Drinking rubbing alcohol can lead to severe poisoning and serious medical complications [1]. This article provides information about rubbing alcohol and poisoning from ingesting isopropyl alcohol. You will learn how to identify the symptoms of poisoning from rubbing alcohol and how to handle the situation if it occurs.
What is commonly known as rubbing alcohol refers to isopropyl alcohol. There are many uses of rubbing alcohol in homes today, including disinfecting small injuries, cleaning common surfaces, and preparing the skin for certain medical procedures. In addition, people will also use rubbing alcohol for cleaning electronics, removing sticky substances from different types of surfaces, and many other uses.
The rubbing alcohol you purchase at a pharmacy or store typically contains high concentrations of isopropyl alcohol, usually ranging from 70% to 99%. This chemical is fundamentally different from ethanol found in beverages such as beer, wine, and spirits. Isopropyl alcohol is not food-grade, meaning it lacks the safety profile required for human consumption. The high concentration and chemical structure make it significantly more toxic to the human body than drinking ethanol [2].
You might wonder why anyone would ask about drinking rubbing alcohol. Some people may be curious about its effects, may not have access to drinking alcohol, or may be struggling with alcohol abuse disorder. Others, particularly children, might consume rubbing alcohol accidentally, mistaking it for water or another beverage. Regardless of the reason, it’s essential to understand that drinking rubbing alcohol can lead to serious injury or death [3].
When consuming isopropyl alcohol, your body will quickly absorb the alcohol via the stomach and intestines while also adding it to your bloodstream just several minutes after ingestion. It will travel to all areas of your body, including your brain, liver, kidneys, and other important organs. Unlike ethanol, which your body metabolizes into acetaldehyde and then acetic acid, isopropyl alcohol breaks down into acetone, the same chemical found in nail polish remover. This metabolic process creates additional toxic effects that compound the danger [3].
Shortly after consuming rubbing alcohol, you’ll experience central nervous system depression, similar to what happens with drinking ethanol, but much more intense and dangerous. The immediate effects include dizziness, confusion, severe headaches, and overwhelming nausea. Many people also experience abdominal pain as the rubbing alcohol irritates the stomach lining and gastrointestinal tract [1].
Isopropyl alcohol is a toxic substance that produces many negative reactions throughout your body after consumption. It irritates the lining of your stomach and intestines and may cause excessive vomiting and possible aspiration, resulting in vomit entering the lungs. Aspiration poses a high risk for developing pneumonia and other respiratory conditions. As the effects of isopropyl alcohol move through the body, many cognitive functions become impaired due to its toxicity. In addition to cognitive impairment, isopropyl alcohol creates issues with coordination and balance and has negative effects on motor skills.
In cases of significant to critical levels of poisoning, drinking rubbing alcohol will result in respiratory depression, characterized by dangerously slow and shallow breathing, as well as hypotension, where blood pressure drops to dangerously low levels, resulting in less oxygen being circulated throughout the body and to vital organs.
The long-term effects of rubbing alcohol on an individual’s system include irreversible damage to their kidneys and liver because these organs process and cleanse the bloodstream of the toxic compounds [4].
People who consume large amounts of isopropyl alcohol (generally defined as greater than five ounces) may incur the risk of long-lasting kidney damage due to impaired filtering capacity for the removal of body toxins, impaired function of their liver, and possible ongoing neurological impairments including memory issues and cognitive impairment that could last many years following acute exposures [3].
Recognizing the early signs of isopropyl alcohol poisoning can save a life [1]. The first symptoms you’ll notice include pronounced nausea and vomiting, often more severe than what you’d experience with drinking too much ethanol. Abdominal pain accompanies these digestive symptoms, as the chemical irritates the stomach lining. You may also notice drowsiness and an unsteady gait, with difficulty walking or maintaining balance.
As poisoning develops, confusion grows more pronounced and speech becomes slurred and difficult to understand [5]. Blood pressure drops, and the person may become lightheaded or faint. Heart rate usually speeds up as the body attempts to adjust to low blood pressure and the effects of the toxin. The poisoned person may appear very confused and may not be able to answer simple questions or identify familiar people or places.
In severe cases of rubbing alcohol poisoning, the symptoms become life-threatening:
Any of these severe symptoms requires emergency medical intervention, as they indicate critical poisoning that can rapidly lead to death without proper treatment.
Call 911 or your local emergency service immediately if someone has ingested rubbing alcohol. Timely action is critical in these situations. Do not attempt to induce vomiting due to the risk of aspiration if the individual is unconscious, unresponsive, or only partially awake. While awaiting emergency services, you can call your local poison control center (1-800-222-1222), which can provide additional guidance.
As soon as emergency medical responders arrive or the patient reaches the hospital, the medical team will quickly evaluate the patient’s airway, breathing, and circulation. They will monitor vital signs including heart rate, blood pressure, respiratory rate, and oxygen saturation, and run lab tests to confirm the presence of isopropyl alcohol in the bloodstream and assess kidney and liver function. [3]
The main goal of treatment for isopropyl alcohol poisoning is to help the body eliminate the toxin. In certain cases, healthcare providers may administer activated charcoal, but this depends on the timing and clinical judgment. Providing intravenous fluids is essential because they support blood pressure and enhance kidney function to help remove toxins from the blood. Supplemental oxygen or mechanical ventilation may be used if a patient has difficulty breathing. For patients with very high levels of isopropyl alcohol in their blood, hemodialysis can be performed to directly remove the toxic substance from the bloodstream.
Medical intervention aims to prevent life-threatening complications such as respiratory failure, shock, and organ damage. By providing supportive care, healthcare professionals give the body the best chance to metabolize and eliminate the isopropyl alcohol while preventing secondary complications [3]. The duration of treatment varies depending on how much rubbing alcohol was consumed and how quickly medical care began.
Several actions can worsen the situation. Never wait for symptoms to worsen before seeking help, as this delay can be fatal. Avoid any home remedies or folk treatments, as these lack scientific support and waste precious time. Do not induce vomiting, whether through your fingers or with substances like ipecac, as this significantly increases the risk of aspiration.
Preventing accidental ingestion starts with proper storage. Keep rubbing alcohol in a locked cabinet or on a high shelf, well out of reach of children and pets. Store it away from food and beverages to prevent confusion.
Never transfer rubbing alcohol into unmarked containers or containers that previously held beverages or food. Always use rubbing alcohol only for its intended external purposes: cleaning surfaces, disinfecting skin, or sanitizing objects.
Beyond bottles labeled “rubbing alcohol,” many household products contain isopropyl alcohol. Hand sanitizers, some cleaning products, and disinfecting wipes may contain high concentrations of this chemical. The ingestion risks for these products are similar to drinking rubbing alcohol directly.
Yes, even small amounts of rubbing alcohol can cause injury. No safe amount exists for consuming rubbing alcohol, even in small quantities. Drinking just a small amount can cause nausea, vomiting, and central nervous system damage. Children are particularly vulnerable and at high risk of suffering serious harm from even very small amounts.
Call 911 and Poison Control (1-800-222-1222) immediately, even if you don’t have any symptoms. Do not make yourself vomit or wait for symptoms to develop. Getting medical help right away is crucial because symptoms can worsen quickly, and treatment is most effective when started immediately.
Many hand sanitizers contain high concentrations of either ethanol or isopropyl alcohol, making them unsafe to drink. Ethanol-based hand sanitizers are slightly less toxic than isopropyl alcohol-based ones; however, both are hazardous and should never be ingested [5].
Certain negative symptoms (such as confusion and dizziness) may develop in a very short period (within minutes). The appearance of serious adverse reactions requires the immediate evaluation and treatment of a physician.
Rubbing alcohol can be fatal; just a small amount of ingestion creates an increased risk of death for any person. A serious medical condition, such as respiratory failure, hypotension, and end-organ failure, may occur with as little as four ounces.
Side effects of drinking rubbing alcohol include severe nausea, vomiting, abdominal pain, dizziness, confusion, slurred speech, respiratory depression, dangerously low blood pressure, loss of consciousness, and potential organ damage [1]. These effects can appear rapidly and worsen quickly without medical intervention.
Drinking a bottle of rubbing alcohol is life-threatening and requires immediate emergency medical care. This amount of isopropyl alcohol can cause severe toxicity leading to coma, respiratory failure, complete organ shutdown, and death [1]. Call 911 immediately if this occurs [5].
Here at Ascendant New York, we understand the importance of having access to accurate medical information you can trust, especially when you or a loved one is suffering from addiction. Find out more on our policy.
[1] National Library of Medicine. (n.d.). Isopropanol alcohol poisoning. MedlinePlus Medical Encyclopedia. https://medlineplus.gov/ency/article/002660.htm
[2] National Center for Biotechnology Information. (n.d.). Isopropanol (CID 3776). PubChem. https://pubchem.ncbi.nlm.nih.gov/compound/Isopropyl-alcohol
[3] Ashurst, J. V., & Nappe, T. M. (2023). Isopropanol toxicity. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493181/
[4] Jammalamadaka, D., & Raissi, S. (2010). Ethylene glycol, methanol and isopropyl alcohol intoxication. American Journal of the Medical Sciences, 339(3), 276–281. https://pubmed.ncbi.nlm.nih.gov/20090509/
[5] National Institute for Occupational Safety and Health. (n.d.). Isopropyl alcohol. NIOSH Pocket Guide to Chemical Hazards. https://www.cdc.gov/niosh/npg/npgd0359.html