Dangers Of Mixing Alcohol And Blood Pressure Medications
Alcohol and blood pressure medicines should generally not be mixed. Alcohol is difficult for the body to process and adds stress to the liver. The liver must divert its resources to metabolizing alcohol, making it process other medicines more slowly. This can cause the medications to stay active in your blood for longer while your body is processing alcohol, which can increase the effects of the medications.
In addition to increasing the effects of blood pressure medicine, alcohol also causes a drop in blood pressure right after it is used. This effect, combined with the increased effects of blood pressure medicine, can lead to drops in blood pressure that can cause dizziness or even make you pass out.
How Does Alcohol Increase Blood Pressure
Many people think alcohol is good for their hearts, and they drink a glass of wine every night. But for some people, it doesnt stop with one glass. After the first glass, there comes the second, then third, and so on.
High consumption of alcohol increases blood pressure and thereby puts you at a higher risk of all complications associated with it.
When a person has a single alcoholic beverage, the acute elevation in blood pressure ensues. This usually resolves within two hours. Now imagine what its like when an individual drinks excessively every day. That leads to consistently high blood pressure and poses a threat to your health.
Studies show that the ingestion of alcohol raises the blood pressure by reducing the vasodilators, such as nitric oxide in the vascular endothelium. Chronic alcohol consumption, basically, decreases the production of nitric oxide or its release from endothelial cells.
Evidence confirms that binge drinking increases the development of atherosclerosis, the hardening and narrowing of arteries caused by a buildup of plaque. Atherosclerosis is a risk factor for heart attack and stroke. Its worth mentioning that high blood pressure can lead to atherosclerosis, too.
The relationship between alcoholism and high blood pressure tends to develop in five phases. They are:
First Week Without Alcohol
Heavy alcohol drinkers may have a week-long period of abstinence-related withdrawal, which can include anxiety, sweating, vomiting, tremor, and high heart rate, and often requires medical assistance, says Dr. Nelson. Once this is complete, if it occurs, you will feel overall healthier, with more energy, nearly immediately.
Alcohol is a depressant. As such, after the first week of not drinking you may notice:
- Increased sex drive
If you take regular medication, and that prescriptions efficacy is affected by alcohol, you may notice that your underlying conditions improve when you stop drinking. Thats because the medication can work more effectively.
According to experts, in first four weeks after you quit drinking you may notice:
- Improved concentration
- Better-looking skin
- Increased energy
- Possible weight loss
- More self-esteemgaining control over an addictive substance like alcohol is no small feat.
- Blood pressure and liver function will return to normal after 30 days for most people.
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How Can I Lower My Blood Pressure In 5 Minutes
If your blood pressure is elevated and you want to see an immediate change, lie down and take deep breaths. This is how you lower your blood pressure within minutes, helping to slow your heart rate and decrease your blood pressure. When you feel stress, hormones are released that constrict your blood vessels.
How Long Does Afib Last After Binge Drinking

According to the National Institute on Alcohol Abuse and Alcoholism, in 2019, 25% of Americans over age 18 reported binge drinking in the past month. During the coronavirus pandemic in 2020, the rates of heavy alcohol use and binge drinking are thought to have increased significantly.
Binge drinking increases the risk of atrial fibrillation both during and after the binge drinking episode. Many people develop atrial fibrillation at the time of intoxication, while others develop AFib 12 to 36 hours later. It is thought that this is due in part to mild alcohol withdrawal which causes significant activation of the sympathetic nervous system and can trigger atrial fibrillation.
Alcohol-related electrolyte imbalances can cause atrial fibrillation. Alcohol is a diuretic which can cause excessive loss of electrolytes. Electrolyte loss can be further exacerbated if there is alcohol-induced vomiting. In addition, the metabolism of alcohol itself creates cardiac toxins that continue to have effects during the hangover period and can contribute to atrial fibrillation.
Atrial fibrillation usually terminates in 24 hours for most people who develop atrial fibrillation after binge drinking. Adequate hydration and electrolyte replacement can assist the recovery process. About one quarter of people who have experienced binge-drinking related atrial fibrillation will have drinking related recurrences of atrial fibrillation in the future.
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Level : Alcohol Use Disorder
Level 1 that is linked to early alcohol withdrawal includes blood pressure from consuming alcohol. This alcohol effect is independent of race, sex, age, and caffeine usage and depends on the amount of alcohol consumed.
At this point, serious lifestyle changes are suggested to regulate blood pressure and resolve the problem.
Why Does Alcohol Cause Hypertension
Alcoholic beverages are regular drinks in most parts of the world. If consumed in little to moderate amounts, alcohol can be healthy for most individuals. However, drinking too much alcohol can create many problems including an increase in blood pressure. Having more than three drinks back-to-back can increase your blood pressure temporarily, but if you keep doing it frequently, you may develop a long-term condition called hypertension .
How alcohol causes hypertension is still not confirmed. Research suggests that the following effects of alcohol on the body can cause high blood pressure.
- Damage to the endothelium
- Increased calcium levels in the walls of the arteries
- Effect on hormones that constrict and relax the arteries
Heavy alcohol drinking increases blood pressure by about 5 to 10 mmHg and the increase in systolic pressure is more than that in diastolic blood pressure.
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How Long To Reverse Effects Of Alcohol Abuse
Long-term use or abuse of alcohol has been empirically demonstrated to be associated with many different types of negative health issues and damage to numerous organ systems in the body. Volumes of studies and numerous books are devoted to investigating these effects and any attempt to list all of the potential negative effects associated with alcohol use/abuse would require a volume of works. Some of the major areas affected by alcohol abuse and how some of this damage is resolved once an individual stops drinking are discussed in this article.
Alcohol Withdrawal And Blood Pressure
Alcohol withdrawal can have many negative effects on your body and is considered the most dangerous type of withdrawal to go through. While there are many problems that can occur during alcohol withdrawal, blood pressure problems are not often a primary concern. While blood pressure can be elevated due to the stress your body undergoes during withdrawal, the physical effects of withdrawal itself do not severely increase blood pressure. Withdrawal ultimately leads to healthier blood pressures as the negative effect of alcohol resolves.
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The Evidence For Alcohol Interventions To Reduce Bp
Several systematic reviews and meta-analyses have shown that alcohol consumption and hypertension are linked in a dose-dependent fashion , although there may be a threshold level for alcohol consumption below which there are no effects, especially for women . As indicated by the potential threshold, the dose-response relationship is not linear over the full range of alcohol consumption, but for both sexes there is a monotonic dose-response relationship for higher levels of consumption , and thus hazardous/harmful drinking and AUDs are closely associated with elevated BP and/or hypertension . The above described association between hazardous/harmful alcohol consumption and hypertension has been judged as causal , which means that a logical intervention to reduce BP is to reduce alcohol consumption.
The available evidence has led to standard formulations in European and Canadian guidelines for the management of hypertension in the past decades to address lifestyle factors, including alcohol . In fact, most guidelines, including those from the NICE, stipulate that all patients undergoing assessment or treatment for hypertension should receive initial and periodic lifestyle advice, which includes ascertaining their alcohol consumption and encouraging a reduced intake if they drink hazardously .
Alcohol Consumption For Someone With High Blood Pressure
If someone has high blood pressure, they should avoid drinking alcohol as much as possible. Most doctors recommend that people with high blood pressure should exercise and eat a healthy diet. Part of this healthy diet is avoiding alcohol use.
While alcohol does contribute to high blood pressure, it may be safe to use small amounts of alcohol. The American Heart Association says the maximum daily amount of alcohol consumption for people with hypertension is two drinks for men and one drink for women. Ultimately, the less you drink, the better it will be for your hypertension. The AHA recommendations may not work best for everyone, however, so be sure to speak with a doctor about your specific situation.
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What Causes High Blood Pressure
Roughly 95 percent of the time, its not possible to find the direct cause of high blood pressure – what doctors label essential hypertension, Dr. Almany explains. This type tends to run in families, is more common among African Americans, and affects men more often than women. It also typically develops gradually over time.
When a cause is identified, called secondary hypertension, the condition tends to appear more suddenly and lead to higher blood pressure. Causes include kidney disease, sleep apnea, thyroid problems and other abnormalities.
The Potential In Europe Examples From Five Countries

While control and management of hypertension is a key element of any European guideline for primary healthcare, most general population surveys show that a large minority of women and the majority of men with hypertension aged 40 to 64 either do not know about their health condition or are not adequately controlled .
Table 1 Proportion with hypertension with or without control in large population surveys among 4064 year olds
This does not even include the effect of reduced alcohol use on other disease categories such as AUDs or cancer. For the latter disease category, the effects would only be seen after decades due to the long time lag . For the other disease categories, lag times are short , and the vast majority of deaths will be covered, including liver cirrhosis deaths, where interventions have shown immediate effects .
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Red Wine And Blood Pressure
Red wine contains an antioxidant called resveratrol, which some studies have shown reduces cholesterol and lowers blood pressure.
Older studies had shown potential benefits of moderate drinking of red wine, but more recently it has been proven that no level of alcohol consumption is considered safe, or can reduce the risk of hypertension.
Factors That Lead To High Blood Pressure
Generally speaking, anyone can develop hypertension, but some people are more likely to have this problem than others. Why is that? Well, a wide range of factors affects your likelihood of developing high blood pressure and make you more susceptible to this health concern.
Some of the most common risk factors for hypertension include the following:
- Certain chronic conditions such as diabetes, sleep apnea, and kidney disease
- Consuming a high-sodium diet
- Sedentary lifestyle i.e., not being physically active
- Smoking tobacco
- Unmanaged stress
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Can The Heart Recover After Prolonged Alcohol Abuse
When a person stops drinking alcohol completely, their heart muscle has the chance to strengthen and will gradually improve over time. However, some heart diseases are chronic, which means a person will never fully recover, even if they quit drinking. Overcoming serious cardiovascular illnesses usually requires medications, lifestyle changes, and sometimes surgery. Quitting alcohol is only one part of recovery.
Heart conditions should be addressed by a medical doctor or cardiologist. Most treatment programs involve regular clinical visits, CT scans, and blood work. At the same time, people who are struggling with alcoholism or heavy drinking should seek addiction treatment at a licensed facility.
Psychological Effects From Drinking
According to the American Psychiatric Association , abuse of alcohol is strongly associated with a co-occurring diagnosis of another mental health disorder. Whether or not this association is causal, such that drinking alcohol causes an individual to develop other psychological issues or having some other psychological issue causes a person to drink alcohol excessively, is strongly debated. As it turns out, both of these explanations are likely.
Nonetheless, individuals with any form of mental illness can increase the effectiveness of their recovery by refraining from alcohol use, and individuals with alcohol use disorders can enhance their recovery by getting treatment for any co-occurring issues with depression, bipolar disorder, stress, etc. Recovery from any mental health disorder is significantly enhanced if an individual does not drink alcohol. The rate and quality of recovery from a mental health disorder depends on a number of factors, including the persons motivation, their engagement in treatment, their social support, etc.
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How Much Can Alcohol Consumption Cause High Blood Pressure
Heavy alcohol drinking and repeated drinking can cause high blood pressure.
To prevent high blood pressure and its resulting problems and life-threatening symptoms, it is suggested by the American Heart Association that limit alcohol use to not more than 2 drinks a day for men and no more than 1 drink a day for women.
Moderate drinking is usually explained as:
- 2 drinks a day for men below 65 years
- 1 drink for men above 65 years
- 1 drink for women
With these proportions of alcohol, a temporary increase will occur in blood pressure, and drinking more than the suggested amount can lead to raised blood pressure levels and raised psychological alcohol dependence.
It should also be kept in mind that alcohol is loaded with empty calories that provide zero nutritional value and may lead to undesirable weight gain one more risk factor for high blood pressure.
Alcohol can also intervene in some blood pressure medications thus, it is always a great option to talk to your doctor before drinking while starting blood pressure medication.
How Does Alcohol Affect Blood Pressure
In some cases, moderate to high levels of alcohol may cause blood pressure to rise. High blood pressure is also known as hypertension.
According to a 2020 review of research, drinking alcohol may initially have the immediate effect of lowering blood pressure. However, after the initial drop, it may then raise your blood pressure and heart rate.
Its important to note that some studies examined only looked at small numbers of females compared to males. As a result, further research is necessary to confirm the effects on all people.
However, other research also suggests that alcohol increases blood pressure.
In a 2019 study of 17,059 males and females, researchers observed that people who drank a moderate amount of alcohol compared to none were 53% more likely to have stage 1 hypertension and two times more likely to have stage 2 hypertension.
Moderate alcohol intake was defined as between 7 and 12 drinks weekly.
Doctors use the following stages to reference how severe high blood pressure is:
- Stage 1 hypertension: This is a systolic blood pressure reading between 130139 millimeters of mercury or diastolic pressure between 8089 mm Hg.
- Stage 2 hypertension: This refers to a systolic pressure above 140 mm Hg or a diastolic pressure above 90 mm Hg.
Learn more about blood pressure monitoring.
However, even people who do not drink regularly have a risk of experiencing negative effects from alcohol.
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What Causes Alcoholic Cardiomyopathy
Alcohol abuse has a toxic effect on many of your organs, including the heart. The toxicity of alcohol damages and weakens the heart muscle over time. This makes it difficult for your heart to pump blood efficiently. When it cant pump out enough blood, the heart starts to expand to hold the extra blood. This causes the heart to become thinned and enlarged. Eventually, the heart muscle and blood vessels may stop functioning properly due to the damage and strain.
To make a diagnosis, your doctor will perform a physical examination and ask you about your medical history. You may also need some laboratory tests and X-rays.
Getting Treatment For Alcoholism

Alcoholism is a treatable disease, but it does require professional treatment and intervention. It can be extremely difficult for someone to successfully stop drinking on their own given the side effects of withdrawal. Its never recommended for people with severe cases of alcoholism to quit drinking cold turkey because of the possibility of life-threatening complications.
Nexus Recovery specializes in alcohol addiction treatment. Our approach to treatment includes a combination of evidence-based therapies and holistic treatments that heal the mind, body, and soul together. Our mission is to provide tools and support for every clients seamless transition into a meaningful and fulfilling life of sobriety.
Clients in our addiction treatment programs participate in a variety of groups and activities, including individual therapy, group therapy, 12-step meetings, nutrition sessions, mindfulness and spiritual counseling, group outings, life skills training, relapse prevention, and much more.
If you or a loved one are suffering from alcohol addiction, contact our team today at 881-9151 to learn more about Nexus Recovery and our substance abuse treatment programs.
If you or a loved one are suffering from alcohol addiction, were here to help. Contact us today and speak with one of our trusted recovery advisors.
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