Can You Drink Alcohol on Antibiotics?

Medically Reviewed:
Dr. Randy Gelow, MD, FASAM
Ray Hamilton, DNP, PMHNP-BC, FNP-C
Last Updated: May 16, 2025

If you’ve ever been prescribed antibiotics, you may have wondered: can you drink alcohol on antibiotics? It’s a common question, especially when treatment overlaps with a special occasion or weekend plans. While having a glass of wine or beer may seem harmless, combining alcohol and antibiotics can lead to unwanted side effects and reduce the effectiveness of your treatment.

In this article, we’ll explore why drinking alcohol while on antibiotics is often discouraged, what specific antibiotics are most affected, and how long you should wait after your last dose before drinking again.

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Wondering If One Drink Is Worth It? Learn the risks of mixing meds with alcohol.

Why Alcohol and Antibiotics Don’t Mix Well?

In general, alcohol interaction with antibiotics can result in increased side effects and reduced effectiveness of the medication. Although not all antibiotics directly interact with alcohol, many do—either by triggering unpleasant symptoms or by placing extra stress on your liver, which is already working to break down the medication.

Some antibiotics slow down the body’s ability to metabolize alcohol. When this happens, alcohol builds up in your system and can cause nausea, vomiting, headaches, flushing, dizziness, or even increased blood pressure. This is known as a drug interaction and should be taken seriously.

Alcohol and Antibiotics Don’t Mix Avoid side effects from this risky combo.

Is It Safe to Drink Alcohol on Antibiotics?

The short answer is no — it is not safe to drink alcohol on antibiotics, particularly certain types. The effects of alcohol can range from mild discomfort to serious reactions depending on which antibiotics you’re taking and the amount of alcohol consumed.

Even if no direct interaction exists, alcohol can still worsen the condition you’re being treated for. For instance, consuming alcohol while battling skin infections, a urinary tract infection, or respiratory illness can dehydrate you, weaken your immune system, and make recovery take longer.

Additionally, alcohol can impair judgment and energy levels, which isn’t ideal when your body is trying to heal.

Antibiotics That Interact Badly With Alcohol

Not all antibiotics interact the same way with alcohol, but several are known to cause serious side effects when mixed with alcoholic beverages. The most well-known examples include:

  1. Metronidazole (Flagyl)

This antibiotic is commonly used to treat urinary tract infections, dental infections, and skin infections. Drinking alcohol while taking metronidazole (Flagyl) can lead to intense side effects, such as severe nausea and vomiting, cramps, headaches, and rapid heartbeat.

  1. Tinidazole (Tindamax)

Similar to metronidazole, tinidazole (Tindamax) is used for bacterial infections and comes with the same warning: avoid alcohol completely while taking it and for at least 72 hours after your last dose.

Other antibiotics include cefotetan, linezolid, and certain sulfonamides, which also have known interactions with alcohol. Always check the medication guide or speak with your doctor or pharmacist.

Taking Flagyl or Tindamax? Know the danger of even one drink.

How Alcohol Affects Recovery?

Even if your antibiotic doesn’t directly react with alcohol, it doesn’t mean you should drink. Alcohol can make you feel tired, dizzy, or dehydrated, which can worsen your symptoms. It can also irritate your stomach lining and increase the risk of nausea and vomiting, making it harder for your body to absorb the medication properly.

Also, both alcohol and antibiotics are processed in the liver. Drinking while on antibiotics adds stress to the liver and increases the risk of liver damage, especially if you’re on long-term treatment.

So, even if you’re not taking metronidazole or tinidazole, avoiding alcohol until your treatment is finished is still a good idea.

How Long Should You Wait to Drink?

If you’re wondering when it’s safe to drink alcohol after completing your antibiotics, a general rule is to wait at least 72 hours after your last dose. This gives your body enough time to clear the medication and reduce the risk of any delayed antibiotic interactions.

However, this can vary depending on the type of antibiotic, your age, health condition, and how your body processes medication. Again, when in doubt, ask your doctor or pharmacist for guidance tailored to your situation.

Tips for Staying Safe

Here are a few quick tips to help you stay on track during antibiotic treatment:

  • Read the label – Many antibiotics include clear alcohol warnings.
  • Stay hydrated – Water helps flush the infection and reduces side effects.
  • Eat nutritious meals – This supports immune function and medication absorption.
  • Skip social drinks – Stick to non-alcoholic options until your course is finished.
  • Ask questions – If you’re unsure, contact your doctor or pharmacist.

Let Your Body Heal Without Setbacks Hold off on alcohol until you recover.

Healing First, Cheers Later

So, can you drink alcohol on antibiotics? The safest choice is not to. Alcohol and antibiotics don’t make a good mix — whether due to interactions with alcohol, increased side effects, or slower healing. While it might be tempting to have a drink, it’s worth considering the potential effects of alcohol on your recovery.

Even if the risk seems small, drinking alcohol while on antibiotics could prolong your illness, increase the chance of complications, or even cause severe side effects. Let your body focus on healing — save the toast for when you’re fully recovered.

At Hart Rehab in Arizona, we encourage safe, informed choices during recovery. Our team is here to support those navigating health challenges — one decision at a time.

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