Can I take Alcohol and Paracetamol together?
Drug interaction guide
Originally published 25 Jan 2026
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Drinking alcohol while taking paracetamol can increase the risk of serious liver damage. This is particularly dangerous for people who drink alcohol regularly or in large amounts (chronic heavy drinking), but it can also be a concern during a single episode of heavy drinking (binge drinking).
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Why this happens
The liver breaks down paracetamol into a toxic byproduct. Normally, the liver uses a substance called glutathione to neutralise this toxin. Alcohol can deplete the liver's supply of glutathione and also cause the liver to produce more of the toxic byproduct, making it harder for the body to protect itself from liver damage.
What you should do
Back to contentsIf you drink more than 3 units of alcohol a day on a regular basis, you must speak to your doctor before taking paracetamol. If you are taking paracetamol for pain, it is best to avoid alcohol entirely. Never exceed the maximum dose of paracetamol (usually 4 grams or eight 500mg tablets in 24 hours), as alcohol makes even a small overdose much more dangerous.
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Important precautions
Back to contentsLiver damage
Regularly drinking alcohol significantly increases the risk of severe liver damage if you take paracetamol. Do not exceed the maximum dose of paracetamol, and avoid heavy drinking while using it.
Combination products
Many cold and flu remedies also contain paracetamol. Taking more than one product containing paracetamol can lead to a fatal overdose. Always check the ingredients of other medicines.
Using other medicines
Back to contentsTaking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.
Disclaimer
This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.
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Article history
The information on this page is written and peer reviewed by qualified clinicians.
25 Jan 2026 | Originally published

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