Like any other dietary or lifestyle choice, it’s a matter of moderation. Sara Tasnim (ST) and Chantel Tang (CT) drafted the protocol with help from JMW. Both ST and CT independently assessed studies for inclusion or exclusion and assessed the risk of bias of all included studies.

Misuse of blood pressure medication, alcohol, or other drugs poses a risk of physical and psychological consequences. Combining blood pressure medication and alcohol can be related to the following. Beta-blocker medicines, such as metoprolol (Lopressor), reduce blood pressure by slowing heart alcohol lowers blood pressure rate. They block adrenaline—or epinephrine—allowing the heart to use less force to supply blood to the arteries. Both lifestyle changes and medicine are often needed to help control blood pressure. You may need to try several medicines or doses before finding what works best for you.

Allergy, Cold, and Flu Medicines

Alcohol and cough syrup can increase each other’s side effects like drowsiness. For example, the cough and cold medicine Vick’s NyQuil Liquid contains 10% alcohol and can lead to a significant interaction. NyQuil LiquiCaps and Alcohol-Free NyQuil Cold & Flu Nighttime Relief Liquid do not contain alcohol.

Based on the associations noted in the first stage of analysis, smoking and diet were evaluated as mediators of the association between average alcohol consumption and blood pressure. There were no statistically significant indirect effects of either behavior in relation to SBP or DBP (Table ​(Table4).4). We assess the potential indirect role of smoking, physical inactivity, unhealthy diet, and poor medication adherence on the association between alcohol use and blood pressure among Black and White men and women with hypertension.

Potter 1986 published data only

The risks of mixing antipsychotics and alcohol include impaired judgment, dizziness, drowsiness, low blood pressure, the worsening of a psychiatric condition, an increased risk of suicide, and more. In some cases, mixing alcohol with medications can lead to an overdose or alcohol poisoning—both of which are potentially life-threatening medical emergencies. If you take prescription medication or use a specific medication every day, ask your doctor if it is okay for you to drink alcohol. You may be able to consume a limited amount safely, as long as you follow certain rules (for example, waiting at least four hours after taking your daily dose before having an alcoholic drink). It is always best to check with your doctor first before having alcohol if you are on a prescription blood pressure medication.

blood pressure medications and alcohol

Research indicates that different types of tea may lower blood pressure. Some researchers are involved in organizations with ties to the alcohol industry. If calcium enters the blood vessels, the heart muscle contracts harder to maintain blood flow.

Opioid Pain Medications

In small amounts, it has been shown to lower blood pressure by 2 to 4 mm Hg (millimeters of mercury) in women. Most experts agree, though, that does not show a significant enough drop to advise drinking for an entire population. The outcomes, SBP and DBP, were assessed by trained technicians at each exam. After resting for 5 min, participants’ blood pressure was measured on the right arm three times at 1-min intervals. We took several steps to minimise the risk of selection bias to identify eligible studies for inclusion in the review. We also checked the lists of references in the included studies and articles that cited the included studies in Google Scholar to identify relevant articles.

  • Antidepressants can cause drowsiness and dizziness that can be made worse with alcohol.
  • Second, as noted, medication adherence was measured using a single question that has not been validated and may not be as sensitive as other measurements of adherence.
  • We classified nine studies as having high risk of bias (Agewall 2000; Bau 2011; Buckman 2015; Dumont 2010; Fazio 2004; Karatzi 2013; Maufrais 2017; Rossinen 1997; Van De Borne 1997).

You should never assume that even a small amount of alcohol is safe until you have first talked to your physician. All blood pressure medications work to keep your blood pressure levels within safe limits. In this article, we’ll explore how alcohol affects blood pressure, the side effects of losartan, and the potential risks of mixing the two. Drinking alcohol while you are taking losartan can lead to increased effects of the medication, which has the potential to cause blood pressure that is too low (hypotension).

Our study suggests that, at least among dependent drinkers, alcohol consumption has similar effects on blood pressure regardless of sex. Similarly, age does not appear to substantially alter the effect of drinking on blood pressure. We did find an unexpected dissociation between percent drinking days and blood pressure in African American participants [26], but this was likely due to baseline ethnic differences in blood pressure. Given the higher prevalence of hypertension among African Americans in the US [28], this was probably a sample-specific finding. First, there was the possibility of undesired bias and imprecision due to imputations of missing statistics. Most of the included studies did not report the standard error (SE)/standard deviation (SD) of the mean difference (MD) for the outcomes of interest.

  • We did not see any significant change in blood pressure or heart rate after that, but the evidence was limited.
  • The remaining seven studies reported the method of randomisation used, hence we classified them as having low risk of bias.
  • While an occasional drink here or there is usually not problematic, for people who already have high blood pressure for other reasons, regularly drinking alcohol may worsen the problem.
  • This systematic review provides us with a better understanding of the time‐course of alcohol’s acute effects on blood pressure and heart rate.
  • B95% confidence interval around the best effect estimate includes both negligible effect and appreciable benefit.

Agewall 2000 measured blood pressure upon participants’ arrival and did not measure blood pressure after the intervention. The aim of Bau 2011 was to determine the effects of alcohol on heart rate variability, so study authors did not measure and report DBP. For Buckman 2015, blood pressure was recorded beat to beat continuously, but DBP was not reported. Dumont 2010 measured blood pressure during the RCT, but study authors did not provide the before and after measurement of DBP. The aim of Fazio 2004 was to determine effects of alcohol on blood flow volume and velocity.

Karatzi 2013Maufrais 2017 and Van De Borne 1997 measured blood pressure before and after treatment but did not report these measurements. Strengths of this study included the use of a large trial database with repeated and detailed assessment of daily alcohol use over time, repeated blood pressure measurement, and adequate representation of women and several ethnic groups. This allowed an exploration of how these and other variables interact over time.

blood pressure medications and alcohol