AlcoholRehabHelp Logo
AlcoholRehabHelp Logo
Alcohol & Health
Treatment
Helping Alcoholics
Where Does My Call Go?
Updated on November 20, 2023
5 min read

Why Does Alcohol Trigger Vertigo?

Kelly Brown
Elena Borrelli M.S.PAC
Written by 
6 Sources Cited
Kelly Brown
Written by 
6 Sources Cited

Vertigo is the sensation of feeling off balance. It’s similar to dizziness and can feel like you are spinning or your surroundings are spinning.

Other symptoms of vertigo include:

  • Tilting
  • Swaying
  • Nausea
  • Vomiting
  • Headache
  • Ringing in the ears (tinnitus)
  • Sweating
  • Abnormal eye movement

How Are Vertigo and Alcohol Related?

Vertigo and alcohol intake are related since drinking alcohol can cause and/or exacerbate vertigo episodes.

Alcohol can also trigger vertigo, even when there are no previous symptoms of the latter. This is due to alcohol causing dehydration, which affects fluid levels in the ears. It also impacts brain signals and impairs the drinker’s balance and hearing.

Alcohol’s Long-term Impact on Balance and Vertigo

Long-term excessive alcohol consumption causes chronic dehydration and anemia, both of which cause problems with balance. Additionally, drinking can cause a B1 vitamin deficiency, which is linked to issues with vertigo.

Sponsored

Online Therapy Can Help

Over 3 million people use BetterHelp. Their services are:

  • Professional and effective
  • Affordable and convenient
  • Personalized and discreet
  • Easy to start
Find a Therapist

Answer a few questions to get started

online consultation

How Does Alcohol-Induced Vertigo Affect the Body?

Drinking alcohol affects your inner ear and the brain, which can cause balance issues from severe dizziness.

Alcohol's Influence on the Inner Ear

Hair cells are responsible for translating external sounds into nerve impulses. Drinking too much alcohol damages the small hair cells in your inner ear. This changes the volume and composition of inner ear fluid.

If too much alcohol accumulates in the ear, it can pool and become toxic. This is what damages the hair cells. Damage to these cells causes hearing loss.

In a study to determine alcohol’s influence on the inner ear, researchers found that more than 67% of the study’s participants showed hearing abnormalities after drinking alcohol. Additionally, researchers determined that drinking alcohol interferes with your hearing and balance.1

Alcohol Affecting the Brain's Balance Centers

Alcohol affects your brain’s communication pathways. It also affects how your brain works, as well as its appearance. This means when you drink, it’s harder for your brain to do its usual tasks, such as controlling:

  • Balance
  • Speech
  • Memory
  • Judgment

When something interferes with these pathways, you have a higher likelihood of injury and other negative consequences. Chronic over-drinking causes permanent changes in your brain’s neurons.2

What Are the Symptoms of Alcohol-Induced Vertigo?

Symptoms of alcohol-induced vertigo include:

  • Mental confusion
  • Poor muscle coordination
  • Muscle tremors
  • Double vision
  • Paralysis of nerves in the eyes

Alcohol-induced vertigo tends to resolve as you sober up. If this is not the case, especially after a day or two, you should seek medical attention.

In addition to seeking medical attention for vertigo, it’s also a good idea to speak to your doctor if you notice hearing changes or headaches after drinking if they do not resolve within a day or two.

Sponsored

BetterHelp can Help

They’ll connect you to an addiction and mental health counselor

Find a Therapist

Answer a few questions to get started

Better Help Logo

How to Prevent Alcohol-Induced Vertigo

There are several things you can do to help prevent alcohol-induced vertigo. For instance:

  • Know when to say No: Understand your tolerance level and do your best not to overdo drinking.
  • Pace yourself: Try having a glass of water for each alcoholic drink, or commit to drinking just one drink per 90 minutes.
  • Stay hydrated: Switch off between alcohol and other liquids or sip water throughout the evening.
  • Eat before drinking: Drinking on an empty stomach increases your risk of negative side effects from alcohol.
Sponsored

Thinking about Getting Help?

BetterHelp offers affordable mental health care via phone, video, or live-chat.

Find a Therapist

Answer a few questions to get started

Better Help Logo

Treatments for Alcohol-Induced Vertigo

If you experience vertigo after drinking, the following might help:

  • Take an antihistamine, antiemetic, or benzodiazepine: Medication prescribed by your doctor can alleviate alcohol-induced vertigo symptoms. Make sure you ask your doctor how long to wait after drinking alcohol to use these medications.
  • Wear an anticholinergic patch: An anticholinergic patch behind your ear can reduce your risk of developing vertigo. It prevents symptoms, such as nausea and vomiting, from motion sickness.
  • Enroll in a detox program: If vertigo is caused by alcohol withdrawal or you believe you’ve developed alcohol use disorder (AUD) or alcohol addiction, a detox program can help you stay sober and deal with vertigo and withdrawal symptoms.

Common Questions on Vertigo and Alcohol

Can you drink alcohol if you have a history of vertigo?

Yes. But it’s risky for people with a history of vertigo to drink.

If you do want to consume alcohol, anticipate that it may trigger a bout of vertigo. After drinking, avoid doing activities that could be dangerous with vertigo, such as driving.

Does abstaining from alcohol guarantee no vertigo episodes?

No. This is especially true if you have a history of chronic excessive alcohol consumption. However, abstaining does reduce your risk of experiencing vertigo.

Are there other substances that can induce vertigo?

Yes. Other substances that can induce vertigo include tobacco, illicit drugs, and some prescription medications.

Besides consuming substances, there are several non-substance potential vertigo triggers, including dehydration, heart disease, or low blood pressure.3 Ask your doctor to confirm a full list of triggers that may put you at risk of vertigo.

How can one differentiate between alcohol-induced dizziness and vertigo?

The easiest way to know if vertigo is induced by alcohol or not is to abstain from drinking. If you still experience bouts of vertigo, you’ll know they are not only alcohol-induced.

If you experience temporary dizziness after having a few too many drinks, but they don’t recur, you’re dealing with alcohol-induced dizziness.

Is there a known safe alcohol intake limit to prevent vertigo?

The amount of alcohol that triggers vertigo varies from person to person.

As a general rule, drinking less alcohol lowers your risk of vertigo. Abstaining from drinking ensures you won’t experience alcohol-induced vertigo. If you prefer to drink, try to limit your drinks to one per hour and no more than two or three per occasion.

Summary

Dealing with vertigo regularly can affect someone’s quality of life and make daily living difficult. Among other causes, consuming alcohol can trigger vertigo.

Vertigo occurs when drinking because alcohol affects your inner ear and your brain, both of which play a role in balance. Most cases of alcohol-induced dizziness can be confused with alcohol-induced vertigo. However, you should seek medical attention if the symptoms do not resolve once you are sober.

When drinking, regardless of whether vertigo is an issue, it’s important to do so in moderation. Listen to your body and know what the potential consequences are of excessive drinking. Seek help if you believe your alcohol consumption is problematic.

Updated on November 20, 2023
6 sources cited
Updated on November 20, 2023
All Alcoholrehabhelp content is medically reviewed or fact checked to ensure as much factual accuracy as possible.

We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies.
  1. Bellé et al. “Alcoholism: Effects on the Cochleo-Vestibular Apparatus.” Brazilian Journal of Otorhinolaryngology, National Library of Medicine, 2007.
  2. Alcohol and the Brain: An Overview.” National Institute on Alcohol Abuse and Alcoholism, 2022.
  3. Mayo Clinic. “Dizziness - Symptoms and Causes.” mayoclinic.org, 2022.
  4. Stanton, M., and Freeman, A.M. “Vertigo.” StatPearls Publishing, National Library of Medicine, 2020.
  5. Zenke, M. “5 Misconceptions about Vertigo, Dizziness.” Mayo Clinic, 2021.
  6. Mayo Clinic Staff. “Balance Problems - Symptoms and Causes.” mayoclinic.org, 2020.
AlcoholRehabHelp Logo
All content created by Alcohol Rehab Help is sourced from current scientific research and fact-checked by an addiction counseling expert. However, the information provided by Alcohol Rehab Help is not a substitute for professional treatment advice.
© 2025 by Treatment Pathway LLC. All rights reserved.
Back to top icon
linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram