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Can I take Zopiclone and Alcohol together?

Drug interaction guide

Combining zopiclone and alcohol can lead to extreme drowsiness, severe confusion, and dangerous breathing problems. It significantly increases the risk of accidents, falls, and losing consciousness. In some cases, this combination can lead to a coma or be fatal.

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Why this happens

Both zopiclone and alcohol are 'central nervous system depressants'. This means they both slow down brain activity and the messages travelling between the brain and the body. When taken together, they don't just add their effects; they multiply them (a synergistic effect), leading to a much deeper level of sedation than either would cause alone.

What you should do

You must not drink any alcohol while you are taking zopiclone. Even a small amount of alcohol can dangerously increase the sedative effects of the medication. If you have consumed alcohol, do not take your dose of zopiclone that night. If you accidentally mix the two and feel extremely sleepy or have trouble breathing, seek emergency medical help immediately.

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Important precautions

Combined use of zopiclone and alcohol

Never drink alcohol while taking zopiclone. Combining them significantly increases the risk of dangerous respiratory depression (shallow breathing), extreme drowsiness, and 'sleep-behaviours' like sleep-walking or sleep-driving which you will not remember.

Next-day alertness

Zopiclone causes significant impairment the following morning. Do not drive or operate machinery for at least 12 hours after taking your dose, even if you feel awake, as your coordination and reaction times will be severely reduced.

Myasthenia gravis or severe respiratory failure

Do not take zopiclone if you have myasthenia gravis or severe breathing problems (such as severe COPD or sleep apnoea), as the medicine can further weaken your muscles and dangerously suppress your breathing.

Food and drink warnings

Alcohol

You must not drink alcohol while taking zopiclone. Alcohol significantly increases the sedative effects of the medicine, making you extremely sleepy and increasing the risk of dangerous side effects like breathing difficulties or being unable to wake up.

Caffeine (Coffee, tea, energy drinks)

Avoid consuming caffeine, especially in the evening. Caffeine is a stimulant that works against the effects of zopiclone, making it harder for the medicine to help you fall asleep.

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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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