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Abilify and Alcohol interaction: Is It Safe to Drink While on This Medication?

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Written by BFH Staff Writer on September 12, 2024

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If you’re taking Abilify (aripiprazole) for conditions like depression, bipolar disorder, or schizophrenia, you might be wondering if having a drink now and then is okay. Mixing alcohol with medications is something that often comes with warnings, so let’s dive into what you need to know about Abilify and alcohol—whether it’s safe to combine the two and what could happen if you do.

How Abilify Works in Your Body

Before we get into the effects of mixing Abilify and alcohol, let’s briefly talk about how Abilify works. Abilify is an antipsychotic that helps balance dopamine and serotonin levels in the brain, which can stabilize mood and manage symptoms of mental health disorders. While it’s effective for many people, Abilify also affects your central nervous system, which is why mixing it with other substances—like alcohol—requires some caution.

Why Drinking Alcohol on Abilify Might Not Be a Good Idea

Drinking alcohol while on Abilify isn’t strictly forbidden, but it’s not exactly recommended either. Both Abilify and alcohol can affect your brain and nervous system, which is why combining the two might lead to some unexpected or uncomfortable side effects.

Increased Drowsiness and Dizziness

Both Abilify and alcohol have sedative effects, meaning they can make you feel sleepy or dizzy. If you mix them, these effects can amplify, making you feel more tired than usual, which isn’t great if you need to stay alert. This can be especially risky if you’re planning to drive or operate heavy machinery. So, if you’re someone who experiences drowsiness from Abilify, adding alcohol to the mix could leave you feeling even more out of it.

Impaired Judgment

Abilify is already working to adjust your brain’s chemistry, and alcohol can further impair your judgment. If you’ve ever had a few too many drinks, you know how decision-making tends to go out the window. Mixing the two can cloud your judgment even more, and that can be dangerous, especially in social situations or when you need to think clearly.

Worsening Side Effects

One of the biggest concerns about combining Abilify and alcohol is that it can worsen the side effects of the medication. Abilify can cause side effects like nausea, dizziness, and headaches. When you add alcohol into the equation, these side effects can become more pronounced, leading to a pretty unpleasant experience. Plus, alcohol might interfere with how Abilify works, potentially making your symptoms worse.

What About Drinking in Moderation?

You might be wondering if an occasional drink is okay while on Abilify. The answer largely depends on how your body reacts to the medication and alcohol. Some people might tolerate a glass of wine or beer just fine, while others could feel the effects more strongly. It’s always a good idea to talk to your doctor about your alcohol consumption and how it might interact with your medications.

Individual Tolerance

Everyone’s tolerance for alcohol and medications like Abilify is different. Some people may be more sensitive to the effects of alcohol, especially when combined with a medication that affects brain chemistry. If you’ve just started taking Abilify, it’s smart to see how your body adjusts before introducing alcohol into the mix.

Drinking Occasionally

If your doctor gives you the green light to have a drink on occasion, it’s important to do so responsibly. Drinking in moderation and keeping an eye on how your body reacts can help you avoid any negative side effects. However, if you notice any changes in how you feel after drinking, it’s best to consult your doctor right away.

The Impact on Your Mental Health

Alcohol is known to be a depressant, which means it can lower your mood and affect your mental health over time. If you’re taking Abilify to manage depression, anxiety, or other mental health conditions, drinking alcohol might not be the best idea since it can counteract the benefits of your medication. In some cases, drinking can make mental health symptoms worse, leading to a possible need for an adjustment in your treatment plan.

What Happens If You Stop Drinking or Quit Abilify?

If you decide to stop drinking while on Abilify, you might not see any major changes right away, but giving up alcohol could help your medication work more effectively. On the flip side, if you’re thinking of stopping Abilify, it’s crucial to speak with your doctor first. Abruptly stopping Abilify can lead to withdrawal symptoms like anxiety, irritability, and even a return of the symptoms you were treating in the first place. This is commonly known as Abilify withdrawal.

Tapering Off Abilify

If your doctor agrees that it’s time to stop taking Abilify, they’ll likely guide you through a process of tapering off the medication gradually. This can help lessen the chances of experiencing withdrawal symptoms and ensure that your mental health stays on track. Similarly, if you decide to stop drinking alcohol while on Abilify, it’s a good idea to ease off slowly, especially if you’ve been drinking heavily.

Managing Withdrawal Symptoms

Withdrawal from Abilify can be uncomfortable, but it’s manageable with the right support. If you experience any symptoms, such as mood swings or trouble sleeping, talk to your healthcare provider about how to manage them. Stopping alcohol, on the other hand, might also cause temporary discomfort, but it can improve your overall mental and physical health in the long run.

Wrapping It Up

Mixing Abilify and alcohol isn’t a great combination for most people. The sedative effects, along with the potential to worsen side effects, make it something to approach with caution. Always talk to your healthcare provider if you’re unsure about drinking while on Abilify, and remember that your mental health should always come first. By making informed choices, you can stay on top of your treatment plan and avoid any unnecessary risks.

Frequently Asked Questions (FAQs)

What happens if I drink alcohol on Abilify?

Drinking alcohol while taking Abilify can make you feel more tired, dizzy, or disoriented. It can also worsen side effects like nausea and headaches. Additionally, alcohol might interfere with the effectiveness of Abilify, potentially making your mental health symptoms worse.

How much alcohol can I drink while on Abilify?

No set amount of alcohol is considered “safe” while taking Abilify, as everyone’s body reacts differently. If you want to drink occasionally, it’s important to consult your doctor first and monitor how your body responds.

Is it okay to quit alcohol while taking Abilify?

Yes, quitting alcohol while taking Abilify is generally a good idea, especially if you notice any negative interactions. If you’ve been drinking heavily, it’s a good idea to taper off gradually and get guidance from your doctor. 

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