How to sleep after drinking
- Give your body time to process the alcohol. It’s hard to say exactly how long it takes your body to metabolize alcohol, but the general rule of thumb is 1 hour for a standard drink.
- Go to the bathroom before bed.
- Stay away from fizzy drinks.
- Skip drinks with caffeine.
Contents
What helps sleep after drinking alcohol?
What Alcohol Affects, Water Offsets – We’ve all been told that drinking eight glasses of water a day keeps us healthy and ready for the day, but have you ever tried drinking water after every pint or shot? One of the effects of alcohol is obviously, getting you drunk.
Intoxication, mild or severe, leads to dehydration and this adds to the headaches and vomiting. It has been proven that drinking water in between rounds minimises alcohol effects in the short term, and allows you to function at a kind of normal capacity. Drinking plenty of water can combat the diuretic effect of alcohol on your body.
Another benefit of drinking water while drinking alcohol lessens the effects of alcohol when it comes to your sleep. A bad hangover prevents you from getting enough sleep and in bad cases, will have you throwing up in the middle of the night. Drinking plenty of water might help prevent those sleep disruptions.
Why can’t I sleep after drinking alcohol?
Why Does Alcohol Mess With My Sleep? (Published 2022) Credit. Aileen Son for The New York Times Ask Well Tips for getting a better night’s rest when your evening plans include drinking. Credit. Aileen Son for The New York Times
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Published Jan.25, 2022 Updated May 5, 2022
To hear more audio stories from publications like The New York Times,, A couple of glasses of wine or a few drinks in the evening will probably make you fall asleep faster than normal. Who among us hasn’t left the dishes for the next morning or neglected a skin-care routine after a dinner party or festive night out? But even if you thud into dreamland, there’s a good chance that too much alcohol will mean a fitful night of sleep.
That’s because alcohol, the normal phases of deeper and lighter sleep we go through every night. A night of drinking can “fragment,” or interrupt, these patterns, experts say, and you may wake up several times as you ricochet through the usual stages of, “You pay for it in the second half of the night,” said Dr.
Jennifer Martin, a psychologist and professor of medicine at the University of California, Los Angeles. Alcohol is “initially sedating, but as it’s metabolized, it’s very activating.” Here’s how it breaks down. In the first half of the night, when fairly high levels of alcohol are still coursing through your bloodstream, you’ll probably sleep deeply and dreamlessly.
One reason: In the brain, alcohol acts on gamma-aminobutyric acid, or GABA, a neurotransmitter that inhibits impulses between nerve cells and has a calming effect. Alcohol can also suppress rapid eye movement, or REM sleep, which is when most dreaming occurs. Later in the night, as alcohol levels drop, your brain kicks into overdrive.
You may toss and turn as your body undergoes a rebound arousal. “As the levels decline, you’re going to get more issues with the fragmentation,” said Dr.R. Nisha Aurora, a member of the board of directors of the American Academy of Sleep Medicine. You’ll also probably have more vivid or stressful dreams and — because fitful sleep means that you’re waking up more regularly — you are more likely to remember them.
Alcohol is also a diuretic, a substance that increases urine output, which means you may find yourself waking up to go to the bathroom. “You are going to have to pee more often,” said Dr. Bhanu Prakash Kolla, an associate professor of psychiatry and a consultant at the Center for Sleep Medicine at the Mayo Clinic in Rochester, Minn.
“Moderate amounts of alcohol, especially wine and spirits, have an early diuretic effect, especially in the elderly,” he added. It’s unclear whether the urge to urinate wakes you up, or if you’re just more attuned to your body in the second half of the night because you’re sleeping more fitfully.
- People may also snore more after they drink.
- Alcohol is a muscle relaxant and relaxes the muscles in your upper airways, disrupting normal breathing.
- Drinking can be especially dangerous for people with obstructive, who wake up many times during the night as their airways momentarily collapse.
- Most experts agree that drinking will mess with your sleep, no matter your age or gender.
And because alcohol depresses the central nervous system, experts caution against using it with sleep aids such as Ambien, Tylenol PM, Benadryl or even supplements like melatonin. “Alcohol is a sedative,” said Dr. Ilene M. Rosen, a sleep medicine doctor and associate professor of medicine at the Perelman School of Medicine at the University of Pennsylvania.
- I would not use any sedative hypnotic, whether over-the-counter or not, when you’re drinking alcohol.” Some people drink closer to bedtime to help them get to sleep.
- But that can start a dangerous cycle of more fragmented sleep, followed by heavier drinking.
- I do see a lot of people who self-medicate for insomnia with alcohol, which is definitely not a good practice,” said Dr.
Sabra Abbott, an assistant professor of neurology in sleep medicine at Northwestern University Feinberg School of Medicine. Sustained nightly drinking can establish worrying patterns that can persist even after people have stopped drinking, she and other experts say.
To help assess how alcohol may be affecting your sleep, experts recommend an alcohol-free reset period, or what Dr. Martin called “an alcohol holiday,” lasting at least two weeks. “It can be very eye-opening to appreciate how much alcohol affects your sleep,” she said. A lot of people who think they have insomnia, she said, may just be drinking too much or too close to bedtime.
“It turns out that if they don’t drink, they sleep much better,” said Dr. Martin, who is also a spokeswoman for the American Academy of Sleep Medicine. After the “holiday,” she said, “they can just make a more informed decision about how much — and how often — they consume alcohol.” Experts also suggest building in a buffer zone of at least a few hours between drinking and bedtime.
- A nightcap is not your friend.
- It’s probably OK to have a glass of wine with dinner four hours before bed,” Dr.
- Abbott said.
- Or maybe limit your drinking to happy hour or the appetizer course.
- Alcohol can mess with your morning routine, too.
- People may turn to stimulants” like caffeine, drinking coffee well into the afternoon, said Dr.
Armeen Poor, a pulmonary and critical care physician at Metropolitan Hospital Center in New York and clinical assistant professor of medicine at New York Medical College. “That makes it harder to fall asleep at night,” he said. “And then you need more of that sedative, and then it just goes around and around and around.” Audio produced by Kate Winslett.
How long does it take to fall asleep after drinking?
Frequently Asked Questions –
- Why does alcohol make you sleepy? Alcohol is a central nervous system depressant, also called a sedative. Sedatives cause your brain activity to slow down and can make you feel relaxed. This may allow you to fall asleep more quickly, however it can greatly impact your sleep quality.
- How does alcohol disrupt your sleep? Alcohol may reduce REM sleep in the first half of the night, creating an imbalance in your sleep cycle. This can decrease your sleep quality and may lead to less sleep and more awakenings.
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
- Sleep Health Foundation. Caffeine, food, alcohol, smoking, and sleep.
- Simou E, Britton J, Leonardi-Bee J. Alcohol and the risk of sleep apnoea: a systematic review and meta-analysis, Sleep Med,2018;42:38–46. doi:10.1016/j.sleep.2017.12.005
- Cederbaum AI. Alcohol metabolism, Clin Liver Dis,2012;16(4):667–685. doi:10.1016/j.cld.2012.08.002
- Sleep Foundation. Alcohol and sleep,
By Brandon Peters, MD Brandon Peters, MD, is a board-certified neurologist and sleep medicine specialist. Thanks for your feedback!
What is the first night effect?
Introduction – The “first night effect” (FNE) is a well-known phenomenon in polysomnographic (PSG) recordings characterized by decreased total sleep time, lower sleep efficiencies, reduction in REM sleep, and longer REM latencies on the first night of testing ( Agnew, Webb, & Williams,1966 ).
- First night data are often excluded in analyses of PSG recordings because they are considered to reflect a period of adaptation that is unrepresentative of usual sleep patterns.
- Although the FNE has been widely studied in healthy subjects and clinical populations, few studies have systematically examined the causes of FNE.
Some ambulatory PSG studies suggest that providing a comfortable sleeping environment or conducting home recording eliminates or reduces FNE ( Coates et al., 1981 ; Edinger, Marsh, McCall, Erwin, & Lininger, 1997 ; Sharpley, Solomon & Cowen, 1988 ). Other home PSG studies of healthy participants ( Le Bon et al., 2001 ), elderly individuals ( Wauquier, van Sweden, Kerkhof, & Hamphuisen, 1991 ; Edinger, Marsh, McCall, Erwin, & Lininger, 1991 ) and patients with generalized anxiety disorder ( Saletu et al., 1996 ) conclude that adaptation effects occur in certain subgroups regardless of setting.
- Others have postulated that adaptation to PSG recording equipment plays a significant role in FNE.
- Lorenzo and Barbanoj studied the FNE in healthy volunteers during three nonconsecutive sets of laboratory recordings one month apart.
- They found FNE only in the “very first night” of the first series of recordings ( Lorenzo & Barbanoj, 2002 ).
These results suggest that familiarity with PSG equipment may eliminate FNE in subsequent PSG studies. Individuals with posttraumatic stress disorder (PTSD) are an important test population for PSG studies that examine FNE. Most patients with PTSD report nightmares and insomnia, which are listed separately in the re-experiencing and hyperarousal clusters in the DSM-IV criteria for the disorder ( First, Spitzer, Williams, & Gibbon, 1996 ).
- Subjective sleep disturbances are frequent among patients with PTSD both in treatment seeking ( Roszell, McFall, & Malas, 1991 ) and epidemiologic samples ( Neylan et al., 1998 ), while laboratory-based PSG studies have produced mixed results.
- A recent meta-analysis of 20 studies found that patients with PTSD had more stage 1 sleep, less slow wave sleep, and greater rapid-eye-movement (REM) density (REM activity/ minutes REM sleep) compared to people without PTSD ( Kobayashi, Boarts, & Delahanty, 2007 ).
Given the high frequency of reported sleep disturbances and the hypothesized state of nighttime hypervigilance in subjects with PTSD, it has been proposed that FNE would be prominent in these subjects, particularly in an unfamiliar sleep environment.
Two laboratory-based PSG studies comparing first night adaptation effects in PTSD subjects and controls have reported mixed findings ( Ross et al., 1999 ; Woodward, Bliwise, Friedman, & Gusman, 1996b ). Ross and colleagues found no differences in adaptation effects in a mixed sample of outpatient and residential treatment PTSD subjects compared to outpatient controls in a laboratory study ( Ross et al., 1999 ).
However, increased REM activity and density was observed in PTSD subjects on the first versus the second night. In contrast, Woodward (1996b) found that FNEs in PTSD subjects were dependent on whether the subjects were currently in a residential treatment program versus outpatient treatment.
- In this laboratory-based study, PTSD inpatients showed decreased FNEs compared to outpatient controls, whereas PTSD outpatients had enhanced FNE compared to outpatient controls ( Woodward, Bliwise, Friedman, & Gusman, 1996b ).
- These results suggest that adaptation effects observed in PTSD may reflect enhanced sensitivity to a novel sleeping environment.
As most previous PSG studies in PTSD have been conducted only in the sleep laboratory, it is difficult to discern whether FNEs observed in PTSD represent adaptation to recording equipment, novel sleeping environment, or both. A direct comparison of PSG testing in the two settings would clarify whether the recording context affects the results, allowing for more accurate study and enhanced understanding of PTSD- related sleep disruption.
To date, this is the first study to examine FNE in medically healthy medication-free subjects with PTSD and age-matched controls with two pairs of PSG studies conducted in both home and hospital settings. We hypothesized that both the PTSD group and the control group would have greater FNE in the hospital than at home, and that the PTSD group would have greater FNE compared to controls in night one versus night two of the study in both settings.
Finally, we hypothesized that adaptation effects in both groups would be attenuated in the second pair of PSG studies.
Is it good to sleep when hungover?
How Do You Cure a Hangover Fast? – You may not be able to rid yourself of a hangover with the wave of a magic wand, but you can implement some expert-approved morning-after strategies to help you bounce back to life a little quicker. Here’s what experts say actually works when it comes to healing a dreaded hangover: 1.
Hydrate, eat right, and hydrate some more “The best way to reduce symptoms is to hydrate — drink plenty of water,” says Dr. Mariam Behbehani, an osteopathic primary care physician at One Medical in Irvine, CA. “Eat bland foods and avoid greasy, fatty foods.” If you’ve always relied on a burger and fries or another form of fast food to heal your hangover symptoms, you may want to rethink your strategy.
These are not the best foods for hangovers. “Greasy, fatty foods can actually worsen stomach discomfort,” says Dr. Behbehani. “It’s best to stick with bland foods such as toast, bread, and soups to help calm the stomach.” If a slice of dry toast doesn’t sound like the most appetizing post-drinking meal, naturopathic doctor, nurse practitioner, and health coach, Erica Matluck, has a few more palatable hangover food options to add to the menu.
- Rather than a greasy meal, which often makes us feel bad, focus on a well-balanced meal to support blood sugar levels and detoxification.
- For example, eggs, avocado, toast, fruit, and a glass of coconut water would be a great breakfast after a big night out,” says Matluck.
- Low blood sugar can definitely make a hangover worse, so it makes sense to focus on well-balanced meals with adequate protein, fats, and carbs both before consuming alcohol and the morning after.” 2.
Avoid the temptation to chug coffee Plenty of people swear a heaping cup of coffee can cure their hangover, and while caffeine may help ease the severity of a headache, in other instances, it can actually exacerbate it. And because caffeine causes your blood pressure to rise and your blood vessels to narrow, it can actually make your other hangover symptoms worse.
- There are no evidence-based studies or research to suggest that drinking coffee will cure your hangover,” Dr.
- Behbehani says.
- If you’re a regular java drinker, however, you may be able to get away with sipping your usual morning elixir without feeling worse — just don’t depend on it to eliminate your icky feelings.
“It really depends on your relationship with caffeine on a regular basis, as well as a variety of other variables,” Matluck says. Instead of spending your cash on a Venti triple-shot latte, get an electrolyte-enhanced sports drink like Gatorade, which may help replace the salt and potassium you lose from drinking alcohol.3.
- Exercise if you can handle it Yes, working out is a wonderful habit, but if you’re hungover, an intense sweat session may not help matters.
- It really depends on a multitude of variables,” Matluck says.
- Generally, exercise is a great way to detox.
- But if you’re already dehydrated and your exercise routine makes you sweat, it could make your symptoms worse.” However, if lying in bed all day is only making you feel more miserable, you don’t have to avoid movement completely.
Just take it easy and listen to your body — and be sure to follow step one and hydrate before you even attempt an activity. “I would recommend avoiding vigorous exercise with a hangover,” Dr. Behbehani says. “It’s probably best to do some light walking to help with circulation.” 4.
Swap painkillers for sleep One dangerous, albeit common, mistake drinkers make when they’re hungover is reaching for a bottle of over-the-counter pain medication. That’s a major mistake that could cause serious damage, according to experts. “If you are taking pain relievers — for example, Tylenol — and alcohol, that combination can be toxic to your liver,” Dr.
Behbehani says. “Aspirin and ibuprofen can also irritate the lining of the stomach. Use these medications with caution. Rather than attempting to medicate your symptoms away, the best thing you can do for a hangover is — you guessed it — sleep. Alcohol absolutely has an effect on sleep quality and duration, and while a bad night’s sleep doesn’t necessarily cause a hangover, it can definitely make it worse.
- Instead of attempting any of the strategies that supposedly help your body “detox” from a hangover (spoiler alert: most of those are made up), hit the sack early the day after drinking and implement sleep-hygiene tips to ensure you get the best rest possible.
- READ NEXT: How to Prevent a Hangover During Party Season ☾ If you found this article helpful, consider sharing it on Twitter, Facebook, Pinterest, or Instagram or emailing it to any friends or family members who might benefit from a better night’s sleep.
Sharing is caring! Michelle Konstantinovsky is a San Francisco-based freelance journalist/marketing specialist/ghostwriter and UC Berkeley Graduate School of Journalism alum. She’s also served as a contributing editor and social media director at California Home + Design, senior writer at One Medical, and the Health and Wellness editor at Fitbit,
How do you sleep with hangover anxiety?
Do you get ‘hangxiety’? How to cope with an anxious hangover Y ou’ve got a raging thirst but you can’t drag yourself out of bed for a glass of water. All you remember from last night is going off on one about a man who “hatfished” you on a date while wearing a cap, only to realise the guy listening to you was heavily receding.
- None of your friends have messaged you this morning so you assume they must hate you now.
- You lie in the foetal position and kid yourself into believing you are still asleep so you don’t have to deal with the consequences of your actions.
- You have “hangxiety” (hangover anxiety) or you are suffering from a “prangover” (pranging out hungover), and it’s the worst feeling in the world.
There’s a scientific reason why drinking makes us feel like this. “Alcohol is one of the most promiscuous of drugs, in that it affects a lot of different types of receptors and hence the majority, if not all, of the neurons,” says David Nutt, professor of neuropsychopharmacology at Imperial College London and author of 2020 book Drink? The New Science of Alcohol and Your Health.
- That blissed-out state we associate with drinking is caused by alcohol enhancing the Gaba receptors (neurotransmitters that essentially turn off the brain) and this calms you down by making fewer neurons fire.
- As we enter withdrawal, the brain increases levels of the main excitatory transmitter, glutamate, in an attempt to decrease Gaba, and this chemical imbalance results in anxiety.
Or, in other words – as Nutt puts it: “The brain is a finely balanced machine. You add in alcohol and that balance dissolves like a sugar cube in hot tea.” Not remembering leaves you feeling you lost control. It’s horrible Rachel Buchan, psychotherapist To make matters worse, this anxiety tends to kick in when you’re trying to sleep off the alcohol.
As your blood alcohol level goes down during the night, you’re left with too many receptors and so too much glutamate activity,” says Nutt. “And that is why you are too alert, and why the world seems too much.” Compromised glutamate levels also lead to memory loss, forcing your brain to try to fill in the gaps in what you did after hitting that third bottle of wine.
“Because of the physical effects of the anxiety, you tend to think the worst,” says psychotherapist Rachel Buchan. “But not remembering leaves you with this feeling that you lost control of what was happening or what you were doing. It’s horrible.” Before any of you mindful drinkers start to feel smug, it is worth noting that hangxiety is not always alcohol-related, according to clinical psychologist Linda Blair.
A lot of social anxiety is caused by a buildup of energy that we don’t know what do with. “You’ve been directing all your excitement towards this particular event and now it’s over but the energy is still there, bouncing around.” That is when we start to obsess about what we said and did. “You want to use that energy to fix your worry but, of course, you can’t.
You can’t go back in time.” Some of us are more predisposed to ruminate than others. “Certain people are more reflective than they are impulsive,” says Blair. A lot of this is genetic but there is a learned element to it. “They deal with problems by thinking them through again and again until they calm down.
It’s not a good strategy, but it becomes a pattern.” And, of course, we are all a bit rusty since Covid lockdowns. “When you’re socialising, you’re constantly gauging the other person’s feelings and reactions, so you can respond appropriately,” says Blair. “We’re out of practice. This makes us more tired than usual, which can trigger anxious thoughts.” When our bodies are depleted in this way, we tend to think emotionally rather than logically, negatively rather than positively.
Knowing all this probably isn’t going to stop you partying – and nor should it. But before you resign yourself to waking up on 1 January full of self-loathing, there are things you can do to lessen the symptoms of hangxiety. Ones that go beyond paracetamol, ordering from Deliveroo and turning on a reality TV show. “Go for a coffee with someone you were at the party with and you’ll see that they won’t treat you any differently from the way they did before the party,” Blair recommends. “But don’t bring up what you said. All it does is make you look needy – they’ll give you reassurance by enjoying your company.” Just make sure you pick someone sympathetic, not that friend who’ll remind you of the time you cornered that Irish girl in the kitchen so you could rant about your family from Cork.
Buchan advises inhaling and exhaling through your nose rather than your mouth. Four seconds is good but do more or less if that doesn’t feel comfortable. Try to imagine your stomach is a balloon: as you inhale, it expands and as you exhale, it contracts. “This will deepen your breath, which will have a calming impact on your body,” says Buchan.
“You can do it anywhere and no one knows you’re doing it.” “Exercise will help speed up your metabolism and so help shift your hangover,” Nutt says. But avoid anything too strenuous because that can put a strain on the cardiovascular system. Think a light jog or a long walk.
Shuffling to the Co-op in your dressing gown for some Pringles doesn’t count. Sign up to Inside Saturday The only way to get a look behind the scenes of the Saturday magazine. Sign up to get the inside story from our top writers as well as all the must-read articles and columns, delivered to your inbox every weekend.
Privacy Notice: Newsletters may contain info about charities, online ads, and content funded by outside parties. For more information see our, We use Google reCaptcha to protect our website and the Google and apply. after newsletter promotion To avoid that disappointing crash after a party, Blair recommends making sure you have something else exciting in the diary.
- So when you wake up you think, That was so fun, and I’m so sorry it’s over, but actually, I have that work party on Tuesday so I can get excited about that.
- If you set up something else immediately, you will give your emotions and your energy a direction.” Sure, your mind is racing and you are sweating a bit thinking about what happened last night, but, advises Blair, don’t just rush to conclusions.
You could choose to call that grouping of symptoms anxiety, she says, but you could just call it a hangover.” Blair says this can help us reframe. “When you think of it in that way, it’s in your control and not taking you over.” Sometimes a hangover is just a hangover.
- Everyone at the party is probably feeling the same as you.
- And it, too, shall pass.
- Alcohol wreaks havoc with our blood sugar levels, which can disturb sleep,” says nutritional therapist Alice Mackintosh.
- Another side-effect of high blood sugar is that our bodies release more of the stress hormone cortisol, and, for many, this can lead to anxiety.” Eating something before you go to bed can stabilise blood sugar and absorb some of the alcohol in the gut.
“Aim for some protein and fibre, as these are critical for gut health. If you’re home and need something quick, go for wholegrain toast with peanut butter and banana.” Eggs make the perfect hangover breakfast. “They’re rich in amino acids to aid liver function, protein, B vitamins, nutrients such as choline, and healthy fats to help get you back on your feet,” says Mackintosh.
- Eat them on toast with avocado and some mushrooms as both are “rich in detoxifying B-vitamins, folate and antioxidants.” If you’re vegan, go for baked beans instead of eggs, because these provide all-important protein and fibre.
- You could also pop some supplements containing B vitamins, magnesium, and vitamin C to aid liver function and antioxidants NAC, or milk thistle.
: Do you get ‘hangxiety’? How to cope with an anxious hangover
What to do if you drank too much alcohol?
How is a hangover treated? – Many hangover remedies claim to treat a hangover. But they’re often not based in science, and some can be dangerous. For example, drinking more alcohol (“hair of the dog”) will not cure a hangover. More alcohol just increases the toxicity of the alcohol already in your body. Steps you can take to improve hangover symptoms include:
Eating bland foods with complex carbohydrates, such as toast or crackers. You’ll boost low blood sugar levels and reduce nausea. Drinking water, juice, broth and other non-alcohol beverages to reduce dehydration. Getting sleep to counteract fatigue. Taking antacids to help settle your stomach. Trying aspirin and other nonsteroidal anti-inflammatory drugs ( NSAIDs ), such as ibuprofen or naproxen, to help your headache or muscle ache. However, use them sparingly since they can upset your digestive system. Do not take acetaminophen (Tylenol®) — it can be toxic to your liver when combined with alcohol. Being patient. Hangover symptoms tend to ease up over eight to 24 hours. Your body has to clear the toxic byproducts of alcohol, rehydrate, heal tissue and restore functions and activity to normal.
Why do alcoholics wake up at 4 am?
BACtrack Answers: Why Do I Sometimes Wake Up Early After a Night of Drinking? Anyone having consumed alcohol in the evening knows that it can act as a sedative. Some folks even have a drink at bedtime to help them sleep. But if you’ve ever woken up in the middle of the night or early morning and wondered why, here’s the answer. Doctors Timothy Roehrs and Thomas Roth of the Henry Ford Sleep Disorders Center conducted a study on alcohol’s effect on sleep 1,
- The study found that while alcohol may be good at getting you to go to sleep, it also does a number on the second half of your sleep cycle.
- The body, as smart as it is, makes certain adjustments to the amount of REM sleep you experience once it detects alcohol in the system.
- However, once all the alcohol is metabolized by your body, these previously made adjustments to the sleep cycle continue, which results in you waking up.
They call it the re-bound effect. Let’s look at an example. Maureen goes to bed at midnight, when her tells her that her BAC is 0.06%. Given that the average person processes alcohol at about 0.015% per hour, it should take Maureen about four hours to metabolize all the alcohol in her system.
How much alcohol does it take to disrupt sleep?
Alcohol and Sleep Medical Disclaimer: The content on this page should not be taken as medical advice or used as a recommendation for any specific treatment or medication. Always consult your doctor before taking a new medication or changing your current treatment.
Alcohol is a central nervous system depressant that causes brain activity to slow down. Alcohol has sedative effects that can induce feelings of relaxation and sleepiness, but the consumption of alcohol — especially in excess — has been linked to poor sleep quality and duration. People with alcohol use disorders commonly experience insomnia symptoms.
Studies have shown that alcohol use can exacerbate the symptoms of sleep apnea. Drinking alcohol in moderation is generally considered safe but every individual reacts differently to alcohol. As a result, alcohol’s impact on sleep largely depends on the individual.
After a person consumes alcohol, the substance is absorbed into their bloodstream Centers for Disease Control and Prevention (CDC) As the nation’s health protection agency, CDC saves lives and protects people from health threats. from the stomach and small intestine. Enzymes in the liver eventually metabolize the alcohol, but because this is a fairly slow process, excess alcohol will continue to circulate through the body.
The effects of alcohol largely depend on the person. Important factors include the amount of alcohol and how quickly it is consumed, as well as the person’s age and body composition. The relationship between alcohol and sleep National Institutes of Health (NIH) The NIH, a part of the U.S.
Department of Health and Human Services, is the nation’s medical research agency — making important discoveries that improve health and save lives. has been studied since the 1930s, yet many aspects of this relationship are still unknown. Research has shown that those who drink large amounts of alcohol before bed are often prone to decreased sleep onset latency, meaning they take less time to fall asleep.
As liver enzymes metabolize the alcohol during the night and blood alcohol levels decrease, these individuals are also more likely to experience sleep disruptions and decreases in sleep quality.
To understand how alcohol impacts sleep, it is important to understand the different stages of the human sleep cycle. A normal sleep cycle consists of : three non-rapid eye movement (NREM) stages and one rapid eye movement (REM) stage.
- Stage 1 (NREM) : This initial stage is the transition period between wakefulness and sleep, during which the body will begin to wind down. The sleeper’s heartbeat, breathing, and eye movements start to slow down and their muscles will relax. Brain activity also begins to decrease. This phase is also known as light sleep.
- Stage 2 (NREM) : The sleeper’s heartbeat and breathing rates continue to slow as they progress toward deeper sleep. Their body temperature will also decrease and the eyes become still. Stage 2 is usually the longest of the four sleep cycle stages.
- Stage 3 (NREM) : Heartbeat, breathing rates, and brain activity all reach their lowest levels of the sleep cycle. Eye movements cease and the muscles are totally relaxed. This stage is known as slow-wave sleep.
- REM : REM sleep begins about 90 minutes after the individual initially falls asleep. Eye movements will restart and the sleeper’s breathing rate and heartbeat will quicken. Dreaming primarily takes place during REM sleep. This stage is also thought to play a role in memory consolidation National Center for Biotechnology Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.,
These four NREM and REM stages repeat in cyclical fashion throughout the night. Each cycle should last roughly 90 to 120 minutes Merck Manual First published in 1899 as a small reference book for physicians and pharmacists, the Manual grew in size and scope to become one of the most widely used comprehensive medical resources for professionals and consumers.
- Resulting in four to five cycles for every eight hours of sleep.
- For the first one or two cycles, NREM slow-wave sleep is dominant, whereas REM sleep typically lasts no longer than 10 minutes.
- For later cycles, these roles will flip and REM will become more dominant, sometimes lasting 40 minutes or longer without interruption.
NREM sleep will essentially cease during these later cycles. Drinking alcohol before bed can increase the suppression of REM sleep during the first two cycles. Since alcohol is a sedative, sleep onset is often shorter for drinkers and some fall into deep sleep rather quickly.
As the night progresses, this can create an imbalance between slow-wave sleep and REM sleep, resulting in less of the latter and more of the former. This imbalance decreases overall sleep quality, which can result in shorter sleep duration and more sleep disruptions., the most common sleep disorder, is marked by periods of difficulty falling or staying asleep.
Insomnia occurs despite the opportunity and desire to sleep, and leads to and other negative effects. Since alcohol can reduce REM sleep and cause sleep disruptions, people who drink before bed often experience insomnia symptoms and feel excessively sleepy National Center for Biotechnology Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.
- The following day.
- This can lead them into a vicious cycle National Center for Biotechnology Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.
- That consists of self-medicating with alcohol in order to fall asleep, consuming caffeine and other stimulants during the day to stay awake, and then using alcohol as a sedative to offset the effects of these stimulants.
Binge-drinking – consuming an excessive amount of alcohol in a short period of time that results in a blood alcohol level of 0.08% or higher – can be particularly detrimental to sleep quality. In recent studies, people who took part in binge-drinking on a weekly basis were significantly more likely to have trouble falling and staying asleep.
- These findings were true for both men and women.
- Similar trends were observed in adolescents and young adults National Center for Biotechnology Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.
- As well as middle-aged and older adults National Center for Biotechnology Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.
Researchers have noted a link between long-term alcohol abuse and chronic sleep problems. People can develop a tolerance for alcohol rather quickly, leading them to drink more before bed in order to initiate sleep. Those who have been diagnosed with alcohol use disorders frequently report insomnia symptoms.
- The Matt Walker Podcast SleepFoundation.org’s Scientific Advisor is a disorder characterized by abnormal breathing and temporary loss of breath during sleep.
- These lapses in breathing can in turn cause sleep disruptions and decrease sleep quality.
- Occurs due to physical blockages in the back of the throat, while occurs because the brain cannot properly signal the muscles that control breathing.
During apnea-related breathing episodes – which can occur throughout the night – the sleeper may make choking noises. People with sleep apnea are also prone to loud, disruptive snoring. Some studies suggest that alcohol contributes to sleep apnea because it causes the throat muscles to relax, which in turn creates more resistance during breathing.
This can exacerbate OSA symptoms and lead to disruptive breathing episodes, as well as heavier snoring. Additionally, consuming just one serving of alcohol before bed can lead to symptoms of OSA and heavy snoring, even for people who have not been diagnosed with sleep apnea. The relationship between sleep apnea and alcohol has been researched fairly extensively.
The general consensus based on various studies is that consuming alcohol increases the risk of sleep apnea National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. Does Alcohol Help You Sleep? Alcohol may aid with sleep onset due to its sedative properties, allowing you to fall asleep more quickly. However, people who drink before bed often experience disruptions later in their sleep cycle as liver enzymes metabolize alcohol.
- 12 ounces of beer with 5% alcohol content
- 5 ounces of wine with 12% alcohol content
- 1 ounce of liquor or distilled spirits with 40% alcohol content
Moderate drinking is loosely defined as up to two drinks per day for men and one drink per day for women. Heavy drinking means more than 15 drinks per week for men and more than eight drinks per week for women. Will a Small Amount of Alcohol Affect My Sleep? Drinking to excess will typically have a more negative impact on sleep than light or moderate alcohol consumption.
However, since the effects of alcohol are different from person to person, even small amounts of alcohol can reduce sleep quality for some people. One 2018 study compared sleep quality National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.
among subjects who consumed various amounts of alcohol.
- Low amounts of alcohol : Having fewer than two servings of alcohol per day for men or one serving per day for women decreased sleep quality by 9.3%.
- Moderate amounts of alcohol : Having two servings of alcohol per day for men or one serving per day for women decreased sleep quality by 24%.
- High amounts of alcohol : Having more than two servings of alcohol per day for men or one serving per day for women decreased sleep quality by 39.2%.
When Should I Stop Drinking Prior To Bed To Minimize Sleep Disruption? You can manage the negative effects of alcohol on sleep by giving your body ample time to metabolize alcohol before falling asleep. To reduce the risk of sleep disruptions, you should stop drinking alcohol at least four hours National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information.
- Centers for Disease Control. (2020, January 15). Alcohol and Public Health: Frequently Asked Questions. Centers for Disease Control and Prevention., Retrieved February 6, 2023, from
- Roehrs, T., & Roth, T. Sleep, Sleepiness, and Alcohol Use. National Institute on Alcohol Abuse and Alcoholism., Retrieved February 6, 2023, from
- Rasch, B., & Born, J. (2013). About Sleep’s Role in Memory. Physiological Reviews, 93(2), 681–766.
- Schwab, R. (2020, June). Insomnia and Excessive Daytime Sleepiness (EDS). Merck Manual Consumer Version., Retrieved February 6, 2023, from
- Park, S., Oh, M., Lee, B., Kim, H., Lee, W., Lee, J., Lim, J., & Kim, J. (2015). The Effects of Alcohol on Quality of Sleep. Korean Journal of Family Medicine, 36(6), 294–299.
- Coltrain, I., Nicholas, C., & Baker, F. (2018). Alcohol and the Sleeping Brain. Handbook of Clinical Neurology, 125, 415–431., Retrieved from
- Popovici, I., & French, M. (2013). Binge Drinking and Sleep Problems among Young Adults. Drug and Alcohol Independence, 132, 207–215.
- Canham, S., Kaufmann, C., Mauro, P., Mojtabai, R., & Spira, A. (2015). Binge Drinking and Insomnia in Middle-aged and Older Adults: The Health and Retirement Study. International Journal of Geriatric Psychiatry, 30(3), 284–291.
- Simou, E., Britton, J., & Leonardi-Bee, J. (2018). Alcohol and the risk of sleep apnoea: A systematic review and meta-analysis. Sleep Medicine, 42, 38–46.
- Pietilä, J., Helander, E., Korhonen, I., Myllymäki, T., Kujala, U., & Lindholm, H. (2018). Acute Effect of Alcohol Intake on Cardiovascular Autonomic Regulation During the First Hours of Sleep in a Large Real-World Sample of Finnish Employees: Observational Study. JMIR Mental Health, 5(1), e23.
- Stein, M.D., & Friedmann, P.D. (2005). Disturbed sleep and its relationship to alcohol use. Subst Abuse, 26(1):1-13.
: Alcohol and Sleep
What not to eat with alcohol?
04 /7 Avoid: Excessive salty food – The next time you go out with your friends for boozing, skip French fries and cheesy nachos. Both the snacks contain a high amount of sodium, which can be bad for your digestive system when you are taking alcohol. Salty food makes you feel thirsty and you will eventually drink more.
Why do I wake up from sleep after drinking alcohol?
Why Alcohol Is a Sleep Disruptor – Drinking too much wakes you up for two main reasons, explained Gamaldo. First, alcohol is a diuretic, so your body works hard to metabolize it and creates large volumes of urine to help you get the alcohol out of your body.
So, you’ll likely need to get up in the middle of the night to use the bathroom. “That sense of a hangover is actually from intense dehydration from your body getting rid of all that alcohol,” said Gamaldo. Second, you’ll have the rebound waking as your body bounces back from the depressant effects of the alcohol.
Also, too much alcohol can weaken airway muscles, triggering (or worsening) sleep disturbances like sleep apnea or heavy snoring. When a hangover wakes you up early, it’s partly because your body is craving fluids to replace what was lost through the increased urine output.
Why do I wake up so early after drinking?
BACtrack Answers: Why Do I Sometimes Wake Up Early After a Night of Drinking? Anyone having consumed alcohol in the evening knows that it can act as a sedative. Some folks even have a drink at bedtime to help them sleep. But if you’ve ever woken up in the middle of the night or early morning and wondered why, here’s the answer. Doctors Timothy Roehrs and Thomas Roth of the Henry Ford Sleep Disorders Center conducted a study on alcohol’s effect on sleep 1,
- The study found that while alcohol may be good at getting you to go to sleep, it also does a number on the second half of your sleep cycle.
- The body, as smart as it is, makes certain adjustments to the amount of REM sleep you experience once it detects alcohol in the system.
- However, once all the alcohol is metabolized by your body, these previously made adjustments to the sleep cycle continue, which results in you waking up.
They call it the re-bound effect. Let’s look at an example. Maureen goes to bed at midnight, when her tells her that her BAC is 0.06%. Given that the average person processes alcohol at about 0.015% per hour, it should take Maureen about four hours to metabolize all the alcohol in her system.
Why do I have such bad hangxiety?
What causes hangxiety? – Hangxiety occurs when the sedative effects of alcohol begin wearing off, causing withdrawal symptoms similar to those experienced by people dependent on alcohol. When drinking alcohol, normal brain functionality is disrupted, and an excess of “feel-good” chemicals (like ) are released.
As a result, the following day you often feel drained with a rapidly declining mood due to your body trying to maintain an appropriate state of (a self-regulating biological process that adjusts itself to maintain an optimal condition for survival). Cortisol (the stress hormone) is also triggered during and after drinking alcohol, making you feel more anxious than usual.
Although hormonal fluctuation plays a key role in hangxiety (and anxiety in general), some factors can increase your likelihood of experiencing hangxiety:
Social anxiety and drinking to lessen stress during social events: once the effects of alcohol begin wearing off, you’re left with physical hangover symptoms that can worsen symptoms of anxiety and depression. Alcohol detox: this can leave you feeling restless, anxious, and nervous. Dehydration or poor nutrition: A lack of hydration and other vital nutrients can be a source of anxiety and mood changes Exhaustion: sleep deprivation can increase the intensity of emotional states
How do you sleep with hangover anxiety?
Do you get ‘hangxiety’? How to cope with an anxious hangover Y ou’ve got a raging thirst but you can’t drag yourself out of bed for a glass of water. All you remember from last night is going off on one about a man who “hatfished” you on a date while wearing a cap, only to realise the guy listening to you was heavily receding.
None of your friends have messaged you this morning so you assume they must hate you now. You lie in the foetal position and kid yourself into believing you are still asleep so you don’t have to deal with the consequences of your actions. You have “hangxiety” (hangover anxiety) or you are suffering from a “prangover” (pranging out hungover), and it’s the worst feeling in the world.
There’s a scientific reason why drinking makes us feel like this. “Alcohol is one of the most promiscuous of drugs, in that it affects a lot of different types of receptors and hence the majority, if not all, of the neurons,” says David Nutt, professor of neuropsychopharmacology at Imperial College London and author of 2020 book Drink? The New Science of Alcohol and Your Health.
That blissed-out state we associate with drinking is caused by alcohol enhancing the Gaba receptors (neurotransmitters that essentially turn off the brain) and this calms you down by making fewer neurons fire. As we enter withdrawal, the brain increases levels of the main excitatory transmitter, glutamate, in an attempt to decrease Gaba, and this chemical imbalance results in anxiety.
Or, in other words – as Nutt puts it: “The brain is a finely balanced machine. You add in alcohol and that balance dissolves like a sugar cube in hot tea.” Not remembering leaves you feeling you lost control. It’s horrible Rachel Buchan, psychotherapist To make matters worse, this anxiety tends to kick in when you’re trying to sleep off the alcohol.
“As your blood alcohol level goes down during the night, you’re left with too many receptors and so too much glutamate activity,” says Nutt. “And that is why you are too alert, and why the world seems too much.” Compromised glutamate levels also lead to memory loss, forcing your brain to try to fill in the gaps in what you did after hitting that third bottle of wine.
“Because of the physical effects of the anxiety, you tend to think the worst,” says psychotherapist Rachel Buchan. “But not remembering leaves you with this feeling that you lost control of what was happening or what you were doing. It’s horrible.” Before any of you mindful drinkers start to feel smug, it is worth noting that hangxiety is not always alcohol-related, according to clinical psychologist Linda Blair.
- A lot of social anxiety is caused by a buildup of energy that we don’t know what do with.
- You’ve been directing all your excitement towards this particular event and now it’s over but the energy is still there, bouncing around.” That is when we start to obsess about what we said and did.
- You want to use that energy to fix your worry but, of course, you can’t.
You can’t go back in time.” Some of us are more predisposed to ruminate than others. “Certain people are more reflective than they are impulsive,” says Blair. A lot of this is genetic but there is a learned element to it. “They deal with problems by thinking them through again and again until they calm down.
It’s not a good strategy, but it becomes a pattern.” And, of course, we are all a bit rusty since Covid lockdowns. “When you’re socialising, you’re constantly gauging the other person’s feelings and reactions, so you can respond appropriately,” says Blair. “We’re out of practice. This makes us more tired than usual, which can trigger anxious thoughts.” When our bodies are depleted in this way, we tend to think emotionally rather than logically, negatively rather than positively.
Knowing all this probably isn’t going to stop you partying – and nor should it. But before you resign yourself to waking up on 1 January full of self-loathing, there are things you can do to lessen the symptoms of hangxiety. Ones that go beyond paracetamol, ordering from Deliveroo and turning on a reality TV show. “Go for a coffee with someone you were at the party with and you’ll see that they won’t treat you any differently from the way they did before the party,” Blair recommends. “But don’t bring up what you said. All it does is make you look needy – they’ll give you reassurance by enjoying your company.” Just make sure you pick someone sympathetic, not that friend who’ll remind you of the time you cornered that Irish girl in the kitchen so you could rant about your family from Cork.
- Buchan advises inhaling and exhaling through your nose rather than your mouth.
- Four seconds is good but do more or less if that doesn’t feel comfortable.
- Try to imagine your stomach is a balloon: as you inhale, it expands and as you exhale, it contracts.
- This will deepen your breath, which will have a calming impact on your body,” says Buchan.
“You can do it anywhere and no one knows you’re doing it.” “Exercise will help speed up your metabolism and so help shift your hangover,” Nutt says. But avoid anything too strenuous because that can put a strain on the cardiovascular system. Think a light jog or a long walk.
- Shuffling to the Co-op in your dressing gown for some Pringles doesn’t count.
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Privacy Notice: Newsletters may contain info about charities, online ads, and content funded by outside parties. For more information see our, We use Google reCaptcha to protect our website and the Google and apply. after newsletter promotion To avoid that disappointing crash after a party, Blair recommends making sure you have something else exciting in the diary.
So when you wake up you think, That was so fun, and I’m so sorry it’s over, but actually, I have that work party on Tuesday so I can get excited about that. If you set up something else immediately, you will give your emotions and your energy a direction.” Sure, your mind is racing and you are sweating a bit thinking about what happened last night, but, advises Blair, don’t just rush to conclusions.
You could choose to call that grouping of symptoms anxiety, she says, but you could just call it a hangover.” Blair says this can help us reframe. “When you think of it in that way, it’s in your control and not taking you over.” Sometimes a hangover is just a hangover.
- Everyone at the party is probably feeling the same as you.
- And it, too, shall pass.
- Alcohol wreaks havoc with our blood sugar levels, which can disturb sleep,” says nutritional therapist Alice Mackintosh.
- Another side-effect of high blood sugar is that our bodies release more of the stress hormone cortisol, and, for many, this can lead to anxiety.” Eating something before you go to bed can stabilise blood sugar and absorb some of the alcohol in the gut.
“Aim for some protein and fibre, as these are critical for gut health. If you’re home and need something quick, go for wholegrain toast with peanut butter and banana.” Eggs make the perfect hangover breakfast. “They’re rich in amino acids to aid liver function, protein, B vitamins, nutrients such as choline, and healthy fats to help get you back on your feet,” says Mackintosh.
Eat them on toast with avocado and some mushrooms as both are “rich in detoxifying B-vitamins, folate and antioxidants.” If you’re vegan, go for baked beans instead of eggs, because these provide all-important protein and fibre. You could also pop some supplements containing B vitamins, magnesium, and vitamin C to aid liver function and antioxidants NAC, or milk thistle.
: Do you get ‘hangxiety’? How to cope with an anxious hangover