The Risks of Mixing Cymbalta and Alcohol

Medically Reviewed By

Dr. Po-Chang Hsu

Dr. Po-Chang Hsu

On February 24, 2025

Written By

Amanda Stevens

Amanda Stevens, B.S.

On February 24, 2025

What you will learn

  • Cymbalta, a medication for depression and anxiety, can be beneficial but poses risks when mixed with alcohol.
  • Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor
  • The risks of combining Cymbalta and alcohol include increased CNS depression, worsened depressive symptoms, liver damage risk, serotonin syndrome, and impaired cognitive function.
  • Be sure to consult healthcare providers, understand the risks of combining Cymbalta and alcohol, and be on the lookout for alcohol abuse to watch after your health.
Reading Time: 4 minutes

Cymbalta, a prescription medication commonly prescribed to manage depression and anxiety disorders, can offer significant relief for those struggling with these conditions.[1] However, while Cymbalta can be a beneficial tool in addressing mental health concerns, its interaction with alcohol can lead to unintended and potentially harmful effects.

What is Cymbalta, and What Does it Do?

Cymbalta is a brand name for duloxetine, classified as a selective serotonin and norepinephrine reuptake inhibitor (SSNRI).[2] It is primarily prescribed to treat major depressive disorder, although it can also be prescribed to treat generalized anxiety disorder, fibromyalgia, and chronic musculoskeletal pain.

Cymbalta works by increasing the levels of serotonin and norepinephrine, neurotransmitters in the brain associated with mood regulation and pain perception, thereby improving mood and reducing pain symptoms.[3]

Is it Safe to Drink Alcohol While Taking Cymbalta?

It is strongly advised not to drink alcohol while taking Cymbalta due to the increased risk of serious side effects. However, it should be known that alcohol can increase the risk of side effects associated with Cymbalta, such as drowsiness, dizziness, and impaired cognitive function.

Additionally, alcohol can worsen certain conditions that Cymbalta is prescribed to treat, such as depression and anxiety. Mixing Cymbalta and alcohol can also increase the risk of overdose or other serious health complications.

What Are the Dangers of Mixing Cymbalta and Alcohol?

Mixing Cymbalta and alcohol can be dangerous due to several reasons:[4]

  • Increased risk of central nervous system depression: Both Cymbalta and alcohol can depress the central nervous system, leading to symptoms such as drowsiness, dizziness, and impaired coordination. Combining them can intensify these effects, potentially leading to accidents or injuries.
  • Worsening of depressive symptoms: Alcohol is a depressant, and consuming it while taking Cymbalta, which is used to treat depression, can counteract the medication’s effectiveness. This can lead to a worsening of depressive symptoms and may increase the risk of suicidal thoughts or behaviors.
  • Increased risk of liver damage: Both Cymbalta and alcohol can affect liver function. Combining them may increase the risk of liver damage or liver toxicity, especially in individuals with pre-existing liver conditions or those who consume alcohol excessively.
  • Impaired cognitive function: Mixing Cymbalta and alcohol can impair cognitive function, leading to difficulty concentrating, memory problems, and confusion. This can affect judgment and decision-making abilities, potentially leading to risky behaviors.

What Are the Potential Symptoms of Mixing Cymbalta and Alcohol?

Potential Symptoms of Mixing Cymbalta and Alcohol

Mixing Cymbalta and alcohol can lead to various potential symptoms, including [5]:

  • Increased drowsiness or sedation: Cymbalta and alcohol can cause drowsiness or sedation independently. Combined, they can intensify these effects, leading to extreme fatigue, difficulty staying awake, or even unexpectedly falling asleep.
  • Dizziness or lightheadedness: Combining Cymbalta and alcohol can cause dizziness or lightheadedness, making it difficult to maintain balance or coordination. This can increase the risk of falls or accidents.
  • Impaired cognitive function: Mixing Cymbalta and alcohol may impair cognitive function, leading to difficulty concentrating, memory problems, or confusion. This can affect decision-making abilities and judgment, potentially leading to risky behaviors.
  • Gastrointestinal symptoms: Both Cymbalta and alcohol can irritate the gastrointestinal tract, leading to symptoms such as nausea, vomiting, or abdominal discomfort. Combining them may increase the likelihood of experiencing these symptoms.
  • Mood changes: Cymbalta is commonly used to treat depression and anxiety, while alcohol is known to affect mood. Mixing the two substances can lead to unpredictable changes in mood, ranging from agitation and irritability to sadness or emotional numbness.

How Can I Balance Safety With Alcohol Consumption While Taking Cymbalta?

Balancing safety with alcohol consumption while taking Cymbalta involves several key considerations. Firstly, it’s essential to follow medical advice and consult your healthcare provider regarding the potential risks of drinking alcohol while on Cymbalta. They can offer personalized guidance based on your health status and medication regimen, helping you make informed decisions.

Understanding the risks associated with mixing medications and alcohol is critical to your decision-making process. Educate yourself about potential interactions, as alcohol can amplify Cymbalta’s side effects and worsen conditions like depression and anxiety. By being aware of these risks, you can better gauge the impact of alcohol on your medication regimen.

Given the risks associated with alcohol consumption while taking Cymbalta, it is generally advised to avoid alcohol. If you choose to drink, any alcohol intake should be discussed with and closely monitored by your healthcare provider. Stick to low-risk drinking guidelines, limiting yourself to one drink per day for women and two for men. Monitoring your alcohol consumption and its effects on your body can help you stay within safe limits and minimize potential harm.

It’s important to be proactive in monitoring your response to alcohol while on Cymbalta as well. Pay attention to any adverse reactions or worsening of symptoms, and communicate these findings with your healthcare provider promptly. This collaboration ensures that any necessary adjustments to your treatment plan can be made.

Being aware of warning signs of alcohol misuse or dependence. Increased tolerance, cravings, and difficulty controlling alcohol consumption are red flags that warrant seeking help. Planning for alcohol-related situations and prioritizing self-care can contribute to maintaining a healthy balance while taking Cymbalta.

Frequently Asked Questions About Cymbalta and Alcohol

Can alcohol affect the effectiveness of Cymbalta?

Alcohol can potentially interfere with the effectiveness of Cymbalta by altering its metabolism and absorption in the body. This may result in reduced therapeutic effects or increased risk of side effects. It’s essential to discuss alcohol consumption with your healthcare provider to ensure the optimal effectiveness of Cymbalta for managing your condition.

Can alcohol worsen depression or anxiety symptoms while taking Cymbalta?

Yes, alcohol can worsen depression or anxiety symptoms while taking Cymbalta. Alcohol is a central nervous system depressant, and excessive consumption can exacerbate depressive symptoms and increase feelings of anxiety. Combining alcohol with Cymbalta can negate the therapeutic effects of the medication and lead to a worsening of mental health symptoms.

Are there any long-term risks of drinking alcohol while on Cymbalta?

Drinking alcohol while on Cymbalta can pose several long-term risks, including:

  • Increased risk of liver damage: Both alcohol and Cymbalta can strain the liver, and combining them can lead to liver toxicity over time.
  • Worsening of mental health conditions: Chronic alcohol consumption can exacerbate depression and anxiety, counteracting the benefits of Cymbalta and potentially leading to more severe mental health symptoms.
  • Impaired cognitive function: Long-term alcohol use can impair cognitive function and memory, which may be further exacerbated when combined with Cymbalta. It’s essential to consider the long-term consequences of alcohol use while taking Cymbalta and to prioritize your mental and physical health by abstaining from alcohol or consuming it in moderation.
Can alcohol interfere with the body's Cymbalta metabolism?

Yes, alcohol can interfere with the metabolism of Cymbalta in the body. Alcohol is metabolized in the liver by enzymes responsible for metabolizing certain medications, including Cymbalta. Drinking alcohol can potentially affect the rate at which Cymbalta is broken down and eliminated from the body, leading to altered drug concentrations and potentially impacting its effectiveness or causing adverse effects.

Should I just avoid alcohol completely while taking Cymbalta?

Considering the significant interactions and risks associated with mixing Cymbalta and alcohol, it is highly recommended to avoid alcohol. Alcohol can interact with Cymbalta in various ways, potentially reducing its effectiveness, increasing the risk of side effects, and worsening mental health symptoms. To ensure the safety and effectiveness of Cymbalta treatment, it’s best to discuss with your provider and be honest about your consumption to collaborate most effectively for your treatment plan.

Ascendant New York Editorial Guidelines

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.

Sources

[1] Duloxetine (Cymbalta) | NAMI: National Alliance on Mental Illness. (2020). Nami.org. https://www.nami.org/About-Mental-Illness/Treatments/Mental-Health-Medications/Types-of-Medication/Duloxetine-(Cymbalta)

[2] Duloxetine (Oral Route) Side Effects – Mayo Clinic. (n.d.). Www.mayoclinic.org. https://www.mayoclinic.org/drugs-supplements/duloxetine-oral-route/side-effects/drg-20067247?p=1 

[3] NHS. (2022, February 17). About duloxetine. Nhs.uk. https://www.nhs.uk/medicines/duloxetine/about-duloxetine/

[4] Alcohol-Medication Interactions: Potentially Dangerous Mixes | National Institute on Alcohol Abuse and Alcoholism (NIAAA). (2023, September 22). Www.niaaa.nih.gov. https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/alcohol-medication-interactions-potentially-dangerous-mixes

[5] Mayo Clinic. (2017). Antidepressants and alcohol: What’s the concern? Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/depression/expert-answers/antidepressants-and-alcohol/faq-20058231