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Mixing Steroids and Alcohol Dangers. Can You Drink Alcohol on Steroids? Alcohol with Steroids Interactions.

Can you drink with steroids? It’s best to wait until you have finished treatment with steroids before drinking alcohol. People who drink steroids and alcohol may have a higher risk of adverse effects. Continue to read more about steroids and alcohol.

Steroids and Alcohol

While anabolic-androgenic steroids are not widely used, studies have linked them to various substances for younger males. These range from alcohol and cocaine for recreational purposes, painkillers and GHB as stimulants or depressants, and legal performance enhancers like amphetamines. As such, understanding the broader implications of AAS use beyond simply their prescribed purpose can be vital for anyone using alcohol with steroids. Keep reading to learn if you can you drink alcohol with steroids safely.

Steroids and Alcohol Use Dangers

Can you drink alcohol with steroids?  Steroids with alcohol can cause serious and sometimes irreversible and damaging effects. Combining alcohol with steroids can increase the risk of:

  • Liver.
  • Kidney.
  • Heart.
  • Brain damage.

Combining alcohol with steroids can result in aggressive and risky behaviors. For this reason, it is best to avoid drinking alcohol when taking steroids.

Alcohol with Steroids Effects

Studies show a significant association between people who use anabolic steroids and those who abuse alcohol or other substances. Some studies suggest that steroid-induced changes in brain structure and functioning make users more susceptible to the rewarding effects of alcohol use, which promotes increased consumption. Other studies suggest that anabolic steroids may act as a gateway drug to other substances with addiction potential. [1]

Steroids with Alcohol Misuse

The relationship between habitual anabolic androgenic steroid use and other drug use is critical to understand because, without such an understanding, the best approach to prevention and treatment will remain unclear. Typically habitual use of steroids is associated with misuse of other drugs, such as alcohol. In that case, it may be possible for prevention and treatment efforts to target the use of multiple substances. It also suggests that existing drug treatment programs may effectively treat steroids and alcohol abuse.

Can you drink with steroids?

If you are wondering, can you drink alcohol with steroids, it is not recommended to drink alcohol while taking any kind of steroids.

Alcohol can interact with steroids, leading to side effects or worsening of the steroids’ effects. Also, drinking alcohol may be contraindicated for certain health conditions that those taking steroids may have. It is important to seek medical advice if you plan to consume alcohol while taking steroids.

Steroids are chemicals, often hormones, that your body makes naturally. They help your organs, tissues, and cells do their jobs. You need a healthy balance of them to grow and even to make babies. “Steroids” can also refer to man-made medicines.

The two main types are corticosteroids and anabolic-androgenic steroids (or anabolics for short).

Types of Steroids

Steroids come in many different forms. The main types are:

  • Tablets, syrups, and liquids – such as prednisolone
  • Inhalers – such as beclometasone and fluticasone 
  • Nasal sprays – such as beclometasone and fluticasone
  • Injections (given into joints, muscles, or blood vessels) – such as methylprednisolone
  • Creams, lotions, and gels – such as hydrocortisone skin cream

Most steroids are only available on prescription, but a few (such as some creams or nasal sprays) can be bought from pharmacies and shops.


Corticosteroids are medicines that quickly fight inflammation in your body. These lab-made steroids work like the hormone cortisol, which your adrenal glands make. Cortisol keeps your immune system from making substances that cause inflammation.

Corticosteroid drugs, like prednisone, work similarly. They slow or stop the immune system processes that trigger inflammation. They help treat conditions that cause irritation and swelling. They can ease symptoms of:

  • Rheumatoid arthritis
  • Asthma
  • Chronic obstructive pulmonary disorder (COPD)
  • Lupus and other autoimmune disorders
  • Multiple sclerosis
  • Rashes and skin conditions like eczema

Your doctor may also suggest you take them for a short time to treat allergic reactions, like a severe poison ivy rash.

Corticosteroids and Alcohol

If you have an inflammatory condition, you may be wondering if you can drink alcohol while taking a corticosteroid like prednisone. To make a long answer short — probably not. But it’s also important to note that not all corticosteroids affect your body the same way. They are available in several dosage forms, including oral tablets, topical creams, nasal sprays, and inhalations. We’ll focus on oral dosage forms since they tend to have the broadest effect on your body.

While corticosteroids like prednisone and alcohol may not directly interact with each other, alcohol can have negative effects on the condition being treated, negating the benefits you’re getting from the medication. And as described above, it can also interact with other medications that people normally take for inflammatory conditions.

As discussed, corticosteroids work by suppressing your immune system — and alcohol can have that effect as well. Drinking a lot of alcohol can make it easier for bacteria and other germs to escape your stomach and get into your blood, where they may cause infection. Plus, it can cause certain cells in your immune system to not work as well at fighting infections.  This means that if your immune system is already weaker from taking corticosteroids, drinking heavily puts you at greater risk of getting sick.

Mixing steroids and alcohol can cause unpleasant effects. Alcohol use can also promote inflammation, which can interfere with steroid usage and reduce its effectiveness.
Can you drink with steroids? Mixing steroids and alcohol can cause unpleasant effects. Alcohol use can also promote inflammation, interfering with steroid usage and reducing effectiveness.

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Anabolic Steroids and Alcohol Fact Sheet

Alcohol and Oral Steroids

The main concern about mixing steroids and alcohol is that alcohol can worsen the side effects of steroids. The following are the possible health consequences of anabolic steroid misuse:

Cardiovascular System

  • High blood pressure
  • Blood clots
  • Heart attacks
  • Stroke
  • Artery damage

Hormonal System


  • Decreased sperm production
  • Enlarged breasts
  • Shrinking of the testicles
  • Male-pattern baldness
  • Testicular cancer


  • Voice deepening
  • Decreased breast size
  • Coarse skin
  • Excessive body hair growth
  • Male-pattern baldness

Can You Drink Alcohol While on Antibiotics and Steroids?

The question of whether you can drink on steroids and alcohol could depend on several factors, including:

  • How large the dosage of prednisone is
  • Whether it is a short- or long-term course of treatment
  • How much alcohol the person drinks
  • Medical conditions the person has


  • Hepatitis


  • Peliosis hepatis
  • Tumors

Musculoskeletal System

  • Short stature (if taken by adolescents)
  • Tendon injury

Psychiatric Effects

  • Aggression
  • Mania
  • Delusions


  • Severe acne and cysts
  • Oily scalp and skin
  • Abscess at the injection site
  • Jaundice

Can you drink with steroids?

It is not recommended to drink alcohol with steroids. When combined with alcohol, the risk of adverse alcohol and steroids’ negative effects is increased. It can sometimes result in psychotic episodes known as “roid rage,” characterized by sudden bouts of uncontrollable anger and aggression. The risk of severe physical injury to self or others can be significant in these cases. Steroid abuse can cause serious psychological changes, including mood swings, increased aggression, and extreme paranoia. Additionally,

Anabolic Steroid Long-Term Effects

Anabolic steroids are synthetic substances that mimic the effects of testosterone in the body and are often used by athletes and bodybuilders to increase muscle mass and improve athletic performance. While they can be effective in the short term for enhancing athletic performance, long-term steroid use can lead to several serious health problems.

Here are some of the potential dangers of long-term anabolic steroid use:

  1. Liver damage: Prolonged steroid use can lead to liver damage, including liver cancer, because the liver filters these drugs.
  2. Cardiovascular problems: Steroids can cause an increased risk of cardiovascular problems such as heart disease, heart attacks, and stroke, even in young, otherwise healthy adults. Steroids can cause an increase in blood pressure and changes in blood cholesterol levels and arterial structure.
  3. Hormonal imbalances: Steroid use can lead to hormonal imbalances, such as decreased natural testosterone production, which can take months to recover when one stops taking the substance, gynecomastia (enlarged breast tissue in men), and testicular shrinkage. In females, steroids can lead to masculinizing effects such as a deepened voice, an enlarged clitoris, and male-pattern hair growth.
  4. Psychiatric effects: Steroids can cause an increased risk of psychiatric problems such as depression, aggression, and mood swings, particularly in individuals already susceptible to mental health conditions.
  5. Addiction: While steroids are not considered addictive in the traditional sense, long-term use can lead to physical dependence and withdrawal symptoms. Psychologically, some people may become addicted to the effects of steroids, such as increased confidence and strength, and may experience dangerous behaviors, such as excessive exercise and aggression.

Only use any medication or substance only under the guidance of a healthcare professional, and never exceed the recommended dosage. Misusing steroids can have serious and long-lasting physical and mental health consequences.

Steroids Drug Fact Sheet by DEA (Drug Enforcement Administration) Publicly Made Available for Substance Use Disorder Awareness

Steroids and Alcohol Consumption Statistics

Anabolic steroids and alcohol abuse are both issues that can have serious negative health effects. Here are some statistics related to the use of steroids and alcohol abuse:

  1. Steroid use is most common among men who are between 18 and 35 years old. According to a survey by the National Institute on Drug Abuse (NIDA), about 2.9% of young adults in the United States reported using steroids at some point in their lives.
  2. Studies have shown that individuals who abuse anabolic steroids are also likely to abuse other substances, including alcohol. According to a study in the Journal of Addiction Medicine, up to 86% of people who used steroids also reported using alcohol.
  3. Alcohol use can have negative effects on athletic performance, endurance, and muscle recovery, which can be particularly problematic for those who are also using steroids to improve their athletic abilities.
  4. Alcohol abuse can also cause liver damage, which can be especially concerning for steroid users who are already at increased risk for liver damage.
  5. According to the National Institute on Alcohol Abuse and Alcoholism, over 14 million adults in the United States have an alcohol use disorder.

According to the Substance Abuse Statistics from the National Institute on Drug Abuse, approximately 1.6 million people in the United States have used anabolic steroids non-medically. Approximately 25% of people who use anabolic steroids also reported using alcohol. There is a strong correlation between alcohol consumption and steroid use.

Moreover, per data collected by the Substance Abuse and Mental Health Services Administration (SAMHSA), alcohol is commonly used and abused with over-the-counter, prescription, and illicit drugs. If you or someone you know has developed a substance use disorder, working on a plan for sobriety as soon as possible becomes crucial. An inpatient treatment program offers an opportunity to safely detox from steroids and alcohol as a first step before individual and group therapy begin.

Make sure to seek help if you are struggling with substance abuse, as both steroid and alcohol abuse can have serious negative consequences for your health and well-being.


Most people who misuse steroids are male non-athlete weightlifters in their 20s or 30s. Contrary to popular belief, only 22% of anabolic steroid users started as teenagers.

Source: NIDA


In 2019, of the 85,688 liver disease deaths among individuals ages 12 and older, 43.1% involved alcohol.

Source: NIDA


About 40% of individuals who know they have an alcohol or drug problem are not ready to stop using, and many others simply feel they do not have a problem or a need for treatment.

Source: NIDA

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Anabolic Steroids. What are Steroids?

Anabolic steroids are man-made versions of testosterone, a male sex hormone that helps build bigger muscles. A doctor can legally prescribe them if your body doesn’t make enough testosterone. An example would be boys with delayed puberty. Doctors also prescribe them to men with low testosterone and people who lose muscle mass because of cancer, AIDS, and other health conditions. Topical creams, patches, and injections are the most common. There is also a version that can be inhaled through your nose. 

Their performance- and muscle-boosting powers have led to widespread misuse and abuse. Abusers tend to use extremely high doses. Some take 100 times the dose legally prescribed for health problems.

These steroids can cause bad acne and fluid retention. Long-term use can stop the body from making testosterone. In men, this causes smaller testicles, lower sperm counts, infertility, and breast growth. Women may have male-pattern baldness, facial hair growth, periods that change or stop, and a deeper voice. Teens who use them might stunt their bone growth and height. High doses can lead to extreme mood swings, anger, and aggression called “roid rage.”

Long-term anabolic steroid abuse, especially in high doses, can damage your liver, kidneys, and heart. Severe fluid retention can cause heart swelling and heart failure. These drugs can also raise your LDL “bad” cholesterol, making you more likely to have heart attacks and strokes at any age.

Are steroids addictive? Even though Steroids don’t chemically produce euphoria or a “high” like a typical addictive substance, those who regularly abuse steroids and alcohol are at risk of developing a severe addiction.
Are steroids addictive? Even though Steroids don’t chemically produce euphoria or a “high” like a typical addictive substance, those who regularly abuse steroids and alcohol risk developing a severe addiction.

Alcohol and Anabolic Steroids

Drinking most medications has the potential to cause negative side effects in the patient who uses them. So can you drink alcohol on steroids? While alcohol and steroids don’t interact directly, they can potentiate each other’s side effects leading to severe illness. However, the risks are not considered to be as great as with many other medicines. Most doctors who prescribe AAS drugs acknowledge that drinking in moderation while on the medication is okay.

The concern arises when the patients abuse one or both substances. For example, someone who takes anabolic steroid injections twice or more will often have an increased risk of dangerous mental and physical side effects when drinking. Moderation is key when it comes to steroids and alcohol. Alcohol affects everyone differently, and everyone has different alcohol metabolism. The risks of drinking while being anabolic depend on many factors, such as age, medical condition, and the interacting drug. Consulting a health professional regarding steroids and alcohol assessment, one’s medical condition, average alcohol intake, and daily steroid dose can help assess the risks to the person’s health.

Can You Drink Alcohol On Steroids?

The main concern about mixing steroids and alcohol is that alcohol can worsen the side effects of steroids. For example, alcohol consumption with steroids may help weaken the bones and can promote weight gain. If you want to drink alcohol while taking steroids, it’s best to speak to your healthcare provider for medical advice.

There is no clear answer to whether it is safe to drink alcohol while taking steroids. It depends on several factors, including:

  • How large the dose of steroids is
  • Whether the treatment course is short or long-term
  • How much alcohol the patient usually drinks
  • Other medical conditions a person has

Steroids and Alcohol Interaction

There are several possible side effects of mixing steroids with alcohol. These include:

  • Gastrointestinal problems
  • Weakened immune system
  • Weight gain
  • Brittle bones
  • Changes in blood sugar levels
  • Dehydration
  • Chest pain
  • Heartburn
  • Mental health issues, such as depression or anxiety
  • Allergic reactions
  • Increased appetite
  • Stomach ulcers
  • Steroid-induced diabetes

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Steroids and Alcohol Mix Dangerous Effects

Understandably, people taking AAS drugs may not wish to abstain from alcohol while using them. Drinking is often a part of socializing, and pairing the right drink with a meal can greatly enhance it. However, once users understand the risks, they may wish to cut back on their imbibing or stop it completely.

Mixing steroids and Alcohol Can Cause a Wide Variety of Problems, Including:

  • Liver toxicity and damage
  • Immunosuppression
  • Kidney damage
  • Erratic and violent behavior
  • Loss of gains at the gym

Due to the steroid mechanism of action, the development of these side effects can be unpredictable. Users must understand them fully before they take on the risk of drinking while on anabolics. In case abuse of any of both substances becomes an addiction, seeking proper substance abuse treatment is critical.

Oral Steroids and Alcohol Liver Toxicity

Both alcohol and anabolic steroids are hepatotoxic. Taking alcohol and steroids can be fatal.  This means they can damage the liver cells when the organ processes the substances. Using them simultaneously means putting extra strain on the liver, increasing the risk of damage.

Some steroids are more hepatotoxic than others, so users should research their steroid medication of choice before drinking. No matter what steroid a person is on, having more than a few drinks a week with steroids and alcohol will greatly increase the risk of damage. Thus, while one can drink on anabolics, this means occasionally, not habitually. Straining the liver by drinking anabolics is best avoided completely if possible.


Both steroids and alcohol can reduce the function of the immune system. Steroids always inhibit the immune system, including AAS drugs. Alcohol, on the other hand, has been shown to boost the immune system depending on the type consumed potentially. However, this is only when drinking in moderation. Excessive drinking of any substance harms the immune system.

Combining two immunosuppressive substances has the potential to harm the user greatly. Given that athletes need always to be their best, using both alcohol and steroids is counterintuitive. They risk getting sick often and performing less than their best.

Behaviors Health Disorders

One of the lesser-known consequences of drinking alcohol and steroids is their impact on mental health. Oftentimes continual mix of alcohol and steroids would lead to compounding mental health disorders. Athletes focus heavily on the physical self and, thus, are not always thinking about the mental health consequences of their actions. However, mental health side effects, including mood swings and violent behavior, are attributed to both anabolics and drinking. Due to the way AAS drugs impact testosterone and estrogen, users can cycle between feelings of euphoria, rage, and deep depression. This can result in them acting out in unpredictable and harmful ways.

Can you drink alcohol on steroids? While alcohol and steroids don’t interact directly, steroids and alcohol can potentiate each other’s side effects leading to severe illness. 
Can you drink alcohol on steroids? While alcohol and steroids don’t interact directly, steroids and alcohol can potentiate each other’s side effects leading to severe illness. 

Undermining Workout Results

Finally, there is the fact that mixing steroids and alcohol can undermine the results the user is working so hard to achieve. Everyone has heard the term beer belly, which is a reality. However, it can be caused by any form of alcohol, and the effects can be seen everywhere, not just in the abdomen.

Alcohol hurts the hypothalamic-pituitary-gonadal (HPG) axis. This is a hormonal and endocrine system that regulates the male reproductive system. Alcohol interacts with the system by lowering testosterone and allowing estrogen to become relatively higher. This can make the body more prone to retaining fat and reducing muscle mass. As a result, mixing alcohol and steroids can, in effect, render the AAS drugs useless.

Steroids and Alcohol Side Effects

Some serious but rare side effects could happen if you mix alcohol and a corticosteroid like prednisone. Corticosteroids can lower your bone mineral density — a marker of bone health. Research has shown that chronic heavy alcohol use also causes your bone mineral density to go down. This can raise your risk for osteoporosis (weakened and brittle bones). 

Additionally, alcohol can irritate your stomach lining and potentially result in bleeding. And corticosteroids, especially when taken with NSAIDs, can also put you at a higher risk of stomach bleeding — which is serious. If you notice bloody or black, tarry stools, or blood in your vomit, get medical attention immediately.

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Are steroids addicting? There are over 100 types of Anabolic Steroids, only a fraction of which have been approved for medical use. To avoid steroids and alcohol significant issues, it is essential to consult with a doctor.
Are steroids addicting? There are over 100 types of Anabolic Steroids, only a fraction of which have been approved for medical use. To avoid steroids and alcohol significant issues, it is essential to consult with a doctor.

Are steroids addictive? Although anabolic steroids are not considered highly addictive in the traditional sense, they can lead to physical dependence and withdrawal symptoms. Chronic steroid use can also result in several serious health problems, including liver damage, infertility, high blood pressure, and an increased risk of heart disease. Some people who use steroids may become psychologically addicted to the effects of the effects of the drug, like increased strength and confidence. This can lead to dangerous behaviors such as excessive exercise and aggression.

Are Steroids Addictive?

Anabolic Steroids are either prescribed by a doctor or obtained illegally. There are over 100 types of Anabolic Steroids, only a fraction of which have been approved for medical use.

Even though Steroids don’t chemically produce euphoria or a “high” like a typical addictive substance, those who regularly abuse these drugs risk developing a severe addiction. The desire to continue feeling good about oneself and achieve the desired appearance can quickly take over, fueling greater and greater use. Any time a medication is used without a prescription or beyond its medical scope or intended purpose, it is considered abuse.

Anabolic Steroids are addictive due to two primary factors. The first is the behavior of many individuals with Substance Use Disorders (SUDs), the compulsive need to seek out and use Anabolic Steroids. The second is the appearance of withdrawal symptoms when the user cuts back on or stops Steroid use completely. The obsessive-compulsive behavior to keep using Anabolic Steroids often begins when the Steroids improve physical appearance and strength in a short amount of time, which may eventually result in an addiction developing.

Individuals with a history of SUDs are at a higher risk of abusing Anabolic Steroids. This is also true of individuals with co-occurring disorders, especially body dysmorphia, as they may find themselves continuously using Steroids to chase an idealized body image even after they have long since surpassed their original goal.

Treatment for Alcohol and Steroid Abuse

How to Stop Taking Steroids

Stopping them abruptly is a bad idea. It can trigger mood swings, fatigue, restlessness, achy muscles, and depression. Halting anabolics may knock down your sex drive. If you take steroids to treat an illness, those symptoms may come back, too. It’s safer to reduce or taper, your dose slowly. Your doctor can tell you how. Any symptoms you get as a result will be less severe.

Treatment Options for Alcohol Abuse & Addiction

Find some of the best treatment options for steroid and alcohol use disorder (AUD):

Inpatient Programs 

Inpatient treatment for alcohol addiction treatment is a great option. These intensive programs are usually 30, 60, or 90 days. However, they can be longer in some instances.

Medication-Assisted Therapy (MAT)

Certain people qualify for medication-assisted therapy. Medications can help you detox from alcohol, reduce cravings, and normalize bodily functions. MAT is most effective when combined with other treatment therapies.

Support Groups

Support groups for addiction treatment are peer-led groups that help people stay sober. They can be a first step in overcoming alcoholism or a component of an aftercare plan. Many of them follow the 12-step approach. However, secular options also don’t follow the 12-step approach.

Reclaim Your Life From Alcohol and Steroid Abuse

Mixing alcohol and steroids is a condition that can cause severe health, social and economic problems that should not be taken lightly. We Level Up rehab treatment & detox center can provide you, or someone you love, the tools to recover from addiction with professional and safe detox. Feel free to call us to speak with one of our counselors. We can inform you about this condition by giving you relevant information. Our specialists know what you are going through. Please know that each call is private and confidential.

Top 3 Taking Steroids and Alcohol FAQs

  1. Can you mix steroids and alcohol?

    No. Long-term steroid use causes damage to the liver and kidneys, two organs that can be damaged by extensive alcohol consumption.

  2. Can you take steroids and drink alcohol?

    The most significant risk someone faces when mixing steroids and alcohol is a high level of liver toxicity.

  3. Are steroids addicting?

    An undetermined percentage of steroid users may develop a steroid use disorder. Substance use disorders are defined by continued use despite adverse consequences; for steroid users, these may include physical or psychological problems such as breast growth (in men), sexual dysfunction, high blood pressure, excessive fats in the blood, heart disease, mood swings, severe irritability, or aggressiveness.

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[2] NIH. Focus On: Alcohol and the Immune System.

[3] Prednisone, MedlinePlus.

[4] (NIDA) National Institute on Drug Abuse – Are anabolic steroids addictive?

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[6] McKay JR. Impact of Continuing Care on Recovery From Substance Use Disorder. Alcohol Res. 2021 Jan 21;41(1):01. DOI: 10.35946. PMID: 33500871; PMCID: PMC7813220.

[7] Fluyau D, Charlton TE. Is Prozac Addictive? Drug Addiction. [Updated 2022 Aug 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:

[8] Justinova Z, Panlilio LV, Goldberg SR. Drug addiction. Curr Top Behav Neurosci. 2009;1:309-46. DOI: 10.1007/978-3-540-88955-7_13. PMID: 21104390; PMCID: PMC3039293.

[9] Jahan AR, Burgess DM. Substance Use Disorder. [Updated 2022 May 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:

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