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Will drinking with a cold make it worse? The facts and health risks

4 min read

When you're feeling under the weather, it's natural to seek comfort, but a surprising number of people wonder, will drinking with a cold make it worse? Medical experts agree that consuming alcohol while sick can hinder recovery, worsen symptoms, and pose serious health risks, especially if you are taking medication.

Quick Summary

Consuming alcohol while you have a cold can significantly impede your body's recovery. It causes dehydration, suppresses your immune response, intensifies existing symptoms like congestion, and can trigger dangerous interactions with many cold and flu medications.

Key Points

  • Immune Suppression: Alcohol weakens your immune system, making it harder for your body to fight the cold virus and prolonging your illness.

  • Severe Dehydration: As a diuretic, alcohol causes dehydration, which thickens mucus and worsens cold symptoms like congestion, headaches, and body aches.

  • Dangerous Medication Mixing: Combining alcohol with cold medications, especially those containing acetaminophen, can lead to severe and potentially permanent liver damage.

  • Worsened Symptoms: You will likely feel much worse overall, experiencing increased fatigue, nausea, and general discomfort, as alcohol exacerbates these effects.

  • Sleep Disruption: Alcohol impairs the quality of your sleep, preventing the deep rest your body needs to recover effectively.

  • No Curing Effect: The notion that alcohol can kill germs inside your body is a myth; it offers no therapeutic benefit for a cold.

  • Wait Until Healthy: For a safe and speedy recovery, it is best to avoid alcohol entirely until your cold symptoms have passed and you have finished all medications.

In This Article

The Dehydration Effect: A Vicious Cycle

Alcohol is a diuretic, meaning it increases urination and causes your body to lose fluids more quickly. When you are sick, your body is already at risk of dehydration, especially with a fever or increased mucus production. Adding alcohol to this equation exacerbates the problem, leading to:

  • Worsened Congestion: Dehydration thickens mucus, making sinus drainage more difficult and increasing your stuffiness and discomfort.
  • Intensified Headaches and Body Aches: A common symptom of both colds and hangovers, these pains can be amplified by alcohol's dehydrating effects.
  • Increased Fatigue: Your body is already working hard to fight off the virus. Dehydration puts an additional strain on your system, leaving you feeling even more tired and weak.

Alcohol and Your Immune System

Your immune system is your body’s defense force against illness. When you are sick with a cold, your body is directing all its resources toward fighting the viral infection. However, alcohol can disrupt and suppress this critical function.

How Alcohol Hinders Your Recovery

  • Impaired White Blood Cells: Studies show that alcohol consumption, even a single episode of binge drinking, can lower the number of white blood cells and impair their function for up to 24 hours. These cells are crucial for identifying and destroying pathogens like the cold virus.
  • Disrupted Sleep: Quality sleep is vital for a robust immune response. While alcohol might make you drowsy, it disrupts your sleep cycles, preventing the restorative deep sleep your body needs to heal effectively.
  • Inflammation: Alcohol can increase inflammation throughout the body, including in your lungs and gut, which further weakens your defenses against infection.

The Dangerous Mix with Cold Medications

One of the most severe risks of drinking with a cold is the potential for harmful interactions with over-the-counter and prescription medications.

Mixing Medication and Alcohol: A Comparison

Medication Type Active Ingredient Interaction with Alcohol Potential Risks
Pain Relievers Acetaminophen (Tylenol) Both are processed by the liver. Severe liver damage, potentially fatal.
Pain Relievers NSAIDs (Ibuprofen, Naproxen) Stomach irritation. Increased risk of gastrointestinal bleeding.
Antihistamines Diphenhydramine (Benadryl) Both cause drowsiness. Extreme sedation, impaired coordination, slowed breathing.
Cough Suppressants Dextromethorphan (DXM) Both are central nervous system depressants. Increased drowsiness, dizziness, confusion, and risk of overdose.
Decongestants Pseudoephedrine (Sudafed) Stimulant/depressant effects clash. Increased blood pressure and heart rate, dizziness, fatigue.

Addressing the Myth of the Hot Toddy

Some people believe a hot toddy, made with whiskey, hot water, honey, and lemon, is a good home remedy for a cold. While the hot water, honey, and lemon can offer temporary, soothing relief, the alcohol in the whiskey actively works against your recovery. The dehydrating effects and immune suppression negate any small benefits, and if you are taking medication, it's an especially dangerous mix. The idea that alcohol can “kill germs” inside your body is simply a myth.

Safe and Effective Alternatives for Relief

Instead of turning to alcohol, there are many safe and proven ways to manage your cold symptoms and speed up your recovery:

  1. Stay Hydrated: Drink plenty of water, herbal tea, and broth. This helps thin mucus and replaces lost fluids.
  2. Get Plenty of Rest: Extra sleep is crucial for your body's immune system to function at its best and fight off the infection.
  3. Humidify the Air: Use a humidifier or take a steamy shower to help loosen congestion and soothe a sore throat.
  4. Gargle with Salt Water: A simple salt water gargle can help reduce the pain and swelling of a sore throat.
  5. Use Saline Nasal Spray: This can help clear your nasal passages and improve drainage.
  6. Use Over-the-Counter Remedies Carefully: Opt for single-ingredient medications targeted to your specific symptoms, rather than an 'all-in-one' remedy, and always avoid combining them with alcohol.

When is it Safe to Drink Again?

To be safe, you should wait until you are fully recovered and have stopped taking all cold and flu medications before consuming alcohol. If you took medication like acetaminophen, wait at least 24 to 48 hours after your last dose before drinking. Always read the warning labels on all medications for specific guidance. You can find more information on how alcohol affects the body on the National Institute on Alcohol Abuse and Alcoholism (NIAAA) website.

Prioritize Your Health and Recovery

In summary, consuming alcohol with a cold is not worth the risk. It prolongs your illness, worsens your symptoms, and can lead to dangerous medication interactions. Your body needs rest and hydration to heal properly. By prioritizing your health and making smart choices, you can recover faster and feel better sooner.

Frequently Asked Questions

Even a small amount of alcohol can have a negative impact. It can contribute to dehydration and suppress your immune system, both of which work against your body's recovery efforts. It's best to avoid alcohol entirely when you are sick.

No, the alcohol in a hot toddy counteracts any temporary soothing benefits from the hot water, lemon, and honey. The alcohol will dehydrate you and disrupt your sleep, hindering your recovery.

Mixing alcohol with acetaminophen is very dangerous as both are processed by the liver. The combination can cause acute and progressive liver damage, which can be severe and even fatal.

Yes, by suppressing your immune system, alcohol can prolong the duration of your cold. Your body's ability to fight off the virus is compromised, meaning it will take longer to get well.

Focus on hydrating fluids like water, herbal tea, clear broths, and decaffeinated beverages. These will help keep you hydrated and can help soothe symptoms without hindering your recovery.

Yes, alcohol's diuretic effect leads to dehydration, which can thicken your mucus and make your stuffiness and congestion feel even worse.

It's best to wait until your symptoms have completely resolved and you are no longer taking any medications. This gives your body time to fully recover and rebuild its strength.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.