Alcohol and Multiple Sclerosis

For most people with MS, moderate alcohol consumption is generally OK. The recommended limits align with U.S. Dietary Guidelines: up to one drink per day for women and two for men. Excessive drinking can worsen neurological function, while occasional moderate drinking is unlikely to cause significant problems.

Some antioxidants in red wine may lower heart disease risk, which is relevant for those with MS. But this doesn’t mean you should start drinking if you don’t already. These compounds are also found in other foods. Concerns about past alcohol use causing MS are largely unfounded.

Alcohol can worsen certain MS symptoms like balance issues, cognitive difficulties, sleep problems, and bladder issues. If you have significant balance or cognitive challenges, it’s best to avoid alcohol altogether to prevent symptom exacerbation.

Drinking too much can increase risks for other health issues, such as certain cancers and stroke, which may complicate MS management. It’s important to be mindful of these risks when considering alcohol consumption.

Many MS medications (for pain, insomnia, and depression) can interact negatively with alcohol, leading to increased sedation or health risks. Always consult your health care provider about how your medications might interact with alcohol.

Talk to your doctor about alcohol consumption based on your unique health circumstances and treatment plans. Understand your own limits and be mindful of how alcohol affects your symptoms to maintain your health and well-being.