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Can I take Alcohol and Amitriptyline together?

Drug interaction guide

Combining alcohol with amitriptyline can make you feel much more drowsy, dizzy, and unsteady than usual. It can also significantly slow down your reaction times and impair your coordination. In some cases, it can lead to more serious issues like extreme confusion, difficulty breathing, or fainting.

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Why this happens

Both alcohol and amitriptyline are 'central nervous system depressants'. This means they both slow down the activity of your brain and nerves. When taken together, their effects add up (a synergistic effect), making the sedation much stronger than if you had taken either one alone.

What you should do

It is best to avoid drinking alcohol altogether while taking amitriptyline, especially when you first start the medication or if your dose has just been increased. If you do choose to drink, keep it to a very small amount, stay at home, and do not drive or operate machinery. Speak to your doctor or pharmacist about how to safely manage alcohol while on this treatment.

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Using other medicines

Taking 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.

  • 24 Jan 2026 | Originally published
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