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Alcohol drinking risks health guidelines
Alcohol Advice · Overview

The Risks of Drinking Too Much

? 5 min readReviewed: March 2024
Key Points
  • Regularly drinking more than 14 units a week risks damaging your health
  • There's no fully 'safe' level of drinking, only lower-risk drinking
  • Long-term heavy drinking is linked to several cancers, stroke, heart and liver disease
  • Drinking too much on a single occasion raises the risk of accidents and injury
  • Understanding units helps you track how much you're really drinking

Understanding the Risks

Regularly drinking more than 14 units of alcohol a week risks damaging your health. The number of units in a drink depends on its size and strength. Evidence on the health harms of regular drinking has grown in recent years, strengthening the understood link between alcohol and various cancers — and the idea that moderate drinking protects the heart is now considered much less certain than it once was.

Low-Risk Drinking Guidance

To keep alcohol-related health risks low if you drink most weeks, it's recommended not to drink more than 14 units a week on a regular basis, to spread this across 3 or more days rather than binging, and to include several drink-free days if you're trying to cut down. If you're pregnant, or think you might become pregnant, the safest approach is not to drink at all, to minimise any risk to your baby.

Drinking under 14 units a week is considered "low risk" rather than "safe," since there's no truly risk-free level of alcohol consumption. Regularly drinking above this level for 10 to 20 years is linked to illnesses including mouth, throat and breast cancer, stroke, heart disease, liver disease, brain damage, and nervous system damage. Regular heavy drinking can also worsen mental health, with research showing strong links between alcohol misuse and self-harm, including suicide. The less you drink, the lower your health risks.

Single-Session Drinking

Drinking a lot too quickly on any one occasion raises the risk of accidents and injury (sometimes fatal), poor judgement in risky situations, and loss of self-control, such as unprotected sex or involvement in violence. To reduce these risks on a single occasion, limit how much you drink, pace yourself, drink alongside food, and alternate alcoholic drinks with water or soft drinks.

Page last reviewed: 6 March 2024  ·  Next review due: 6 March 2027
Getting support for alcohol problems
Alcohol Advice · Getting Support

Getting Help with Drinking

? 5 min readReviewed: March 2024

Recognising When You Need Help

Realising you have a problem with alcohol is often the hardest step, but the first towards getting better. You may need help if you often feel the need for a drink, get into trouble because of your drinking, have been warned by others about how much you drink, or feel your drinking is causing problems in your life.

A GP is a good starting point — try to be honest and accurate about how much you drink and any difficulties it's causing. If you've become dependent, you'll likely need support either to cut down and control your drinking, or to stop completely, along with a plan to maintain that progress afterwards. A GP can discuss assessment and support options, including local community alcohol services, support groups, or counselling suited to you.

Alcohol Withdrawal

If you've become physically dependent, stopping suddenly overnight can be harmful, so it's important to get advice and, if needed, appropriate medicine to do this safely. Mild to moderate withdrawal symptoms — such as morning anxiety, sweating, mild tremors, or morning nausea and retching — suggest medicine may help.

?? Call 999 if you have severe alcohol withdrawal symptoms:
Hallucinations, severe tremors, or seizures.

Staying in Control

Cutting down or stopping is usually just the start — most people need ongoing support or a long-term plan to stay in control or alcohol-free, since relying solely on family or friends often isn't enough. A GP or alcohol service can advise on longer-term support available locally, and self-help or mutual aid groups such as Alcoholics Anonymous or SMART Recovery are accessible in most areas.

Useful Contacts

Drinkline is the free, confidential national alcohol helpline on 0300 123 1110 (weekdays 9am to 8pm, weekends 11am to 4pm). Alcoholics Anonymous offers a free 12-step self-help programme, while Al-Anon Family Groups support the families and friends of problem drinkers, with Alateen available for 12 to 17-year-olds affected by a parent's drinking. We Are With You and Adfam both support individuals and families affected by drug and alcohol misuse, and the National Association for Children of Alcoholics offers a free helpline (0800 358 3456) for children of alcohol-dependent parents. SMART Recovery groups help people assess whether they have a problem and build motivation to change.

Page last reviewed: 6 March 2024  ·  Next review due: 6 March 2027
Alcohol detox rehabilitation treatment
Alcohol Advice · Treatment

Detoxification and Rehabilitation

? 4 min readReviewed: March 2024

Alcohol Detoxification

Most people receive support to stop drinking, and recovery support, within the community — medicine to help with this can often be taken at home or via daily attendance at a local service. Some people need a short stay in a medically supported unit to safely manage withdrawal symptoms or other complications, either through an NHS inpatient unit or a medically supported residential service, depending on individual medical need.

Intensive Rehabilitation

Some people are assessed as needing intensive rehabilitation and recovery support after stopping drinking completely, either through an intensive community programme or a residential rehabilitation service. This is usually reserved for people with medium or high dependence, or those who haven't responded to other forms of help. Local authorities are responsible for alcohol treatment services, and residential rehabilitation may require a separate funding assessment; private-pay residential rehabilitation is also an option, sometimes covered by medical insurance for a set period.

Page last reviewed: 6 March 2024  ·  Next review due: 6 March 2027