Coffee After Alcohol: Why This Common Practice is Risky

Drinking coffee after consuming alcohol is a widespread practice, often believed to help with sobering up. However, medical professionals warn that this habit can be dangerous. According to experts, consuming caffeine does not counteract the effects of alcohol; it merely masks them, leading individuals to misjudge their level of intoxication.

Robert Swift, MD, PhD, a professor of psychiatry and human behavior at Brown University, explains that alcohol triggers the release of dopamine in the brain, a chemical associated with feelings of pleasure. Initially, this causes a sense of euphoria and increased energy. But as the effects of alcohol set in, sedative properties begin to dominate. This transition can lead to fatigue and slowed reaction times, which are critical factors for anyone considering driving after drinking.

The Risks of Mixing Caffeine and Alcohol

When caffeine is consumed, particularly in the form of coffee, it interacts with the brain’s chemistry. Caffeine prevents certain enzymes from regulating cyclic AMP, a molecule that helps manage energy levels in the brain. As a result, while alcohol continues to impair cognitive function and coordination, caffeine creates a false sense of alertness. This can lead individuals to underestimate their impairment, increasing the risk of poor decision-making, including driving under the influence.

Jarid Pachter, DO, who specializes in family and addiction medicine at Stony Brook Medicine, reinforces that caffeine does not speed up the metabolism of alcohol. “Alcohol is metabolized at a fixed rate, and caffeine will not change that,” he asserts. Instead of sobering up, individuals may simply feel more awake while still being impaired.

The combination of alcohol and caffeine can also disrupt sleep patterns. Alcohol can lead to an energizing rebound effect after its initial sedative impact fades. This can result in individuals waking up in the middle of the night. With caffeine’s effects lasting approximately five hours, it can further complicate sleep, making it difficult to fall back asleep once disturbed.

Long-Term Effects and Recovery

The aftermath of drinking coffee after alcohol can be detrimental to health. It may exacerbate dehydration and increase the likelihood of a hangover. Many believe that coffee can relieve hangover symptoms, but this is misleading. While caffeine may reduce feelings of grogginess, it does not resolve the underlying cognitive impairments associated with a hangover.

Individuals experiencing a hangover may still find their judgment impaired, leading to potential risky behaviors even after consuming caffeine. “If you wake up with a hangover and then drink caffeine, you may feel more awake but your judgment may be impaired, leading to bad decisions,” warns Pachter.

Ultimately, the most effective way to recover from a night of drinking is simple: time. There are no quick fixes or magic remedies.

The insights from Jocelyn Solis-Moreira, MS, who serves as the associate health and fitness editor for Men’s Health, emphasize the importance of understanding the effects of combining coffee and alcohol. As she notes, the best approach is always to prioritize safety and responsible drinking habits.

In conclusion, while a cup of coffee may seem like a good idea after a few drinks, understanding the potential risks is critical. Individuals are encouraged to be mindful of their consumption and to make choices that prioritize their safety and well-being.