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Fibromyalgia and Alcohol

Sunday 30 September 2018
Chronic Pain
4 minute(s) read
By Anonymous

Table of Contents

I. How is Fibromyalgia Treated?

II. How Does Alcohol Affect People with Fibromyalgia?

III. How Can These Results Be Explained?

IV. Problems with Fibromyalgia and Alcohol Consumption

V. Doesn't Alcohol Have a Negative Effect on Sleep?

VI. Should You Start Drinking If You Have Fibromyalgia?

Common sense may tell you that fibromyalgia and alcohol don’t mix. And with symptoms like widespread pain, fatigue, and difficulty thinking, a drink may be the furthest thing from your mind. But some studies suggest that moderate drinkers with the chronic illness actually experience a better quality of life.

How is Fibromyalgia Treated?

woman laying on bed

Fibromyalgia comes with widespread symptoms, and can’t be detected with blood tests, CT, or MRI. This makes diagnosis difficult, and symptom management is different for each patient. Most people use a combination of lifestyle adjustments and medications to manage their fibromyalgia, including:

  • Over-the-counter and prescription pain relievers
  • Antidepressant-type drugs like Cymbalta and Savella
  • Anticonvulsants like Lyrica

How does alcohol affect people with fibromyalgia?

Several studies exploring the relationship between alcohol and fibromyalgia symptoms have returned some surprising findings.

  • A 2013 study of nearly 1000 people with fibromyalgia found that low and moderate alcohol consumption was associated with lower symptoms and better quality of life compared with completely abstaining from alcohol. [1]
  • Moderate alcohol consumption in this study was defined as up to 7 drinks per week. Heavy drinking (more than 7 per week) wasn’t associated with lower symptoms or better quality of life.


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  • In a similar 2016 study, fibromyalgia patients with low to moderate alcohol habits reported lower pain severity and better sleep quality. [2]
  • MRI of participants even showed structural brain differences. Low-to-moderate drinkers had larger hippocampal volume. This area of the brain is typically smaller in people with fibromyalgia or chronic fatigue syndrome.

beer on a table

How can these results be explained?

Researchers aren’t exactly sure why drinkers have fewer symptoms than those who abstain from alcohol. Some theories are:

  • Alcohol acts like a neurotransmitter called GABA. GABA plays a role in pain transmission, and some studies show people with fibromyalgia have lower levels of GABA. [3]
  • Drinking a small amount of alcohol increases levels of serotonin and dopamine. These trigger the brain’s reward system and improve mood.
  • Low and moderate drinkers tend to be of higher social status and have lower BMIs, which should have a positive impact on fibromyalgia symptoms. But adjusting for these factors doesn’t completely explain why the drinking groups feel better.
  • One possible interpretation of these studies is that drinking alcohol is an effect rather than a cause. The study subjects who drink may be those who experience fewer symptoms. Their better quality of life allows them to enjoy alcohol occasionally.

Problems with fibromyalgia and alcohol consumption

Doctors don’t suggest people with fibromyalgia should take up drinking. There are several reasons why these patients drink less than the general population.

  • Interactions between alcohol and medication.
  • Symptoms are isolating, which leads to attending fewer social events where drinking may take place.
  • Alcohol intolerance can be a symptom of fibromyalgia. Some people feel very ill after a single drink or find that it induces symptom flares.

Doesn’t alcohol have a negative effect on sleep?

person sleeping

Insomnia is one of the most common fibromyalgia symptoms. Optimizing sleep quality is an important part of managing the condition. Whether you’ve had one drink or one too many, the sedating effects of alcohol make it easier to fall asleep. But drinking usually leads to more disturbed sleep later in the night.

It’s possible that people with fibromyalgia respond differently to alcohol, or that their drinking patterns don’t disturb sleep. If you’re worried about alcohol interfering with rest, stick to small quantities. Don’t drink until you’re intoxicated, and imbibe with an evening meal or at least 2 hours before bedtime.

Should you start drinking if you have fibromyalgia?

No. Low-to-moderate drinking is linked to lower fibromyalgia symptoms, but we don’t know exactly why. The dangers of taking up a drinking habit outweigh the potential rewards, especially for someone with a chronic illness.

Abusing alcohol undoes any potential positive effects. Addiction and impairment can have more serious consequences for someone with a chronic illness. If you have fibromyalgia and you already drink a low-to-moderate amount, there’s no reason to quit unless advised by your doctor.

Most people with fibromyalgia are taking at least one prescription drug to help manage symptoms. If you’re struggling to pay for fibromyalgia medication, drugs like Cymbalta are available through at lower prices than your local pharmacy. Click here to search for your prescribed medications, and use convenient online ordering and direct delivery to replace frequent trips to the drug store.

DISCLAIMER: The content in this article is intended for informational purposes only. This website does not provide medical advice. In all circumstances, you should always seek the advice of your physician and/or other qualified health professionals(s) for drug, medical condition, or treatment advice. The content provided on this website is not a substitute for professional medical advice, diagnosis or treatment.