Interaction databaseSupplement × PrescriptionReviewed May 2026

Alcohol and Quetiapine, a caution.

Alcohol can markedly increase quetiapine-related sleepiness, dizziness, slowed reactions, and poor coordination. Quetiapine's antihistamine and alpha-1 blocking effects already make sedation and orthostatic hypotension common, and alcohol can push this into falls, blackouts, or unsafe driving. Risk is highest at night, after dose increases, or with other sedatives.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.

At a glance

Substances
Alcohol and Quetiapine
Pair type
Caution
Evidence (highest tier)
Strong
Source citations
2 sources
Stack Score effect
−5 to your Stack Score (per scored caution row).
Scope
Supplement × Prescription
Last verified
May 30, 2026

Caution · Strong evidence

Caution

What is happening. Alcohol can markedly increase quetiapine-related sleepiness, dizziness, slowed reactions, and poor coordination. Quetiapine's antihistamine and alpha-1 blocking effects already make sedation and orthostatic hypotension common, and alcohol can push this into falls, blackouts, or unsafe driving. Risk is highest at night, after dose increases, or with other sedatives.

Mechanism. Quetiapine causes CNS depression through strong H1 histamine antagonism and can lower blood pressure through alpha-1 adrenergic blockade. Alcohol adds CNS depression and psychomotor impairment, producing a pharmacodynamic interaction that spacing doses cannot reliably prevent.

Recommendation. Avoid alcohol while taking quetiapine. If alcohol was used, do not drive, take extra sleep aids, or take more quetiapine than prescribed. Get urgent help for extreme drowsiness, slow breathing, fainting, or inability to wake.

Sources (2)
  1. Weathermon R, Crabb DW. Alcohol and medication interactions. Alcohol Res Health. 1999;23(1):40-54. PMID 10890797
  2. Tanaka E. Toxicological interactions involving psychiatric drugs and alcohol: an update. J Clin Pharm Ther. 2003;28(2):81-95. PMID 12713604

Stack Score

How this pair moves the number.

Effect on the composite score

If both Alcohol and Quetiapine are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).

The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.

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