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Drinking coffee won't make you sober, and it may even be dangerous

12 Jun 2013, 10:53
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There is a misconceptions that if you gulp down coffee after drinking too much alcohol, it will help you get sober. Unfortunately, this is not true and can be even dangerous for your life. In fact, drinking coffee does nothing to help fight off drunkenness. The most important factor in getting sober after you have drunk too much alcohol is time.

 

coffee cup beansClaudia Hammond at BBC-Future writes that sedative effects of large quantities of alcohol are well-established. For the first hour-and-a-half or so, when blood-alcohol concentrations are high, people become more alert.

 

From two hours after alcohol consumption to around six hours, objective measures of sleepiness increase. Caffeine does the opposite, making people more alert, which has led to the appealing idea that a cup of coffee can cancel out the effects of a pint of beer.

 

Sadly it’s not that straightforward. Historically, studies of the effect of caffeine on people’s driving abilities when drunk (in the lab, not on the roads) have had contradictory results. Some have found it reverses the slowing of reaction times caused by alcohol, others have found it doesn’t.

 

More recently, a study published in 2009 was designed to tease out in more detail the effects of combining alcohol and caffeine. Mice were given alcohol followed by the human equivalent of eight cups of coffee. After the caffeine they seemed more alert, but they were still much worse than sober mice at getting round a maze.

 

So caffeine can counteract the tiredness induced by alcohol, which might explain why a cup of coffee is popular in many places at the end of a meal. But it can’t remove feelings of drunkenness or some of the cognitive deficits alcohol causes.

 

The reason is that we have to metabolise the alcohol we drink in order to diminish its effects.

 

The body processes it in several ways. Mostly it’s broken down in the liver by two enzymes, alcohol dehydrogenase and aldehyde dehydrogenase. Alcohol metabolism follows what pharmacologists call “zero–order kinetics,” meaning that nothing can speed up or slow down its burn rate in the body’s furnace.

 

Alcohol (the ethanol content in liquor, wine, and beer) is an exception to the linear dynamics that governs the metabolism of most other substances. “Linear” means that if you load up on the material being metabolized, its rate of consumption speeds up.

 

An analogy would be to a garden hose: the more your turn up the pressure the faster the water shoots out. This can’t happen with alcohol. If you quickly knock down drinks you’ll just get higher and higher blood alcohol levels and the negative effects that go with it.

 

The enzyme that does this heavy lifting—the one with zero–order kinetics—is called alcohol dehydrogenase. This enzyme can handle 1.5 ounces of it per hour.

 

That works out to 1 stiff drink or 4 ounces of wine. Since most imbibers exceed this (and note that typical wine–glass servings contain 6 to 8.5 ounces), it is easy to see how your liquor accumulates. After several steps the alcohol is eventually excreted as water and carbon dioxide.

 

It takes approximately an hour for the body to metabolise one unit of alcohol, although some people do it faster and some slower, depending on their genetic make-up, how much food they’ve eaten and how often they drink.

 

Caffeine doesn’t speed up the process. However its effects vary according to which function you’re looking at. One study, for example, found a large dose of caffeine can counteract the negative effects of alcohol on memory, but that feelings of dizziness remain.

 

There are also suggestions that caffeine can make matters worse. If you feel tired you are more likely to realise that you must be drunk, but if the caffeine takes away some of that fatigue you might believe you’re sober when you’re not.

 

This might explain the findings of a study of American college students from 2008. Those who chose drinks containing both alcohol and caffeine, such as vodka and Red Bull, were twice as likely to get hurt in an accident and more than twice as likely to accept a lift with a driver who was over the limit.

 

This effect was independent of the amount of alcohol consumed. This is an early study on the topic in which the students choose their own drinks and reported themselves how much they’d drunk. But it does illustrate how caffeine could fool people into thinking they’re sobering up, and some of the potentially disastrous consequences.

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