Combining Ibuprofen and Alcohol – What to Know Re: Side Effects

Ibuprofen and Its Effect on the Body

Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) that serves as a popular, over-the-counter, non-addictive alternative to opioid painkillers. It’s commonly used to relieve symptoms of muscle pain, minor injuries, headaches, toothaches, fever, and in higher doses, inflammation. This drug is sold under various well-known brand names, including Advil, Motrin and Midol, and it’s available as tablets, sprays, gels and mousses.

How Ibuprofen Works

Ibuprofen is broken down and removed from the body by the kidneys. It works by blocking the production of prostaglandins, which are hormone-like substances that are produced by the body at the site of infection or tissue damage. Prostaglandins control processes like blood flow, inflammation and the formation of blood clots and cause pain, swelling and sometimes fever in response to an injury. By inhibiting prostaglandin production, ibuprofen can effectively relieve pain and reduce inflammation.

The Safety of Ibuprofen

When taken occasionally and in recommended doses, ibuprofen is safe for most people. People who should talk to their doctor before taking ibuprofen include those who have:

• Peptic ulcers
• Severe heart problems or mild heart failure
• High blood pressure
• Peripheral arterial disease
• Any experience with stomach bleeding
• Asthma
• Kidney problems

Side Effects Associated with Ibuprofen

While ibuprofen is readily available without a prescription and is generally considered a safe option for pain management, this doesn’t mean that it’s without its risks. Ibuprofen is a strong medication, and when it’s not taken properly, it can have harmful effects.

Some of the most common side effects include:

How Alcohol Affects the Body

Similar to pain relievers, the convenience and accessibility of alcohol don’t necessarily mean that it is safe; while alcohol consumption may have a more profound effect on some people than others, it has a powerful impact on the body’s processes.

Within a few seconds of the first sip, chemicals and pathways used to send messages to brain cells slow down. This affects mood, slows reflexes and may compromise a person’s balance. Alcohol also causes blood vessels to widen, making blood flow more freely.

How the Body Breaks Down Alcohol

Once alcohol has entered the bloodstream, it remains in the body until it is processed. Roughly 95 percent of alcohol in the bloodstream is broken down by the liver, and the rest is removed in the urine, exhaled through the lungs or excreted in sweat. It takes about an hour for the average person to process 10 grams of alcohol, which is the amount of alcohol in a standard drink. If someone drinks alcohol faster than their body can process it, their blood alcohol level will continue to rise.

Alcohol for Pain Management

People have been using alcohol to manage pain for thousands of years. Ancient Egyptians and Greeks used beer and wine to treat a variety of medical ailments, including childbirth pain, wounds and headaches.

Today, even with our medical advancements, alcohol remains a popular pain management tool. Recent research cited by the National Institute on Alcohol Abuse and Alcoholism suggests that over a quarter of people experiencing chronic pain use alcohol to alleviate their discomfort.

Studies have shown alcohol to be somewhat effective in minimizing discomfort. According to the Journal of Pain, drinking alcohol reduces sensitivity to pain, possibly by blocking the transmission of pain signals in the spinal cord. To make alcohol an even more attractive option for pain management, it is relatively affordable and accessible compared to prescription pain relievers.

Unfortunately, to get the greatest pain-reducing effects of alcohol, one would have to drink considerably more than the current guidelines for moderate daily alcohol use, which is one drink per day for women and two drinks per day for men. Over time, tolerance for alcohol’s pain-relieving effects increases, meaning that someone using alcohol for pain management would need to increase how much they drink in order to achieve the same level of relief. This can lead to alcohol dependence and addiction, which is associated with a host of problems like high blood pressure, stroke, alcohol-related heart disease and alcohol-related liver disease.

The Side Effects of Alcohol

Depending on the health and physical condition of the person and how much alcohol is ingested, alcohol can cause:

Over time, excessive alcohol consumption can cause:

What Happens When Ibuprofen and Alcohol Are Combined

Prescription ibuprofens will often carry a warning about combining them with alcohol. It’s very important to limit the amount of alcohol ingested while on any medication, particularly NSAIDs like ibuprofen. Alcohol and ibuprofen have similar side effects, including nausea, indigestion and diarrhea. Although drinking alcohol while using ibuprofen doesn’t necessarily double the intensity of symptoms like these, the side effects may exacerbate one another.

Damage to Stomach Lining

Both alcohol and ibuprofen can irritate the stomach and digestive tract. With extended use of either, a person is at an increased risk of gastric ulcers or bleeding in the digestive tract. According to the National Institutes of Health, ibuprofen can interact with alcohol, which may worsen its usual side effects.

The risk of damage to stomach lining increases the longer a person takes ibuprofen. Someone who takes ibuprofen daily for several months is at a greater risk of symptoms than someone who takes it only on occasion.

Kidney Problems

While alcohol is broken down in the liver, not the kidneys, excessive alcohol consumption takes its toll on the kidneys nonetheless. The kidneys’ job is to filter toxins from the body, including alcohol. The more alcohol someone consumes, the greater the stress placed on the kidneys.

Ibuprofen directly affects kidney function by putting a stop to the production of prostaglandins, which in turn lowers pain and inflammation. However, this also affects temporarily affects how efficiently the kidneys are able to do their job.

These combined factors can result in kidney damage, particularly in people who have a history of reduced kidney function.

Drowsiness

On their own, alcohol and ibuprofen may both cause drowsiness. When taken together, they may cause excessive sleepiness, delayed reaction times and an inability to function. This may pose a significant danger for someone who regularly uses alcohol and ibuprofen to manage pain.

The Dangers of Reliance on Ibuprofen and Alcohol

Chronic pain can be debilitating, but dependence on chemicals, even those as readily available as pain relievers and alcohol, can have just as negative an impact on wellness and quality of life. While occasionally having a drink while taking ibuprofen is unlikely to negatively impact a healthy person, making a habit of excessively drinking while taking ibuprofen for an extended period of time increases the risk of ulcers, gastrointestinal bleeding and kidney failure.

Getting Help from FHE Health

For those who are self-medicating with ibuprofen and alcohol for chronic pain management, help is available. FHE has a team of counselors available around-the-clock to help clients understand the dangers of relying on over-the-counter pain relievers and alcohol to manage pain. A team of detox experts provides 24/7 care for those who need medically supervised alcohol detox services, and medical care is provided to address conditions that led to substance dependency. For more information, call FHE at (833) 596-3502.