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![](https://static.time.com/v3/assets/bltea6093859af6183b/blt126e212cc198b59d/69877b67a988ca24636ac0be/vodka-red-bull.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9)


# Why You Might Not Want To Mix Alcohol and Energy Drinks

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<!-- video src="https://cdn.jwplayer.com/manifests/XzXiT3nz.m3u8" -->
## Video: The Best Help for Alcoholics Is One We're Not Using

[Watch (HLS stream): The Best Help for Alcoholics Is One We're Not Using](https://cdn.jwplayer.com/manifests/XzXiT3nz.m3u8) (2:16)

![The Best Help for Alcoholics Is One We're Not Using](https://cdn.jwplayer.com/v2/media/XzXiT3nz/poster.jpg?width=720)

_Published 2014-05-15. There's a drug treatment for alcoholism, but few are taking advantage of it._


![Justin Worland](https://static.time.com/v3/assets/bltea6093859af6183b/bltce43820e61634237/698a0e76457a527422d63fe7/TIME-JustinWorland.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Justin Worland](https://time.com/author/justin-worland/)


![Justin Worland](https://static.time.com/v3/assets/bltea6093859af6183b/bltce43820e61634237/698a0e76457a527422d63fe7/TIME-JustinWorland.jpg?branch=production&width=96&quality=75&auto=webp)

## Justin Worland


Senior Correspondent

Jan 22, 2015 10:18 PM UTC

![370699 02: A shot of vodka is poured into a "Red Bull" energy drink in this 1999 photo taken in Los Angeles, CA. The mixed drink keep club goers buzzed but wide awake while partying. They''re calling this beverage "ecstasy in a can." \(Photo by Evan Kafka](https://static.time.com/v3/assets/bltea6093859af6183b/blt126e212cc198b59d/69877b67a988ca24636ac0be/vodka-red-bull.jpg?branch=production&width=1200&quality=75&auto=webp&crop=3:2)

370699 02: A shot of vodka is poured into a "Red Bull" energy drink in this 1999 photo taken in Los Angeles, CA. The mixed drink keep club goers buzzed but wide awake while partying. They''re calling this beverage "ecstasy in a can." (Photo by Evan Kafka/Liaison)

370699 02: A shot of vodka is poured into a "Red Bull" energy drink in this 1999 photo taken in Los Angeles, CA. The mixed drink keep club goers buzzed but wide awake while partying. They''re calling this beverage "ecstasy in a can." (Photo by Evan Kafka/Liaison) Evan Kafka—Getty Images

![Justin Worland](https://static.time.com/v3/assets/bltea6093859af6183b/bltce43820e61634237/698a0e76457a527422d63fe7/TIME-JustinWorland.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Justin Worland](https://time.com/author/justin-worland/)


![Justin Worland](https://static.time.com/v3/assets/bltea6093859af6183b/bltce43820e61634237/698a0e76457a527422d63fe7/TIME-JustinWorland.jpg?branch=production&width=96&quality=75&auto=webp)

## Justin Worland


Senior Correspondent

Jan 22, 2015 10:18 PM UTC

For years, research has suggested that mixing alcohol and heavily-caffeinated energy drinks could have negative health effects. Combining the two seems to make you want to [drink more](http://time.com/3002230/alcohol-plus-energy-drinks-makes-you-want-to-drink-more-study-says/) and [mask signs](http://healthland.time.com/2011/04/18/why-alcoholic-energy-drinks-are-dangerous-its-not-just-the-caffeine/) of inebriation.

The combo’s potential negative consequences aren’t just a personal risk, but a public health one, suggests a new [paper](http://advances.nutrition.org/content/6/1/96.abstract) in the journal _Advances in Nutrition_.

“When people mix energy drinks with alcohol, people drink more than they would if they had just consumed alcohol, which is associated with a cascade of problems,” says paper author Cecile Marczinski, associate professor of psychology at Northern Kentucky University.

The increased likelihood of engaging in risky behavior, particularly drunk driving, is chief among the public health concerns, Marczinski says. The caffeine rush in energy drinks makes a drinker look and feel more balanced and coordinated than their drinking would suggest, leading some drinkers to believe they’re not actually drunk. In one study Marczinski cited, people who combined energy drinks and alcohol were four times more likely to think they could drive home than their counterparts who drank alcohol alone. The effects of the energy drink may also make it less obvious to police officers that a driver is drunk, making the officer less likely to breathalyze.

Other public health concerns that stem from mixing alcohol and energy drinks include adolescent brain damage, more emergency department visits and increased hospitalizations, the review says.

Even though the widespread popularization of energy drinks is a relatively new phenomenon, some jurisdictions have worked to address the growing public health issues, Marczinski says. Some parts of Australia ban the sale of energy drinks in bars after midnight. “You can have really dramatic solutions or minor steps in the right direction,” she says.


University of Connecticut Health Center researcher Steven Meredith, who has studied the health effects of the mixed drinks but was not involved in the review, says that more research is needed to fully understand how energy drinks and alcohol interact with the body together. Still, taking a more active approach to public policy makes sense, he says, given the reported risks.

“If you’re in public policy and health care, it’s better to be safe than sorry,” he says.


## Transcript

There's a drug that can effectively treat alcoholism. So why aren't more people taking advantage of it? Naltrexone is a drug that can reduce the pleasure feelings in the brain that comes from drinking alcohol, so it's been used for years to help alcoholics ween themselves off of drinking by making each drink less and less pleasurable. In the latest study appearing in the journal of the American Medical Association, there's even more evidence that Naltrexone can be an effective way to help alcoholics from relapsing. It wasn't a cure but it did help a significant number from returning to heavy drinking but few doctors are prescribing it.

Perhaps, because the studies aren't exactly the rigorous ones that scientists usually like to see. In this particular case, for example, the researchers looked at 122 studies, involving more than 22, 000 patients but all of those who are taking Naltrexone were also in behavior therapy or counseling. So it's hard to say how much of their success in avoiding relapse was due to the drug or due to the support they got through the counseling. Still, Naltrexone has an important advantage over the other commonly used drug for alcoholism known as Antabuse. That drugs works by blocking the body's ability to breakdown alcohol, so alcoholics who use it, tend to feel sick every time they take a drink.

So, not surprisingly, most of them simply stop taking it and there's another reason that Naltrexone may get a little more attention in the field of alcoholism treatment. Recently, the Food and Drug Administration approved an over the counter version of Naloxone, a faster acting version of Naltrexone for treating overdoses from heroin and other narcotics such as pain killers. In those cases, the drug works by sitting on the same cells that heroin and narcotics like pain killers do but without the dangerous effects of dropping breathing and heart rates that can often be fatal. There are no simple answers to treat something as complicated as alcoholism but there's growing evidence that medications can, at least, help some people to control their cravings, so that behavior therapies and counseling can be more effective.

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