Substance Use

Does Sleep Help You Sober Up?

man sleeping on ground with liquor bottle in hand

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The notion of sleep-aiding in sobering up is a common inquiry, particularly after alcohol consumption. However, it’s important to clarify that sleep does not expedite metabolizing alcohol in the body.

Sleep does not accelerate the elimination of alcohol from the bloodstream or reduce the blood alcohol content. Once alcohol is in the system, the body requires time to metabolize it, and this occurs at a relatively consistent rate.

Despite the belief that a good night’s sleep can counter the effects of alcohol, the reality is that only time, not sleep, allows the body to process and eliminate alcohol. Sleep may contribute to overall well-being but does not impact the rate at which alcohol exits the body.

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How Does Alcohol Metabolism Work

Understanding alcohol metabolism is essential for comprehending how the body processes and eliminates this substance. Here’s a simplified breakdown of the biological process of alcohol metabolism: (1)

  1. Absorption: After consuming alcoholic beverages, the alcohol is rapidly absorbed into the bloodstream from the stomach and small intestine. This absorption begins the journey of alcohol through the body.
  2. Transportation to the Liver: The bloodstream carries alcohol to the liver, where the primary metabolic activity occurs. The liver acts as the central processing unit for alcohol. (2) (3)
  3. Enzymatic Breakdown: In the liver, the enzyme alcohol dehydrogenase (ADH) works to break down ethanol, the active component of alcohol. ADH converts ethanol into acetaldehyde, a toxic substance. (3)
  4. Conversion to Acetate: Acetaldehyde is further converted into acetate by the enzyme acetaldehyde dehydrogenase. Acetate is a less toxic substance.
  5. Elimination: Acetate is then converted into carbon dioxide and water, which are eliminated from the body through the breath and urine. This elimination process completes the metabolism of alcohol.

Factors Influencing Alcohol Metabolism: (4)

  • Body Weight: Generally, individuals with a higher body weight may metabolize alcohol more efficiently than those with a lower body weight.
  • Gender: Women often metabolize alcohol more slowly than men due to differences in body composition and enzyme activity.
  • Age: Aging can affect alcohol metabolism, with older individuals potentially experiencing slower processing times.
  • Genetics: Genetic factors can influence the activity of alcohol-metabolizing enzymes, contributing to variations in individual tolerance.
  • Food Intake: Consuming food before or while drinking can slow down alcohol absorption, affecting the overall metabolism process.

Understanding these aspects of alcohol metabolism provides insight into how alcohol interacts with the body and why its effects can vary among individuals.

Sleep and Its Effects on the Body

Alcohol and sleep have a complicated relationship. It’s not just a matter of drinking, nodding off, and becoming clear-headed when you wake up.

Your liver needs about one hour for each standard alcoholic drink you consume is needed by your liver to metabolize it effectively. And when you’re sleeping? That’s prime time for this detoxification process because there’s no new influx of alcohol coming in.

In other words, if moderate quantities constituting binge drinking were consumed before hitting the sack, you will find blood alcohol concentration levels significantly lower than they were prior to bedtime.

However, this doesn’t mean that a large amount of alcohol will magically disappear after some shut-eye. Excessive consumption can still lead to severe consequences, including bad hangovers and even potential alcohol poisoning. (5)

Dangers of Mixing Sleeping Pills and Alcoholic Beverages

Mixing sleep aids with alcoholic drinks might seem like a good idea because of the healing effects of sleep, but such a combination poses serious risks. (6) Both substances are depressants and have sedative effects, intensifying the risk of respiratory distress and overdose.

Dangers of Sleep Deprivation

Sleep deprivation combined with alcohol’s effects results in impaired judgment, reduced coordination, and increased accident risks.

Does Sleep Sober You Up?

It’s not uncommon to reach for the comfort of your pillows, hoping to fast-forward through the drunken haze. But does sleeping really help you sober up, or is it just another common myth about how to sober up fast?

While sleeping doesn’t make you instantly sober, it does allow your body to metabolize alcohol more effectively. During sleep, your liver can break down alcohol without any new influxes entering your system.

Like a full night’s sleep, napping allows your body to break down alcohol and can assist you in feeling clear-headed.

The Dangers of Sleeping While Intoxicated

Sleeping while intoxicated poses serious risks, especially for individuals who have consumed excessive amounts of alcohol. One significant danger is the risk of choking on vomit during unconsciousness. 

When a person is in a state of deep intoxication, they may lose control over their body’s reflexes, including the ability to protect the airway.

Specific Dangers:

  1. Choking on Vomit: Intoxication can lead to impaired consciousness and coordination. If an individual vomits while asleep and lacks the reflexes to clear the airway, there is a heightened risk of choking on vomit, which can have severe consequences, including asphyxiation. (7)
  2. Breathing Difficulties: Alcohol depresses the central nervous system, slowing down respiratory functions. When asleep, especially in a state of heavy intoxication, the risk of breathing difficulties increases. This poses a serious threat to overall respiratory health.
  3. Unresponsiveness to External Stimuli: Sleeping deeply while intoxicated may result in unresponsiveness to external stimuli, making it challenging for others to intervene in case of an emergency.

Safety Tips for Heavy Drinkers:

  1. Avoid Sleeping Alone: Whenever possible, heavy drinkers should avoid sleeping alone, especially if they have consumed a significant amount of alcohol. Having a sober companion or someone aware of the situation can be crucial for monitoring and responding to potential risks.
  2. Sleep in Recovery Position: If an individual must sleep while intoxicated, positioning them in the recovery position can help minimize the risk of choking on vomit. This involves placing the person on their side with the upper knee bent to stabilize the body.
  3. Moderate Alcohol Consumption: The most effective safety measure is to moderate alcohol consumption. Limiting the amount of alcohol reduces the risk of reaching a state of deep intoxication, thereby decreasing associated dangers during sleep.
  4. Seek Medical Attention: Individuals with a history of heavy drinking or those concerned about their alcohol consumption should seek professional medical advice. Medical professionals can provide guidance on safe drinking limits and help address potential health risks.

It is crucial for individuals who consume alcohol, especially in excess, to be aware of the potential dangers associated with sleeping while intoxicated. Implementing safety measures and seeking support can significantly reduce the risks and contribute to overall well-being.

Sobering Up: Common Myths vs. Reality

persistent myths often lead individuals to believe in quick fixes for sobriety. Two prevalent misconceptions involve relying on coffee or cold showers to hasten the process of sobering up after alcohol intoxication.

1. Coffee’s Illusion of Sobriety

Many falsely believe that drinking coffee can create an illusion of sobriety by inducing wakefulness and alertness. (8) While it’s true that caffeine provides a temporary boost in energy, it doesn’t actually reduce the level of alcohol in your bloodstream. 

The perception of alertness may mask the impairing effects of alcohol, leading to potentially risky behaviors.

2. Cold Showers and Alertness

Another common myth is that cold showers can contribute to sobriety by enhancing alertness. While a cold shower might temporarily make you feel more awake, it does not reduce blood alcohol concentration levels. 

The physiological effects of alcohol remain unchanged, and relying on cold showers as a remedy is a misconception that can potentially lead to misjudgments about one’s level of intoxication.

Safe Practices for Responsible Alcohol Consumption

Making informed choices about alcohol consumption is crucial for maintaining personal well-being and safety. If you choose to indulge in alcoholic beverages, adopting safe practices can mitigate the risks associated with high blood alcohol concentration levels.

Here are key guidelines for responsible alcohol consumption:

  1. Know Your Limits: Understand your body’s tolerance to alcohol and know your limits. Factors such as weight, age, and health conditions can influence how alcohol affects you. Mental health can play a large role in drinking large amounts of alcohol.
  2. Stay Hydrated: Alternate alcoholic drinks with water to stay hydrated. Alcohol is dehydrating, and maintaining adequate hydration can help moderate its effects. Ultimately, drink plenty of water.
  3. Eat Before Drinking: Consume a meal rich in carbs and proteins before drinking. Do not drink on an empty stomach. Snacking is good! Food in your stomach can slow down the absorption of alcohol, reducing its impact.
  4. Monitor Your Pace: Avoid rapid consumption of alcohol. Pace yourself and allow time for your body to process each drink.
  5. Avoid Mixing Substances: Refrain from combining alcohol with other substances, including medications and illicit drugs, as it can amplify risks and side effects.
  6. Designate a Driver: If you plan to drink, arrange for a designated driver or alternative transportation to ensure a safe journey home.
  7. Be Mindful of Standard Drinks: Understand what constitutes a standard drink to track your alcohol intake accurately. Standard measures help in gauging your BAC levels.
  8. Monitor Your BAC: Use a breathalyzer or other tools to estimate your Blood Alcohol Concentration. This awareness can guide your decisions and prevent excessive drinking.
  9. Recognize Signs of Intoxication: Be aware of the signs of intoxication, such as slurred speech, impaired coordination, and altered behavior. If you or someone else displays these signs, take appropriate action.

Counting Drinks

Counting your drinks is crucial to prevent drunk driving and DUI charges.

A standard alcoholic drink contains about 14 grams (0.6 ounces) of pure alcohol found in: (9)

  • About 12 ounces of regular beer (~5% alcohol)
  • Around 5 ounces of wine (~12% alcohol)
  • Roughly 1.5 ounces of distilled spirits like gin or whiskey (~40% alcohol)

The Importance of Hydration and Eating Well

Beyond counting drinks, staying hydrated during any session involving alcoholic drinks plays an essential role in safer consumption practices.

Non-alcoholic fluids such as a glass of water or electrolyte-rich beverages consumed between each serving mitigate the dehydrating effects of alcohol. Drinking water also assists in dehydration.

Eating before starting any drinking event slows absorption rates, reducing chances for rapid spikes in BAC levels.

How to Recognize the Signs of Alcohol Use Disorder

If someone close to you is exhibiting the following signs of alcohol abuse or substance abuse, seek help from a healthcare professional as soon as possible. It’s hard to stop drinking, but with the right help, it can be done.

Frequent Blackouts and Unexplained Injuries

Regular blackouts — periods where an individual cannot recall events after heavy drinking sessions despite being conscious during them — can indicate dangerously high blood alcohol concentration levels.

Unexplained injuries often accompany these blackout episodes due to the loss of coordination and balance under severe intoxication, leading to accidents and falls.

Neglecting Responsibilities Due to Drinking

A key sign that your relationship with drink has become unhealthy is when you start neglecting personal and professional obligations because you are too drunk or hungover.

You may miss work frequently, fail to keep up with household chores, and struggle to maintain healthy relationships.

If you consistently choose booze over commitments, it’s time to seek help before things spiral out of control.

Increased Tolerance and Withdrawal Symptoms

An increasing need for larger quantities of alcohol just to feel “normal” is another red flag indicating a potential addiction to alcohol. Feeling harsher effects as a result of alcohol withdrawal is another indicator.

Next Steps for a Healthier Relationship with Alcohol

The most effective way to sober up from alcohol is to give your body time to metabolize it naturally. There are no instant remedies to reduce blood alcohol concentration quickly.

While sleep doesn’t instantly make you sober, it aids in alcohol metabolism. During sleep, the liver breaks down alcohol without new influxes, lowering blood alcohol levels the next day.

At Zinnia Health, our dedicated team is just a call away. If you or a loved one is struggling with an alcohol use disorder, it’s time to prioritize wellness and seek assistance. Call (855) 430-9439 for immediate assistance.

Citations

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6527027/
  2. https://www.ncbi.nlm.nih.gov/books/NBK279393/
  3. https://mydr.com.au/gastrointestinal-health/liver-and-alcohol-breakdown/
  4. https://pubmed.ncbi.nlm.nih.gov/27163368/
  5. https://www.mayoclinic.org/diseases-conditions/alcohol-poisoning/symptoms-causes/syc-20354386
  6. https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/alcohol-medication-interactions-potentially-dangerous-mixes
  7. https://semo.edu/substance-awareness/alcohol-poisoning.html
  8. https://www.webmd.com/diet/caffeine-myths-and-facts
  9. https://www.niaaa.nih.gov/alcohols-effects-health/overview-alcohol-consumption/what-standard-drink
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