Alcohol: How Much Is Too Much?

It is not uncommon for adults to drink alcohol at least occasionally. For many people, moderate drinking is probably safe. But drinking less is better for your health than drinking more. And there are some people who should not drink at all. 

Because drinking too much can be harmful, it’s important to know how alcohol affects you and how much is too much. 

How does alcohol affect the body? 

Alcohol is a central nervous system depressant. This means that it’s a drug that slows down brain activity. It can change your mood, behavior, and self-control. It can cause problems with memory and thinking clearly. Alcohol can also affect your coordination and physical control. 

Alcohol also has effects on the other organs in your body. For example, it can raise your blood pressure and heart rate. If you drink too much at once, it could make you throw up.

Why are the effects of alcohol different from person to person? 

Alcohol’s effects vary from person to person, depending on a variety of factors, including: 

  • How much you drank 
  • How quickly you drank it 
  • The amount of food you ate before drinking 
  • Your age 
  • Your sex 
  • Your race or ethnicity 
  • Your physical condition 
  • Whether or not you have a family history of alcohol problems 

What is moderate drinking? 

  • For most women, moderate drinking is no more than one standard drink a day 
  • For most men, moderate drinking is no more than two standard drinks a day 

Even though moderate drinking may be safe for many people, there are still risks. Moderate drinking can raise the risk of death from certain cancers and heart diseases. 

What is a standard drink? 

In the United States, a standard drink is one that contains about 14 grams of pure alcohol, which is found in: 

  • 12 ounces of beer (5% alcohol content) 
  • 5 ounces of wine (12% alcohol content) 
  • 1.5 ounces or a “shot” of distilled spirits or liquor (40% alcohol content) 

Who should not drink alcohol? 

Some people should not drink alcohol at all, including those who: 

  • Are recovering from an alcohol use disorder (AUD) or are unable to control the amount they drink 
  • Are under age 21 
  • Are pregnant or trying to become pregnant 
  • Are taking medicines that can interact with alcohol 
  • Have medical conditions that get can worse if you drink alcohol 
  • Are planning on driving 
  • Will be operating machinery 

If you have questions about whether it is safe for you to drink, talk with your healthcare provider or your Trellus Health Care Team. 

What is excessive drinking? 

Excessive drinking includes binge drinking and heavy alcohol use: 

  • Binge drinking is drinking so much at once that your blood alcohol concentration (BAC) level is 0.08% or more. For a man, this usually happens after having 5 or more drinks within a few hours. For a woman, it is after about 4 or more drinks within a few hours. 
  • Heavy alcohol use is having more than 4 drinks on any day for men or more than 3 drinks for women. 

Binge drinking raises your risk of injuries, car crashes, and alcohol poisoning.  

Heavy alcohol use over a long period of time may cause health problems such as: 

  • Alcohol use disorder 
  • Liver diseases, including cirrhosis and fatty liver disease 
  • Heart diseases 
  • Increased risk for certain cancers 
  • Increased risk of injuries 

Heavy alcohol use can also cause problems at home, at work, and with friends. But treatment can help. 

What should I do if I think that I might have an alcohol use disorder (AUD)? 

If you think you might have an AUD, see your healthcare provider for an evaluation. Your provider can help make a treatment plan, prescribe medicines, and if needed, give you treatment referrals. 

A good place to start is the NIAAA Alcohol Treatment Navigator (US) or the NHS Alcohol Addiction Services (UK)

Source: MedlinePlus, National Library of Medicine