Alcohol – information in english

What is alcohol?

The type of alcohol people drink is called ethanol. It’s a psychoactive substance that mainly slows down activity in the brain and nervous system. Alcohol is legal but regulated, and it’s commonly used in social settings. In Norway, you must be the age of 18 to buy alcohol, and 20 to buy spirits with more than 22% alcohol. 

What is a unit of alcohol?
One unit equals about 12 grams of pure alcohol, which is roughly the amount found in: 

1 small bottle of beer (330 ml, 4.7%) 
1 glass of wine (125 ml, 12%) 
1 shot of spirits (40 ml, 40%) 
1 small glass of fortified wine, like port (75 ml, 20%) 

What does alcohol by volume (ABV) mean?
The percentage (for example 4.5% or 12%) shows how much of the unit is pure alcohol. This information is usually written on the bottle or can. 

A glass of wine at 12%, a small bottle of beer (330 ml) at 4.5%, and a small glass/shot of spirits at 40% all contain about the same amount of alcohol. The difference is simply how strong or diluted the drink is. The liquid volume varies, but the alcohol content is roughly the same. 

Other types of alcohol can be very dangerous 

There are many kinds of alcohol, and not all of them are safe. While ethanol is the type found in beverages, other alcohols can be highly toxic. Illegally produced alcohol, such as home-distilled spirits or smuggled liquor, may contain methanol (wood alcohol), isopropanol (often found in rubbing alcohol and in windshield washer fluid), or other harmful substances. Even small amounts of methanol can cause blindness or death. Always drink alcohol from safe, legal sources. 

How does alcohol work?

Alcohol can make you more talkative, confident, and impulsive, but at the same time less critical and more willing to take risks. It slows your reaction time and concentration, makes your speech slower, weakens balance and coordination, and affects memory and judgment. Many people also experience blurred vision and tiredness. 

How strong the effects feel depends on several factors: how much and how quickly you drink, the strength of the alcohol (ABV), whether you’ve eaten, your sex, body weight, and general condition. The amount of alcohol in the body is measured in blood alcohol concentration (BAC) – 0.10% BAC roughly equals 1 gram of alcohol per liter of blood. 

Because alcohol is metabolized at a fixed rate, how long you stay affected is determined by the amount you’ve consumed, not by your body's processing speed

Typical effects at increasing blood alcohol content (BAC) levels: 
0–0.5‰: Mild intoxication – you may feel more relaxed, talkative, and social. 
0.5–1‰: Increased impulsivity, reduced critical thinking, more risk-taking, and poorer judgment. 
1–1.5‰: Reduced balance and coordination, slurred speech, and tiredness. 
Over 1.5‰: Nausea, drowsiness, memory problems, and poor motor control. 
Very high BAC (over 2–3‰): Risk of reduced consciousness, unconsciousness, slowed breathing, vomiting, and alcohol poisoning. Above 3‰, there is a real risk of death. 

It’s also possible to die at lower BAC levels—for example, if a person vomits while unconscious and inhales or chokes on the vomit.  

 

Risks, side effects, overdose, and dependence 

 Alcohol can cause a range of effects—physical, psychological, and social. The risks depend on how much you drink, how often you drink, and the situation you’re in. Some people experience problems quickly, while others develop them over time. 

Many young people (15–16 years old) report negative experiences related to alcohol: 
Accidents and injuries: 20% experienced this in the past year, including 24% of boys. 
Fights and violence: 14% experienced this in the past year, and as many as 21% of boys. 
Memory loss: 17% of youth say they have had episodes where they couldn’t remember parts of the evening. 
Sexual assault: 17% of girls and 10% of boys have experienced this in connection with alcohol. 
Hospitalization due to severe intoxication: 4% experienced this in the past year. 

Among young adults (16–30 years), more than 1 in 3 have an alcohol use pattern that increases the risk of problems related to health, relationships, and the future. 

Women tolerate less alcohol than men 

Girls are usually more affected by alcohol than boys. This is because girls generally have lower body weight and less water in the body, which means alcohol becomes more concentrated in the blood. As a result, girls typically reach a higher BAC than boys when they drink the same amount. 

Hangover and mental health 

When the alcohol leaves your body, you can experience a kind of a “mini-withdrawal”. Your body reacts with restlessness and unease, and you may get headaches or shaking. 

Typical hangover symptoms: 

  • Headache, nausea, and sweating. 
  • Tiredness and trouble concentrating. 
  • Restlessness, low mood, and “hangxiety”. 
  • Sleep problems and dehydration. 

“Hangxiety”—feeling uneasy, stressed, or overly self-critical the next day—can feel especially intense for people who already struggle with their mental health. Sleep disruption often makes the discomfort worse, and for some this can become a vicious cycle: drinking to numb feelings, only to feel worse afterward. 

How to reduce hangovers: 

  • Drink less and more slowly. 
  • Avoid getting very intoxicated—especially repeatedly over time. 
  • Eat before and while drinking. 
  • Drink water or other non-alcoholic beverages between alcoholic drinks. 
  • Get enough sleep. 
  • Don’t go to bed while your BAC is still rising. 

Alcohol poisoning (overdose) 

Drinking a large amount of alcohol in a short time can cause severe poisoning, which may lead to: 

  • Unconsciousness 
  • Breathing stopping 
  • Low body temperature and slowed heart rate 
  • Loss of control over bodily functions — including involuntary urination 
  • Seizures 
  • In the worst cases: coma or death — especially when combined with other depressant drugs (such as sleeping pills, benzodiazepines, opioids, or GHB)

What counts as “too much”?

There is no lower limit for when alcohol becomes harmful. Even small amounts can increase the risk of health problems (see long-term use below). The risk goes up both with how much you drink and how often you drink.  

There is no completely safe limit, but staying below these levels is linked to a lower risk of harm. Avoid drinking more than 8–9 units per week, and drink no more than 3–4 units in one evening. 

Drinking 4–5 units in a short period (for example, five beers in one night) is considered binge drinking. This increases the risk of accidents, injuries, memory loss, and other acute problems. It also makes it more likely that you’ll feel hungover the next day. 

Long-term use and health risks 

High alcohol intake over time increases the risk of several health problems. The liver can become damaged, and you may develop cirrhosis. The risk of various types of cancer increases, and alcohol can lead to high blood pressure or other cardiovascular diseases. It can also damage the nervous system, causing symptoms like tremors and reduced balance. In addition, long-term alcohol use can lead to mental health problems such as depression, anxiety, and sleep difficulties, and it can negatively affect relationships, school, and work. 

Dependence often develops gradually, and it’s not always easy to notice what’s happening in the beginning. It’s not just about how much you drink — but also when, why, and how alcohol is being used. 

Over time, tolerance can increase — you need more alcohol to feel the same effects, even though the strain on the body stays the same. Many people also find that alcohol gradually takes up more space in everyday life, making it harder to take breaks. 

Recognizing the warning signs early can make it easier to make healthy choices. If you’re unsure whether your drinking has become a problem, there are places where you can get help without pressure or obligations. 

Signs your drinking may be starting to become a problem: 

  • You drink more often, or more than you planned. 
  • You need alcohol to relax, have fun, or be social. 
  • You dread situations where you can’t drink. 
  • You find it hard to stop once you’ve started. 
  • You experience conflicts at home, with friends, or at school because of alcohol. 
  • You get restlessness, shaking, sweating, or sleep problems when you don’t drink. 

What to do if someone collapses from alcohol?

An overdose of alcohol can be dangerous and assistance may be needed. 

 

 

Call 113 immediately if:

  • Someone is unconscious and cannot be woken up. 
  • Their breathing is slow, irregular, or has stopped. 
  • The person has urinated on themselves. 
  • You suspect other substances are involved. 
  • There has been a head injury. 

Important to remember: 

  • Don’t leave the person alone — even if they are “just drunk” or seem to be sleeping. 
  • Check breathing and pulse:
    – If they are breathing: place them in the recovery position.
    – If they are not breathing: start CPR and follow instructions from 113. 
  • Do not give anything to drink to an unconscious person — this can cause choking. 
  • Tell healthcare workers what was taken and how much — they are bound by confidentiality. 
    You can get guidance over the phone while helping. 
  • It is always better to call 113 one time too many than one time too few! 

 

Do you need help with substance use? 

If you’re experiencing challenges related to alcohol or other substances, it’s a good idea to talk to someone. You can contact your general physician or the local addiction services in your municipality for advice and support. 

If you have questions and want to remain anonymous, you can contact RUSinfo at 915 08588 or via chat at www.rusinfo.no. 

Alcohol during pregnancy and breastfeeding 

 Alcohol should be completely avoided during pregnancy. Even small amounts can affect the development of the fetus, and there is no known safe lower limit. Alcohol passes quickly to the fetus, and the brain is especially vulnerable because it develops throughout the whole pregnancy. 

Possible consequences: 

  • Increased risk of miscarriage and preterm birth. 
  • Damage to the brain and other organs. 
  • Developmental and Learning Difficulties (FASD). 

The more often and the more you drink, the greater the risk. That’s why full abstinence is recommended as soon as pregnancy is planned or discovered. 

Breastfeeding 

Alcohol passes into breast milk, and the level in the milk is about the same as in the blood. The baby will still receive a more diluted amount, as the milk is ingested and mixed in the body. 

The Norwegian Directorate of Health recommends avoiding alcohol during the first six weeks after birth and limiting your intake in the months after. They also advise waiting about three hours before breastfeeding for each unit of alcohol consumed. If you have been drinking, ask another adult to take care of the baby. 

Precautions and safer use 

Alcohol is the most commonly used drug in Norway and is involved in many accidents, injuries, and incidents of violence. It impairs judgment, balance, and reaction time, and can make you more vulnerable to accidents, assault, and conflict. 

Tips for safer use: 

(See also advice on how to avoid hangovers.) 

  • Drink slowly and choose lower-strength drinks when possible.  
  • Plan for how much you want to drink. 
  • Keep track of how many units you consume. 
  • Avoid mixing alcohol with other substances. 
  • Stay with people you trust and look out for each other. 
  • Let someone know where you are and never leave your drink unattended. 
  • Don’t drink just to “catch up” with others — know your own limits. 
  • If you or someone else becomes too intoxicated, take a break or seek help. 
  • The most important thing is to take care of yourself and others. This means taking responsibility if someone needs help, making sure everyone gets home safely, and showing care and consideration. 

Alcohol weakens your judgment   

When you’re under the influence of alcohol, it becomes harder to read other people’s body language and understand their boundaries. This can make it easier to misinterpret situations, cross someone’s limits, or end up in conflicts. At the same time, it can be harder to clearly express your own boundaries. Be mindful of this when you drink, so you can avoid situations you wouldn’t have ended up in if you were sober. 

Alcohol and other substances 

Mixing alcohol with other drugs or medications can be risky, even in small amounts. Combination use increases the risk of accidents, unconsciousness, breathing problems, and overdose. 

When you’re under the influence of alcohol, you often become less critical and more impulsive. This can make it easier to try substances you would normally turn down or use in a riskier way. 

Cannabis (hash, marijuana):
Mixing alcohol and cannabis is often called “cross-fading.” It can make the effects stronger but also increase the risk of nausea, anxiety, panic, and losing control. 

Benzodiazepines (e.g., Sobril, Xanax, Rivotril, Valium):
These strengthen the depressant effects of alcohol. The combination can cause heavy drowsiness, blackouts, and loss of control. At higher doses, the risk of severe poisoning, breathing problems, and unconsciousness increases. 

GHB/GBL:
Mixing GHB or GBL with alcohol greatly increases the risk of unconsciousness, breathing stopping, and life-threatening complications — even at low doses. 

Stimulants (amphetamine, MDMA, cocaine):
Stimulants can mask the feeling of being drunk, making it easier to drink more than planned. 

Cocaine:
Using cocaine and alcohol together creates a substance called cocaethylene. It produces a stronger and longer-lasting high than cocaine alone but puts additional strain on the heart and liver. 

Opioids (morphine, heroin, oxycodone, tramadol):
Both alcohol and opioids slow down breathing. Together they carry a high risk of overdose and breathing stopping, even at amounts that might seem “normal” on their own. 

Paracetamol:
Combining paracetamol and alcohol increases the strain on the liver. Regular use of both can cause severe liver damage, especially if you already have underlying health issues. 

Other medications (sleeping pills, antipsychotics, blood pressure medication):
Alcohol can either weaken or amplify the effects of many medications. This may lead to side effects like drowsiness, dizziness, low blood pressure, or reduced effects of important treatment. 

 

Alcohol detection 

How long alcohol can be detected depends on how much you’ve had, your metabolism, and the type of test used. Most often, alcohol is measured as blood alcohol concentration (BAC). This shows how intoxicated you are and is commonly used in traffic-related cases. Alcohol can also be detected through other markers such as EtG/EtS, which are typically used to monitor abstinence, or PEth, which is used to identify high alcohol consumption. 

Alcohol is broken down in the liver. You cannot speed up this process by drinking water, eating, or sleeping. 

Alcohol rules and regulations

Alcohol is legal in Norway, but there are rules in place to protect both you and society. 

Age limits and other restrictions
You must be the age of 18 to buy beer and wine, and 20 to buy spirits or any drink over 22% alcohol. Drinks stronger than 4.7% can only be sold at Vinmonopolet. Advertising alcohol is prohibited. 

Driving and BAC limits
It is illegal to drive after drinking. The legal limit is 0.2% BAC. Penalties can include fines, loss of your driver’s license, or prison — depending on how intoxicated you were. 

Driving license and health requirements
Drinking heavily or frequently over time may mean you no longer meet the health requirements for holding a driving license. Your doctor must assess whether you are safe to drive and can report concerns if necessary. To regain your driving privileges, you may need to document abstinence for 6–12 months, usually through regular blood tests measuring PEth. 

 

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