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Should You Drink During a Cold? The Complete Guide to Alcohol and Illness

4 min read

The Centers for Disease Control and Prevention (CDC) advises against starting to drink alcohol for health reasons, and for a good cause. So, should you drink during a cold? While some folk wisdom suggests alcohol can help, experts strongly caution against it due to significant health risks.

Quick Summary

This guide explains why drinking alcohol is not recommended during a cold. It details how alcohol weakens the immune system, promotes dehydration, disrupts sleep, and can dangerously interact with common cold medications, delaying recovery.

Key Points

  • Dehydration Risk: Alcohol is a diuretic that actively works against the hydration needed to fight a cold, worsening symptoms like congestion and body aches.

  • Weakened Immune System: Alcohol suppresses the immune system by reducing white blood cell count and function, prolonging your illness.

  • Medication Interactions: Combining alcohol with common cold medications like acetaminophen or antihistamines can cause dangerous interactions, including liver damage.

  • Poor Sleep Quality: Alcohol disrupts the restorative REM stage of sleep, hindering your body's ability to heal and leaving you more fatigued.

  • Hot Toddy Myth: While warm water and honey can soothe a sore throat, the alcohol in a hot toddy is counterproductive and doesn't kill the cold virus.

  • Worsened Symptoms: Many hangover symptoms are similar to cold symptoms, and drinking alcohol can significantly intensify feelings of malaise and discomfort.

In This Article

The common cold, caused by a viral infection, has no cure. Recovery depends on your body's immune system fighting off the virus. Therefore, providing your body with the optimal conditions to heal is crucial. Adding alcohol to the mix can hinder this process significantly.

The Negative Impact of Alcohol on Cold Symptoms

Dehydration: A Major Setback

Alcohol is a diuretic, meaning it increases urine production and causes the body to lose fluids. When you have a cold, staying well-hydrated with non-alcoholic fluids like water and tea is essential for thinning mucus, lubricating a sore throat, and preventing dehydration. Drinking alcohol counteracts this effort, thickening mucus and worsening congestion and discomfort. This dehydration can also exacerbate other cold symptoms like headaches and fatigue.

Suppressed Immune Function

Your immune system is your primary defense against the cold virus. However, alcohol consumption, especially heavy drinking or binge drinking, can significantly weaken the immune response. It can lower the number of white blood cells (lymphocytes), which are vital for fighting off infection. This compromised immune function makes it harder for your body to fight the virus, potentially prolonging your illness or even increasing your risk of secondary infections.

Dangerous Drug Interactions

Mixing alcohol with cold and flu medication can be extremely dangerous. The liver processes both alcohol and many over-the-counter drugs, such as acetaminophen (found in Tylenol and many cold medicines). Combining the two forces the liver to work overtime and can lead to severe liver damage or failure. Other potential interactions include:

  • Antihistamines: Can intensify side effects like drowsiness, dizziness, and impaired coordination.
  • Decongestants: Can increase side effects such as restlessness and headaches.
  • Cough Suppressants: Combining with dextromethorphan can dangerously increase drowsiness.

Worsened Symptoms and Poor Sleep

Alcohol consumption often disrupts sleep patterns, especially the restorative REM phase, which is crucial for recovery. While alcohol might make you feel drowsy initially, it leads to fragmented and poor-quality sleep, ultimately leaving you more fatigued and prolonging your illness. Furthermore, many hangover symptoms—like headaches, body aches, and fatigue—overlap with cold symptoms, meaning alcohol can significantly worsen how you feel.

Debunking the Myths: Separating Fact from Fiction

Myth: A Hot Toddy Will Cure Your Cold

A hot toddy contains hot water, honey, lemon, and whiskey or another spirit. While the hot water and honey can be soothing for a sore throat and cough, the alcohol itself is detrimental. The perceived relief comes from the warmth and steam, not the alcohol, which is actively undermining your recovery. An alcohol-free version with hot water, lemon, and honey is a much safer and more effective option.

Myth: Alcohol Kills Germs Internally

While high-proof alcohol can act as an antiseptic on surfaces, it does not kill the cold virus inside your body. The blood alcohol content required to kill microbes would be lethal to you long before it affected the virus. The virus resides in your respiratory system, unaffected by the alcohol in your bloodstream or stomach.

Myth: Alcohol is a Decongestant

Some believe alcohol helps clear a stuffy nose, but recent studies suggest the opposite. Alcohol can cause inflammation and vasodilation (widening of blood vessels), which may actually increase nasal congestion.

Alcohol During a Cold vs. Moderate Healthy Consumption

Feature Drinking Alcohol When Sick Moderate Drinking in Healthy Individuals
Effect on Immunity Suppresses white blood cell function; weakens overall immune response. Some older studies suggest potential immune-enhancing effects, particularly from wine, though recent data is mixed and the CDC does not endorse it for health benefits.
Effect on Hydration Acts as a diuretic, causing dehydration, which worsens cold symptoms and recovery. Dehydration is a known side effect, but the body can typically manage it more effectively.
Effect on Sleep Disrupts REM sleep and overall sleep quality, hindering the body’s healing process. Can disrupt sleep, but the impact is less severe than when the body is already stressed by illness.
Interaction with Meds Potential for dangerous interactions with common OTC and prescription medicines, including liver damage. Generally safer, but should still be consumed with caution and awareness of potential interactions.
Overall Recovery Delays recovery and can worsen symptoms like fatigue, headaches, and congestion. Does not impact recovery from an active illness, as the individual is not sick.

The Final Verdict

In conclusion, the potential negative effects of consuming alcohol during a cold far outweigh any perceived benefits. By dehydrating your body, suppressing your immune system, and interfering with vital medication and restful sleep, alcohol actively works against your recovery. While the warmth of a hot toddy might offer temporary comfort, it is the non-alcoholic elements that provide this solace. For a faster and more comfortable recovery, it is best to stick to plenty of hydrating, non-alcoholic fluids and allow your body to heal naturally. Your immune system will thank you for it.

For more information on cold remedies that work, you can visit the Mayo Clinic's guidance on the topic: Mayo Clinic - Cold remedies: What works, what doesn't, what can't hurt.

What to Drink Instead

When you're fighting a cold, focus on liquids that hydrate and soothe. Here are some excellent alternatives to alcohol:

  • Water: The most important liquid for staying hydrated and thinning mucus.
  • Herbal Tea: Warm teas, especially those with lemon and honey, can soothe a sore throat and provide comfort.
  • Chicken Soup: Provides fluids and electrolytes, and the steam can help clear congestion.
  • Clear Broths: Like chicken soup, broths are hydrating and can be soothing.
  • Fruit Juices: In moderation, can help with hydration and provide some vitamins, but be mindful of high sugar content.

Frequently Asked Questions

No, this is a dangerous myth. Alcohol does not kill the cold virus inside your body. The blood alcohol concentration needed to kill microbes would be fatal long before it had any effect on the virus in your respiratory system.

You can have a hot, non-alcoholic version. The relief from a hot toddy comes from the steam, hot water, and soothing honey. The alcohol itself is harmful, so it's best to enjoy a hot lemon and honey tea without the spirits.

The opposite is true. While some claim alcohol helps, studies suggest that alcohol can cause or increase nasal congestion due to its effects on blood vessels, making your stuffy nose feel worse.

Mixing alcohol with cold medicine is very dangerous. For example, combining alcohol with acetaminophen can lead to liver damage. Other medications, like antihistamines and decongestants, can have their side effects dangerously intensified.

Yes, alcohol intake, particularly heavy drinking, suppresses your immune system by reducing the count and effectiveness of white blood cells. This makes it harder for your body to fight off the cold virus.

Yes, it is very likely. By contributing to dehydration, disrupting sleep, and weakening your immune response, alcohol hinders your body's ability to heal, which can prolong the duration of your illness.

Focus on hydrating, non-alcoholic fluids. Water, clear broths, and herbal teas with honey and lemon are excellent choices to stay hydrated and soothe your symptoms.

References

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Medical Disclaimer

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