Arterial hypertension, or high blood pressure, is one of the most commonly diagnosed conditions. It is a state in which blood pressure is maintained at levels above normal, which can lead to serious health complications such as heart attack, stroke, or kidney failure. One of the factors that can influence the development of hypertension is lifestyle, including diet, level of physical activity, and alcohol consumption. Excessive drinking can lead to increased blood pressure, so it's worth understanding the relationship between alcohol and hypertension to prevent complications.
TL;DR
Alcohol affects hypertension, temporarily lowering pressure through vessel dilation, but in the long term causes its increase, raising the risk of serious health complications such as stroke or heart disease. People with hypertension should limit alcohol consumption, especially strong drinks, and avoid regular drinking. Wine, especially red wine, may temporarily lower pressure, but regular alcohol consumption increases hypertension risk. Combining alcohol with hypertension medications can lead to dangerous interactions and reduced therapy effectiveness; consultation with a doctor is recommended. Hydration and electrolyte replacement after alcohol consumption are important to limit negative effects such as pressure increase during a hangover.Can you drink alcohol with hypertension?
Although people with hypertension can consume alcohol, they should do so in a moderate and controlled manner. Excessive drinking can worsen health status, increasing the risk of complications associated with hypertension. Therefore, people with this condition should limit alcohol consumption, follow their doctor's recommendations, and regularly monitor their blood pressure to minimize the risk of health complications.High blood pressure after alcohol
High blood pressure after alcohol consumption is a fairly common phenomenon, especially after larger amounts or regular drinking. Alcohol affects blood pressure in several ways. First, it causes constriction of blood vessels, which increases resistance, forcing the heart to pump blood with greater force, raising pressure. Additionally, alcohol acts as a diuretic, leading to dehydration of the body. The decreased fluid volume causes blood to become thicker, and the heart must work more intensively, which also raises pressure. Regular excessive alcohol consumption can lead to chronic elevation of blood pressure, increasing the risk of developing hypertension. Even moderate alcohol consumption, if frequent, can gradually lead to persistent pressure elevation. Every body reacts to alcohol differently, so in some people even small amounts of alcohol can cause significant pressure increase, while in others the reaction may be less pronounced. In the case of people with hypertension, their cardiovascular system may be more sensitive to changes caused by alcohol.Does wine lower blood pressure?
Wine, especially red wine, is often associated with health benefits due to the polyphenols it contains, which support blood vessel function. In small amounts, alcohol can lead to temporary pressure reduction because it dilates blood vessels and reduces blood flow resistance. However, this effect is short-lived and occurs mainly in healthy people. After the initial pressure reduction, the body may react with an increase in blood pressure (the so-called "rebound effect"). Moreover, regular alcohol consumption, even in small amounts, increases hypertension risk in the long term.Blood pressure during a hangover – consequences of alcohol consumption
After alcohol consumption, on the second day, meaning during a hangover, blood pressure may increase. Alcohol, especially in excess, acts as a diuretic, leading to dehydration of the body. The decreased blood volume causes the heart to work more intensively, which can result in pressure increase. Additionally, alcohol disrupts electrolyte balance and increases oxidative stress levels, which also affects blood pressure. A hangover can also cause pressure fluctuations, leading to symptoms such as dizziness and headaches as well as weakness, especially in people with hypertension. To minimize these effects, hydration of the body and electrolyte replacement after alcohol consumption are important. Read: How to cure a hangover quickly?Hypertension medications and alcohol – what to watch out for?
Combining alcohol with hypertension medications can lead to serious health problems, including increased risk of circulatory collapse and reduced medication effectiveness. Alcohol has a complex effect on blood pressure – in the short term it can cause its temporary reduction, however in the long term it definitely contributes to pressure increase. Alcohol abuse always poses a threat to the body, so people with hypertension should limit alcohol consumption and consult with a doctor, especially if taking medications, to avoid dangerous interactions. Read also: How does alcohol consumption affect blood cholesterol levels?Rules for alcohol consumption for people with hypertension
Alcohol, although often an important element of social life, can affect blood pressure and worsen health status in people with hypertension. Therefore, it's important that people with this condition are aware of alcohol's impact on the body and follow doctors' recommendations. For people with hypertension, it's important to follow the rules of moderate alcohol consumption and regular consultation with a specialist. Alcohol can affect arterial pressure and treatment effectiveness, so it's important that its consumption is controlled and decisions are made considering health status. People struggling with hypertension should keep in mind the following recommendations:- Consume alcohol in moderate amounts or avoid it completely.
- If you have hypertension, avoid strong alcoholic drinks such as vodka, which can sharply raise pressure.
- Beer and hypertension – although beer in small amounts can temporarily lower pressure, regular consumption leads to negative effects.
- Watch out for the combination of hypertension medications with alcohol – consult with a doctor to ensure it's safe and won't reduce treatment effectiveness.
Bibliography
- Mamcarz, A. (2010). Alkohol i układ sercowo-naczyniowy. Kardiologia na Co Dzień, 5(2), 124–132.
- Grabowska, H., Księżopolska-Orłowska, K., Bryl, E., & Samel-Kowalik, P. (2012). Alkohol jako czynnik ryzyka nadciśnienia tętniczego. Problemy Pielęgniarstwa, 20(2), 131–137.
- Kosicka, T., & Kara-Perz, H. (2006). Alkohol a choroby układu krążenia – nadciśnienie tętnicze i udar mózgu. Przewodnik Lekarza, 9(5), 16–24.
- Pająk, A., & Szafraniec, K. (2011). Spożycie alkoholu a ryzyko chorób układu krążenia. Postępy Nauk Medycznych, 24(9), 735–743.
- Vacca, A., Muscogiuri, G., Barrea, L., et al. (2023). Alcohol and Hypertension: A Review. Nutrients, 15(4), 871. https://www.mdpi.com/2072-6643/15/4/871
- Saito, Y., Kodama, S., Saito, K., et al. (2010). The Dose-Response Relationship between Alcohol Consumption and the Risk of Hypertension in Japanese Men: A Systematic Review and Meta-Analysis. Hypertension Research, 33(5), 498–502. https://www.nature.com/articles/hr201022
- National Institute on Alcohol Abuse and Alcoholism (NIAAA). (2021). Alcohol's Effects on the Cardiovascular System. https://www.niaaa.nih.gov/
- World Health Organization. (2018). Global Status Report on Alcohol and Health 2018. Geneva: WHO. https://www.who.int/publications/i/item/9789241565639
:::cta Need help fighting addiction? Our specialists are ready to help you. Call or schedule an online appointment. Call: 880 808 880 | Schedule appointment :::




