A growing number of people are combining codeine and alcohol for recreational purposes. What few know is that mixing codeine with alcohol increases your risk of overdose by over 50%.
When you combine these two substances, you’re not just doubling the effects; you’re creating a potentially lethal cocktail that can severely depress your central nervous system.
This dangerous mix can lead to extreme stomach pain, drowsiness, difficulty breathing, and even coma, as well as severe damage to your long-term physical and mental health.
Let’s take a look at how the two substances interact, the risks they pose, and what to do if you think you may be addicted to one or both drugs.
For those struggling with polysubstance use, seeking professional help is crucial. At Smarmore Castle, we specialise in treating individuals facing such challenges with a comprehensive approach to addiction treatment. Our facility is renowned for its tailored programmes which are designed to address the complex needs associated with polysubstance misuse.
With a steadfast commitment to personalised care, evidence-based therapies, and a tranquil environment conducive to recovery, Smarmore Castle offers patients the support and resources necessary to embark on a journey to recovery. If you or someone you know is struggling with polysubstance addiction, reaching out to us could mark the pivotal first step towards reclaiming your life.
Key Points
- Mixing codeine with alcohol can lead to fatal respiratory arrest.
- The combination increases the risk of addiction and mental health issues.
- Long-term use damages vital organs and impairs cognitive functions.
- Seeking professional help for addiction is the most effective way to recover from substance misuse issues.
What is Codeine, and Why Do Some People Mix It With Alcohol?
Codeine is a prescription opioid painkiller used to treat mild to moderate pain. It’s also sometimes found in cough syrup. In the UK, codeine is most frequently prescribed in the form of co-codamol, a popular form of pain relief that combines codeine with paracetamol, offering enhanced pain management for various conditions.
Whatever form you take codeine in, it is medically advised not to drink alcohol. However, some individuals consume alcohol within codeine, seeking intensified effects. When combined, the substances significantly increase sedation and euphoria.
Despite the temporary mood-enhancing effects of combining alcohol and codeine, the benefits are far outweighed by the risk of long-term damage to your health and well-being. Both substances are central nervous system depressants. This means your breathing can slow down to dangerously low levels, putting you at risk of an overdose without even realising it.
Moreover, codeine and alcohol can have a huge impact on your psychological well-being. The mix can exacerbate mental health conditions, including mood swings, anxiety, and depression.
Despite the temporary mood-enhancing effects of alcohol and codeine, the benefits are far outweighed by the risk of long-term damage to your health and well-being.

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Understanding the Risks of Taking Codeine With Alcohol
Mixing any codeine-based medication with alcohol poses significant risks. The combination enhances each substance’s depressive effects on the central nervous system, leading to severe respiratory depression and potentially fatal outcomes.
Short-term effects include extreme drowsiness and cognitive dysfunction, increasing the likelihood of accidents and impairing judgment. Long-term, the risks extend to liver and kidney damage and the potential for developing dual addiction and mental health issues.
Mixing codeine and alcohol also increases the risk of overdose and makes it harder to treat due to alcohol’s presence in your system. For this reason, combining codeine and alcohol can significantly increase the risk of codeine-related deaths.
Beyond the immediate dangers, you’re also looking at a slippery slope towards addiction. These aren’t just habits you can kick easily; they’re conditions that can take over your life, affecting not just your physical health but your mental health, too.
Understanding these risks is the first step in prioritising your health and safety. We’re going to take an in-depth look at the short-term, long-term and mental health effects of alcohol and codeine abuse.
Short-Term Side Effects of Mixing Alcohol and Codeine
Combining codeine, an opioid pain reliever, with alcohol, a central nervous system depressant, can significantly enhance the sedative effects of both substances, leading to several short-term risks and adverse effects. The heightened drowsiness beyond mere sleepiness can severely impair motor skills, transforming routine activities into potential hazards. The risk of accidents increases, not only compromising the individual’s safety but also posing a danger to others.
Impaired coordination may result in difficulty in performing basic tasks, with activities such as walking or driving becoming particularly risky. The body’s ability to react and respond is diminished, raising the likelihood of falls, accidents, and injuries.
Cognitive function is also significantly affected. Individuals may experience difficulty concentrating, confusion, and memory lapses, impacting their ability to process information and make decisions. This cognitive dysfunction can be especially dangerous in situations that demand alertness and rapid response, thus heightening the risk of engaging in unsafe behaviours or experiencing accidents.
The Risk of Overdose
Mixing codeine and alcohol significantly increases your risk of experiencing a potentially fatal overdose due to their combined effects on the body’s respiratory system. Both substances are depressants, which means they slow down brain activity.
When taken together, their sedative effects are magnified, leading to respiratory depression. This condition reduces the oxygen supply to your brain and body, which can result in coma or even death.
The facts are stark. In 2010 alone, there were over 81,000 emergency room admissions due to the combination of opioids like codeine and alcohol, showing the serious health risks associated with codeine and alcohol misuse. Overdosing on these substances not only puts you at risk of long-term hospital stays but can also lead to significant health complications.
Overdose symptoms include reduced alertness, impaired coordination, and difficulty breathing, all of which signal the body’s struggle to function under the influence of these depressants. It’s crucial to recognise these warning signs early and seek immediate medical help to prevent potentially life-threatening consequences.
Mixing codeine and alcohol, even in what you might consider ‘safe’ amounts, can lead to dangerously low blood pressure, depress your respiratory system and lead to an overdose with fatal outcomes.

Long-Term Consequences of Codeine and Alcohol Use
Abusing codeine and alcohol can lead to severe long-term health risks, including liver and kidney damage. When you regularly mix these substances, you’re not just risking immediate effects; you’re setting the stage for potential chronic conditions that can severely impact your quality of life.
Codeine addiction and alcohol misuse, when combined, create a long list of health issues that are harder to untangle due to being addicted to more than one drug.
The road down this path often leads to chronic pain, a condition that might have initially led to the use of codeine. Unfortunately, the relief codeine provides is short-lived, and as tolerance builds, you might find yourself consuming more of both substances to achieve the same effects, exacerbating the risk of liver and kidney damage.
If you’re caught in the cycle of codeine addiction and alcohol misuse, it’s essential to seek help. Recovery is possible with the help of our trained professionals, focusing on both the physical and psychological aspects of dual addiction.
Mental Health Impact
The prolonged combination of codeine and alcohol not only poses serious physical health risks but also significantly impacts mental health, leading to potential long-term psychological effects. When you’re mixing alcohol with codeine, you’re not just risking a codeine overdose; you’re also exposing yourself to a heightened risk of developing mental health issues.
Combining codeine and alcohol severely alters your brain’s chemistry. Both are highly addictive substances that can severely disrupt your mental equilibrium. This disruption can lead to a dual diagnosis, where addiction is compounded with mental health disorders such as depression or anxiety. The mental health impact of this combination is profound, affecting your cognitive functions, memory, and even your mood.
Safe Consumption Guidelines
It’s crucial to be aware of the serious risks that come with mixing alcohol and codeine, including severe side effects like slowed breathing and a higher chance of overdose.
When prescribed codeine to relieve pain or as a cough suppressant, be sure to disclose whether you consume alcohol or other substances and with what frequency to your healthcare providers. They’ll offer tailored advice to ensure you’re using codeine safely. Generally, avoiding alcohol while taking codeine is the safest route. However, if you’re in a situation where alcohol consumption might occur, let your healthcare provider know so they can provide specific guidance.
Identifying Addiction
Recognising the signs of addiction to both codeine and alcohol is the first step toward seeking the help you need. If you find yourself persistently craving these substances despite knowing the negative consequences, it’s a clear signal that you may be facing an addiction.
Addiction manifests in various ways, including an increased tolerance to both alcohol and codeine, withdrawal symptoms when you try to cut back, and prioritising substance use over your responsibilities and relationships.
Withdrawal symptoms are particularly telling, as they indicate your body’s physical dependence on these substances. Symptoms can range from mild to severe, including anxiety, nausea, tremors, and, in some cases, seizures. Codeine abuse, especially when mixed with alcohol, compounds these risks.
Addressing substance misuse issues often requires a tailored approach, especially if you’re dealing with addiction to both substances. All programmes offered by Smarmore Castle specialise in tackling substance use with a capacity to address and stabilise underlying mental health issues. These programmes provide the comprehensive support you need for a successful recovery.

Working Together For Your Recovery
Seeking Help for Codeine and Alcohol Addiction
If you identify with the signs of addiction, reaching out to our professionals at Smarmore Castle can set you on the path to recovery from alcohol and codeine addiction. Our private clinic, nestled in the serene landscapes of Ireland, is dedicated to supporting people in taking proactive steps towards recovery.
At Smarmore Castle, our treatment programmes are meticulously tailored to address the unique challenges of substance misuse, offering a comprehensive approach to recovery. Our dual-diagnosis programmes are particularly beneficial as they simultaneously address both the addiction and any co-occurring mental health issues, ensuring a holistic approach to overcoming addiction.
Engaging in therapeutic sessions at Smarmore Castle can significantly aid in addressing the underlying issues of addiction. Within a safe and supportive environment, individuals have the opportunity to explore their thoughts and feelings, fostering profound personal growth and facilitating lasting recovery.
If you or someone you know is struggling with codeine and alcohol addiction, don’t hesitate to reach out to Smarmore Castle. Taking this step could be the beginning of a transformative journey towards a brighter, healthier future.
Treatment Process for Codeine and Alcohol Addiction
If you find yourself struggling with codeine and alcohol addiction, detoxification is the first step in recovery and involves carefully removing codeine and alcohol from your body under medical supervision to mitigate withdrawal symptoms.
This process is essential as it addresses the immediate physical effects of substance dependency, preparing you for therapeutic treatment. The duration and intensity of the detoxification process can significantly vary, depending on your substance use history and overall health condition.
Medically-Supervised Codeine and Alcohol Detox
Under medical supervision, you’re not just safer; you’re also given the necessary support to handle potential withdrawal symptoms, which can range from mild to severe. These symptoms might include anxiety, nausea, shaking, or more severe reactions like seizures. The goal is to ensure your body clears the substances in a controlled, safe environment, minimising the risk of immediate relapse or health complications.
Throughout the detox process, our professionals might employ a combination of medications, therapy, and counselling. This integrated approach addresses both the physical and psychological aspects of addiction, providing a more holistic recovery pathway. Remember, detox is just the beginning. Post-detox, you’ll transition into a therapy programme that is tailored to support long-term recovery, addressing deeper layers of your addiction to codeine and alcohol.

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Building Support Networks
Building a strong support network is essential in navigating the complex path of recovery from codeine and alcohol addiction. These networks provide much more than just emotional support; they’re a source of guidance, encouragement, and accountability throughout the recovery process. With the right people around you—be it friends, family, therapists, or members of peer support groups—you’re not facing your challenges alone. You’re part of a community that understands what you’re going through and can offer insights and strategies that work.
Peer support groups, in particular, are invaluable in the recovery journey. They offer a unique sense of belonging and understanding, as everyone there is dealing with similar battles. These groups can keep you grounded, reminding you of the progress you’ve made and the pitfalls to avoid. They’re not just about sharing stories of struggles but also celebrating milestones and successes together.
Accountability, a key component of any recovery process, is a core part of support networks. Knowing that there are people who care about your progress and whom you don’t want to let down can be a powerful motivator. It’s about building a network of trust and mutual support, where everyone’s goal is to see each other succeed in overcoming codeine and alcohol addiction.
Managing Pain Safely
If you were initially prescribed codeine to treat chronic pain, it is important to discover safe and effective ways to manage pain without relying on potentially habit-forming medications. Recognising the risks tied to dependence on such painkillers, particularly when mixed with alcohol, is the first step in taking care of yourself. Talk to healthcare professionals who can advise on non-addictive pain relief strategies.
These alternatives could range from various over-the-counter medicines and physical therapy to various complementary therapies recognised for their pain-relieving capabilities.
Next Steps
Now that you understand the risks of mixing codeine and alcohol, you may wonder what to do next. Recognising that you have a problem is an important first step. The next is to ask for help.
Book a free, confidential assessment with our healthcare professionals today if you are concerned about your codeine/alcohol use.