Why Medication and Alcohol Should Not Be Taken Together

Nov 24, 2025 Source: Cainiu Health
Dr. Huang Yuhong
Introduction
Medications and alcohol should not be consumed together. The main reasons include triggering a disulfiram-like reaction, increasing drug toxicity, reducing medication effectiveness, causing organ damage, and worsening adverse effects. The interaction between the two can seriously endanger health, so simultaneous intake must be strictly avoided. If accidental co-ingestion leads to symptoms such as dizziness, vomiting, or palpitations, immediate medical attention is recommended.

Medications and alcohol should not be consumed together, primarily due to risks such as triggering a disulfiram-like reaction, increasing drug toxicity, reducing medication effectiveness, inducing organ damage, and exacerbating adverse effects. Their interaction can seriously threaten health, so simultaneous intake must be strictly avoided. If dizziness, vomiting, palpitations, or other discomfort occur after accidental co-ingestion, immediate medical attention is recommended.

1. Disulfiram-like reaction: Certain medications such as cephalosporin antibiotics and metronidazole inhibit alcohol metabolism, causing acetaldehyde to accumulate in the body. This may lead to severe symptoms including facial flushing, difficulty breathing, and low blood pressure, which could even be life-threatening.

2. Increased drug toxicity: Alcohol enhances the central nervous system depressant effects of sedatives and antipsychotics, potentially leading to drowsiness or coma. It also intensifies gastrointestinal irritation from analgesic-antipyretics, increasing the risk of gastric bleeding.

3. Reduced drug efficacy: Alcohol interferes with liver metabolism and absorption of medications such as antibiotics and antihypertensives, preventing them from working effectively. This may delay treatment, cause recurrence, or worsen the condition.

4. Organ damage: Both alcohol and medications are metabolized through the liver. Consuming them together increases the liver's workload; long-term or excessive co-consumption may lead to liver damage. Some drugs may also synergistically damage organs such as the kidneys and heart when combined with alcohol.

5. Worsened adverse reactions: Many medications may naturally cause side effects like dizziness, fatigue, and gastrointestinal discomfort. Alcohol can amplify these symptoms, resulting in more severe nausea, vomiting, and dizziness, impairing normal bodily functions.

Avoid alcohol entirely during medication use and for at least 7 days after stopping treatment, including liquor, beer, wine, and any food or beverage containing alcohol. Take medications with plain water, and avoid strong tea or coffee. Strictly follow prescribed dosages and do not adjust doses without medical advice.