver trouble. The liver is the body's chemical processing plant: it breaks down and filters out substances, including alcohol and the hormones in birth control. When we drink, the liver prioritizes metabolizing alcohol — in fact, processing everything else falls by the wayside. Interfering with hormone metabolism in birth control pills can decrease the levels of these hormones in the bloodstream, potentially reducing the pill’s effectiveness.
  • Alcohol and digestion. Excessive drinking can lead to vomiting or diarrhea. If this occurs shortly after taking a birth control pill, the body might not absorb the pill's hormones effectively, hampering the pill's full contraceptive benefits.
  • Amplifying side effects. Alcohol and birth control can each have side effects on their own. When combined, these effects might be magnified. For example, both alcohol and birth control pills can lead to headaches, nausea, or dizziness. (More on this topic later!)
  • Cognitive consequences. Drinking can cloud judgment and impact memory. We might forget to take our birth control pill altogether or engage in risky behaviors, increasing the risk of unwanted pregnancy or STIs.
  • Hormonal fluctuations. Alcohol can cause temporary spikes in estrogen levels, so consuming large amounts might lead to an overdrive of estrogen, heightening some side effects of the pill. We’ll discuss the effects of alcohol on hormone levels in more detail next!

Will Drinking Affect My Hormone Levels?

Yes and no. Occasional light drinking may not have a significant effect, but heavy or binge drinking can. Alcohol has the potential to temporarily increase estrogen levels, which can exacerbate side effects of the pill, increasing nausea, breast tenderness, and headaches.

  • The estrogen effect. Alcohol is known to temporarily boost estrogen levels, so taking birth control while drinking might cause a transient increase in this hormone. In addition to the effect on contraception, this temporary spike can influence other body functions regulated by estrogen.
  • The progesterone factor. Progesterone, another hormone present in birth control pills, can also be affected by alcohol. While alcohol can increase estrogen, it can potentially reduce progesterone levels. This imbalance can disrupt the menstrual cycle and other reproductive functions.
  • Potential for long-term impact. While an occasional drink might cause short-term hormone fluctuations, chronic and heavy drinking can lead to more persistent hormonal imbalances, which can have broader implications on menstrual health, bone density, and mood.

Can Alcohol Increase Side Effects of Birth Control?

Absolutely. Both alcohol and birth control pills have a number of side effects, and the combination is often far from pleasant.

Diagram about the side effects of birth control
  • Bloating and nausea. Both alcohol and birth control pills can cause stomach upset in some people. Mixing the two might also intensify bloating and nausea: that queasy feeling might just get a bit more intense. 
  • Mood fluctuations. Hormonal fluctuations can play with our moods. Birth control is known to cause mood swings in some people, and alcohol can amp them up. 
  • Dizziness and dehydration. Feeling a bit wobbly? Both birth control and alcohol can cause dizziness. Combine them, and it might feel like the world spinning just a little faster. Additionally, both can lead to dehydration, so we might feel parched or end up with dry skin and eyes.
  • Blood pressure spikes. Some birth control pills can cause a slight increase in blood pressure. Alcohol, particularly in excess, can also raise blood pressure levels. Mixing them might compound the effect, leading to a more significant increase in blood pressure.
  • Liver issues. Our liver works hard to metabolize both the hormones in birth control pills and alcohol. Regularly combining large amounts of alcohol with contraceptives can strain the liver, leading to long-term liver issues. Moreover, some birth control side effects, such as jaundice (yellowing of the skin and eyes), might become more pronounced with drinking.
  • Worsened headaches. That nagging headache that can result from birth control? Alcohol might just turn it into a pounding one. Both substances can trigger headaches, so combining them can be a recipe for intensified discomfort.

In the grand scheme of things, while an occasional drink might not lead to severe side effects for everyone, it's important to be aware of the potential interplay between alcohol and birth control. Observing our body's reactions and staying in tune with any changes can help us make informed decisions that prioritize your health and comfort. 

What About Other Contraceptives?

Sure, pills are the poster child for birth control, but there's a whole lineup of other options in the contraceptive world. How might alcohol interact with some of these alternatives?

  • The patch and the ring. Similar to birth control pills, both the patch and the vaginal ring release synthetic hormones (usually a combination of estrogen and progestin) to prevent pregnancy. The effects of alcohol are largely similar to those we discussed with pills — potential hormonal fluctuations and heightened side effects.
  • Intrauterine devices (IUDs). IUDs come in two main varieties: hormonal and copper. The hormonal IUD releases progestin, and the copper IUD works by releasing copper to create a hostile environment for sperm. Alcohol doesn't have a direct interaction with the function of IUDs. However, the side effects of a hormonal IUD (such as headaches or breast tenderness) might get more intense with drinking.
  • Injections. Birth control shots, such as Depo-Provera, release progestin. When mixed with alcohol, the side effects of the injection, such as mood changes or weight gain, could get more pronounced. Again, while booze doesn't directly reduce the efficacy of the shot, the combination can affect our well-being.
  • Birth control implants. These are tiny rods implanted under the skin of the upper arm, releasing progestin over time. Much like the other hormone-based methods, combining with alcohol could intensify some side effects.
  • Barrier methods. Condoms, diaphragms, and cervical caps work as physical barriers to prevent sperm from meeting an egg. Alcohol doesn’t interfere with the functionality of these methods. However, impaired judgment from drinking could lead to using them incorrectly or forgetting to use them altogether.
  • Emergency contraception. Popularly known as the morning-after pill, this is a backup method for emergency situations. Excessive drinking close to the time of taking the pill might impact its absorption, especially if vomiting happens.

Contraceptives and the Judgment Factor of Alcohol

This is a biggie! We've all heard it before: drinking can cloud our judgment. Alcohol acts as a depressant on the central nervous system and can impact cognitive functions. Decisions that seem perfectly fine under the influence might not align with our choices in a sober state.

When it comes to birth control, this means we might forget to take the pill or might make risky decisions about protection. Let's unravel the impact of alcohol on decision-making in the context of birth control.

  • Forgetfulness. Let’s face it: remembering to take a pill daily is already a chore. Throw in some alcohol, and the odds of forgetting the pill shoot up. Inconsistent pill-taking compromises the effectiveness of birth control, potentially leaving us unprotected.
  • Risky business. With impaired judgment, there's a likelihood of engaging in riskier behaviors, including unprotected sex. This not only increases the chance of unwanted pregnancy but also potentially exposes us to sexually transmitted infections (STIs).
  • Emotional rollercoasters. Alcohol can magnify emotions, and coupled with the hormonal effects of birth control, we might experience intensified emotional reactions. This can affect interpersonal relationships and decision-making dynamics within intimate situations.
  • Missing the alarm. Those who rely on reminders or alarms to take their birth control might end up sleeping through alarms or press snooze, missing the crucial window.

Are There Long-term Effects of Mixing Alcohol and Birth Control?

We've talked a lot about the immediate implications of mixing alcohol with birth control, but let's not forget about the long game. The cumulative effects of our habits play a significant role in our health journey. Here's what you need to know about the potential long-term effects of combining alcohol and birth control.

  • Hormonal disruptions. Repeatedly drinking alcohol while on birth control can lead to chronic hormonal imbalances. Over time, these can affect menstrual health, mood stability, and bone density. 
  • Liver overload. Both alcohol and birth control pills tax the liver. Long-term simultaneous use can strain this vital organ, potentially leading to fatty liver disease or exacerbating existing liver issues.
  • Heart concerns. Prolonged alcohol consumption combined with certain birth control methods can elevate the risk of cardiovascular issues, such as high blood pressure or blood clots, especially if we have other risk factors.
  • Nutritional issues. Alcohol can interfere with the absorption of essential nutrients, such as B vitamins, folic acid, and zinc. When combined with birth control pills’ nutrient depletion and absorption interference, this can pave the way for deficiencies that compromise overall health and wellness.
  • Emotional equilibrium. Chronic drinking can lead to mood disorders such as depression or anxiety. When combined with the potential mood-related side effects of birth control, it might lead to prolonged emotional disturbances or intensify pre-existing conditions.
  • Memory matters. Frequent drinking can impact cognitive functions, including memory, leading to inconsistent contraception use over time.

Alcohol and Birth Control: Action Steps 

Here are some ideas for navigating the world of booze and birth control:

  • Know the facts. Always be aware of potential interactions between alcohol and any medications you're taking, not just birth control. Read up, ask questions, and consult with your healthcare provider.
  • Set an alarm. If you do decide to drink, set an alarm to remind you to take your birth control pill. It’s easy to forget when you're having fun or feeling a bit foggy.
  • Stay hydrated. Both alcohol and birth control can dehydrate you. Drink plenty of water to stay hydrated, especially if you're consuming alcohol.
  • Check in with yourself. Keep a diary of how you feel after drinking. Note any intensified side effects or changes in mood. This will help you understand your body's reactions better.
  • Switch drinks. If you're out with friends, try alternating between alcoholic and non-alcoholic beverages. This helps moderate alcohol intake and keeps you hydrated.
  • Rethink your method. If you’re concerned about the interaction, discuss other contraceptive methods less influenced by alcohol with your healthcare provider.
  • Remember your goals. Always circle back to why you’re using Reframe and trying to reduce or quit alcohol. Keeping your goals in mind can help you make decisions that are right for your health and wellness journey.

Summing Up

While occasional light drinking might not drastically impact the efficacy of your birth control, it's always smart to be aware and cautious. Stay informed, make wise decisions, and always prioritize your well-being!

All in all, navigating the world of health and wellness can be tricky, especially when it comes to making informed decisions about things like alcohol and birth control. But every step you take towards understanding and assessing your choices is a step towards a brighter, healthier future!

Alcohol and Medications
2023-10-26 9:00
Alcohol and Medications
Alcohol and Steroids: The Dangers of Mixing
This is some text inside of a div block.

Ever wonder what happens when alcohol meets steroids? Dive into our latest blog for the buzz on this not-so-dynamic duo! Explore the impact on your body, and grab tips on how to create healthier habits.

8 min read

Ready To Start Fresh 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  →

Ah, Friday evening! The work week is finally over and the weekend lies ahead. You've got your comfy sweatpants on, your favorite Netflix series queued up, and nothing to do but relax. So, what’s on the menu? Maybe a cold beer or two? Or perhaps a glass of red wine to wind down? But wait ... There’s another element to this cozy picture: your daily medication, a little something known as prednisone. You're one of the many people who rely on this common corticosteroid for managing conditions ranging from arthritis to asthma. What will mixing these two do? And what are the side effects? Let’s dive in and find out!

All About Steroids

An incredibly versatile medication, prednisone is used in the treatment of a wide range of diseases. This corticosteroid is often prescribed for a variety of ailments due to its powerful anti-inflammatory and immune system suppressing properties. For example, it helps with autoimmune diseases such as lupus and rheumatoid arthritis, conditions that cause the body's immune system to mistakenly attack its own tissues. It's also used in asthma, allergies, and inflammatory bowel diseases such as Crohn's disease and ulcerative colitis. Think of it as a superhero swooping in to calm things down when your body's systems get a bit overzealous.

This wonder-drug doesn't stop there. It plays a crucial role in preventing organ rejection in transplant patients and is used as part of chemotherapy protocols for certain types of cancers. With its ability to suppress the immune response, it can be a lifesaver in severe cases of COVID-19, helping to prevent a harmful overreaction of the immune system known as a cytokine storm.

Steroid Side Effects

But every superhero has its kryptonite, and for prednisone, it's the potential for side effects, including insomnia, mood swings, weight gain, and increased blood sugar levels. Long-term prednisone use can cause osteoporosis (bone density loss), glaucoma, and an increased risk of infections due to its immunosuppressive action.

Despite these potential side effects, prednisone is still a valuable tool in the medical arsenal: it starts working quickly and very effectively, often right off the bat. Doctors always weigh the benefits against the potential risks before prescribing prednisone, and the dosage is carefully adjusted to the lowest effective dose to keep side effects to a minimum.

The Interaction of Alcohol and Steroids: A Molotov Cocktail?

Mixing alcohol and steroids is kind of like mixing your favorite chocolate chip cookies with jalapenos — a bizarre combo that might not go down so well.

First, both alcohol and prednisone are processed in the liver, the body's dedicated chemical processing plant. Mixing them gives your liver extra work. It's like asking someone to clean the house while they're also trying to make dinner: it's doable, but not ideal.

Second, both substances can have similar side effects, including sleep problems, increased blood sugar levels, and mood swings. Combine them, and these effects can become more pronounced.

So when can you start drinking after taking steroids? It depends on your body chemistry and the way your system reacts to both substances. Always best to check with your doctor to be sure!

Long-Term Risks of Drinking on Corticosteroids

Lastly, long-term use of alcohol and prednisone can lead to severe problems like liver damage, a weakened immune system, and osteoporosis. The risk is especially high for women, older adults, and anyone with diabetes, osteoporosis, hypertension, digestive issues, or a weakened immune system.

Diagram about the side effects of mixing alcohol with steroids

The Road Ahead

Okay, so maybe you're now thinking twice about that steroid-alcohol combo. You might be considering cutting back or quitting altogether. But, we all know change is hard, especially when it comes to habits that feel comforting or rewarding. So where do you start?

  • Consult your doctor. They know your health status best. Ask them about the risks of combining alcohol with your specific dosage of prednisone.
  • Set clear goals. Decide how many days a week you want to be alcohol-free. Be specific, realistic, and write it down.
  • Find alternative drinks. Fancy a drink that doesn't contain alcohol? Try non-alcoholic beers, mocktails, or just a simple soda with a splash of lime.
  • Create new rituals. If your Friday night involves a drink, replace it with a different relaxing activity. How about a walk after dinner, a yoga session, or a new movie?
  • Build a support network. Share your goals with family and friends. They can help you stay motivated and keep you accountable.
  • Reward progress. Every alcohol-free day is a win. Celebrate these small victories with a treat: a new book, a favorite meal, or even just an extra half-hour of sleep.
  • Be kind to yourself. Change isn't linear, and there may be bumps in the road. If you have a setback, don't beat yourself up. Instead, remind yourself of why you started this journey, and pick up where you left off.

Our health always deserves our attention and care. By understanding the effects of alcohol and steroids on your body, learning about the potential risks of drinking on corticosteroids, and making conscious choices, you can enjoy your Friday evenings in a way that leaves you feeling great. Here’s to the weekend — and a healthier, happier you!

Ah, Friday evening! The work week is finally over and the weekend lies ahead. You've got your comfy sweatpants on, your favorite Netflix series queued up, and nothing to do but relax. So, what’s on the menu? Maybe a cold beer or two? Or perhaps a glass of red wine to wind down? But wait ... There’s another element to this cozy picture: your daily medication, a little something known as prednisone. You're one of the many people who rely on this common corticosteroid for managing conditions ranging from arthritis to asthma. What will mixing these two do? And what are the side effects? Let’s dive in and find out!

All About Steroids

An incredibly versatile medication, prednisone is used in the treatment of a wide range of diseases. This corticosteroid is often prescribed for a variety of ailments due to its powerful anti-inflammatory and immune system suppressing properties. For example, it helps with autoimmune diseases such as lupus and rheumatoid arthritis, conditions that cause the body's immune system to mistakenly attack its own tissues. It's also used in asthma, allergies, and inflammatory bowel diseases such as Crohn's disease and ulcerative colitis. Think of it as a superhero swooping in to calm things down when your body's systems get a bit overzealous.

This wonder-drug doesn't stop there. It plays a crucial role in preventing organ rejection in transplant patients and is used as part of chemotherapy protocols for certain types of cancers. With its ability to suppress the immune response, it can be a lifesaver in severe cases of COVID-19, helping to prevent a harmful overreaction of the immune system known as a cytokine storm.

Steroid Side Effects

But every superhero has its kryptonite, and for prednisone, it's the potential for side effects, including insomnia, mood swings, weight gain, and increased blood sugar levels. Long-term prednisone use can cause osteoporosis (bone density loss), glaucoma, and an increased risk of infections due to its immunosuppressive action.

Despite these potential side effects, prednisone is still a valuable tool in the medical arsenal: it starts working quickly and very effectively, often right off the bat. Doctors always weigh the benefits against the potential risks before prescribing prednisone, and the dosage is carefully adjusted to the lowest effective dose to keep side effects to a minimum.

The Interaction of Alcohol and Steroids: A Molotov Cocktail?

Mixing alcohol and steroids is kind of like mixing your favorite chocolate chip cookies with jalapenos — a bizarre combo that might not go down so well.

First, both alcohol and prednisone are processed in the liver, the body's dedicated chemical processing plant. Mixing them gives your liver extra work. It's like asking someone to clean the house while they're also trying to make dinner: it's doable, but not ideal.

Second, both substances can have similar side effects, including sleep problems, increased blood sugar levels, and mood swings. Combine them, and these effects can become more pronounced.

So when can you start drinking after taking steroids? It depends on your body chemistry and the way your system reacts to both substances. Always best to check with your doctor to be sure!

Long-Term Risks of Drinking on Corticosteroids

Lastly, long-term use of alcohol and prednisone can lead to severe problems like liver damage, a weakened immune system, and osteoporosis. The risk is especially high for women, older adults, and anyone with diabetes, osteoporosis, hypertension, digestive issues, or a weakened immune system.

Diagram about the side effects of mixing alcohol with steroids

The Road Ahead

Okay, so maybe you're now thinking twice about that steroid-alcohol combo. You might be considering cutting back or quitting altogether. But, we all know change is hard, especially when it comes to habits that feel comforting or rewarding. So where do you start?

  • Consult your doctor. They know your health status best. Ask them about the risks of combining alcohol with your specific dosage of prednisone.
  • Set clear goals. Decide how many days a week you want to be alcohol-free. Be specific, realistic, and write it down.
  • Find alternative drinks. Fancy a drink that doesn't contain alcohol? Try non-alcoholic beers, mocktails, or just a simple soda with a splash of lime.
  • Create new rituals. If your Friday night involves a drink, replace it with a different relaxing activity. How about a walk after dinner, a yoga session, or a new movie?
  • Build a support network. Share your goals with family and friends. They can help you stay motivated and keep you accountable.
  • Reward progress. Every alcohol-free day is a win. Celebrate these small victories with a treat: a new book, a favorite meal, or even just an extra half-hour of sleep.
  • Be kind to yourself. Change isn't linear, and there may be bumps in the road. If you have a setback, don't beat yourself up. Instead, remind yourself of why you started this journey, and pick up where you left off.

Our health always deserves our attention and care. By understanding the effects of alcohol and steroids on your body, learning about the potential risks of drinking on corticosteroids, and making conscious choices, you can enjoy your Friday evenings in a way that leaves you feeling great. Here’s to the weekend — and a healthier, happier you!

Alcohol and Medications
2023-10-17 9:00
Alcohol and Medications
Mixing Alcohol and Antibiotics: Understanding the Risks
This is some text inside of a div block.

"Alcohol and antibiotics: Dive deep into the dangers of mixing them, and explore 7 actionable strategies for an empowering and healthy regimen."

17 min read

Build Healthier Drinking Habits 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 been a terrific dinner party. Your friends are gathered around, the plates are cleared, and everyone's sipping their drink of choice. From wine to beer to spirits, there's a little bit of everything. Meanwhile, on the kitchen counter, there's the antibiotic just prescribed to you for a mild infection. You grab a glass of water and take a pill, thinking, “It's just one night of fun. What could go wrong?”

The answer is: quite a bit.

Antibiotics: A Brief Backstory

Since their discovery, antibiotics have dramatically changed the course of human health and recovery. Before antibiotics, simple infections could be death sentences, and surgeries, no matter how minor, were fraught with risk.

The Discovery Era

The antibiotic age began in 1928 when Alexander Fleming, a Scottish bacteriologist, stumbled upon the wonders of penicillin. While investigating Staphylococcus bacteria, he noticed that a mold called Penicillium notatum had killed the bacteria. This serendipitous discovery marked the first step in a medical revolution. By the 1940s, penicillin was being mass-produced, and it played a pivotal role in treating wounded soldiers during World War II.

The science advanced, and the 20th century saw a burst of antibiotic discoveries. Drugs like tetracycline, erythromycin, and vancomycin were introduced, expanding our arsenal against bacterial infections.

Antibiotics and Their Role

Antibiotics are specialized compounds designed to combat bacterial infections. They work in various ways: some weaken bacterial cell walls, causing the bacteria to burst, while others interfere with bacteria's ability to repair their DNA or produce essential proteins.

It's essential to distinguish between bacteria and viruses when discussing antibiotics. Bacteria are single-celled, living organisms that can multiply and thrive in diverse environments; different bacteria create infections like strep throat, tuberculosis, Lyme disease, or gonorrhea. Viruses are non-living, infectious particles that require a host to replicate; viral infections include the common cold, HIV/AIDS, chickenpox, or COVID-19.

Antibiotics combat bacterial infections, but they are ineffective against viruses.

Common Side Effects

As with any medication, antibiotics come with possible side effects. These vary depending on the specific antibiotic, dosage, and individual reaction, but here are some of the most common:

  • Digestive problems include nausea, vomiting, and diarrhea. Some antibiotics can disrupt the natural balance of bacteria in the gut, which can lead to conditions like Clostridium difficile infection.
  • Allergic reactions like rashes, swelling, and difficulty breathing can vary in severity. It's essential to seek medical attention if any of these symptoms are observed.
  • Photosensitivity — sensitivity to light — can arise from antibiotics, increasing the risk of sunburn.
  • Fungal infections can result from the disruption of natural bacterial colonies. A fungal overgrowth can lead to conditions like oral thrush or vaginal yeast infections.

While side effects are possible, they don't occur in every person or from every antibiotic. The key is to stay informed, communicate any changes to healthcare providers, and always take antibiotics as prescribed. It’s also important to avoid mixing antibiotics with other drugs, such as alcohol. 

Alcohol and Antibiotics: A Dangerous Mix

It’s important to understand why mixing alcohol and antibiotics can lead to adverse outcomes. Let’s explore what’s going on in greater detail. 

The Human Body: A Biochemical Marvel

Our bodies are like intricate factories, always bustling with activity. Every morsel of food, drop of liquid, and pill we swallow is subjected to an extensive system of breakdown, assimilation, and excretion. This internal processing is more complex than we might think, involving a myriad of enzymes, transporters, and receptors working to ensure everything we ingest is used efficiently and safely.

Alcohol Meets Antibiotics: A Complex Interaction

Now, let's introduce alcohol and antibiotics into this equation. Each, on its own, demands a lot of the body. Alcohol is metabolized primarily in the liver, where enzymes like alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH) play a significant role. Antibiotics, depending on their type, have varied metabolic pathways.

The challenge arises when both substances are present simultaneously. In some instances, alcohol can inhibit or induce the enzymes responsible for breaking down certain antibiotics. This could lead to higher antibiotic concentrations in the blood if the drug isn't metabolized at the appropriate or expected speed, potentially increasing the risk of side effects. Alternatively, if alcohol speeds up antibiotic metabolism, it might reduce the effectiveness of the medication, rendering it less potent against the targeted infection.

Amplification of Side Effects

Beyond the metabolic interplay between alcohol and antibiotics, there's the issue of compounded side effects. When taken with alcohol, many antibiotics (like metronidazole or tinidazole) can lead to a disulfiram-like reaction. Symptoms might include facial flushing, headache, nausea, vomiting, and rapid heartbeat. 

Others (like linezolid, erythromycin, or ciprofloxacin) might interact with alcohol to intensify drowsiness or dizziness. Since alcohol is already a central nervous system depressant, the combined effect could be risky, especially when driving or operating machinery.

Gastrointestinal Woes

The gut isn't left out of this mix either. Alcohol can irritate the stomach lining, leading to gastritis or exacerbating ulcer conditions. Some antibiotics, too, are known to cause nausea, vomiting, or diarrhea. The simultaneous consumption of both can escalate gastrointestinal distress, leading to dehydration and, in severe cases, an electrolyte imbalance.

Building Healthier Habits

While the interactions between alcohol and antibiotics warrant caution, being on antibiotics is a prime opportunity to evaluate our relationship with alcohol. The prescribed period for antibiotics is often a matter of days or weeks, a finite window in which we can reassess our drinking habits.

There's a silver lining here. Taking a temporary hiatus from alcohol can offer various benefits. For starters, it's a detox period for the liver, a break from processing ethanol. This brief period of abstinence can also lead to better sleep patterns, clearer skin, improved digestion, and even weight loss for some.

Moreover, it’s a chance to establish healthier habits. We can explore other refreshing beverages like herbal teas or freshly squeezed juices. Social events can be centered around activities that don't revolve around drinking, and we can discover hobbies and interests we might not have considered before.

The impact of mixing antibiotics with alcohol

Strategies for Alcohol-Free Antibiotic Treatment

Navigating the period of antibiotic treatment while maintaining our social and personal routines can be challenging. But with a little forethought and creativity, it's possible to stay on track, prioritize health, and even discover new delights along the way. Here's a deeper dive into strategies for an alcohol-free antibiotic course.

1. Embrace the Power of Planning: Setting Clear Boundaries

These days, marking your calendar is more than just scribbling on paper. With apps and digital reminders at your fingertips, set an alert for your antibiotic start and end date. Not only does this create a clear boundary for the no-alcohol phase, but the reminders can also serve as daily nudges, keeping you committed to your health goals.

And here's a real game-changer: social accountability. By sharing your intentions with a close friend or family member, you're not just informing them — you're enlisting them as allies in your health journey. This ally can play multiple roles: a gentle reminder, a source of encouragement, or even someone who joins you in your temporary abstention. After all, shared challenges often deepen bonds!

2. The Art of Substitution: Replace the Ritual

Rituals form the bedrock of our daily routines. That evening glass of wine isn't just about the drink; it's about the relaxation and transition from work to rest. The key here is to replace, not eliminate. Opt for a chilled glass of sparkling water, garnished with fresh cucumber slices or a dash of fruit juice. If warmth is what you seek, a steaming mug of chamomile or peppermint tea can offer the same solace, wrapped in a comforting aroma.

3. Unleashing Creativity: Dive Into DIY Mocktails

Who said interesting mixology needs alcohol? The realm of mocktails is vast, vibrant, and waiting to be explored. From tangy concoctions using fresh fruits to blends that incorporate spices like cinnamon or herbs like basil, there's a flavor palette for every palate. The internet is teeming with recipes, from the classic Virgin Mojito to the exotic No-Gin and Tonic.

Creating these drinks is fun in itself. Play with ingredients, invent a signature mocktail, or even host a mocktail evening with friends. It's not just about avoiding alcohol; it's about celebrating taste and creativity.

4. Knowledge as Power: Educate and Share

In the vast maze of health information, a clear understanding of the risks associated with mixing alcohol and antibiotics is crucial. But such knowledge isn't just for personal benefit; it's a torch that can be passed on.

By sharing this information with friends, family, or colleagues, you're not merely striking a conversation — you're potentially influencing healthier choices. Conversations over coffee, posts on social media, or even casual chats can become platforms for sharing knowledge. It's about creating a ripple effect. Your words today might change someone’s tomorrow! They just might reconsider that glass of wine with dinner, paving the way for safer, informed decisions.

5. The Joy of Rewards: Treat Yourself

Every day of abstention while on medication is a victory, deserving acknowledgment. Turning this into a tangible reward system can be motivating. By setting aside the money typically spent on alcoholic beverages, you're not just saving; you're creating a fund for self-indulgence. It could be a book you've been eyeing, a spa day, or even tickets to a show. By the end of your antibiotic course, the combined savings turn into a delightful treat, reinforcing positive behavior.

6. Redefining Leisure: Engage in Alcohol-free Activities

Shifting the focus from activities centered around drinks can be refreshing. The possibilities are vast: a walk under the stars, a creative new hobby, or membership in an intersting club. Community centers often offer group classes, from dance to crafts, which can provide both learning and socializing. These engagements both divert attention from alcohol and enrich the array of possible experiences, reducing temptation organically.

The period of antibiotic treatment isn't just about medication and abstinence; it's an opportunity for growth, self-awareness, and forging deeper connections with ourselves and the community.

Alcohol and Antibiotics: A Mix Best Avoided

Going alcohol-free, even for a short time, offers numerous benefits. It's a detox for the liver, a chance for better sleep, and a window into how life can be fun without that extra drink. Understanding the dangers of mixing alcohol and antibiotics safeguards your health and sets the foundation for informed choices in the future. Each decision, no matter how small, is a step toward more vibrant health and a more empowered you! 

In a world of temptations and mixed messages, knowing where to draw the line can be a superpower. Embrace the knowledge, make those changes, and watch as the benefits multiply. Let’s embrace healthier habits, clearer decisions, and a life well-lived! 

It’s been a terrific dinner party. Your friends are gathered around, the plates are cleared, and everyone's sipping their drink of choice. From wine to beer to spirits, there's a little bit of everything. Meanwhile, on the kitchen counter, there's the antibiotic just prescribed to you for a mild infection. You grab a glass of water and take a pill, thinking, “It's just one night of fun. What could go wrong?”

The answer is: quite a bit.

Antibiotics: A Brief Backstory

Since their discovery, antibiotics have dramatically changed the course of human health and recovery. Before antibiotics, simple infections could be death sentences, and surgeries, no matter how minor, were fraught with risk.

The Discovery Era

The antibiotic age began in 1928 when Alexander Fleming, a Scottish bacteriologist, stumbled upon the wonders of penicillin. While investigating Staphylococcus bacteria, he noticed that a mold called Penicillium notatum had killed the bacteria. This serendipitous discovery marked the first step in a medical revolution. By the 1940s, penicillin was being mass-produced, and it played a pivotal role in treating wounded soldiers during World War II.

The science advanced, and the 20th century saw a burst of antibiotic discoveries. Drugs like tetracycline, erythromycin, and vancomycin were introduced, expanding our arsenal against bacterial infections.

Antibiotics and Their Role

Antibiotics are specialized compounds designed to combat bacterial infections. They work in various ways: some weaken bacterial cell walls, causing the bacteria to burst, while others interfere with bacteria's ability to repair their DNA or produce essential proteins.

It's essential to distinguish between bacteria and viruses when discussing antibiotics. Bacteria are single-celled, living organisms that can multiply and thrive in diverse environments; different bacteria create infections like strep throat, tuberculosis, Lyme disease, or gonorrhea. Viruses are non-living, infectious particles that require a host to replicate; viral infections include the common cold, HIV/AIDS, chickenpox, or COVID-19.

Antibiotics combat bacterial infections, but they are ineffective against viruses.

Common Side Effects

As with any medication, antibiotics come with possible side effects. These vary depending on the specific antibiotic, dosage, and individual reaction, but here are some of the most common:

  • Digestive problems include nausea, vomiting, and diarrhea. Some antibiotics can disrupt the natural balance of bacteria in the gut, which can lead to conditions like Clostridium difficile infection.
  • Allergic reactions like rashes, swelling, and difficulty breathing can vary in severity. It's essential to seek medical attention if any of these symptoms are observed.
  • Photosensitivity — sensitivity to light — can arise from antibiotics, increasing the risk of sunburn.
  • Fungal infections can result from the disruption of natural bacterial colonies. A fungal overgrowth can lead to conditions like oral thrush or vaginal yeast infections.

While side effects are possible, they don't occur in every person or from every antibiotic. The key is to stay informed, communicate any changes to healthcare providers, and always take antibiotics as prescribed. It’s also important to avoid mixing antibiotics with other drugs, such as alcohol. 

Alcohol and Antibiotics: A Dangerous Mix

It’s important to understand why mixing alcohol and antibiotics can lead to adverse outcomes. Let’s explore what’s going on in greater detail. 

The Human Body: A Biochemical Marvel

Our bodies are like intricate factories, always bustling with activity. Every morsel of food, drop of liquid, and pill we swallow is subjected to an extensive system of breakdown, assimilation, and excretion. This internal processing is more complex than we might think, involving a myriad of enzymes, transporters, and receptors working to ensure everything we ingest is used efficiently and safely.

Alcohol Meets Antibiotics: A Complex Interaction

Now, let's introduce alcohol and antibiotics into this equation. Each, on its own, demands a lot of the body. Alcohol is metabolized primarily in the liver, where enzymes like alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH) play a significant role. Antibiotics, depending on their type, have varied metabolic pathways.

The challenge arises when both substances are present simultaneously. In some instances, alcohol can inhibit or induce the enzymes responsible for breaking down certain antibiotics. This could lead to higher antibiotic concentrations in the blood if the drug isn't metabolized at the appropriate or expected speed, potentially increasing the risk of side effects. Alternatively, if alcohol speeds up antibiotic metabolism, it might reduce the effectiveness of the medication, rendering it less potent against the targeted infection.

Amplification of Side Effects

Beyond the metabolic interplay between alcohol and antibiotics, there's the issue of compounded side effects. When taken with alcohol, many antibiotics (like metronidazole or tinidazole) can lead to a disulfiram-like reaction. Symptoms might include facial flushing, headache, nausea, vomiting, and rapid heartbeat. 

Others (like linezolid, erythromycin, or ciprofloxacin) might interact with alcohol to intensify drowsiness or dizziness. Since alcohol is already a central nervous system depressant, the combined effect could be risky, especially when driving or operating machinery.

Gastrointestinal Woes

The gut isn't left out of this mix either. Alcohol can irritate the stomach lining, leading to gastritis or exacerbating ulcer conditions. Some antibiotics, too, are known to cause nausea, vomiting, or diarrhea. The simultaneous consumption of both can escalate gastrointestinal distress, leading to dehydration and, in severe cases, an electrolyte imbalance.

Building Healthier Habits

While the interactions between alcohol and antibiotics warrant caution, being on antibiotics is a prime opportunity to evaluate our relationship with alcohol. The prescribed period for antibiotics is often a matter of days or weeks, a finite window in which we can reassess our drinking habits.

There's a silver lining here. Taking a temporary hiatus from alcohol can offer various benefits. For starters, it's a detox period for the liver, a break from processing ethanol. This brief period of abstinence can also lead to better sleep patterns, clearer skin, improved digestion, and even weight loss for some.

Moreover, it’s a chance to establish healthier habits. We can explore other refreshing beverages like herbal teas or freshly squeezed juices. Social events can be centered around activities that don't revolve around drinking, and we can discover hobbies and interests we might not have considered before.

The impact of mixing antibiotics with alcohol

Strategies for Alcohol-Free Antibiotic Treatment

Navigating the period of antibiotic treatment while maintaining our social and personal routines can be challenging. But with a little forethought and creativity, it's possible to stay on track, prioritize health, and even discover new delights along the way. Here's a deeper dive into strategies for an alcohol-free antibiotic course.

1. Embrace the Power of Planning: Setting Clear Boundaries

These days, marking your calendar is more than just scribbling on paper. With apps and digital reminders at your fingertips, set an alert for your antibiotic start and end date. Not only does this create a clear boundary for the no-alcohol phase, but the reminders can also serve as daily nudges, keeping you committed to your health goals.

And here's a real game-changer: social accountability. By sharing your intentions with a close friend or family member, you're not just informing them — you're enlisting them as allies in your health journey. This ally can play multiple roles: a gentle reminder, a source of encouragement, or even someone who joins you in your temporary abstention. After all, shared challenges often deepen bonds!

2. The Art of Substitution: Replace the Ritual

Rituals form the bedrock of our daily routines. That evening glass of wine isn't just about the drink; it's about the relaxation and transition from work to rest. The key here is to replace, not eliminate. Opt for a chilled glass of sparkling water, garnished with fresh cucumber slices or a dash of fruit juice. If warmth is what you seek, a steaming mug of chamomile or peppermint tea can offer the same solace, wrapped in a comforting aroma.

3. Unleashing Creativity: Dive Into DIY Mocktails

Who said interesting mixology needs alcohol? The realm of mocktails is vast, vibrant, and waiting to be explored. From tangy concoctions using fresh fruits to blends that incorporate spices like cinnamon or herbs like basil, there's a flavor palette for every palate. The internet is teeming with recipes, from the classic Virgin Mojito to the exotic No-Gin and Tonic.

Creating these drinks is fun in itself. Play with ingredients, invent a signature mocktail, or even host a mocktail evening with friends. It's not just about avoiding alcohol; it's about celebrating taste and creativity.

4. Knowledge as Power: Educate and Share

In the vast maze of health information, a clear understanding of the risks associated with mixing alcohol and antibiotics is crucial. But such knowledge isn't just for personal benefit; it's a torch that can be passed on.

By sharing this information with friends, family, or colleagues, you're not merely striking a conversation — you're potentially influencing healthier choices. Conversations over coffee, posts on social media, or even casual chats can become platforms for sharing knowledge. It's about creating a ripple effect. Your words today might change someone’s tomorrow! They just might reconsider that glass of wine with dinner, paving the way for safer, informed decisions.

5. The Joy of Rewards: Treat Yourself

Every day of abstention while on medication is a victory, deserving acknowledgment. Turning this into a tangible reward system can be motivating. By setting aside the money typically spent on alcoholic beverages, you're not just saving; you're creating a fund for self-indulgence. It could be a book you've been eyeing, a spa day, or even tickets to a show. By the end of your antibiotic course, the combined savings turn into a delightful treat, reinforcing positive behavior.

6. Redefining Leisure: Engage in Alcohol-free Activities

Shifting the focus from activities centered around drinks can be refreshing. The possibilities are vast: a walk under the stars, a creative new hobby, or membership in an intersting club. Community centers often offer group classes, from dance to crafts, which can provide both learning and socializing. These engagements both divert attention from alcohol and enrich the array of possible experiences, reducing temptation organically.

The period of antibiotic treatment isn't just about medication and abstinence; it's an opportunity for growth, self-awareness, and forging deeper connections with ourselves and the community.

Alcohol and Antibiotics: A Mix Best Avoided

Going alcohol-free, even for a short time, offers numerous benefits. It's a detox for the liver, a chance for better sleep, and a window into how life can be fun without that extra drink. Understanding the dangers of mixing alcohol and antibiotics safeguards your health and sets the foundation for informed choices in the future. Each decision, no matter how small, is a step toward more vibrant health and a more empowered you! 

In a world of temptations and mixed messages, knowing where to draw the line can be a superpower. Embrace the knowledge, make those changes, and watch as the benefits multiply. Let’s embrace healthier habits, clearer decisions, and a life well-lived! 

Alcohol and Medications
2023-08-31 9:00
Alcohol and Medications
Is It Safe To Mix Metformin and Alcohol?
This is some text inside of a div block.

Gain insight into how alcohol interacts with metformin — a medication used to treat Type 2 diabetes — and the potentially life-threatening consequences of mixing the two.

14 min read

Get Your Health 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  →

You’re headed out to dinner with some friends. It’s been a long week and you’re looking forward to kicking back with a few drinks. But wait. You’ve just started this new medication called metformin to help you with your type 2 diabetes. Is it okay to drink alcohol, or should you avoid it? 

In this post, we’ll explore the potentially dangerous consequences of drinking alcohol while taking metformin. We’ll also look at how drinking alcohol isn’t good for diabetes in general, and what we can do to help manage the condition. Let’s get started.

What Is Metformin?

Metformin is used to treat high blood sugar levels that are caused by type 2 diabetes. To understand how it works, it’s helpful to understand what exactly we mean by “blood sugar” — which comes down to two things: insulin and glucose (sugar). 

Insulin is a hormone made by our pancreas that leads glucose into our cells. Glucose is important because it’s our body’s main energy source: we get it from the food we eat, which gives us fuel to function. It also plays a major role in our cognition, allowing us to think clearly and make complex decisions. Without enough glucose, we feel sluggish, irritable, and a bit out of it. 

With type 2 diabetes, our insulin doesn’t work properly, causing blood sugar levels to get too high. This can happen either because our pancreas makes less insulin than our body needs, or because our body stops responding to the insulin it does make

Metformin helps lower blood sugar levels by addressing both of these issues. It helps reduce the amount of glucose that our liver releases into our blood, and it helps our body respond to insulin better so that it uses more of the glucose in our blood. It’s used both alone or with other medications to treat type 2 diabetes.

Why Are High Blood Sugar Levels Dangerous?

What’s the big deal with high blood sugar levels, anyway? Controlling high blood sugar levels is vital for a number of reasons. Potential complications of high blood sugar levels from type 2 diabetes are wide-ranging and can be dangerous:

  • Digestive problems (gastroparesis)
  • Eye problems, including diabetes-related retinopathy (vision loss)
  • Foot problems, including leg and foot ulcers
  • Gum disease
  • Hearing loss
  • Heart disease
  • Kidney disease
  • Liver disease
  • Neuropathy (nerve damage)
  • Sexual dysfunction
  • Stroke

Simply put, high blood sugar levels put us at a significant risk for developing serious or life-threatening conditions.

Metformin and Alcohol Side Effects 

Now that we have a better understanding of what type 2 diabetes is and the risks associated with it, you might be wondering, “Should I skip metformin when drinking alcohol?” How exactly does alcohol interact with metformin? 

Experts generally recommend not mixing alcohol with any type of medicine or medication due to possible side effects, some of which can be life threatening. When it comes to metformin, though, drinking alcohol can be particularly harmful, especially if we’re consuming it regularly and excessively.

More specifically, mixing alcohol with metformin can lead to hypoglycemia and lactic acidosis — both of which can be life-threatening. This is true whether we mix metformin and beer, wine, or liquor. Here’s a closer look at each of these conditions:

Hypoglycemia

Hypoglycemia is dangerously low blood sugar levels. For many people with diabetes, this means a blood glucose reading lower than 70 milligrams per deciliter. Binge drinking or chronic, heavy alcohol consumption while taking metformin can cause this condition. 

Some symptoms of low blood sugar levels are similar to those we experience when we’ve consumed too much alcohol, such as drowsiness, dizziness, slurred speech, confusion, loss of coordination, fast heart beat, blurry vision, shaking, sweating, and headaches. 

Hypoglycemia is very serious and requires immediate treatment, which usually involves raising our blood sugar level quickly by consuming high-sugar foods or drinks. 

Because alcohol lowers our blood sugar levels, it can be challenging to get our levels back to normal if we’ve been drinking. In extreme cases, hypoglycemia can result in or seizures loss of consciousness.

Lactic Acidosis

Mixing alcohol with metformin can also lead to a condition called lactic acidosis, a buildup of lactic acid in our blood. Lactic acid is a chemical that is naturally produced by our body as it uses energy. When we take metformin, our body produces more lactic acid than usual. 

When we drink alcohol, our body isn’t able to get rid of lactic acid as quickly. Consuming large quantities of alcohol when taking metformin can cause a buildup of lactic acid, which can seriously damage our kidneys, heart, lungs, and blood vessels.

Similar to hypoglycemia, lactic acidosis requires immediate treatment and must be treated in a hospital. If it’s not treated right away, our organs can shut down, which can lead to death. 

Symptoms of lactic acidosis are also similar to those caused by alcohol, including weakness, tiredness, dizziness, lightheadedness, and a fast heart rate. It can also cause unusual muscle pain, trouble breathing, feeling cold, and stomach discomfort, such as a fluttering feeling, nausea, cramping, or sharp pains.

Diagram about the effects of  mixing alcohol with metforim

How Alcohol Affects Diabetes

In addition to interacting with metformin, alcohol can also affect our diabetes directly by lowering our blood sugar levels. In fact, it can cause low blood sugar levels for up to 24 hours after our last drink. How?

It all comes down to our liver. This vital organ is responsible for stabilizing glucose levels by storing carbohydrates and releasing them into the bloodstream between meals and overnight. It’s also our body’s detoxification center, breaking down toxins like alcohol so our kidneys can flush them away.

The problem is that our liver isn’t great at multitasking: because alcohol is a toxin, the liver prioritizes breaking down the alcohol and isn’t able to do its other jobs as effectively, including regulating the amount of glucose in our blood. This is why our blood sugar levels can drop while drinking — even when we eat foods high in sugar or carbohydrates.

Our liver can only process about one standard drink — one glass of wine, pint of beer, or cocktail — per hour. So the more alcohol we consume, the longer it takes for our blood sugar levels to get back to normal

Tips for Drinking With type 2 Diabetes

Given the potential complications that could arise from mixing alcohol with metformin (or with diabetes), it’s probably best to avoid drinking. However, if those of us who do choose to drink should take these precautions:

  • Don’t drink alcohol on an empty stomach
  • Don’t drink alcohol when your blood sugar is low
  • Eat food before or after drinking alcohol
  • Stay hydrated by drinking plenty of water while drinking alcohol
  • Limit yourself to one to two drinks

Furthermore, perhaps you’ve heard about certain vodka for diabetics. While vodka is one of the safer alcohols for diabetes (since it has no added sugars), it’s also a pure concentrated alcohol, so drinking too much of it can have a blood sugar lowering effect. 

Keep in mind that it’s always important to check your blood sugar levels before you drink, while you drink, before you go to bed, and 24 hours after you drink. If your blood sugar levels are dangerously slow, seek medical attention right away. 

Tips for Managing type 2 Diabetes

While it’s important to take the right medications for managing blood sugar levels, we can also help manage the condition through certain lifestyle changes. Here are some of the most important:

  • Eat healthy. There’s no specific “diabetes diet.” However, if we have type 2 diabetes, experts typically recommend focusing on whole, minimally processed foods, high-fiber foods, such as fruits, non-starchy vegetables, complex carbohydrates in moderation, lean protein, and healthy fats. When cooking, we should try to use healthy cooking oils such as olive oil or canola oil instead of butter. We should also try to limit added sugars and refined grains. 



    We can always contact a health care provider to recommend a dietician to help us identify healthy food choices, plan well-balanced, nutritional meals, and monitor carbohydrate intake to keep our blood sugar levels more stable. 
  • Get moving. Exercise is good for helping lose or maintain a healthy weight, and it also helps with managing blood sugar. We should aim for 30 minutes or more of moderate aerobic exercise on most days of the week, or at least 150 minutes a week. Try to choose something you enjoy, even if it’s just walking. 



    It’s also important to incorporate resistance training into our routine, as it increases our strength, balance, and ability to perform daily activities. Resistance exercise includes things like weightlifting, yoga, and calisthenics. We should aim for 2-3 sessions of resistance training each week. 



    It’s important to move throughout the day. Breaking up long periods of inactivity, such as sitting at the computer, can help control blood sugar levels. Try to take a few minutes to stand, walk around, or do some light activity every 30 minutes. 
  • Lose weight. With type 2 diabetes, it’s important to either lose excess weight or maintain a healthy weight. Weight loss results in better control of blood sugar levels, cholesterol, triglycerides, and blood pressure. If we’re overweight, we may begin to see improvements in these factors after losing as little as 5% of our body weight. But the more weight we lose, the greater the health benefits. A healthy diet and regular exercise can help with weight loss. 
  • Manage stress. Stress can make managing our blood sugar levels more difficult. While exercise can be a great stress reliever, stress management techniques also help. This might include guided meditations, mindfulness, progressive muscle relaxation, or deep breathing exercises. Getting at least 7-8 hours of quality sleep each night is also important for stress management. 
  • Monitor your blood sugar. This might seem obvious, but it’s important not to overlook it. We should consult our health care provider to determine how frequently we should check our blood sugar level to make sure we’re within our target range. For instance, we might need to check it once a day or a couple times a day. Monitoring is usually done with a small, at-home device called a blood glucose meter, which measures the amount of sugar in a drop of blood. Be sure to keep a record of measurements to share with your doctor.
  • Stay hydrated. Finally, choose water over sugary drinks such as sodas, juices, sports drinks, and sweetened coffees and teas. Experts recommend drinking at least six 8-oz glasses of water each day, but we should consume more than that if we’re physically active. 

The Bottom Line

Type 2 diabetes is a serious condition that can cause dangerously high blood sugar levels. Metformin is often prescribed to help lower and manage blood sugar levels in people with type 2 diabetes. While consuming a small amount of alcohol every now and again while taking metformin may not be harmful, chronic, heavy drinking can put us at risk for developing hypoglycemia and lactic acidosis — both of which can be life-threatening.

If you want to get your health on track, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people cut back on their alcohol consumption and develop healthier lifestyle habits. 

You’re headed out to dinner with some friends. It’s been a long week and you’re looking forward to kicking back with a few drinks. But wait. You’ve just started this new medication called metformin to help you with your type 2 diabetes. Is it okay to drink alcohol, or should you avoid it? 

In this post, we’ll explore the potentially dangerous consequences of drinking alcohol while taking metformin. We’ll also look at how drinking alcohol isn’t good for diabetes in general, and what we can do to help manage the condition. Let’s get started.

What Is Metformin?

Metformin is used to treat high blood sugar levels that are caused by type 2 diabetes. To understand how it works, it’s helpful to understand what exactly we mean by “blood sugar” — which comes down to two things: insulin and glucose (sugar). 

Insulin is a hormone made by our pancreas that leads glucose into our cells. Glucose is important because it’s our body’s main energy source: we get it from the food we eat, which gives us fuel to function. It also plays a major role in our cognition, allowing us to think clearly and make complex decisions. Without enough glucose, we feel sluggish, irritable, and a bit out of it. 

With type 2 diabetes, our insulin doesn’t work properly, causing blood sugar levels to get too high. This can happen either because our pancreas makes less insulin than our body needs, or because our body stops responding to the insulin it does make

Metformin helps lower blood sugar levels by addressing both of these issues. It helps reduce the amount of glucose that our liver releases into our blood, and it helps our body respond to insulin better so that it uses more of the glucose in our blood. It’s used both alone or with other medications to treat type 2 diabetes.

Why Are High Blood Sugar Levels Dangerous?

What’s the big deal with high blood sugar levels, anyway? Controlling high blood sugar levels is vital for a number of reasons. Potential complications of high blood sugar levels from type 2 diabetes are wide-ranging and can be dangerous:

  • Digestive problems (gastroparesis)
  • Eye problems, including diabetes-related retinopathy (vision loss)
  • Foot problems, including leg and foot ulcers
  • Gum disease
  • Hearing loss
  • Heart disease
  • Kidney disease
  • Liver disease
  • Neuropathy (nerve damage)
  • Sexual dysfunction
  • Stroke

Simply put, high blood sugar levels put us at a significant risk for developing serious or life-threatening conditions.

Metformin and Alcohol Side Effects 

Now that we have a better understanding of what type 2 diabetes is and the risks associated with it, you might be wondering, “Should I skip metformin when drinking alcohol?” How exactly does alcohol interact with metformin? 

Experts generally recommend not mixing alcohol with any type of medicine or medication due to possible side effects, some of which can be life threatening. When it comes to metformin, though, drinking alcohol can be particularly harmful, especially if we’re consuming it regularly and excessively.

More specifically, mixing alcohol with metformin can lead to hypoglycemia and lactic acidosis — both of which can be life-threatening. This is true whether we mix metformin and beer, wine, or liquor. Here’s a closer look at each of these conditions:

Hypoglycemia

Hypoglycemia is dangerously low blood sugar levels. For many people with diabetes, this means a blood glucose reading lower than 70 milligrams per deciliter. Binge drinking or chronic, heavy alcohol consumption while taking metformin can cause this condition. 

Some symptoms of low blood sugar levels are similar to those we experience when we’ve consumed too much alcohol, such as drowsiness, dizziness, slurred speech, confusion, loss of coordination, fast heart beat, blurry vision, shaking, sweating, and headaches. 

Hypoglycemia is very serious and requires immediate treatment, which usually involves raising our blood sugar level quickly by consuming high-sugar foods or drinks. 

Because alcohol lowers our blood sugar levels, it can be challenging to get our levels back to normal if we’ve been drinking. In extreme cases, hypoglycemia can result in or seizures loss of consciousness.

Lactic Acidosis

Mixing alcohol with metformin can also lead to a condition called lactic acidosis, a buildup of lactic acid in our blood. Lactic acid is a chemical that is naturally produced by our body as it uses energy. When we take metformin, our body produces more lactic acid than usual. 

When we drink alcohol, our body isn’t able to get rid of lactic acid as quickly. Consuming large quantities of alcohol when taking metformin can cause a buildup of lactic acid, which can seriously damage our kidneys, heart, lungs, and blood vessels.

Similar to hypoglycemia, lactic acidosis requires immediate treatment and must be treated in a hospital. If it’s not treated right away, our organs can shut down, which can lead to death. 

Symptoms of lactic acidosis are also similar to those caused by alcohol, including weakness, tiredness, dizziness, lightheadedness, and a fast heart rate. It can also cause unusual muscle pain, trouble breathing, feeling cold, and stomach discomfort, such as a fluttering feeling, nausea, cramping, or sharp pains.

Diagram about the effects of  mixing alcohol with metforim

How Alcohol Affects Diabetes

In addition to interacting with metformin, alcohol can also affect our diabetes directly by lowering our blood sugar levels. In fact, it can cause low blood sugar levels for up to 24 hours after our last drink. How?

It all comes down to our liver. This vital organ is responsible for stabilizing glucose levels by storing carbohydrates and releasing them into the bloodstream between meals and overnight. It’s also our body’s detoxification center, breaking down toxins like alcohol so our kidneys can flush them away.

The problem is that our liver isn’t great at multitasking: because alcohol is a toxin, the liver prioritizes breaking down the alcohol and isn’t able to do its other jobs as effectively, including regulating the amount of glucose in our blood. This is why our blood sugar levels can drop while drinking — even when we eat foods high in sugar or carbohydrates.

Our liver can only process about one standard drink — one glass of wine, pint of beer, or cocktail — per hour. So the more alcohol we consume, the longer it takes for our blood sugar levels to get back to normal

Tips for Drinking With type 2 Diabetes

Given the potential complications that could arise from mixing alcohol with metformin (or with diabetes), it’s probably best to avoid drinking. However, if those of us who do choose to drink should take these precautions:

  • Don’t drink alcohol on an empty stomach
  • Don’t drink alcohol when your blood sugar is low
  • Eat food before or after drinking alcohol
  • Stay hydrated by drinking plenty of water while drinking alcohol
  • Limit yourself to one to two drinks

Furthermore, perhaps you’ve heard about certain vodka for diabetics. While vodka is one of the safer alcohols for diabetes (since it has no added sugars), it’s also a pure concentrated alcohol, so drinking too much of it can have a blood sugar lowering effect. 

Keep in mind that it’s always important to check your blood sugar levels before you drink, while you drink, before you go to bed, and 24 hours after you drink. If your blood sugar levels are dangerously slow, seek medical attention right away. 

Tips for Managing type 2 Diabetes

While it’s important to take the right medications for managing blood sugar levels, we can also help manage the condition through certain lifestyle changes. Here are some of the most important:

  • Eat healthy. There’s no specific “diabetes diet.” However, if we have type 2 diabetes, experts typically recommend focusing on whole, minimally processed foods, high-fiber foods, such as fruits, non-starchy vegetables, complex carbohydrates in moderation, lean protein, and healthy fats. When cooking, we should try to use healthy cooking oils such as olive oil or canola oil instead of butter. We should also try to limit added sugars and refined grains. 



    We can always contact a health care provider to recommend a dietician to help us identify healthy food choices, plan well-balanced, nutritional meals, and monitor carbohydrate intake to keep our blood sugar levels more stable. 
  • Get moving. Exercise is good for helping lose or maintain a healthy weight, and it also helps with managing blood sugar. We should aim for 30 minutes or more of moderate aerobic exercise on most days of the week, or at least 150 minutes a week. Try to choose something you enjoy, even if it’s just walking. 



    It’s also important to incorporate resistance training into our routine, as it increases our strength, balance, and ability to perform daily activities. Resistance exercise includes things like weightlifting, yoga, and calisthenics. We should aim for 2-3 sessions of resistance training each week. 



    It’s important to move throughout the day. Breaking up long periods of inactivity, such as sitting at the computer, can help control blood sugar levels. Try to take a few minutes to stand, walk around, or do some light activity every 30 minutes. 
  • Lose weight. With type 2 diabetes, it’s important to either lose excess weight or maintain a healthy weight. Weight loss results in better control of blood sugar levels, cholesterol, triglycerides, and blood pressure. If we’re overweight, we may begin to see improvements in these factors after losing as little as 5% of our body weight. But the more weight we lose, the greater the health benefits. A healthy diet and regular exercise can help with weight loss. 
  • Manage stress. Stress can make managing our blood sugar levels more difficult. While exercise can be a great stress reliever, stress management techniques also help. This might include guided meditations, mindfulness, progressive muscle relaxation, or deep breathing exercises. Getting at least 7-8 hours of quality sleep each night is also important for stress management. 
  • Monitor your blood sugar. This might seem obvious, but it’s important not to overlook it. We should consult our health care provider to determine how frequently we should check our blood sugar level to make sure we’re within our target range. For instance, we might need to check it once a day or a couple times a day. Monitoring is usually done with a small, at-home device called a blood glucose meter, which measures the amount of sugar in a drop of blood. Be sure to keep a record of measurements to share with your doctor.
  • Stay hydrated. Finally, choose water over sugary drinks such as sodas, juices, sports drinks, and sweetened coffees and teas. Experts recommend drinking at least six 8-oz glasses of water each day, but we should consume more than that if we’re physically active. 

The Bottom Line

Type 2 diabetes is a serious condition that can cause dangerously high blood sugar levels. Metformin is often prescribed to help lower and manage blood sugar levels in people with type 2 diabetes. While consuming a small amount of alcohol every now and again while taking metformin may not be harmful, chronic, heavy drinking can put us at risk for developing hypoglycemia and lactic acidosis — both of which can be life-threatening.

If you want to get your health on track, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people cut back on their alcohol consumption and develop healthier lifestyle habits. 

Alcohol and Medications
2023-08-31 9:00
Alcohol and Medications
Can You Take Probiotics With Alcohol?
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Discover how consuming alcohol with probiotics may be counterproductive, and gain insight into what we can do to support a healthy gut microbiome.

20 min read

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

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You’re probably seeing them everywhere: advertisements and commercials for probiotics — the “miracle” supplement for improving digestion and enhancing our overall health. You’ll find whole sections dedicated to probiotic supplements in pharmacies, grocery stores, or any other health and wellness center. 

But what, exactly, are probiotics — and is it okay to drink alcohol with them? In this post, we’ll explore how consuming alcohol affects our gut health and whether it’s a good idea to mix alcohol with probiotics. We’ll also shed light on some of the best probiotic sources and offer tips for maintaining a healthy gut. Let’s get started!

What Are Probiotics? 

Before we look at whether it’s ok to take probiotics with alcohol, we need to understand what probiotics are. Simply put, probiotics are beneficial living microorganisms, including bacteria and yeasts, that naturally reside in our body. While we often think of bacteria as bad, some types of bacteria are actually good for us, helping to keep our body healthy and working well. 

Probiotics are made up of good bacteria that play a vital role in helping us digest food, fend off disease, and even create vitamins. Trillions of them reside in our digestive tract, otherwise referred to as our “microbiome.”

Sometimes, our microbiome becomes unbalanced, with too many bad bacteria and not enough good bacteria. This can happen due to illness, obesity, medication such as antibiotics, mental health problems like depression and anxiety, and other issues. 

While we can get some probiotics from certain foods, probiotic supplements can help restore the delicate balance of gut bacteria that we need to feel well and stay healthy. In fact, more and more research shows that probiotics play an instrumental role in helping maintain a healthy gut. 

The Health Benefits of Probiotics 

Let’s get more specific: what can probiotics do that make them so beneficial? Research is ongoing, but multiple studies have already shown that a healthy microbiome may prevent and treat diseases in many realms: digestive health, yeast infections, oral disease, food allergies, and eczema. 

Here’s a closer look at 6 of the potential benefits associated with probiotics:

  1. Improved digestive health: Studies show that probiotics may help reduce diarrhea caused by things like antibiotic use, cancer therapy, and hospital infections. Similarly, research shows that certain strains of probiotics may also decrease the incidence of chronic digestive disorders like celiac disease, Crohn’s disease, and ulcerative colitis. Furthermore, some studies suggest probiotics can help relieve symptoms of irritable bowel syndrome (IBS). 
  2. Allergy prevention: Research indicates that probiotics may be beneficial for allergy prevention. Studies have found that if a mother consumes probiotic-rich food while pregnant, she may reduce the child’s risk of allergy symptoms, such as skin rashes (eczema), nasal congestion, and watery eyes. 
  3. Improved mood: A number of studies have linked gut health to mood and mental health. For instance, researchers have found that supplementing with bifidobacterium and lactobacillus strains for 1-2 months can improve anxiety, depression, autism, obsessive-compulsive disorder (OCD) and memory. Supplementing with probiotics has also been shown to reduce stress levels.
  4. Improved weight loss: Probiotics may also help with weight loss through a number of different mechanisms. For instance, some probiotics prevent the absorption of dietary fat in the intestine. The fat is then excreted through feces rather than stored in the body. A systematic review and meta-analysis found that using a probiotic supplement was associated with decreases in body mass index (BMI), weight, and fat mass.
  5. Reduced cancer risk: Researchers believe that probiotics may play a role in reducing  cancer risk. Animal studies have shown that probiotics decrease the enzyme activity of bacteria that produce cancer cells, potentially reducing the risk of liver, colon, and bladder cancer. However, more research is needed on humans. to determine the effectiveness.
  6. Healthier skin: Studies have shown that using probiotics topically, on our skin — our largest organ — can be useful in the treatment of many inflammatory skin diseases. These include acne, rosacea, and psoriasis. Topical probiotics also seem to aid in wound healing, although more research is needed.  

Is It Ok To Drink Alcohol While Taking Probiotics? 

So now that we know what probiotics are and why they’re so important, we can turn to the next question: is it ok to drink alcohol while taking probiotics? In principle, yes. Probiotics are not an over-the-counter medication or prescription drug, so there aren’t any potential harmful interactions or side effects. 

However, in practice, it’s a bit more complex. Alcohol kills the good bacteria in our gut — and it can also kill the probiotic bacteria in supplements. Combining the two can be counterproductive. Let’s take a closer look at 4 ways that alcohol affects our gut microbiome:

  1. Disrupts gut bacteria balance: Consuming alcohol can disrupt the balance of bacteria in our gut, decreasing beneficial bacteria and increasing harmful ones. Alcohol, a toxin, kills many of the beneficial bacteria that live in our intestines. This imbalance can lead to gut dysbiosis, an unhealthy shift in the gut microbiome that contributes to a range of problems.

    For instance, an imbalance in the gut microbiome can weaken our immune system, leading to chronic inflammation and autoimmune diseases. A gut imbalance can even affect our mental health, with research showing that changes in its composition can affect brain function and behavior. In fact, gut microbiome imbalances have been linked to conditions such as depression and anxiety. 
  2. Damages gut lining: Alcohol also damages our gut lining, which is a critical barrier separating the contents of our gut from the rest of our body. When our gut lining is compromised, it leads to “leaky gut,” a condition in which toxins and harmful substances leak into our bloodstream. This leads to inflammation and a host of other health issues, such as irritable bowel syndrome (IBS), celiac disease, and inflammatory bowel disease (IBD). Research also shows that “leaky gut” may contribute to mood disorders, acne, and arthritis. 
  3. Prevents nutrient absorption: Alcohol can interfere with absorption of key nutrients in our gut, such as vitamins and minerals. This is often why heavy drinkers have nutrient deficiencies, such as B vitamins, which can impact overall health and well-being. Some of the more common nutrient deficiencies associated with prolonged alcohol use include vitamin B1 (thiamine), folate (vitamin B9), vitamin B6, vitamin D, magnesium and zinc. 
  4. Slows gut motility: Alcohol is known to slow gut motility, the rate at which food moves through our digestive system. This can make it more difficult for our body to remove waste, leading to digestive problems and changes in bowel movements. High alcohol content beverages in particular can impair gut motility. 

The bottom line? If we’re taking probiotic supplements, drinking alcohol will essentially compromise their efficacy.

Image showcasing probiotic sources: yogurt, sauerkraut, kefir, kimchi, miso soup,kombucha,pickles,natto and tempeh

How Much Alcohol Is Harmful?

So does any amount of alcohol kill the good bacteria, or is it only excessive amounts? Is there an amount to drink that lets us enjoy our drink while not harming our gut microbiome? While the occasional alcoholic beverage likely won’t hurt, repeated heavy drinking can lead to more profound effects on our gut microbiome and affect our overall health and well-being. 

One study found that individuals who consumed excess alcohol had reduced bifidobacteria, lactobacilli, and enterococci bacterial strains — all of which are important for gut health. Even so, it’s worth noting that just one night of binge drinking can be harmful, disrupting the delicate ecosystem of our gut microbiome. 

Similarly, the timing of our probiotics can also make a difference. If we do choose to drink, it’s recommended that we take probiotics at least several hours before consuming alcohol. This theoretically allows the good bacteria to colonize our gut and reproduce. If we consume alcohol and then take probiotics, the beneficial bacteria might be killed off by the alcohol and not survive the journey to our gut.

What Probiotic Strains Can Help Restore the Gut?

Let’s say you had a night out and ended up consuming more alcohol than you would have liked. Can particular probiotic strains help us replenish the healthy bacteria that was killed by alcohol? 

While probiotics are by no means a cure-all, research indicates that two strains can help restore bowel flora and improve alcohol-induced liver issues: Bifidobacterium bifidum and lactobacillus. These two strains have been found to reduce the number of harmful bacteria in the gut and improve the overall balance of gut flora. They can also play a role in improving liver enzymes that may be affected by alcohol consumption. 

But this doesn’t mean we have a free pass to drink alcohol! It’s important to keep in mind that alcohol can have harmful effects on our physical health and mental well-being — even in small doses.

What Are the Best Sources of Probiotics? 

While taking probiotic supplements can be beneficial, our body benefits most from getting natural sources of probiotics in food. Here are 9 probiotic-rich foods:

  • Yogurt: Yogurt is one of the best sources of probiotics. It’s made from milk fermented by probiotics, mainly lactic acid bacteria and bifidobacteria. However, processing can sometimes kill live bacteria, so not all yogurt contains live probiotics. Make sure to choose yogurt with active or live cultures, and try to avoid yogurt with high amounts of added sugar.
  • Kefir: Kefir is a fermented probiotic milk drink. It has a number of health benefits, such as improved bone health, digestion, and protects against infections. Kefir may be a particularly good option for those with lactose intolerance. It contains several major strains of good bacteria and yeast, making it a diverse and potent probiotic source. 
  • Sauerkraut: Sauerkraut is a finely shredded cabbage that has been fermented by lactic acid bacteria. In addition to being rich in probiotics, it’s a good source of fiber, vitamins C and K, iron and potassium.
  • Tempeh: Tempeh, a fermented soybean product, is a popular, high protein substitute for meat. It’s full of probiotics and contains some vitamin B12, which we typically get from animal products. 
  • Kimchi: Kimchi is a fermented, spicy side dish. Cabbage is usually the main ingredient, but it can also be made from other vegetables. It contains the bacteria lactobacillus kimchi and other lactic acid bacteria that are beneficial for digestive health. 
  • Miso: Miso is a Japanese seasoning that is made by fermenting soybeans with salt and a fungus called koji. It’s a great source of probiotics, protein, and fiber, and it’s high in various vitamins and minerals.
  • Kombucha: Kombucha is a fermented black or green tea drink that is fermented with bacteria and yeast, making it full of probiotics.
  • Pickles: Pickles are cucumbers that have been fermented using their own naturally present lactic acid bacteria. Pickled cucumbers are a great source of healthy probiotics, and can help improve digestive health.
  • Natto: Natto, a fermented soybean product, is similar to tempeh and miso. It contains a bacterial strain called bacillus subtilis. It’s also rich in protein and vitamin K2, which is important for bone and cardiovascular health. 

Tips for Maintaining a Healthy Gut 

In addition to limiting our alcohol consumption and consuming probiotic-rich foods, there are many things we can do to support a healthy gut microbiome. Here are 3 tips:

  • Stay hydrated: Hydration is good for our overall health, as water helps support nearly every bodily function, from temperature regulation to digestion. In fact, toxins and waste are more efficiently removed from our system when we are well-hydrated. Water also helps mitigate inflammation, especially in the gut. Aim to consume at least six 8-oz glasses of water a day, more if you’re physically active. 
  • Manage stress: Stress does a number on mental and physical health, including wreaking havoc on our microbiome. In fact, studies show stress can actually change our gut’s acidity and alkalinity, disrupting the balance of good and bad bacteria. Try incorporating relaxation techniques into your daily routine, such as meditation, deep breathing exercises, mindfulness, or journaling
  • Get moving: Research shows that regular physical activity can stimulate gut motility, preventing constipation and aiding in digestion. Even just a short exercise walk can be beneficial. Experts recommend getting around 150 minutes of moderate-intensity physical activity a week, which can be broken up into smaller chunks each day. 

The Bottom Line

Probiotics are beneficial bacteria and yeast that help keep our body and gut healthy. Consuming alcohol while taking probiotics is counterproductive, as it kills the good bacteria already in our gut as well as the good bacteria in our probiotic supplement. The more alcohol we consume and the more frequently we drink, the more our gut microbiome will be disrupted. While probiotic supplements can be beneficial, we may reap more benefits by incorporating natural, probiotic-rich foods into our diet. 

If you want to cut back on your alcohol intake and start restoring your gut, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people reduce their alcohol consumption and enhance their overall health and well-being. 

You’re probably seeing them everywhere: advertisements and commercials for probiotics — the “miracle” supplement for improving digestion and enhancing our overall health. You’ll find whole sections dedicated to probiotic supplements in pharmacies, grocery stores, or any other health and wellness center. 

But what, exactly, are probiotics — and is it okay to drink alcohol with them? In this post, we’ll explore how consuming alcohol affects our gut health and whether it’s a good idea to mix alcohol with probiotics. We’ll also shed light on some of the best probiotic sources and offer tips for maintaining a healthy gut. Let’s get started!

What Are Probiotics? 

Before we look at whether it’s ok to take probiotics with alcohol, we need to understand what probiotics are. Simply put, probiotics are beneficial living microorganisms, including bacteria and yeasts, that naturally reside in our body. While we often think of bacteria as bad, some types of bacteria are actually good for us, helping to keep our body healthy and working well. 

Probiotics are made up of good bacteria that play a vital role in helping us digest food, fend off disease, and even create vitamins. Trillions of them reside in our digestive tract, otherwise referred to as our “microbiome.”

Sometimes, our microbiome becomes unbalanced, with too many bad bacteria and not enough good bacteria. This can happen due to illness, obesity, medication such as antibiotics, mental health problems like depression and anxiety, and other issues. 

While we can get some probiotics from certain foods, probiotic supplements can help restore the delicate balance of gut bacteria that we need to feel well and stay healthy. In fact, more and more research shows that probiotics play an instrumental role in helping maintain a healthy gut. 

The Health Benefits of Probiotics 

Let’s get more specific: what can probiotics do that make them so beneficial? Research is ongoing, but multiple studies have already shown that a healthy microbiome may prevent and treat diseases in many realms: digestive health, yeast infections, oral disease, food allergies, and eczema. 

Here’s a closer look at 6 of the potential benefits associated with probiotics:

  1. Improved digestive health: Studies show that probiotics may help reduce diarrhea caused by things like antibiotic use, cancer therapy, and hospital infections. Similarly, research shows that certain strains of probiotics may also decrease the incidence of chronic digestive disorders like celiac disease, Crohn’s disease, and ulcerative colitis. Furthermore, some studies suggest probiotics can help relieve symptoms of irritable bowel syndrome (IBS). 
  2. Allergy prevention: Research indicates that probiotics may be beneficial for allergy prevention. Studies have found that if a mother consumes probiotic-rich food while pregnant, she may reduce the child’s risk of allergy symptoms, such as skin rashes (eczema), nasal congestion, and watery eyes. 
  3. Improved mood: A number of studies have linked gut health to mood and mental health. For instance, researchers have found that supplementing with bifidobacterium and lactobacillus strains for 1-2 months can improve anxiety, depression, autism, obsessive-compulsive disorder (OCD) and memory. Supplementing with probiotics has also been shown to reduce stress levels.
  4. Improved weight loss: Probiotics may also help with weight loss through a number of different mechanisms. For instance, some probiotics prevent the absorption of dietary fat in the intestine. The fat is then excreted through feces rather than stored in the body. A systematic review and meta-analysis found that using a probiotic supplement was associated with decreases in body mass index (BMI), weight, and fat mass.
  5. Reduced cancer risk: Researchers believe that probiotics may play a role in reducing  cancer risk. Animal studies have shown that probiotics decrease the enzyme activity of bacteria that produce cancer cells, potentially reducing the risk of liver, colon, and bladder cancer. However, more research is needed on humans. to determine the effectiveness.
  6. Healthier skin: Studies have shown that using probiotics topically, on our skin — our largest organ — can be useful in the treatment of many inflammatory skin diseases. These include acne, rosacea, and psoriasis. Topical probiotics also seem to aid in wound healing, although more research is needed.  

Is It Ok To Drink Alcohol While Taking Probiotics? 

So now that we know what probiotics are and why they’re so important, we can turn to the next question: is it ok to drink alcohol while taking probiotics? In principle, yes. Probiotics are not an over-the-counter medication or prescription drug, so there aren’t any potential harmful interactions or side effects. 

However, in practice, it’s a bit more complex. Alcohol kills the good bacteria in our gut — and it can also kill the probiotic bacteria in supplements. Combining the two can be counterproductive. Let’s take a closer look at 4 ways that alcohol affects our gut microbiome:

  1. Disrupts gut bacteria balance: Consuming alcohol can disrupt the balance of bacteria in our gut, decreasing beneficial bacteria and increasing harmful ones. Alcohol, a toxin, kills many of the beneficial bacteria that live in our intestines. This imbalance can lead to gut dysbiosis, an unhealthy shift in the gut microbiome that contributes to a range of problems.

    For instance, an imbalance in the gut microbiome can weaken our immune system, leading to chronic inflammation and autoimmune diseases. A gut imbalance can even affect our mental health, with research showing that changes in its composition can affect brain function and behavior. In fact, gut microbiome imbalances have been linked to conditions such as depression and anxiety. 
  2. Damages gut lining: Alcohol also damages our gut lining, which is a critical barrier separating the contents of our gut from the rest of our body. When our gut lining is compromised, it leads to “leaky gut,” a condition in which toxins and harmful substances leak into our bloodstream. This leads to inflammation and a host of other health issues, such as irritable bowel syndrome (IBS), celiac disease, and inflammatory bowel disease (IBD). Research also shows that “leaky gut” may contribute to mood disorders, acne, and arthritis. 
  3. Prevents nutrient absorption: Alcohol can interfere with absorption of key nutrients in our gut, such as vitamins and minerals. This is often why heavy drinkers have nutrient deficiencies, such as B vitamins, which can impact overall health and well-being. Some of the more common nutrient deficiencies associated with prolonged alcohol use include vitamin B1 (thiamine), folate (vitamin B9), vitamin B6, vitamin D, magnesium and zinc. 
  4. Slows gut motility: Alcohol is known to slow gut motility, the rate at which food moves through our digestive system. This can make it more difficult for our body to remove waste, leading to digestive problems and changes in bowel movements. High alcohol content beverages in particular can impair gut motility. 

The bottom line? If we’re taking probiotic supplements, drinking alcohol will essentially compromise their efficacy.

Image showcasing probiotic sources: yogurt, sauerkraut, kefir, kimchi, miso soup,kombucha,pickles,natto and tempeh

How Much Alcohol Is Harmful?

So does any amount of alcohol kill the good bacteria, or is it only excessive amounts? Is there an amount to drink that lets us enjoy our drink while not harming our gut microbiome? While the occasional alcoholic beverage likely won’t hurt, repeated heavy drinking can lead to more profound effects on our gut microbiome and affect our overall health and well-being. 

One study found that individuals who consumed excess alcohol had reduced bifidobacteria, lactobacilli, and enterococci bacterial strains — all of which are important for gut health. Even so, it’s worth noting that just one night of binge drinking can be harmful, disrupting the delicate ecosystem of our gut microbiome. 

Similarly, the timing of our probiotics can also make a difference. If we do choose to drink, it’s recommended that we take probiotics at least several hours before consuming alcohol. This theoretically allows the good bacteria to colonize our gut and reproduce. If we consume alcohol and then take probiotics, the beneficial bacteria might be killed off by the alcohol and not survive the journey to our gut.

What Probiotic Strains Can Help Restore the Gut?

Let’s say you had a night out and ended up consuming more alcohol than you would have liked. Can particular probiotic strains help us replenish the healthy bacteria that was killed by alcohol? 

While probiotics are by no means a cure-all, research indicates that two strains can help restore bowel flora and improve alcohol-induced liver issues: Bifidobacterium bifidum and lactobacillus. These two strains have been found to reduce the number of harmful bacteria in the gut and improve the overall balance of gut flora. They can also play a role in improving liver enzymes that may be affected by alcohol consumption. 

But this doesn’t mean we have a free pass to drink alcohol! It’s important to keep in mind that alcohol can have harmful effects on our physical health and mental well-being — even in small doses.

What Are the Best Sources of Probiotics? 

While taking probiotic supplements can be beneficial, our body benefits most from getting natural sources of probiotics in food. Here are 9 probiotic-rich foods:

  • Yogurt: Yogurt is one of the best sources of probiotics. It’s made from milk fermented by probiotics, mainly lactic acid bacteria and bifidobacteria. However, processing can sometimes kill live bacteria, so not all yogurt contains live probiotics. Make sure to choose yogurt with active or live cultures, and try to avoid yogurt with high amounts of added sugar.
  • Kefir: Kefir is a fermented probiotic milk drink. It has a number of health benefits, such as improved bone health, digestion, and protects against infections. Kefir may be a particularly good option for those with lactose intolerance. It contains several major strains of good bacteria and yeast, making it a diverse and potent probiotic source. 
  • Sauerkraut: Sauerkraut is a finely shredded cabbage that has been fermented by lactic acid bacteria. In addition to being rich in probiotics, it’s a good source of fiber, vitamins C and K, iron and potassium.
  • Tempeh: Tempeh, a fermented soybean product, is a popular, high protein substitute for meat. It’s full of probiotics and contains some vitamin B12, which we typically get from animal products. 
  • Kimchi: Kimchi is a fermented, spicy side dish. Cabbage is usually the main ingredient, but it can also be made from other vegetables. It contains the bacteria lactobacillus kimchi and other lactic acid bacteria that are beneficial for digestive health. 
  • Miso: Miso is a Japanese seasoning that is made by fermenting soybeans with salt and a fungus called koji. It’s a great source of probiotics, protein, and fiber, and it’s high in various vitamins and minerals.
  • Kombucha: Kombucha is a fermented black or green tea drink that is fermented with bacteria and yeast, making it full of probiotics.
  • Pickles: Pickles are cucumbers that have been fermented using their own naturally present lactic acid bacteria. Pickled cucumbers are a great source of healthy probiotics, and can help improve digestive health.
  • Natto: Natto, a fermented soybean product, is similar to tempeh and miso. It contains a bacterial strain called bacillus subtilis. It’s also rich in protein and vitamin K2, which is important for bone and cardiovascular health. 

Tips for Maintaining a Healthy Gut 

In addition to limiting our alcohol consumption and consuming probiotic-rich foods, there are many things we can do to support a healthy gut microbiome. Here are 3 tips:

  • Stay hydrated: Hydration is good for our overall health, as water helps support nearly every bodily function, from temperature regulation to digestion. In fact, toxins and waste are more efficiently removed from our system when we are well-hydrated. Water also helps mitigate inflammation, especially in the gut. Aim to consume at least six 8-oz glasses of water a day, more if you’re physically active. 
  • Manage stress: Stress does a number on mental and physical health, including wreaking havoc on our microbiome. In fact, studies show stress can actually change our gut’s acidity and alkalinity, disrupting the balance of good and bad bacteria. Try incorporating relaxation techniques into your daily routine, such as meditation, deep breathing exercises, mindfulness, or journaling
  • Get moving: Research shows that regular physical activity can stimulate gut motility, preventing constipation and aiding in digestion. Even just a short exercise walk can be beneficial. Experts recommend getting around 150 minutes of moderate-intensity physical activity a week, which can be broken up into smaller chunks each day. 

The Bottom Line

Probiotics are beneficial bacteria and yeast that help keep our body and gut healthy. Consuming alcohol while taking probiotics is counterproductive, as it kills the good bacteria already in our gut as well as the good bacteria in our probiotic supplement. The more alcohol we consume and the more frequently we drink, the more our gut microbiome will be disrupted. While probiotic supplements can be beneficial, we may reap more benefits by incorporating natural, probiotic-rich foods into our diet. 

If you want to cut back on your alcohol intake and start restoring your gut, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people reduce their alcohol consumption and enhance their overall health and well-being. 

Alcohol and Medications
2023-08-30 9:00
Alcohol and Medications
What Happens If You Mix Gabapentin and Alcohol?
This is some text inside of a div block.

Curious about the mix of gabapentin and alcohol? Our latest blog breaks down the science behind why this combo can be a risky game for your health and well-being. Get the facts, know the risks, and make informed choices!

20 min read

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If you've ever taken a peek at the back of your medicine bottles (and who hasn’t?) or skimmed through those leaflets that come with them, you've probably seen the all-too-familiar warning: "Do not consume alcohol while taking this medication." But is that always the whole story? Specifically, what if the medication in question is gabapentin? Can you drink alcohol while taking gabapentin? Or is the gabapentin-alcohol mix a no-g? Let's dive deep into the science to find out what really happens when gabapentin and alcohol share the spotlight in your body.

Gabapentin: A Closer Look

Man holding pills and a bottle of alcohol

Gabapentin, also known under the brandname Neurontin, first came onto thescene in the early 1990s. Its originalmission? To treat seizures in patientswith epilepsy. However, over the years,doctors began noticing its potential in other areas:

  • Nerve pain. Particularly useful for people with conditions like shingles or diabetic neuropathy, where the nerve endings become super sensitive and can cause pain.
  • Restless leg syndrome. Those annoying sensations in the legs that make you want to move them constantly? Gabapentin can be a curtain call to those, helping patients get a more peaceful night’s sleep.
  • Off-label uses. Beyond its approved uses, some healthcare providers prescribe gabapentin for conditions like anxiety, migraines, and certain types of chronic pain.

While gabapentin's exact mechanisms are still being studied, it's believed to work by calming down overactive nerve cells in the brain. Think of it as the director that instructs over-excitable actors to tone it down a notch. This calming effect is what helps reduce seizures and relieve nerve pain.

Just like any medicine, gabapentin has its potential side effects:

  • Dizziness, drowsiness, and fatigue often top the list.
  • Some people also experience swelling in the extremities, headaches, or blurred vision.
  • Some might experience mood changes, anxiety, or even depression.
  • In rarer cases, gabapentin can lead to more severe reactions like a skin rash, difficulty breathing, or an irregular heartbeat.

While gabapentin is not an opioid or a classic "addictive" drug, some people might develop a dependency if taken in large amounts over extended periods. This means stopping it suddenly might lead to withdrawal symptoms such as insomnia, nausea, or sweating. It's crucial to follow the doctor's guidelines and not stop taking the medication abruptly without medical advice.

Alcohol and Gabapentin: Double Downers

It’s well known that alcohol can act as a depressant on our central nervous system. It slows things down; our thoughts, speech, and movements can become, well, a bit more sluggish.

Now, imagine mixing a drug like gabapentin, which is another downer. Here’s the rundown:

  • Sleepiness and drowsiness. Both gabapentin and alcohol are known to cause drowsiness, a combined effect can make basic tasks like driving or operating machinery super risky. Even if you felt fine taking either substance alone, the combo could lead to an unexpected snoozefest at inopportune times.
  • Dizziness and coordination. Feeling steady on your feet? Add these two together, and you might feel like you’ve just stepped off a merry-go-round. This dizzying effect could make you more prone to accidents and falls. Plus, it's not the best look if you're trying to navigate through your day seamlessly.
  • Slowed thinking. Imagine trying to solve a puzzle, but the pieces are moving in slow motion. Gabapentin and alcohol together can create this sensation in the brain, making decision-making and clear thinking more challenging.
  • Enhanced mood changes. Both substances can influence mood. Alone, they might cause minor shifts, but together, you could experience amplified feelings of sadness, anxiety, or even euphoria.
  • Compromised judgment. With the brain operating at a slower pace and mood potentially fluctuating, your judgment could take a hit. Whether it's deciding to send that text or choosing to have another drink, the combo might make you do things you'd think twice about normally.

When you see them listed out, it's clear why the pairing of gabapentin and alcohol can be concerning. While both might seem mild on their own, pairing them up can lead to trouble. Always best to tread carefully and stay informed!

Effects of Mixing Gabapentin With Alcohol

Mixing Gabapentin and Alcohol Increases Respiratory Risk

One of the more concerning side effects is the potential for respiratory depression, which is a fancy term for dangerously slow breathing.

When it comes to our body's primary functions, breathing is right there at the top, for obvious reasons. It's so automatic, that most of the time we don't even think about it. However, certain substances can interfere with this natural process. When you introduce both gabapentin and alcohol into the mix, the stakes get higher. Here's why:

Our brain has a built-in system to regulate breathing. This system ensures that we take in enough oxygen to keep our organs functioning and expel carbon dioxide, a waste product. However, certain substances can slow this process down.

As a central nervous system depressant, alcohol can slow down the systems of the body, including respiratory function. In high amounts, alcohol can significantly reduce the body's urge to breathe and decrease the respiratory rate.

Gabapentin, primarily aimed at calming overactive nerve cells in the brain, can also have an impact on respiratory function. Especially in higher doses or when misused, medical experts warn that gabapentin can depress the central nervous system, including brain's respiratory center.

When you mix gabapentin and alcohol, there's a potential for a compounded respiratory depressant effect. Since each substance is capable of slowing down breathing on its own, together the effect is even more dangerous. This serious effect can manifest as:

  • Shallow breathing. Breaths become more superficial, and less oxygen is taken in with each inhale.
  • Reduced oxygen to the brain. This can lead to confusion, dizziness, and in severe cases, loss of consciousness or brain damage.
  • Risk of respiratory failure. In extreme situations, the combined effect can be so severe that the body fails to breathe adequately or stops breathing altogether.

Certain groups might be at a higher risk when combining these substances, including the elderly, those with existing respiratory conditions, and people who misuse or overdose on either substance.

Increased Side Effects of Alcohol and Gabapentin

Mixing substances often leads to an intertwining of their side effects. It's like a duet where each singer has their own notes, but when combined, they create an entirely new sound. For gabapentin and alcohol, this duet can bring out some unpleasant surprises:

Memory problems. Both gabapentin and alcohol can impact memory on their own. When combined, the potential for memory impairment grows. This might manifest as:

  • Short-term memory gaps (forgetting recent events or conversations)
  • Difficulty concentrating (challenges in focusing on tasks or following through on actions)

Gastrointestinal issues. While gabapentin can sometimes lead to stomach upset, alcohol is known to irritate the stomach lining. Their combined effect might increase the risk of:

  • Nausea or vomiting (feeling queasy or actually getting sick)
  • Stomach pain (ranging from mild discomfort to sharp pains)

Mood swings. Both substances have the potential to impact mood. Together, they might cause:

  • Heightened anxiety or depression (unease or sadness might be more pronounced)
  • Irritability (a shorter fuse or getting frustrated more easily)

Visual disturbances. Gabapentin occasionally causes blurred vision. Alcohol, on the other hand, can affect eye movement and focus. Together, they might lead to:

  • Double vision
  • Difficulty tracking movements (challenges in following moving objects with the eyes)

Physical discomfort. The combination might amplify some physical side effects like:

  • Headaches (ranging from mild discomfort to severe migraines
  • Dizziness (feeling off-balance or like the room is spinning)

Risk of overdose. When taken in excess, both gabapentin and alcohol have overdose potential. Together, they can increase this risk due to their compounded depressive effects on the central nervous system. Overdose symptoms might include extreme drowsiness, difficulty breathing, loss of consciousness, and in severe cases, death.

Why It’s Especially Important If You’re Cutting Back on Alcohol

If you're on the journey of cutting back or quitting alcohol, you’re already doing a fantastic thing for your body. But adding gabapentin to the equation can complicate things by amping up alcohol cravings and making it harder to stick to your goals. Plus, your body's tolerance and how it reacts to alcohol could be different, and mixing it with gabapentin can be unpredictable if you do end up drinking after a period of abstinence. Here’s a more detailed look at how gabapentin could complicate your recovery:

  • Rebound Sensitivity. As you cut back on alcohol, your nervous system is in a state of heightened alertness or sensitivity. This is because, over time, it became accustomed to alcohol's depressant effects. Now, without the same levels of alcohol, it's like a tightly wound spring, ready to react more significantly to stimuli—including medications.
  • Changing tolerance levels. Your tolerance to alcohol and possibly other substances, including medications, may shift as you reduce your alcohol intake. What was once a "normal" or "safe" dose of gabapentin when you were drinking regularly may now have a more pronounced effect, increasing the risk of side effects.
  • Withdrawal interactions. Alcohol withdrawal itself can come with a slew of symptoms, from mild (like headaches and irritability) to severe (such as seizures). Gabapentin can influence some of these symptoms, either dampening or exaggerating them. It's essential to be aware of these potential shifts and work with a healthcare provider to adjust dosages if necessary.
  • Emotional and psychological adjustments. Reducing alcohol often means confronting emotions or situations previously numbed by drinking. It’s important to tread carefully when introducing a medication that can affect mood or cognition during this emotionally charged period.
  • Risk of relapse. For some, the side effects of medications, or the simple act of mixing substances, can be triggers leading back to drinking. Being mindful of how gabapentin makes you feel, especially in social situations where alcohol might be present, is essential.

Reducing alcohol is a great step towards optimizing health! To get the most out of it, it's essential to ensure that all other substances, including medications like gabapentin, are used safely and effectively. This means being knowledgeable about potential interactions and being proactive in managing them.

Seven Action Steps To Stay Safe

Now that we understand the science, let’s talk about how to be smart and safe:

  • Knowledge is power. Always read those medicine leaflets. They’re packed with good info on what to avoid when you’re on a specific medication.
  • Chat with your doc. If you’re prescribed gabapentin, be open about your alcohol consumption. Your healthcare provider can give you personalized advice.
  • Gabapentin calendar. Keep track of your dosages and timings. Design a personalized gabapentin calendar or set alerts on your phone to ensure consistent intake. This will help in monitoring its effects and prevent unintentional overuse.
  • Symptom journal. Keep a daily journal noting any side effects or feelings when on gabapentin. Over time, you'll have a clearer picture of how it affects you, making it easier to discuss with your healthcare provider.
  • Medication cross-check. Before introducing any new medication or supplement to your regimen, always check for interactions with gabapentin. Some might amplify the side effects or reduce its efficacy.
  • Alcohol tracker. If you're contemplating alcohol intake, have a dedicated app or log that tracks your drinks. This will not only help you limit consumption but also be a reminder of the potential risks with gabapentin.
  • Share your concerns. Share the specifics of your medication with a trusted friend or family member. They can be a second pair of eyes, ensuring you don't accidentally consume alcohol or observing if you’re exhibiting side effects.
  • Stay updated with research. Gabapentin, like all medications, is regularly researched. Periodically check trusted medical websites or subscribe to newsletters for any updates on its effects, recommended dosages, or potential interactions.
  • Avoid the mix. If in doubt, it's always safer to keep alcohol and gabapentin apart. If you’re cutting back on alcohol, set a clear limit for yourself and stick to it.
  • Listen to your body. If something feels off, it probably is. Seek medical attention if you believe you’re experiencing severe side effects.

A Healthy Future

Navigating the world of medications and their interactions can feel like a maze. But with the right information and a proactive approach, you can ensure your journey is both safe and successful. Remember, every step you take toward understanding and respecting your body's reactions is a step toward a healthier, happier you.

If you've ever taken a peek at the back of your medicine bottles (and who hasn’t?) or skimmed through those leaflets that come with them, you've probably seen the all-too-familiar warning: "Do not consume alcohol while taking this medication." But is that always the whole story? Specifically, what if the medication in question is gabapentin? Can you drink alcohol while taking gabapentin? Or is the gabapentin-alcohol mix a no-g? Let's dive deep into the science to find out what really happens when gabapentin and alcohol share the spotlight in your body.

Gabapentin: A Closer Look

Man holding pills and a bottle of alcohol

Gabapentin, also known under the brandname Neurontin, first came onto thescene in the early 1990s. Its originalmission? To treat seizures in patientswith epilepsy. However, over the years,doctors began noticing its potential in other areas:

  • Nerve pain. Particularly useful for people with conditions like shingles or diabetic neuropathy, where the nerve endings become super sensitive and can cause pain.
  • Restless leg syndrome. Those annoying sensations in the legs that make you want to move them constantly? Gabapentin can be a curtain call to those, helping patients get a more peaceful night’s sleep.
  • Off-label uses. Beyond its approved uses, some healthcare providers prescribe gabapentin for conditions like anxiety, migraines, and certain types of chronic pain.

While gabapentin's exact mechanisms are still being studied, it's believed to work by calming down overactive nerve cells in the brain. Think of it as the director that instructs over-excitable actors to tone it down a notch. This calming effect is what helps reduce seizures and relieve nerve pain.

Just like any medicine, gabapentin has its potential side effects:

  • Dizziness, drowsiness, and fatigue often top the list.
  • Some people also experience swelling in the extremities, headaches, or blurred vision.
  • Some might experience mood changes, anxiety, or even depression.
  • In rarer cases, gabapentin can lead to more severe reactions like a skin rash, difficulty breathing, or an irregular heartbeat.

While gabapentin is not an opioid or a classic "addictive" drug, some people might develop a dependency if taken in large amounts over extended periods. This means stopping it suddenly might lead to withdrawal symptoms such as insomnia, nausea, or sweating. It's crucial to follow the doctor's guidelines and not stop taking the medication abruptly without medical advice.

Alcohol and Gabapentin: Double Downers

It’s well known that alcohol can act as a depressant on our central nervous system. It slows things down; our thoughts, speech, and movements can become, well, a bit more sluggish.

Now, imagine mixing a drug like gabapentin, which is another downer. Here’s the rundown:

  • Sleepiness and drowsiness. Both gabapentin and alcohol are known to cause drowsiness, a combined effect can make basic tasks like driving or operating machinery super risky. Even if you felt fine taking either substance alone, the combo could lead to an unexpected snoozefest at inopportune times.
  • Dizziness and coordination. Feeling steady on your feet? Add these two together, and you might feel like you’ve just stepped off a merry-go-round. This dizzying effect could make you more prone to accidents and falls. Plus, it's not the best look if you're trying to navigate through your day seamlessly.
  • Slowed thinking. Imagine trying to solve a puzzle, but the pieces are moving in slow motion. Gabapentin and alcohol together can create this sensation in the brain, making decision-making and clear thinking more challenging.
  • Enhanced mood changes. Both substances can influence mood. Alone, they might cause minor shifts, but together, you could experience amplified feelings of sadness, anxiety, or even euphoria.
  • Compromised judgment. With the brain operating at a slower pace and mood potentially fluctuating, your judgment could take a hit. Whether it's deciding to send that text or choosing to have another drink, the combo might make you do things you'd think twice about normally.

When you see them listed out, it's clear why the pairing of gabapentin and alcohol can be concerning. While both might seem mild on their own, pairing them up can lead to trouble. Always best to tread carefully and stay informed!

Effects of Mixing Gabapentin With Alcohol

Mixing Gabapentin and Alcohol Increases Respiratory Risk

One of the more concerning side effects is the potential for respiratory depression, which is a fancy term for dangerously slow breathing.

When it comes to our body's primary functions, breathing is right there at the top, for obvious reasons. It's so automatic, that most of the time we don't even think about it. However, certain substances can interfere with this natural process. When you introduce both gabapentin and alcohol into the mix, the stakes get higher. Here's why:

Our brain has a built-in system to regulate breathing. This system ensures that we take in enough oxygen to keep our organs functioning and expel carbon dioxide, a waste product. However, certain substances can slow this process down.

As a central nervous system depressant, alcohol can slow down the systems of the body, including respiratory function. In high amounts, alcohol can significantly reduce the body's urge to breathe and decrease the respiratory rate.

Gabapentin, primarily aimed at calming overactive nerve cells in the brain, can also have an impact on respiratory function. Especially in higher doses or when misused, medical experts warn that gabapentin can depress the central nervous system, including brain's respiratory center.

When you mix gabapentin and alcohol, there's a potential for a compounded respiratory depressant effect. Since each substance is capable of slowing down breathing on its own, together the effect is even more dangerous. This serious effect can manifest as:

  • Shallow breathing. Breaths become more superficial, and less oxygen is taken in with each inhale.
  • Reduced oxygen to the brain. This can lead to confusion, dizziness, and in severe cases, loss of consciousness or brain damage.
  • Risk of respiratory failure. In extreme situations, the combined effect can be so severe that the body fails to breathe adequately or stops breathing altogether.

Certain groups might be at a higher risk when combining these substances, including the elderly, those with existing respiratory conditions, and people who misuse or overdose on either substance.

Increased Side Effects of Alcohol and Gabapentin

Mixing substances often leads to an intertwining of their side effects. It's like a duet where each singer has their own notes, but when combined, they create an entirely new sound. For gabapentin and alcohol, this duet can bring out some unpleasant surprises:

Memory problems. Both gabapentin and alcohol can impact memory on their own. When combined, the potential for memory impairment grows. This might manifest as:

  • Short-term memory gaps (forgetting recent events or conversations)
  • Difficulty concentrating (challenges in focusing on tasks or following through on actions)

Gastrointestinal issues. While gabapentin can sometimes lead to stomach upset, alcohol is known to irritate the stomach lining. Their combined effect might increase the risk of:

  • Nausea or vomiting (feeling queasy or actually getting sick)
  • Stomach pain (ranging from mild discomfort to sharp pains)

Mood swings. Both substances have the potential to impact mood. Together, they might cause:

  • Heightened anxiety or depression (unease or sadness might be more pronounced)
  • Irritability (a shorter fuse or getting frustrated more easily)

Visual disturbances. Gabapentin occasionally causes blurred vision. Alcohol, on the other hand, can affect eye movement and focus. Together, they might lead to:

  • Double vision
  • Difficulty tracking movements (challenges in following moving objects with the eyes)

Physical discomfort. The combination might amplify some physical side effects like:

  • Headaches (ranging from mild discomfort to severe migraines
  • Dizziness (feeling off-balance or like the room is spinning)

Risk of overdose. When taken in excess, both gabapentin and alcohol have overdose potential. Together, they can increase this risk due to their compounded depressive effects on the central nervous system. Overdose symptoms might include extreme drowsiness, difficulty breathing, loss of consciousness, and in severe cases, death.

Why It’s Especially Important If You’re Cutting Back on Alcohol

If you're on the journey of cutting back or quitting alcohol, you’re already doing a fantastic thing for your body. But adding gabapentin to the equation can complicate things by amping up alcohol cravings and making it harder to stick to your goals. Plus, your body's tolerance and how it reacts to alcohol could be different, and mixing it with gabapentin can be unpredictable if you do end up drinking after a period of abstinence. Here’s a more detailed look at how gabapentin could complicate your recovery:

  • Rebound Sensitivity. As you cut back on alcohol, your nervous system is in a state of heightened alertness or sensitivity. This is because, over time, it became accustomed to alcohol's depressant effects. Now, without the same levels of alcohol, it's like a tightly wound spring, ready to react more significantly to stimuli—including medications.
  • Changing tolerance levels. Your tolerance to alcohol and possibly other substances, including medications, may shift as you reduce your alcohol intake. What was once a "normal" or "safe" dose of gabapentin when you were drinking regularly may now have a more pronounced effect, increasing the risk of side effects.
  • Withdrawal interactions. Alcohol withdrawal itself can come with a slew of symptoms, from mild (like headaches and irritability) to severe (such as seizures). Gabapentin can influence some of these symptoms, either dampening or exaggerating them. It's essential to be aware of these potential shifts and work with a healthcare provider to adjust dosages if necessary.
  • Emotional and psychological adjustments. Reducing alcohol often means confronting emotions or situations previously numbed by drinking. It’s important to tread carefully when introducing a medication that can affect mood or cognition during this emotionally charged period.
  • Risk of relapse. For some, the side effects of medications, or the simple act of mixing substances, can be triggers leading back to drinking. Being mindful of how gabapentin makes you feel, especially in social situations where alcohol might be present, is essential.

Reducing alcohol is a great step towards optimizing health! To get the most out of it, it's essential to ensure that all other substances, including medications like gabapentin, are used safely and effectively. This means being knowledgeable about potential interactions and being proactive in managing them.

Seven Action Steps To Stay Safe

Now that we understand the science, let’s talk about how to be smart and safe:

  • Knowledge is power. Always read those medicine leaflets. They’re packed with good info on what to avoid when you’re on a specific medication.
  • Chat with your doc. If you’re prescribed gabapentin, be open about your alcohol consumption. Your healthcare provider can give you personalized advice.
  • Gabapentin calendar. Keep track of your dosages and timings. Design a personalized gabapentin calendar or set alerts on your phone to ensure consistent intake. This will help in monitoring its effects and prevent unintentional overuse.
  • Symptom journal. Keep a daily journal noting any side effects or feelings when on gabapentin. Over time, you'll have a clearer picture of how it affects you, making it easier to discuss with your healthcare provider.
  • Medication cross-check. Before introducing any new medication or supplement to your regimen, always check for interactions with gabapentin. Some might amplify the side effects or reduce its efficacy.
  • Alcohol tracker. If you're contemplating alcohol intake, have a dedicated app or log that tracks your drinks. This will not only help you limit consumption but also be a reminder of the potential risks with gabapentin.
  • Share your concerns. Share the specifics of your medication with a trusted friend or family member. They can be a second pair of eyes, ensuring you don't accidentally consume alcohol or observing if you’re exhibiting side effects.
  • Stay updated with research. Gabapentin, like all medications, is regularly researched. Periodically check trusted medical websites or subscribe to newsletters for any updates on its effects, recommended dosages, or potential interactions.
  • Avoid the mix. If in doubt, it's always safer to keep alcohol and gabapentin apart. If you’re cutting back on alcohol, set a clear limit for yourself and stick to it.
  • Listen to your body. If something feels off, it probably is. Seek medical attention if you believe you’re experiencing severe side effects.

A Healthy Future

Navigating the world of medications and their interactions can feel like a maze. But with the right information and a proactive approach, you can ensure your journey is both safe and successful. Remember, every step you take toward understanding and respecting your body's reactions is a step toward a healthier, happier you.

Alcohol and Medications
2023-08-30 9:00
Alcohol and Medications
Alcohol and Asthma: Can I Drink While Using an Albuterol Inhaler?
This is some text inside of a div block.

Ever wondered about the mix of albuterol and a Friday night sip? Unlock the science behind asthma, albuterol, and alcohol with our latest blog.

16 min read

Breathe Easier 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  →

Having asthma can be a challenge. This chronic respiratory condition causes a person's airways to become inflamed and narrow and increases mucus production — a situation that’s just as uncomfortable as it sounds. It can make it difficult to breathe and trigger coughing, wheezing, and shortness of breath. Think of it as a tunnel that sometimes doesn't allow traffic (air) to flow smoothly.

Thankfully, there are many treatment options available for asthmatics today. One of the most popular ones is the albuterol inhaler, which widens the bronchial passageways to allow for air to flow more easily. But what happens if you drink alcohol while using it? Let’s find out!

All About Asthma

First, let's get a solid understanding of what asthma is all about. While it's often a combination of genetic and environmental factors, the exact cause of asthma remains elusive. Some people might be predisposed to it, while others could develop it due to certain triggers such as respiratory infections, physical activity, cold air, or even strong emotions and stress. Additional triggers include allergens such as pollen, dust mites, mold, and pet dander. Asthma isn't a one-size-fits-all condition, and everyone's triggers can be unique.

When asthma flares up, the airways tighten, leading to symptoms like wheezing, coughing, and shortness of breath. However, it varies in intensity and is often classified based on its severity:

  • Intermittent. Symptoms show up less than once a week as brief flare-ups.
  • Mild persistent. Symptoms happen more than once a week, but not daily.
  • Moderate persistent. Symptoms are daily with frequent nighttime flare-ups.
  • Severe persistent. Continuous daily symptoms bring on frequent severe flare-ups.

Asthma is not limited to a particular region or demographic. Millions worldwide are affected by this condition, with numbers steadily rising. This makes understanding and managing asthma crucial!

A Trip Down the Asthma Memory Lane

Anyone with asthma knows how scary an asthma attack can be. In fact, the story of our battle with it goes back centuries. Let's stroll through the annals of time and uncover the history of asthma.

  • Ancient recognitions. The journey begins in the ancient civilizations. Asthma's earliest references can be traced back to the Egyptians, around 3,500 years ago! They described symptoms of asthma and even had therapeutic incantations to treat it. The word “asthma” itself has Greek roots, derived from the term “asthma,” meaning “panting” or “sharp breath” — a fitting description for anyone who's experienced a flare-up.
  • Medieval marvels. Fast forward to the Middle Ages, and we find renowned physicians like Moses Maimonides writing dedicated treatises on asthma, highlighting its triggers and suggesting remedies. These ancient documents indicate that even then, environmental factors like smoke and strong odors were recognized as asthma aggravators.
  • The Renaissance and beyond. The Renaissance period saw advancements in the understanding of respiratory anatomy. Physicians like Bernardino Ramazzini began linking occupational exposures to substances such as dust with asthmatic symptoms. It's no surprise that this era's enlightened thinking paved the way for modern asthma theories!

Albuterol to the Rescue!

The late 19th and early 20th centuries were game-changers for asthma understanding and treatment. Scientists developed the first bronchodilators and, in the 1960s, the metered-dose albuterol inhaler — a godsend for asthmatics worldwide!

When asthma attacks occur — or even when we sense one might be on its way — albuterol can be our go-to. It provides quick relief by relaxing those tightened muscles around the airways.

This medication, most commonly taken via inhalation, is a bronchodilator belonging to a group of medicines known as "short-acting beta-agonists." Albuterol's main job is to relax the tightened muscles around the airways to allow for easier breathing. Imagine your airways like doorways — when asthma strikes, these doorways start to narrow down. Albuterol steps in, opening an extra set of doors to allow air to flow freely. Beyond asthma, albuterol can also be prescribed for other respiratory issues, such as chronic obstructive pulmonary disease (COPD).

Typically, the relief provided by albuterol can last between 4 to 6 hours. And like all medications, it can have side effects. While most people don't experience severe issues, some common ones include palpitations, headaches, and a bit of jitteriness. If any side effects feel extreme or persistent, it's a good idea to check in with a doctor.

When Alcohol Meets Albuterol

When we drink alcohol, it acts as a depressant on the central nervous system — it slows down our brain function and nerve activity. While this might sound relaxing, it can lead to impaired judgment, slower reflexes, and can sometimes affect breathing — a pretty important function, especially if asthma is already part of the picture.

Now, the moment of truth! Is mixing alcohol and albuterol a hard “no”? Not necessarily, since combining the two doesn't directly cause adverse reactions. But (there's always a "but," isn't there) alcohol can make asthma symptoms worse by causing inflammation and increasing histamine production, which may trigger asthma symptoms. So, while the albuterol isn’t directly clashing with the alcohol, our asthma might not be too happy with our drink choice.

A Bronchial Battle

First, let's establish a baseline: alcohol can make asthma symptoms worse by leading to inflammation and histamine production, both of which can be triggers for asthmatic symptoms. As a vasodilator, it causes blood vessels to expand — and since the expansion also happens in the lungs, airways narrow and breathing gets difficult.

If you've ever felt wheezy or congested after a drink, you've experienced this firsthand. Some asthmatics also report experiencing alcohol-induced asthma attacks, especially after drinking wine or beer.

When using albuterol, we’re trying to counteract those asthma symptoms. However, with alcohol exacerbating those symptoms, there’s a standoff happening: the bronchodilating effects of albuterol are offset, and we might find ourselves reaching for that inhaler more frequently. So while albuterol itself and alcohol don't have a known direct harmful interaction, the worsening of asthma symptoms due to alcohol might make it seem that way.

What About the Liver?

The liver is responsible for breaking down both alcohol and many medications, including albuterol. Consuming large amounts of alcohol can put extra strain on the liver, potentially affecting how it processes medications. With the liver's efficiency compromised, the body might not tolerate albuterol as much as before.

Of course, everyone's body is different. Some people might experience heightened asthma symptoms with even a small amount of alcohol, while others might not notice any significant changes. It's crucial to be observant and understand our body's specific reactions!

Alcohol Allergies and Intolerance

Now here’s a twist: the situation can get especially tricky if on top of having asthma we happen to be allergic to alcohol or have symptoms of alcohol intolerance.

If someone is allergic, it's often to ingredients found in alcoholic beverages like wheat, barley, rye, grapes, or chemicals. Symptoms can be dramatic and include hives, facial swelling, or even breathing difficulties. For an asthmatic, this can be double trouble! An allergic reaction can exacerbate asthma symptoms, making it harder to breathe and increasing the need for an albuterol rescue.

Unlike a full-blown allergy, alcohol intolerance is more widespread. It's the body's way of saying, "Hey, I can't break this down!" Symptoms can include a stuffy nose, skin flushing, stomach upset, and an increase in asthma symptoms. And what about that trusty albuterol inhaler? TIt might be working overtime to counteract these effects.

If you believe you have an intolerance or allergy, it's important to know which specific ingredients trigger your symptoms. For instance, sulfites in wine are a common irritant for some asthmatics. Being ingredient-savvy is key!

Considerations for Those Cutting Back on Alcohol

For those on the journey to quitting or reducing alcohol, there’s another piece of the puzzle to consider. Choosing to cut back on alcohol consumption is a commendable decision, especially for people managing conditions such as asthma: it could mean fewer flare-ups and better overall lung health. 

But this journey — while rewarding — can come with its set of challenges and considerations. Here's a deeper look at what one should keep in mind, especially when albuterol is a part of their daily regimen.

  • Listen to your body. Every individual's body reacts differently to changes in alcohol consumption. For those with asthma, it's even more critical to be attentive. Monitor your breathing, note any changes in symptoms, and always keep your albuterol close.
  • Reactions to medications. Alcohol can interact with more than just albuterol. If you're taking other medications to help reduce your alcohol intake, be doubly sure about potential interactions. Always consult with a healthcare professional when in doubt.

That said, reducing alcohol can have a myriad of health benefits beyond just respiratory health. From better sleep and improved digestion to a healthier liver and reduced risk of certain diseases, there's so much to gain

Action Steps For Asthmatics Navigating Alcohol

  • Educate yourself and others. The first step is understanding. Be aware of how alcohol affects your asthma. Everyone's different, so monitor your symptoms.
  • Also, share your journey of managing asthma with close friends and family. By letting them know about the potential effects of alcohol, they can be supportive allies. They might even join you in reducing alcohol intake!
  • Consult with your doctor. Always a good idea! Discuss your alcohol consumption and see what they recommend given your specific health history.
  • Schedule bi-annual appointments with your healthcare provider to discuss your asthma, albuterol usage, and alcohol consumption. This routine check will provide you with professional insights and adjustments tailored to your needs.
  • Limit alcohol intake. If you choose to drink, perhaps consider sipping on a non-alcoholic beverage most of the time. There are many delicious alcohol-free options out there these days!
  • The three-ingredient rule. Before consuming any alcoholic beverage, familiarize yourself with its top three ingredients. If one of these ingredients is known to exacerbate your asthma symptoms or if it's something you haven't consumed before, consider skipping it or having a very limited amount.
  • Track reactions. If you do consume alcohol, note any changes in your asthma symptoms. Begin a dedicated journal where you document each time you drink. Include details about the type of drink, the quantity, the time of day, and any subsequent asthma symptoms or increased inhaler usage. Over time, this journal can reveal patterns, making you more aware of what triggers an increase in symptoms.
  • Stay prepared. If you're out and about, always keep your albuterol inhaler close by. It's better to be safe.
  • Create a support system. Letting friends and family know about your goals can help. They can support you in your choices, ensuring environments are asthma-friendly.
  • Asthma support group. Join an asthma support group, either in-person or online. Connecting with others who face similar challenges can offer a treasure trove of tips, shared experiences, and moral support.
  • Celebrate the wins. Every time you make a choice that supports your health and well-being, give yourself a pat on the back! It's all about positive reinforcement.

A Search for Balance

Balancing life with asthma can feel like a juggling act at times, but being informed about the decisions you make — such as drinking alcohol while on medication — can make things a tad bit easier. Remember, the focus is on health and wellness. And as always, when in doubt, consulting with a healthcare professional is a smart move. 

In the end, this conversation is part of a larger narrative about our holistic well-being. Our exploration of alcohol's intersection with asthma and albuterol highlights the importance of being informed. In a society where drinking is often intertwined with social interactions, having this knowledge empowers us to make mindful choices and encourages us all to see health as a comprehensive, multi-faceted journey.

Having asthma can be a challenge. This chronic respiratory condition causes a person's airways to become inflamed and narrow and increases mucus production — a situation that’s just as uncomfortable as it sounds. It can make it difficult to breathe and trigger coughing, wheezing, and shortness of breath. Think of it as a tunnel that sometimes doesn't allow traffic (air) to flow smoothly.

Thankfully, there are many treatment options available for asthmatics today. One of the most popular ones is the albuterol inhaler, which widens the bronchial passageways to allow for air to flow more easily. But what happens if you drink alcohol while using it? Let’s find out!

All About Asthma

First, let's get a solid understanding of what asthma is all about. While it's often a combination of genetic and environmental factors, the exact cause of asthma remains elusive. Some people might be predisposed to it, while others could develop it due to certain triggers such as respiratory infections, physical activity, cold air, or even strong emotions and stress. Additional triggers include allergens such as pollen, dust mites, mold, and pet dander. Asthma isn't a one-size-fits-all condition, and everyone's triggers can be unique.

When asthma flares up, the airways tighten, leading to symptoms like wheezing, coughing, and shortness of breath. However, it varies in intensity and is often classified based on its severity:

  • Intermittent. Symptoms show up less than once a week as brief flare-ups.
  • Mild persistent. Symptoms happen more than once a week, but not daily.
  • Moderate persistent. Symptoms are daily with frequent nighttime flare-ups.
  • Severe persistent. Continuous daily symptoms bring on frequent severe flare-ups.

Asthma is not limited to a particular region or demographic. Millions worldwide are affected by this condition, with numbers steadily rising. This makes understanding and managing asthma crucial!

A Trip Down the Asthma Memory Lane

Anyone with asthma knows how scary an asthma attack can be. In fact, the story of our battle with it goes back centuries. Let's stroll through the annals of time and uncover the history of asthma.

  • Ancient recognitions. The journey begins in the ancient civilizations. Asthma's earliest references can be traced back to the Egyptians, around 3,500 years ago! They described symptoms of asthma and even had therapeutic incantations to treat it. The word “asthma” itself has Greek roots, derived from the term “asthma,” meaning “panting” or “sharp breath” — a fitting description for anyone who's experienced a flare-up.
  • Medieval marvels. Fast forward to the Middle Ages, and we find renowned physicians like Moses Maimonides writing dedicated treatises on asthma, highlighting its triggers and suggesting remedies. These ancient documents indicate that even then, environmental factors like smoke and strong odors were recognized as asthma aggravators.
  • The Renaissance and beyond. The Renaissance period saw advancements in the understanding of respiratory anatomy. Physicians like Bernardino Ramazzini began linking occupational exposures to substances such as dust with asthmatic symptoms. It's no surprise that this era's enlightened thinking paved the way for modern asthma theories!

Albuterol to the Rescue!

The late 19th and early 20th centuries were game-changers for asthma understanding and treatment. Scientists developed the first bronchodilators and, in the 1960s, the metered-dose albuterol inhaler — a godsend for asthmatics worldwide!

When asthma attacks occur — or even when we sense one might be on its way — albuterol can be our go-to. It provides quick relief by relaxing those tightened muscles around the airways.

This medication, most commonly taken via inhalation, is a bronchodilator belonging to a group of medicines known as "short-acting beta-agonists." Albuterol's main job is to relax the tightened muscles around the airways to allow for easier breathing. Imagine your airways like doorways — when asthma strikes, these doorways start to narrow down. Albuterol steps in, opening an extra set of doors to allow air to flow freely. Beyond asthma, albuterol can also be prescribed for other respiratory issues, such as chronic obstructive pulmonary disease (COPD).

Typically, the relief provided by albuterol can last between 4 to 6 hours. And like all medications, it can have side effects. While most people don't experience severe issues, some common ones include palpitations, headaches, and a bit of jitteriness. If any side effects feel extreme or persistent, it's a good idea to check in with a doctor.

When Alcohol Meets Albuterol

When we drink alcohol, it acts as a depressant on the central nervous system — it slows down our brain function and nerve activity. While this might sound relaxing, it can lead to impaired judgment, slower reflexes, and can sometimes affect breathing — a pretty important function, especially if asthma is already part of the picture.

Now, the moment of truth! Is mixing alcohol and albuterol a hard “no”? Not necessarily, since combining the two doesn't directly cause adverse reactions. But (there's always a "but," isn't there) alcohol can make asthma symptoms worse by causing inflammation and increasing histamine production, which may trigger asthma symptoms. So, while the albuterol isn’t directly clashing with the alcohol, our asthma might not be too happy with our drink choice.

A Bronchial Battle

First, let's establish a baseline: alcohol can make asthma symptoms worse by leading to inflammation and histamine production, both of which can be triggers for asthmatic symptoms. As a vasodilator, it causes blood vessels to expand — and since the expansion also happens in the lungs, airways narrow and breathing gets difficult.

If you've ever felt wheezy or congested after a drink, you've experienced this firsthand. Some asthmatics also report experiencing alcohol-induced asthma attacks, especially after drinking wine or beer.

When using albuterol, we’re trying to counteract those asthma symptoms. However, with alcohol exacerbating those symptoms, there’s a standoff happening: the bronchodilating effects of albuterol are offset, and we might find ourselves reaching for that inhaler more frequently. So while albuterol itself and alcohol don't have a known direct harmful interaction, the worsening of asthma symptoms due to alcohol might make it seem that way.

What About the Liver?

The liver is responsible for breaking down both alcohol and many medications, including albuterol. Consuming large amounts of alcohol can put extra strain on the liver, potentially affecting how it processes medications. With the liver's efficiency compromised, the body might not tolerate albuterol as much as before.

Of course, everyone's body is different. Some people might experience heightened asthma symptoms with even a small amount of alcohol, while others might not notice any significant changes. It's crucial to be observant and understand our body's specific reactions!

Alcohol Allergies and Intolerance

Now here’s a twist: the situation can get especially tricky if on top of having asthma we happen to be allergic to alcohol or have symptoms of alcohol intolerance.

If someone is allergic, it's often to ingredients found in alcoholic beverages like wheat, barley, rye, grapes, or chemicals. Symptoms can be dramatic and include hives, facial swelling, or even breathing difficulties. For an asthmatic, this can be double trouble! An allergic reaction can exacerbate asthma symptoms, making it harder to breathe and increasing the need for an albuterol rescue.

Unlike a full-blown allergy, alcohol intolerance is more widespread. It's the body's way of saying, "Hey, I can't break this down!" Symptoms can include a stuffy nose, skin flushing, stomach upset, and an increase in asthma symptoms. And what about that trusty albuterol inhaler? TIt might be working overtime to counteract these effects.

If you believe you have an intolerance or allergy, it's important to know which specific ingredients trigger your symptoms. For instance, sulfites in wine are a common irritant for some asthmatics. Being ingredient-savvy is key!

Considerations for Those Cutting Back on Alcohol

For those on the journey to quitting or reducing alcohol, there’s another piece of the puzzle to consider. Choosing to cut back on alcohol consumption is a commendable decision, especially for people managing conditions such as asthma: it could mean fewer flare-ups and better overall lung health. 

But this journey — while rewarding — can come with its set of challenges and considerations. Here's a deeper look at what one should keep in mind, especially when albuterol is a part of their daily regimen.

  • Listen to your body. Every individual's body reacts differently to changes in alcohol consumption. For those with asthma, it's even more critical to be attentive. Monitor your breathing, note any changes in symptoms, and always keep your albuterol close.
  • Reactions to medications. Alcohol can interact with more than just albuterol. If you're taking other medications to help reduce your alcohol intake, be doubly sure about potential interactions. Always consult with a healthcare professional when in doubt.

That said, reducing alcohol can have a myriad of health benefits beyond just respiratory health. From better sleep and improved digestion to a healthier liver and reduced risk of certain diseases, there's so much to gain

Action Steps For Asthmatics Navigating Alcohol

  • Educate yourself and others. The first step is understanding. Be aware of how alcohol affects your asthma. Everyone's different, so monitor your symptoms.
  • Also, share your journey of managing asthma with close friends and family. By letting them know about the potential effects of alcohol, they can be supportive allies. They might even join you in reducing alcohol intake!
  • Consult with your doctor. Always a good idea! Discuss your alcohol consumption and see what they recommend given your specific health history.
  • Schedule bi-annual appointments with your healthcare provider to discuss your asthma, albuterol usage, and alcohol consumption. This routine check will provide you with professional insights and adjustments tailored to your needs.
  • Limit alcohol intake. If you choose to drink, perhaps consider sipping on a non-alcoholic beverage most of the time. There are many delicious alcohol-free options out there these days!
  • The three-ingredient rule. Before consuming any alcoholic beverage, familiarize yourself with its top three ingredients. If one of these ingredients is known to exacerbate your asthma symptoms or if it's something you haven't consumed before, consider skipping it or having a very limited amount.
  • Track reactions. If you do consume alcohol, note any changes in your asthma symptoms. Begin a dedicated journal where you document each time you drink. Include details about the type of drink, the quantity, the time of day, and any subsequent asthma symptoms or increased inhaler usage. Over time, this journal can reveal patterns, making you more aware of what triggers an increase in symptoms.
  • Stay prepared. If you're out and about, always keep your albuterol inhaler close by. It's better to be safe.
  • Create a support system. Letting friends and family know about your goals can help. They can support you in your choices, ensuring environments are asthma-friendly.
  • Asthma support group. Join an asthma support group, either in-person or online. Connecting with others who face similar challenges can offer a treasure trove of tips, shared experiences, and moral support.
  • Celebrate the wins. Every time you make a choice that supports your health and well-being, give yourself a pat on the back! It's all about positive reinforcement.

A Search for Balance

Balancing life with asthma can feel like a juggling act at times, but being informed about the decisions you make — such as drinking alcohol while on medication — can make things a tad bit easier. Remember, the focus is on health and wellness. And as always, when in doubt, consulting with a healthcare professional is a smart move. 

In the end, this conversation is part of a larger narrative about our holistic well-being. Our exploration of alcohol's intersection with asthma and albuterol highlights the importance of being informed. In a society where drinking is often intertwined with social interactions, having this knowledge empowers us to make mindful choices and encourages us all to see health as a comprehensive, multi-faceted journey.

Alcohol and Medications
2023-08-30 9:00
Alcohol and Medications
Is It Safe To Mix Levothyroxine and Alcohol
This is some text inside of a div block.

Discover what happens when thyroid medication and beverages intertwine in our latest blog. Get the clarity you need for your wellness journey today!

18 min read

Take Care of Your Thyroid and Change Your Relationship With 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  →

Tucked at the base of the neck, the little butterfly-shaped gland known as the thyroid plays a pivotal role in determining how we feel, think, and even how we look. But it can also cause a whole lot of trouble when it doesn’t function well. 

Often shadowed by its hyperactive cousin, hyperthyroidism, hypothyroidism happens when our thyroid gland doesn't produce enough thyroid hormones. It's like a car running on low fuel. In recent decades, a medication known as levothyroxine has worked wonders to bring relief for this serious condition.

But what about mixing levothyroxine (also known as synthroid) and alcohol? Can you drink alcohol while taking thyroid medication, and can you drink on levothyroxine in particular? If you’re taking this effective medication, you may also be wondering, “How long after taking levothyroxine can I drink alcohol?”

By asking these questions, you’re taking a smart step to ensure your well-being. Let’s dig deeper to find out more about this potentially problematic combo.

Thyroid 101

The thyroid produces two primary hormones: thyroxine (T4) and triiodothyronine (T3). These essential hormones help regulate the pace at which our body uses energy (otherwise known as our metabolism). They also have a say in essential functions like heart rate, digestion, muscle function, and brain development.

a person holding a glass of alcohol and medicines on a table

There's another player in this game — the pituitary gland. Located in the brain, the pituitary gland keeps a close watch on the body's need for the thyroid hormones. When levels dip too low, the pituitary releases Thyroid Stimulating Hormone (TSH) to give the thyroid a nudge to produce more.

A well-functioning thyroid ensures our body's systems are running smoothly. For instance, it helps regulate body temperature. Ever wondered why you feel unusually cold or warm sometimes? The thyroid might be a factor! Moreover, the thyroid influences weight management. With an appropriate hormone balance, the body can efficiently burn calories, even while resting.

Finally, no discussion of the thyroid is complete without mentioning iodine, a mineral vital for thyroid hormone production. That's why iodine is often added to table salt — it's a way to ensure we get our daily dose!

Thyroid Trouble

Just like in any complex system, things can occasionally go awry in the thyroid. When it goes into overdrive and produces too many hormones, the result is hyperthyroidism, a condition that can make us feel jittery, anxious, or overly warm. 

On the other hand, if it doesn't produce enough, we can end up with hypothyroidism, which might lead to any number of these common symptoms:

  • Fatigue and tiredness
  • Unintended weight gain
  • Dry, coarse skin and hair
  • Increased sensitivity to cold
  • Constipation
  • Depression and mood swings
  • Muscle weakness and aches

While triggers of can vary, there are a few known culprits behind hypothyroidism:

  • Autoimmune disease. Hashimoto's thyroiditis is the most common cause. Here, the immune system mistakenly targets and damages the thyroid gland.
  • Medical treatments. Radiation therapy or surgeries related to the thyroid can sometimes lead to hypothyroidism.
  • Medications. Some medications can impact the thyroid's hormone production. It's essential to stay informed and have regular check-ups if you're on long-term meds.

Diagnosis usually involves blood tests to measure hormone levels. Once confirmed, treatment typically involves daily intake of a synthetic thyroid hormone like levothyroxine (more on that below!). The goal is to restore hormone levels so the body's engine can run at just the right pace.

What's the Scoop on Levothyroxine?

These days, levothyroxine is the most commonly prescribed medication for hypothyroidism. This man-made version of the thyroxine hormone T4 was created to mimic its natural counterpart. Levothyroxine comes to the rescue by replenishing the missing hormone and helping to restore a balance.

The dosage of levothyroxine can be a bit of a Goldilocks situation — it has to be just right. Too little, and the body's hormone levels remain out of whack. Too much, and we might experience symptoms of hyperthyroidism, which include rapid heartbeat, excessive sweating, and nervousness.

For those on levothyroxine, regular check-ups and blood tests are essential to ensure that the medication is doing its job, and adjustments can be made as required. Life changes, such as weight loss, pregnancy, or even aging, can impact how much of this medication we might need.

Levothyroxine and Alcohol

Now the main question: what happens when alcohol is in the picture? Science shows that alcohol can slow down the metabolism and interfere with various physiological processes. It can also mess with our sleep, moods, and overall energy levels — not what we're looking for when trying to lead a vibrant, healthy life!

When we’re taking levothyroxine to maintain our thyroid levels, things get even messier. Combining alcohol and levothyroxine can certainly throw a few curveballs our way. Let's take a deeper look into this duo.

The Battle for Absorption

Our gut plays a starring role in absorbing medicines, and levothyroxine is no exception. Alcohol is a scene-stealer when it comes to digestion, disrupting the whole process. Specifically, alcohol can alter the lining of our stomach and intestines. As a result, the gut doesn’t soak up levothyroxine as efficiently as it would under normal circumstances. This means we might not be getting the full benefits of the medication, even if we’re taking it as directed.

It's not just about the immediate aftermath of that drink. Alcohol's effects on the gut can linger, with some studies suggesting changes in gut lining and function for hours or even days after consumption. This could potentially mean inconsistent absorption of levothyroxine over time if we drink frequently.

You might think, "Well, if I take my medication in the morning and drink in the evening, I should be fine, right?" Not so fast! Given the lasting impacts of alcohol on gut function, even this gap might not guarantee optimal absorption.

In the end, if levothyroxine isn’t being absorbed as it should be, we might not be getting its full benefits. Inconsistent or reduced absorption can mean fluctuating hormone levels, leading to potential symptoms or health challenges.

Liver Troubles

Our liver plays a role in converting T4 (as well as its synthetic twin, levothyroxine) into T3 — the active hormone form that our body uses. Excessive alcohol strains the liver and possibly reduces this conversion, making the medicine less effective. This could mean your body might not get as much active thyroid hormone as it needs, even if there's ample levothyroxine going in.

Moreover, consuming alcohol, especially in significant amounts, adds an additional workload on the liver. The liver prioritizes alcohol metabolism over other processes. As a result, the conversion of T4 to T3 might take a backseat, leading to potential imbalances in active thyroid hormone levels.

Regular alcohol consumption can also lead to liver conditions like fatty liver, hepatitis, and even cirrhosis. These conditions can further impair the liver's ability to manage and convert thyroid hormones, which can complicate hypothyroidism management.

Impaired conversion isn't the only concern. A stressed liver can lead to other health challenges, including altered cholesterol metabolism and impaired detoxification pathways. This can have cascading effects on overall health, especially for someone already managing a condition like hypothyroidism.

To sum it up, our liver is a hardworking organ that doesn't need additional stressors. Mixing levothyroxine and alcohol can throw a wrench in its smooth operations and cause health challenges. Recognizing the significance of this relationship can guide informed decisions, ensuring that both the liver and thyroid health remain in harmony!

Added Curveballs

There are also a few indirect ways in which alcohol can throw a wrench in the levothyroxine treatment plan.

  • Masking symptoms. Symptoms of hypothyroidism can be sneakily similar to some effects of alcohol. We're talking fatigue, mood fluctuations, and even weight changes. If you're consuming alcohol while on levothyroxine, it might become challenging to discern whether a new or intensified symptom is due to the medication, the alcohol, or the condition itself.
  • The potential for counteraction. Alcohol, especially in excessive amounts, can sometimes exacerbate symptoms of hypothyroidism. For instance, both alcohol and hypothyroidism can lead to heightened cholesterol levels. Combining them could amplify this risk, moving you further from your health goals.
  • Consistency troubles. One of the essential aspects of levothyroxine treatment is ensuring that hormone levels remain consistent and stable. Mixing in alcohol can introduce a variable that throws off this stability, leading to periods where hormone levels fluctuate more than desired.

The Verdict

While an occasional drink might not spell disaster for everyone on levothyroxine, regularly mixing the two can pose potential risks. Remember, everyone's body reacts differently, so it's essential to know how yours responds.

As for the question, “How long after taking levothyroxine can I drink alcohol?”, it's generally recommended to wait a few hours to make sure that the levothyroxine is properly absorbed without any interference.

Action Steps for Those Cutting Back on Alcohol

  • Educate yourself. Understand the interactions between any medications you're taking and alcohol. Being informed is half the battle won!
  • Set clear boundaries. If you decide to have a drink, set a limit and stick to it. Maybe it's one drink per week or even one per month.
  • Alcohol-free days. Dedicate specific days of the week where you consciously choose not to consume any alcohol. Over time, you can increase these days and live a healthier lifestyle.
  • Seek alternatives. There's a world of delicious non-alcoholic beverages out there! Explore mocktails, herbal teas, and infused waters to satisfy your thirst.
  • Surround yourself with support. Connect with friends or groups who have similar goals. Having a support system can make the journey smoother.
  • Journal the journey. Document how you feel on days you don't drink versus days you do. Seeing the differences in energy, mood, and overall well-being can be a significant motivator!
  • Consult a professional. If in doubt, always consult a medical professional about how your medication interacts with alcohol and the best course of action for you.

As for keeping your thyroid in top shape, try these tips:

  • Check your iodine intake. Iodine is crucial for thyroid hormone production. Instead of relying solely on iodized table salt, incorporate natural iodine-rich foods into your diet like seaweed, fish, dairy, and eggs. But don’t go overboard — too much iodine can also be problematic for the thyroid.
  • Limit (but don’t eliminate!) goitrogen-rich foods. Foods like broccoli, cauliflower, and kale contain goitrogens which can interfere with thyroid function if consumed in massive amounts, especially when raw. The key is moderation and variety. Cooking these vegetables also reduces their goitrogen content.
  • Prioritize sleep. Adequate rest ensures your body and thyroid have time to recover and function effectively. Aim for 7-9 hours of quality sleep per night. If you struggle with sleep, consider creating a calming bedtime routine or adjusting your sleep environment.
  • Manage stress with mindfulness practices. Chronic stress can disrupt thyroid balance. Integrate daily mindfulness practices, like meditation or deep breathing exercises, to manage stress levels. Even 10 minutes daily can make a difference!
  • Regular thyroid check-ups. Schedule annual appointments to monitor your thyroid hormone levels. Regular check-ups can help detect any potential issues early, ensuring timely interventions.
  • Explore selenium and zinc. These minerals support thyroid health. You can find selenium in Brazil nuts, sunflower seeds, and fish, while zinc is abundant in beef, chicken, nuts, and legumes. 
  • Stay informed about environmental toxins. Some chemicals, like perchlorates found in some cleaning products, can affect thyroid health. Be proactive by researching the products you use at home and opt for eco-friendly, non-toxic alternatives whenever possible.

Wrapping Up

To sum it up, your well-being is paramount. While it might be tempting to mix levothyroxine and alcohol, understanding the science behind it helps you make more informed decisions. Remember, taking it one step at a time can lead to a healthier, more radiant you!

Tucked at the base of the neck, the little butterfly-shaped gland known as the thyroid plays a pivotal role in determining how we feel, think, and even how we look. But it can also cause a whole lot of trouble when it doesn’t function well. 

Often shadowed by its hyperactive cousin, hyperthyroidism, hypothyroidism happens when our thyroid gland doesn't produce enough thyroid hormones. It's like a car running on low fuel. In recent decades, a medication known as levothyroxine has worked wonders to bring relief for this serious condition.

But what about mixing levothyroxine (also known as synthroid) and alcohol? Can you drink alcohol while taking thyroid medication, and can you drink on levothyroxine in particular? If you’re taking this effective medication, you may also be wondering, “How long after taking levothyroxine can I drink alcohol?”

By asking these questions, you’re taking a smart step to ensure your well-being. Let’s dig deeper to find out more about this potentially problematic combo.

Thyroid 101

The thyroid produces two primary hormones: thyroxine (T4) and triiodothyronine (T3). These essential hormones help regulate the pace at which our body uses energy (otherwise known as our metabolism). They also have a say in essential functions like heart rate, digestion, muscle function, and brain development.

a person holding a glass of alcohol and medicines on a table

There's another player in this game — the pituitary gland. Located in the brain, the pituitary gland keeps a close watch on the body's need for the thyroid hormones. When levels dip too low, the pituitary releases Thyroid Stimulating Hormone (TSH) to give the thyroid a nudge to produce more.

A well-functioning thyroid ensures our body's systems are running smoothly. For instance, it helps regulate body temperature. Ever wondered why you feel unusually cold or warm sometimes? The thyroid might be a factor! Moreover, the thyroid influences weight management. With an appropriate hormone balance, the body can efficiently burn calories, even while resting.

Finally, no discussion of the thyroid is complete without mentioning iodine, a mineral vital for thyroid hormone production. That's why iodine is often added to table salt — it's a way to ensure we get our daily dose!

Thyroid Trouble

Just like in any complex system, things can occasionally go awry in the thyroid. When it goes into overdrive and produces too many hormones, the result is hyperthyroidism, a condition that can make us feel jittery, anxious, or overly warm. 

On the other hand, if it doesn't produce enough, we can end up with hypothyroidism, which might lead to any number of these common symptoms:

  • Fatigue and tiredness
  • Unintended weight gain
  • Dry, coarse skin and hair
  • Increased sensitivity to cold
  • Constipation
  • Depression and mood swings
  • Muscle weakness and aches

While triggers of can vary, there are a few known culprits behind hypothyroidism:

  • Autoimmune disease. Hashimoto's thyroiditis is the most common cause. Here, the immune system mistakenly targets and damages the thyroid gland.
  • Medical treatments. Radiation therapy or surgeries related to the thyroid can sometimes lead to hypothyroidism.
  • Medications. Some medications can impact the thyroid's hormone production. It's essential to stay informed and have regular check-ups if you're on long-term meds.

Diagnosis usually involves blood tests to measure hormone levels. Once confirmed, treatment typically involves daily intake of a synthetic thyroid hormone like levothyroxine (more on that below!). The goal is to restore hormone levels so the body's engine can run at just the right pace.

What's the Scoop on Levothyroxine?

These days, levothyroxine is the most commonly prescribed medication for hypothyroidism. This man-made version of the thyroxine hormone T4 was created to mimic its natural counterpart. Levothyroxine comes to the rescue by replenishing the missing hormone and helping to restore a balance.

The dosage of levothyroxine can be a bit of a Goldilocks situation — it has to be just right. Too little, and the body's hormone levels remain out of whack. Too much, and we might experience symptoms of hyperthyroidism, which include rapid heartbeat, excessive sweating, and nervousness.

For those on levothyroxine, regular check-ups and blood tests are essential to ensure that the medication is doing its job, and adjustments can be made as required. Life changes, such as weight loss, pregnancy, or even aging, can impact how much of this medication we might need.

Levothyroxine and Alcohol

Now the main question: what happens when alcohol is in the picture? Science shows that alcohol can slow down the metabolism and interfere with various physiological processes. It can also mess with our sleep, moods, and overall energy levels — not what we're looking for when trying to lead a vibrant, healthy life!

When we’re taking levothyroxine to maintain our thyroid levels, things get even messier. Combining alcohol and levothyroxine can certainly throw a few curveballs our way. Let's take a deeper look into this duo.

The Battle for Absorption

Our gut plays a starring role in absorbing medicines, and levothyroxine is no exception. Alcohol is a scene-stealer when it comes to digestion, disrupting the whole process. Specifically, alcohol can alter the lining of our stomach and intestines. As a result, the gut doesn’t soak up levothyroxine as efficiently as it would under normal circumstances. This means we might not be getting the full benefits of the medication, even if we’re taking it as directed.

It's not just about the immediate aftermath of that drink. Alcohol's effects on the gut can linger, with some studies suggesting changes in gut lining and function for hours or even days after consumption. This could potentially mean inconsistent absorption of levothyroxine over time if we drink frequently.

You might think, "Well, if I take my medication in the morning and drink in the evening, I should be fine, right?" Not so fast! Given the lasting impacts of alcohol on gut function, even this gap might not guarantee optimal absorption.

In the end, if levothyroxine isn’t being absorbed as it should be, we might not be getting its full benefits. Inconsistent or reduced absorption can mean fluctuating hormone levels, leading to potential symptoms or health challenges.

Liver Troubles

Our liver plays a role in converting T4 (as well as its synthetic twin, levothyroxine) into T3 — the active hormone form that our body uses. Excessive alcohol strains the liver and possibly reduces this conversion, making the medicine less effective. This could mean your body might not get as much active thyroid hormone as it needs, even if there's ample levothyroxine going in.

Moreover, consuming alcohol, especially in significant amounts, adds an additional workload on the liver. The liver prioritizes alcohol metabolism over other processes. As a result, the conversion of T4 to T3 might take a backseat, leading to potential imbalances in active thyroid hormone levels.

Regular alcohol consumption can also lead to liver conditions like fatty liver, hepatitis, and even cirrhosis. These conditions can further impair the liver's ability to manage and convert thyroid hormones, which can complicate hypothyroidism management.

Impaired conversion isn't the only concern. A stressed liver can lead to other health challenges, including altered cholesterol metabolism and impaired detoxification pathways. This can have cascading effects on overall health, especially for someone already managing a condition like hypothyroidism.

To sum it up, our liver is a hardworking organ that doesn't need additional stressors. Mixing levothyroxine and alcohol can throw a wrench in its smooth operations and cause health challenges. Recognizing the significance of this relationship can guide informed decisions, ensuring that both the liver and thyroid health remain in harmony!

Added Curveballs

There are also a few indirect ways in which alcohol can throw a wrench in the levothyroxine treatment plan.

  • Masking symptoms. Symptoms of hypothyroidism can be sneakily similar to some effects of alcohol. We're talking fatigue, mood fluctuations, and even weight changes. If you're consuming alcohol while on levothyroxine, it might become challenging to discern whether a new or intensified symptom is due to the medication, the alcohol, or the condition itself.
  • The potential for counteraction. Alcohol, especially in excessive amounts, can sometimes exacerbate symptoms of hypothyroidism. For instance, both alcohol and hypothyroidism can lead to heightened cholesterol levels. Combining them could amplify this risk, moving you further from your health goals.
  • Consistency troubles. One of the essential aspects of levothyroxine treatment is ensuring that hormone levels remain consistent and stable. Mixing in alcohol can introduce a variable that throws off this stability, leading to periods where hormone levels fluctuate more than desired.

The Verdict

While an occasional drink might not spell disaster for everyone on levothyroxine, regularly mixing the two can pose potential risks. Remember, everyone's body reacts differently, so it's essential to know how yours responds.

As for the question, “How long after taking levothyroxine can I drink alcohol?”, it's generally recommended to wait a few hours to make sure that the levothyroxine is properly absorbed without any interference.

Action Steps for Those Cutting Back on Alcohol

  • Educate yourself. Understand the interactions between any medications you're taking and alcohol. Being informed is half the battle won!
  • Set clear boundaries. If you decide to have a drink, set a limit and stick to it. Maybe it's one drink per week or even one per month.
  • Alcohol-free days. Dedicate specific days of the week where you consciously choose not to consume any alcohol. Over time, you can increase these days and live a healthier lifestyle.
  • Seek alternatives. There's a world of delicious non-alcoholic beverages out there! Explore mocktails, herbal teas, and infused waters to satisfy your thirst.
  • Surround yourself with support. Connect with friends or groups who have similar goals. Having a support system can make the journey smoother.
  • Journal the journey. Document how you feel on days you don't drink versus days you do. Seeing the differences in energy, mood, and overall well-being can be a significant motivator!
  • Consult a professional. If in doubt, always consult a medical professional about how your medication interacts with alcohol and the best course of action for you.

As for keeping your thyroid in top shape, try these tips:

  • Check your iodine intake. Iodine is crucial for thyroid hormone production. Instead of relying solely on iodized table salt, incorporate natural iodine-rich foods into your diet like seaweed, fish, dairy, and eggs. But don’t go overboard — too much iodine can also be problematic for the thyroid.
  • Limit (but don’t eliminate!) goitrogen-rich foods. Foods like broccoli, cauliflower, and kale contain goitrogens which can interfere with thyroid function if consumed in massive amounts, especially when raw. The key is moderation and variety. Cooking these vegetables also reduces their goitrogen content.
  • Prioritize sleep. Adequate rest ensures your body and thyroid have time to recover and function effectively. Aim for 7-9 hours of quality sleep per night. If you struggle with sleep, consider creating a calming bedtime routine or adjusting your sleep environment.
  • Manage stress with mindfulness practices. Chronic stress can disrupt thyroid balance. Integrate daily mindfulness practices, like meditation or deep breathing exercises, to manage stress levels. Even 10 minutes daily can make a difference!
  • Regular thyroid check-ups. Schedule annual appointments to monitor your thyroid hormone levels. Regular check-ups can help detect any potential issues early, ensuring timely interventions.
  • Explore selenium and zinc. These minerals support thyroid health. You can find selenium in Brazil nuts, sunflower seeds, and fish, while zinc is abundant in beef, chicken, nuts, and legumes. 
  • Stay informed about environmental toxins. Some chemicals, like perchlorates found in some cleaning products, can affect thyroid health. Be proactive by researching the products you use at home and opt for eco-friendly, non-toxic alternatives whenever possible.

Wrapping Up

To sum it up, your well-being is paramount. While it might be tempting to mix levothyroxine and alcohol, understanding the science behind it helps you make more informed decisions. Remember, taking it one step at a time can lead to a healthier, more radiant you!

Alcohol and Medications
2023-08-30 9:00
Alcohol and Medications
Is It Safe To Mix Ozempic and Alcohol?
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It’s being called the “miracle drug.” Gain insight into what Ozempic is, how it works, and the potential consequences of mixing it with alcohol.

16 min read

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It’s all over social media, and is being praised by celebrities, tech moguls, and TikTok influencers alike — Ozepmic, the “miracle” drug for weight loss. While Ozempic is not actually approved for weight loss, some people are finding that it helps them lose weight, and lose it fast. 

Ozempic was designed to help lower the blood sugar levels in adults with Type 2 diabetes. If you’re taking it, you may be wondering if it’s safe to consume alcohol. The short answer? It depends. 

In this post, we’ll explore what Ozempic is, how it works, and the potential consequences of mixing it with alcohol. We’ll also look at what to avoid and what to do while taking Ozempic. Let’s get started!

What Is Ozempic?

Ozempic is a once-weekly injectable medication used to help control blood sugar levels in adults with Type 2 diabetes. It can also help lower the risk of heart attack and stroke in people with Type 2 diabetes and heart disease. 

Ozempic belongs to a class of medications called GLP-1 agonists. These work by mimicking a gut hormone called GLP-1 to lower blood glucose levels after we’ve eaten a meal. They also block our liver from making glucose and help us feel full for a longer period of time. 

GP-1 is also thought to directly affect the appetite control area of our brain and certain hunger hormones. As a result, Ozempic helps curb our appetite and makes us feel full so we consume fewer calories, which can result in weight loss. This is why it’s gaining so much attention lately. 

The medication is available as a pre-filled pen injector that’s used once weekly. This is another reason for its popularity: Ozempic works in our body longer than other medications that need to be injected once or twice a day. 

Can We Drink Alcohol While Taking Ozempic?

So is it safe to drink alcohol while taking Ozempic? Well, it depends. There’s no direct interaction between alcohol and Ozempic. However, alcohol might indirectly counteract some of Ozempic’s potential benefits for our body and heart; it also might worsen some of Ozempic’s side effects. 

While the occasional drink or two with Ozempic may not be harmful, how much and how often we drink might cause issues. Interestingly, we might not even have the same desire to drink alcohol while taking Ozempic. In fact, many people report that Ozempic makes alcohol less appealing. Why? It all comes down to how Ozempic affects our brain. 

That gut hormone we talked about, GLP-1? It targets several different organs —  including our pancreas, gut, and liver — as well as areas in our brain involved in regulating our metabolism and appetite. 

When we drink alcohol, our brain’s reward system is activated, releasing that “feel good” chemical, dopamine. GLP-1 targets are also found in the reward-related areas of our brain, which may block or reduce this dopamine boost. This might explain why some people taking Ozempic don’t get the same “feel good” feeling they used to get from drinking alcohol. 

Interestingly, animal studies indicate that medications similar to Ozempic may reduce other drug use, such as cocaine, nicotine, and amphetamine. Research is currently underway to determine if Ozempic can be used to treat people with alcohol use disorder.

Alcohol May Worsen Ozempic’s Side Effects

Like most drugs, Ozempic may cause mild or serious side effects. Especially when we first start taking it or have a dosage increase, we may experience digestion-related side effects, such as nausea, vomiting, diarrhea, stomach pain, and constipation. 

With these side effects, we probably wouldn’t feel like indulging in alcohol in the first place. But if we do, alcohol will likely exacerbate them. This is because alcohol can irritate our stomach lining as it makes its way through our digestive tract, causing it to become inflamed. 

Alcohol can also slow our digestive system, which may cause nausea, vomiting, and an upset stomach. If we’re already experiencing these symptoms from Ozempic, it’s like a double whammy. While Ozempic’s side effects typically improve over time, it’s best to consult our doctor to discuss whether an occasional drink is ok while taking the drug. 

Alcohol May Increase Risk of Low Blood Sugar

Drinking alcohol with Type 2 diabetes puts us at a greater risk of hypoglycemia — dangerously low blood glucose levels. This is because alcohol interferes with our liver’s ability to balance our blood glucose levels. 

Alcohol is a toxin, so our liver goes into overdrive as soon as we start drinking to process it out of our system. This prevents the liver from doing its other jobs as effectively, including regulating the amount of glucose in our blood. This is why our blood sugar levels can drop while drinking, even when we eat foods that are high in sugar or carbohydrates. This is especially dangerous in people with diabetes who already have trouble regulating their blood sugar levels. 

While the occasional drink may be safe, the more alcohol we consume, the greater our risk of hypoglycemia — especially since our liver can only process one standard drink per hour (one pint of beer, one glass of wine, one cocktail). 

We should consult our healthcare provider to determine how much, if any, alcohol we can safely consume while taking Ozempic. If we do choose to drink, it’s important to keep tabs on our blood glucose levels before, during, and after drinking to help identify and manage hypoglycemia quickly. Left untreated, hypoglycemia can be life-threatening and result in loss of consciousness or seizures. 

Alcohol and Ozempic Put Us at Risk of Pancreatitis and Kidney Damage

While rare, some people taking Ozempic have reported developing pancreatitis, which is inflammation of the pancreas. Long-term heavy alcohol use has also been linked to pancreatitis, so combining the two could be dangerous. 

Similarly, there may be a risk of kidney damage in some people who take Ozempic. However, the risk is higher if we become dehydrated from fluid loss due to side effects such as nausea, vomiting, or diarrhea. Chronic or heavy consumption of alcohol can damage our kidneys and increase our risk of kidney disease. There’s also an increased risk of becoming dehydrated while drinking, since alcohol is a diuretic and can make us urinate more frequently. 

While a glass of wine here or there might not be cause for worry, long-term or heavy alcohol use while taking Ozempic could put us at a higher risk for developing these two serious conditions. 

Alcohol Can Counteract Some of Ozempic’s Benefits

Part of the challenge of living with Type 2 diabetes is controlling our weight. While Ozempic isn’t approved for weight loss, many people taking it for Type 2 diabetes lose weight as a side effect. Alcohol has the opposite effect: it can cause weight gain by adding “empty” calories and slowing down our metabolism. So drinking alcohol while taking Ozempic may make it harder to lose weight. 

Furthermore, Ozempic can help lower the risk of a heart attack and stroke in people with Type 2 diabetes and heart disease. However, alcohol can negatively affect our heart health, increasing our risk of high blood pressure, heart failure, and stroke — especially if we consume alcohol regularly. In other words, we may not get the full heart-related benefits from Ozempic if we’re drinking alcohol daily. 

What Should We Avoid While Taking Ozempic?

In addition to being mindful of our alcohol intake, certain foods may worsen Ozempic’s side effects, while others may counteract Ozempic’s ability to lower our blood glucose. We should limit our intake of spicy foods, greasy, fried foods, sugary foods and drinks, high-sodium foods, and refined carbohydrates while taking Ozempic. These can upset our stomach, contribute to weight gain, or both.

It’s also good to be aware that taking Ozempic with other diabetes medications (including insulin, sulfonylureas, and meglitinides) can increase the risk of hypoglycemia. It’s important to review every medication or drug you are taking with your healthcare provider so they can flag any potential harmful interactions. In general, alcohol and diabetes medications can be a dangerous combination.

What Should We Do While Taking Ozempic?

While taking Ozempic, it’s important to make certain lifestyle changes to help us get the most benefits and keep us healthy. Here are two of the most important: 

  1. Eat a balanced diet: Eating a balanced diet can help us manage our Type 2 diabetes by keeping our blood sugar levels in check and losing any excess weight. Enjoy these good foods:
    • Protein: Fish, poultry, beans and legumes, eggs, Greek yogurt, cottage cheese, lean cuts of beef and pork, and tofu
    • Non-starchy vegetables: Kale, spinach, arugula, onions, peppers, broccoli, brussels sprouts, carrots, cauliflower, asparagus, and tomatoes
    • Whole fruit: Apples, oranges, pears, grapes, pineapple, watermelon, strawberries, blueberries, raspberries, and blackberries
    • Whole grains: Quinoa, whole grain pasta, oats, whole wheat bread, whole grain rice, and barley
    • Beans and legumes: Black beans, chickpeas, navy beans, dried peas, edamame, pinto beans, and lentils
    • Nuts and seeds: Almonds, cashews, Brazil nuts, pecans, walnuts, pistachios, pine nuts, macadamia nuts, and hazelnuts
  2. Exercise regularly: Physical activity helps us achieve or maintain a healthy weight, maintain good heart health, and manage blood sugar levels. Any type of exercise is beneficial, whether it’s walking, swimming, biking, or running. Try an exercise program or group class, such as pilates, pure barre, rowing, or HIIT. We should aim to get 150 minutes a week of physical activity; this works out to 30 minutes of exercise 5 days a week, which can be broken down into smaller segments throughout each day.
  3. Hydrate, hydrate, hydrate: Ozempic’s potential side effects can cause us to become dehydrated more easily. We should aim to consume at least six 8-ounce glasses of water a day — more if Ozempic is causing vomiting or diarrhea. It can help to add electrolytes (such as Pedialyte, Propel, or Emergen-C) to our water to replenish important minerals our body needs. Remember to drink plenty of water before, during, and after a workout.

    The Bottom Line

    Ozempic helps control blood sugar levels in adults with Type 2 diabetes, and it can lower the risk of heart attack and stroke in people with Type 2 diabetes and heart disease. While an occasional alcoholic beverage while taking Ozempic may not be harmful, heavy or long-term alcohol consumption may exacerbate side effects and increase the risk of hyperglycemia, pancreatitis, and kidney damage. Alcohol can also counteract some of Ozempic’s benefits by causing weight gain and increasing our risk of a heart attack and stroke. It’s best to consult our healthcare provider to determine how much alcohol — if any — is safe for us to consume while taking the drug. 

    If you want to give your health a boost, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people cut back on their alcohol consumption and develop healthier lifestyle habits.

    It’s all over social media, and is being praised by celebrities, tech moguls, and TikTok influencers alike — Ozepmic, the “miracle” drug for weight loss. While Ozempic is not actually approved for weight loss, some people are finding that it helps them lose weight, and lose it fast. 

    Ozempic was designed to help lower the blood sugar levels in adults with Type 2 diabetes. If you’re taking it, you may be wondering if it’s safe to consume alcohol. The short answer? It depends. 

    In this post, we’ll explore what Ozempic is, how it works, and the potential consequences of mixing it with alcohol. We’ll also look at what to avoid and what to do while taking Ozempic. Let’s get started!

    What Is Ozempic?

    Ozempic is a once-weekly injectable medication used to help control blood sugar levels in adults with Type 2 diabetes. It can also help lower the risk of heart attack and stroke in people with Type 2 diabetes and heart disease. 

    Ozempic belongs to a class of medications called GLP-1 agonists. These work by mimicking a gut hormone called GLP-1 to lower blood glucose levels after we’ve eaten a meal. They also block our liver from making glucose and help us feel full for a longer period of time. 

    GP-1 is also thought to directly affect the appetite control area of our brain and certain hunger hormones. As a result, Ozempic helps curb our appetite and makes us feel full so we consume fewer calories, which can result in weight loss. This is why it’s gaining so much attention lately. 

    The medication is available as a pre-filled pen injector that’s used once weekly. This is another reason for its popularity: Ozempic works in our body longer than other medications that need to be injected once or twice a day. 

    Can We Drink Alcohol While Taking Ozempic?

    So is it safe to drink alcohol while taking Ozempic? Well, it depends. There’s no direct interaction between alcohol and Ozempic. However, alcohol might indirectly counteract some of Ozempic’s potential benefits for our body and heart; it also might worsen some of Ozempic’s side effects. 

    While the occasional drink or two with Ozempic may not be harmful, how much and how often we drink might cause issues. Interestingly, we might not even have the same desire to drink alcohol while taking Ozempic. In fact, many people report that Ozempic makes alcohol less appealing. Why? It all comes down to how Ozempic affects our brain. 

    That gut hormone we talked about, GLP-1? It targets several different organs —  including our pancreas, gut, and liver — as well as areas in our brain involved in regulating our metabolism and appetite. 

    When we drink alcohol, our brain’s reward system is activated, releasing that “feel good” chemical, dopamine. GLP-1 targets are also found in the reward-related areas of our brain, which may block or reduce this dopamine boost. This might explain why some people taking Ozempic don’t get the same “feel good” feeling they used to get from drinking alcohol. 

    Interestingly, animal studies indicate that medications similar to Ozempic may reduce other drug use, such as cocaine, nicotine, and amphetamine. Research is currently underway to determine if Ozempic can be used to treat people with alcohol use disorder.

    Alcohol May Worsen Ozempic’s Side Effects

    Like most drugs, Ozempic may cause mild or serious side effects. Especially when we first start taking it or have a dosage increase, we may experience digestion-related side effects, such as nausea, vomiting, diarrhea, stomach pain, and constipation. 

    With these side effects, we probably wouldn’t feel like indulging in alcohol in the first place. But if we do, alcohol will likely exacerbate them. This is because alcohol can irritate our stomach lining as it makes its way through our digestive tract, causing it to become inflamed. 

    Alcohol can also slow our digestive system, which may cause nausea, vomiting, and an upset stomach. If we’re already experiencing these symptoms from Ozempic, it’s like a double whammy. While Ozempic’s side effects typically improve over time, it’s best to consult our doctor to discuss whether an occasional drink is ok while taking the drug. 

    Alcohol May Increase Risk of Low Blood Sugar

    Drinking alcohol with Type 2 diabetes puts us at a greater risk of hypoglycemia — dangerously low blood glucose levels. This is because alcohol interferes with our liver’s ability to balance our blood glucose levels. 

    Alcohol is a toxin, so our liver goes into overdrive as soon as we start drinking to process it out of our system. This prevents the liver from doing its other jobs as effectively, including regulating the amount of glucose in our blood. This is why our blood sugar levels can drop while drinking, even when we eat foods that are high in sugar or carbohydrates. This is especially dangerous in people with diabetes who already have trouble regulating their blood sugar levels. 

    While the occasional drink may be safe, the more alcohol we consume, the greater our risk of hypoglycemia — especially since our liver can only process one standard drink per hour (one pint of beer, one glass of wine, one cocktail). 

    We should consult our healthcare provider to determine how much, if any, alcohol we can safely consume while taking Ozempic. If we do choose to drink, it’s important to keep tabs on our blood glucose levels before, during, and after drinking to help identify and manage hypoglycemia quickly. Left untreated, hypoglycemia can be life-threatening and result in loss of consciousness or seizures. 

    Alcohol and Ozempic Put Us at Risk of Pancreatitis and Kidney Damage

    While rare, some people taking Ozempic have reported developing pancreatitis, which is inflammation of the pancreas. Long-term heavy alcohol use has also been linked to pancreatitis, so combining the two could be dangerous. 

    Similarly, there may be a risk of kidney damage in some people who take Ozempic. However, the risk is higher if we become dehydrated from fluid loss due to side effects such as nausea, vomiting, or diarrhea. Chronic or heavy consumption of alcohol can damage our kidneys and increase our risk of kidney disease. There’s also an increased risk of becoming dehydrated while drinking, since alcohol is a diuretic and can make us urinate more frequently. 

    While a glass of wine here or there might not be cause for worry, long-term or heavy alcohol use while taking Ozempic could put us at a higher risk for developing these two serious conditions. 

    Alcohol Can Counteract Some of Ozempic’s Benefits

    Part of the challenge of living with Type 2 diabetes is controlling our weight. While Ozempic isn’t approved for weight loss, many people taking it for Type 2 diabetes lose weight as a side effect. Alcohol has the opposite effect: it can cause weight gain by adding “empty” calories and slowing down our metabolism. So drinking alcohol while taking Ozempic may make it harder to lose weight. 

    Furthermore, Ozempic can help lower the risk of a heart attack and stroke in people with Type 2 diabetes and heart disease. However, alcohol can negatively affect our heart health, increasing our risk of high blood pressure, heart failure, and stroke — especially if we consume alcohol regularly. In other words, we may not get the full heart-related benefits from Ozempic if we’re drinking alcohol daily. 

    What Should We Avoid While Taking Ozempic?

    In addition to being mindful of our alcohol intake, certain foods may worsen Ozempic’s side effects, while others may counteract Ozempic’s ability to lower our blood glucose. We should limit our intake of spicy foods, greasy, fried foods, sugary foods and drinks, high-sodium foods, and refined carbohydrates while taking Ozempic. These can upset our stomach, contribute to weight gain, or both.

    It’s also good to be aware that taking Ozempic with other diabetes medications (including insulin, sulfonylureas, and meglitinides) can increase the risk of hypoglycemia. It’s important to review every medication or drug you are taking with your healthcare provider so they can flag any potential harmful interactions. In general, alcohol and diabetes medications can be a dangerous combination.

    What Should We Do While Taking Ozempic?

    While taking Ozempic, it’s important to make certain lifestyle changes to help us get the most benefits and keep us healthy. Here are two of the most important: 

    1. Eat a balanced diet: Eating a balanced diet can help us manage our Type 2 diabetes by keeping our blood sugar levels in check and losing any excess weight. Enjoy these good foods:
      • Protein: Fish, poultry, beans and legumes, eggs, Greek yogurt, cottage cheese, lean cuts of beef and pork, and tofu
      • Non-starchy vegetables: Kale, spinach, arugula, onions, peppers, broccoli, brussels sprouts, carrots, cauliflower, asparagus, and tomatoes
      • Whole fruit: Apples, oranges, pears, grapes, pineapple, watermelon, strawberries, blueberries, raspberries, and blackberries
      • Whole grains: Quinoa, whole grain pasta, oats, whole wheat bread, whole grain rice, and barley
      • Beans and legumes: Black beans, chickpeas, navy beans, dried peas, edamame, pinto beans, and lentils
      • Nuts and seeds: Almonds, cashews, Brazil nuts, pecans, walnuts, pistachios, pine nuts, macadamia nuts, and hazelnuts
    2. Exercise regularly: Physical activity helps us achieve or maintain a healthy weight, maintain good heart health, and manage blood sugar levels. Any type of exercise is beneficial, whether it’s walking, swimming, biking, or running. Try an exercise program or group class, such as pilates, pure barre, rowing, or HIIT. We should aim to get 150 minutes a week of physical activity; this works out to 30 minutes of exercise 5 days a week, which can be broken down into smaller segments throughout each day.
    3. Hydrate, hydrate, hydrate: Ozempic’s potential side effects can cause us to become dehydrated more easily. We should aim to consume at least six 8-ounce glasses of water a day — more if Ozempic is causing vomiting or diarrhea. It can help to add electrolytes (such as Pedialyte, Propel, or Emergen-C) to our water to replenish important minerals our body needs. Remember to drink plenty of water before, during, and after a workout.

      The Bottom Line

      Ozempic helps control blood sugar levels in adults with Type 2 diabetes, and it can lower the risk of heart attack and stroke in people with Type 2 diabetes and heart disease. While an occasional alcoholic beverage while taking Ozempic may not be harmful, heavy or long-term alcohol consumption may exacerbate side effects and increase the risk of hyperglycemia, pancreatitis, and kidney damage. Alcohol can also counteract some of Ozempic’s benefits by causing weight gain and increasing our risk of a heart attack and stroke. It’s best to consult our healthcare provider to determine how much alcohol — if any — is safe for us to consume while taking the drug. 

      If you want to give your health a boost, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people cut back on their alcohol consumption and develop healthier lifestyle habits.

      Alcohol and Medications