COVID: Moderate drinking is unlikely to impair your immune response … but heavy drinking might

Due your Covid jab? Mind what you drink afterwards

By Anahad O’Connor

Covid shots: ‘If you are truly a moderate drinker, then there’s no risk of having a drink around the time of your vaccine,’ says virus researcher Ilhem Messaoudi. Photograph: Tony Cenicola/NYT

The short answer is that it depends on how much you drink. There is no evidence that having a drink or two can render any of the current coronavirus-disease vaccines less effective. Some studies have even found that, over the longer term, small or moderate amounts of alcohol might actually benefit the immune system, by reducing inflammation.

Heavy alcohol consumption, on the other hand, particularly over the long term, can suppress your immune system and potentially interfere with your vaccine response, experts say. As it can take weeks after a Covid shot for the body to generate protective levels of antibodies against coronavirus, anything that interferes with the immune response would be cause for concern.

It’s dangerous to drink large amounts of alcohol because the effects on all biological systems, including the immune system, are pretty severe, and they occur pretty quickly after you get out of that moderate zone

“If you are truly a moderate drinker, then there’s no risk of having a drink around the time of your vaccine,” says Ilhem Messaoudi, director of the Center for Virus Research at the University of California, Irvine, who has researched the effects of alcohol on the immune response. “But be very cognisant of what moderate drinking really means. It’s dangerous to drink large amounts of alcohol because the effects on all biological systems, including the immune system, are pretty severe, and they occur pretty quickly after you get out of that moderate zone.”

Moderate drinking is generally defined as no more than 2½ units of alcohol a day for men and a maximum of 1½ units a day for women, whereas heavy drinking is defined as about five or more units on any day for men and about four or more units for women. Keep in mind that one unit of alcohol equates to a small glass of wine, a measure of spirits or half a pint of beer.

Some of the first concerns about alcohol and Covid vaccination began circulating after a Russian health official warned in December that people should avoid alcohol for two weeks before getting vaccinated and then abstain for another 42 days afterward. According to a Reuters report, the official claimed that alcohol could hamper the body’s ability to develop immunity against coronavirus. Her warning sparked a fierce backlash in Russia, which has one of the world’s highest drinking rates.

In the United States, some experts say they have heard similar concerns about whether it is safe to drink around the time of vaccination. “We’ve been getting a lot of questions from our patients about this,” says Dr Angela Hewlett, an associate professor of infectious diseases who directs the Covid infectious-diseases team at the University of Nebraska Medical Center. “Understandably, people who are receiving these vaccines want to make sure they’re doing all the right things to maximize their immune response.”

Clinical trials of the Covid vaccines that are currently approved for use by the Food and Drug Administration did not specifically look at whether alcohol had any impact on the effectiveness of the vaccines, Hewlett says. It’s possible that there will be more information on that in the future. But, for now, most of what is known comes from previous research, including studies that examined how alcohol affects the immune system in humans and whether it hinders the immune response in animals that received other vaccines.

Heavy alcohol consumption prevents immune cells from travelling to sites of infection and carrying out their duties, like destroying viruses, bacteria and infected cells; and makes it easier for pathogens to invade your cells

One thing that is clear from studies is that heavy alcohol consumption impairs the immune response and increases your susceptibility to bacterial and viral infections. It prevents immune cells from travelling to sites of infection and carrying out their duties, like destroying viruses, bacteria and infected cells; makes it easier for pathogens to invade your cells; and causes a host of other problems.

In another study, Messaoudi and colleagues provided rhesus monkeys access to alcoholic beverages for seven months and then looked at how their bodies responded to a vaccine against poxvirus. Much like humans, some rhesus monkeys enjoy alcohol and will drink a lot, while others show less interest and will limit themselves to small amounts. The researchers found that the animals that were chronically heavy drinkers had a weak response to the vaccine. “They had almost a nonexistent immune response,” Messaoudi says.

The animals that consumed only moderate amounts of alcohol, however, generated the strongest response to the vaccine, even compared with the teetotallers that consumed no alcohol at all. Studies in rats have found a similar pattern: those consuming large amounts of alcohol have only a weak immune response to infections compared with animals given moderate amounts of alcohol or none at all. Other studies have found that when people drink moderately it seems to lower inflammatory markers in their blood.

Another reason to moderate your alcohol intake is that heavy drinking – along with the hangover that can ensue – can potentially amplify any side effects you might have from the Covid vaccine, including fever, malaise or body aches, and make you feel worse, says Hewlett, of the University of Nebraska Medical Center. She chose not to drink after getting the Covid vaccine. But she says that people should feel free to imbibe so long as they drink within reason.

“Having a glass of champagne probably won’t inhibit any immune response,” she says. “I think having a celebratory beverage in moderation is fine.” – New York Times

Leave a Reply