Alcohol Use and Alcohol-Related Seizures in Patients With Epilepsy

Initially, the inhibitory gamma-aminobutyric acid (GABA)-ergic effect of alcohol exerts CNS depressant and anticonvulsant properties (4, 5). In the post-alcohol state, however, when alcohol blood levels decline, neuronal excitability is increased which may facilitate the occurrence of seizures in patients with epilepsy (6, 7). The same effect that can make the aftereffects of binge drinking cause a seizure also happens during withdrawal, but at a much larger scale. Alcohol withdrawal significantly lowers your seizure threshold, with the risk of seizures being highest at the peak of withdrawal.

This is not the same as having epilepsy, which is a tendency to have seizures that start in the brain. Independent predictors for alcohol consumption within the last 12 months. Alcohol and some antiseizure medications can have similar side effects, and taking them together can cause potentially dangerous complications. Additionally, if a seizure cannot be stopped or multiple seizures occur in rapid succession, it could result in permanent injury or prove fatal. Alcohol seizures may share symptoms with seizures that are not linked to alcohol. Side effects vary between medications, and finding the right match often takes some trial and error.

  • That can trigger a seizure – usually within 6-48 hours after stopping drinking.
  • Second, as patients were interviewed retrospectively on the occurrence of alcohol-related seizures, we were not able to provide data on AED drug levels after the acute manifestation of these seizures.
  • Binge drinking increases the magnitude of this drop, increasing the likelihood that a seizure will occur.
  • Think of it like a power surge in your home—too much electricity all at once can make the lights flicker, appliances act up, or even shut things down completely.
  • Answers are not, and should not be assumed to be, direct medical advice and is not intended to be a substitute for medical guidance from your own doctors.
  • It is also possible to experience seizures as a result of alcohol withdrawal.

Support for AUD

Withdrawing (stopping drinking) from alcohol causes people’s  brains to become more excitable. This means that some people who do not actually have epilepsy may also experience seizures when they stop drinking. This is especially true for alcoholics or people who often drink heavily. Whether to drink alcohol or take recreational drugs is a personal choice, but it is worth knowing the possible effects they could have on your epilepsy.

If you have any concerns aboutdrinking alcohol it’s a good idea to ask your doctor, that way you can learnmore about how drinking may affect your ASMs or particular type of epilepsy. Of course, it is lower risk – and better for your general health – to avoid alcohol altogether. If you have epilepsy and would like to drink alcohol, it’s best to speak with your physician about this first. Signs include needing to drink more to feel the same effects, experiencing withdrawal symptoms, and continuing to drink despite negative consequences. Alcohol can interact with antiepileptic medications, potentially affecting their effectiveness. Common triggers include lack of sleep, stress, alcohol, and not taking their prescribed anti-seizure medication (ASM).

What to Do If You Witness a Seizure

Toward the end of the interview, patients were questioned on illicit drugs. Study subjects passed through the domains of the questionnaire with an increasing social stigma degree. According to the Epilepsy Foundation, some studies have linked chronic alcohol misuse to the development of epilepsy. This article looks at the connection between alcohol, seizures, and epilepsy, as well as treatment options and support. The good news is that seizures can often be managed effectively, allowing you to continue treatment and daily life with fewer interruptions. At Duke’s Preston Robert Tisch Brain Tumor Center, we take a comprehensive approach to seizure management, tailoring treatment plans to each patient’s unique needs.

Only a minority of patients documented details on alcohol-related seizures in seizure diaries. Our retrospective data collection on alcohol-related seizures also depended on subjects’ recall capability, and may reflect bias due to recall errors. We addressed this by focusing only on alcohol-related seizures that had occurred within the last 12 months. Details were only recorded on those alcohol-related seizures that subjects were able to remember the best. As a consequence however, alcohol-related seizures may have also occurred after smaller amounts of alcohol intake or in other circumstances that were not taken into account in the present study. Fifteen out of 95 (15.8%) alcohol-experienced but now abstinent subjects had experienced alcohol-related seizures in the past.

AUD is diagnosed separately, using a specific set of psychiatric criteria. To learn more about the risks of epilepsy and alcohol, speak to your medical team. There is evidence that people who have uncontrolled seizures are more likely to have seizures after drinking (but people with controlled seizures could also be at risk). Before taking your medications, it’s a good idea to check with your doctor or your pharmacist to see if it’s safe to mix with alcohol.

Does dehydration cause seizures?

You can better cope by identifying what triggers cause seizures and avoiding them as best you can. Epilepsy and alcohol dependence are both diagnosed using completely separate approaches. Epilepsy is primarily diagnosed based on your medical history, a physical and neurological examination, and diagnostic tests. Your doctor may use an electroencephalogram (EEG) to monitor electrical activity in the brain as well as specialized imaging, like MRI or CT scans. Based on surveys of volume and frequency of consumption, approximately 10 to 20 percent of the adult population (over age 10) “drink heavily.” Approximately 10 percent of this population will have seizures. Another 4.5 percent of this population will be diagnosed with epilepsy by the age of 80.

How Are Seizures Managed During Brain Tumor Treatment?

Epilepsy is a neurological disorder characterised by abnormal brain activity leading to recurrent seizures, that affects over 15 million people in India. Many people with epilepsy also have auras, a sensation like a taste, smell or vision change that precedes a seizure. Knowing your aura can help you recognize when you are about to have a seizure and notify those with you. Recognizing your aura can also help you take action to avoid dangerous situations, such as falls, during a seizure. Diagnosing alcohol dependence is done by observing whether withdrawal symptoms occur when you stop using alcohol. It is important to note that alcohol dependence is different from alcohol addiction epilepsy and alcohol or alcohol use disorder (AUD).

General Health

In a 2020 study, research found that the risk of SUDEP was twice as high in people with a history of alcohol dependence or substance misuse disorder. Before a seizure, people may experience an aura or feel a change in sensation — such as smell, taste, sound, or vision — due to abnormal activity in the brain. A person with epilepsy should speak with their doctor to determine how much alcohol, if any, is safe to consume with their condition.

Diagnosing Epilepsy and Alcohol Dependence

Brain tumors in the frontal, temporal, or parietal lobes are more likely to cause seizures. Tumor types like glioblastomas, astrocytomas, and oligodendrogliomas have a higher seizure risk. A seizure happens when the brain has a sudden, uncontrolled burst of electrical activity.

There is no other way to avoid alcohol dependence or to rid yourself of it once it has developed. Seizures are often thought of as convulsions that randomly strike; however, convulsions are actually a symptom of seizures. Seizures themselves are a type of brain function change in which the neurons in your brain stop firing in the patterns they are supposed to and begin all firing together.

Someone at risk for epilepsy should avoid potential triggers that may cause a seizure and avoid activities that could be dangerous if a seizure occurred while they were engaged in it. Activities like driving, for example, should be avoided unless you are specifically cleared by your doctor. ASMs can make you more sensitive to the sedating effects of alcohol, leading you to feel drowsy or feel intoxicated more easily.

Epilepsy and alcohol – an introduction

They can advise you on what is safe for you and if there could be interactions. Alcohol can be a big part of many people’s social life, so you may be wondering if it’s ever safe. Remember that even a small amount of alcohol is bad for your health, and it is lower risk to avoid alcohol altogether, according to the CDC. While abstaining from alcohol is the safest option, if one chooses to drink, adhering to low-risk drinking guidelines is crucial. Continuous data are presented as mean ± standard deviation (SD) or median where appropriate.

Yes, alcohol can provoke seizures, particularly when consumed in large quantities or during withdrawal periods. Alcohol enhances GABA’s inhibitory effects, which can lead to temporary sedation and decreased neuronal excitability. However, this effect is counteracted when alcohol is withdrawn, which may lead to a hyper-excitable state, increasing the risk of seizures (National Institute on Alcohol Abuse and Alcoholism, 2023). Independent predictors for the occurrence of alcohol-related seizures within the last 12 months in patients with epilepsy. Prior to the interview, each participant was educated on the scientific background and purpose of the study.

If a patient wishes to regain their licence, s/he must complete a recognized rehabilitation program for substance dependence and remain sober and and seizure-free for 12 months. This is when you drink a lot of alcohol in a short amount of time or drink continually for many hours. If you have epilepsy you may have heard about risks related to alcohol and seizures. It is true that drinking beer, wine and spirits may make you more likely to have a seizure. So, it’s important to be aware of the facts around epilepsy and alcohol.

Consuming alcohol seems to aggravate seizures in people with epilepsy and may lead to increased seizure frequency. Doctors often warn people who have epilepsy to avoid alcohol or to only drink in moderation. For people with epilepsy, alcohol may interfere with anti-seizure medications and increase the risk of seizures. In people with epilepsy, drinking three or more drinks may increase the risk of seizures. Over 50% of alcohol withdrawal seizures may relate to additional risk factors, such as preexisting epilepsy, structural brain lesions, or drug use. According to a 2017 article, alcohol withdrawal seizures in those without epilepsy may occur 6–48 hours after a person consumes their last alcoholic drink.

Medications such as clonazepam and lorazepam are benzodiazepines that can cause a life threatening interaction when mixed with alcohol.

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