What Should I Do When I’m Too Drunk?

Over-intoxication occurs when alcohol consumption exceeds an individual’s capacity to process it, impairing judgment, coordination, and speech. This condition affects the central nervous system, altering physical and mental functions. Understanding the signs and appropriate responses is crucial for safety. This article provides general guidance and is not a substitute for professional medical advice.

Recognizing the Signs of Over-Intoxication

Identifying over-intoxication involves observing both physical and cognitive changes. Common physical indicators include slurred speech, loss of coordination (such as stumbling or unsteady movements), nausea, vomiting, or increased drowsiness.

Cognitive and behavioral alterations are also apparent. Impaired judgment can manifest as poor decisions or uncharacteristic behavior. Confusion and slowed responses to stimuli are frequent signs.

Immediate Actions to Take

Once over-intoxication is recognized, take non-emergency steps to ensure safety. Stop all further alcohol consumption. Hydration is crucial, so offer water or non-alcoholic fluids.

Encourage the individual to eat some food, as this can help absorb alcohol and stabilize blood sugar levels. Ensure the person remains in a safe environment, ideally with a sober friend or trusted person monitoring their condition. Under no circumstances should an intoxicated person drive or operate any machinery.

When to Seek Emergency Medical Attention

Severe symptoms indicate alcohol poisoning, a life-threatening condition. These signs include unresponsiveness (cannot be woken or only briefly roused) and breathing irregularities, such as slow breathing (fewer than eight breaths per minute) or irregular breathing (gaps of 10 seconds or more).

Other symptoms requiring immediate attention are:
Pale or bluish skin
Cold and clammy skin (hypothermia)
Seizures
Persistent vomiting
Depressed gag reflex (which increases choking risk)

If any of these are present, call emergency services (such as 911 in the U.S.) immediately; do not assume the person will “sleep it off.” While waiting for help, stay with the person, keep them warm, and if unconscious or vomiting, gently turn them onto their side into the recovery position to prevent choking.

Managing the Aftermath

After over-intoxication, a hangover is a common consequence. Continue to hydrate with water or electrolyte solutions to replenish fluids lost due to alcohol’s diuretic effect. Eating bland foods can help settle the stomach and provide energy.

Adequate rest is beneficial, as time is the only definitive cure for a hangover. While over-the-counter pain relievers can alleviate headaches, exercise caution with medications like acetaminophen, which can be harmful to the liver when combined with alcohol. Avoid the “hair of the dog” approach, as consuming more alcohol prolongs its presence in the system and delays recovery.