Hangovers: Prevention, Intervention and Cures

Prevention
For those who are really worried about a hangover, the best piece of advice is don't get drunk. But, here's some tips on drinking.

1. Don't keep up with the boys. Women do not have the tolerance for alcohol that men do, even when they are the same size. For men the standard is two drinks per evening. For women a better limit should be one drink for smaller women (less than 120 lbs.) and one and a half for all others. A drink is defined as one mixed drink, 4 oz of wine, or 12 oz of beer. A "half drink" is a light beer, or a wine cooler.

2. Drink clear alcohol. Dark alcohol tends to contain a substance called cogeners. These types of alcohols are more likely to cause hangover symptoms. White wine, vodkas, light rum are examples of clear alcohols. Red wine, dark rum, sherry, brandy are high in cogeners. Beer is in between, mostly depending on how dark it is. This difference has no effect on how drunk a woman can get, only the liklihood and severity of hang-overs.

3. The food thing. Everyone knows this already. Eat something before and during alcohol consumption. This slows the absorption of alcohol. Fats and carbohydrates are best for slowing absorption. Sugars intake prevents hang-overs. Cakes and pastries are the party food that has lots of all three.

4. The water thing. Dehydration is a big part of hang-overs. Combat it while you are drinking. Intersperse the measily ration of drinks a woman has, with water-based drinks. Try to avoid ones with caffeine and acids. Carbonation? Depends on how easily upset the woman's stomach gets. If she has a weak stomach, skips the bubbles. Get some more sugar in here too.

5. Think about how fattening getting drunk and preventing the hangover is. Six alcohol drinks, 2 brownies, and 4 sugar-based drinks--a whopping 2100 calories. Will a woman's social life improve by becoming a fat, drunk woman?

Post-Drunk, Pre-Sleep Intervention

1. More Water. The dehydration of getting drunk actually stimulates the body to absorb water from the brain, which in fact shrinks a bit. This causes the headaches, dry mouth, and part of the general malaise of the hangover. By drinking water prior to going to sleep a person helps prevent dehydration, and speeds up the flushing of alcohol from the body. Some people even suggest drinking Gatorade or a sports drink before going to bed. Sugar based drinks can help too. Again, no caffeine, such as coffee should be avoided as they only act to further dehydrate a person and sleep will be the best escape anyway. Avoid carbonation and acidic drinks (like orange juice) if the stomach is upset. Apple juice, Hawaiian Punch, and Gatorade are good drinks. Milk can be hard to digest at this point. If nauseated, clear water at room temperature, taken in small sips will be the easiest to hold down.

2. More Sugar. This helps because alcohol breaks down sugar stores in the liver that need to be replaced. Without these sugar stores we often feel lightheaded and weak.

3. Pepto Bismol or Antacid

4. Maybe Some Ibuprofen. If stomach is not upset and there is no history of ulcers or bleeding problems, and the woman is NOT a regular, heavy drinker, a couple of ibuprofen or similar pain-relievers can help. Be careful. Both alcohol and these medications irritate the stomach and increase the tendency to bleed. It isn't worth adding to the problem. Advil, Aleve are acceptable alternatives.

Tylenol or aspirin probably won't touch it. In addition, Tylenol (actominophen) can cause liver damage and should be avoided if the woman is a regular, heavy drinker. This is defined as 3 or more drinks a day. Asprin can also contribute to stomach bleeding.

5. Put extras of all the above next to the mattress, which should be put on the floor. Put a solid sided wastebasket or bucket nearby too. Unhook the phone.

REFERENCES
a listing of scientific articles and texts used.