How to Prevent a Hangover: Evidence-Based Habits Before, During and After Drinking

The only reliable way to prevent a hangover is to drink less or not at all; beyond that, eating first, pacing yourself, choosing lower-congener drinks and protecting your sleep can make the next morning less bad.1 Here's how to prevent a hangover before, during and after drinking, with each habit rated by the evidence, including popular ones that hold up less well than you'd think.

Key takeaways

  • NIAAA says the only way to completely avoid a hangover is to not drink or to keep alcohol to a minimum, and that in general the more you drink, the worse the hangover.1
  • Food in the stomach slows alcohol absorption, and meals high in fat, carbohydrate or protein work about equally well.2
  • In a randomized trial of 90 adults, neither the type nor the order of beer and wine changed hangover severity.3
  • In a trial of 95 heavy drinkers at the same blood alcohol level, bourbon produced worse hangovers than vodka, but next-day performance didn't differ.4
  • In a 2026 randomized crossover trial, drinking water alongside sake didn't change next-day hangover symptoms.5

What's the only guaranteed way to prevent a hangover?

Not drinking, or drinking very little. NIAAA: "The only way to completely avoid a hangover is to not drink alcohol at all or to keep alcohol intake to a minimum."1 The current US Dietary Guidelines say the same about health in general: "Consume less alcohol for better overall health."6

Hangovers can also follow fewer drinks than people assume. Researchers once treated a blood alcohol level of 0.11% as the usual threshold for a hangover, but group data show hangovers at lower levels.7 Everything below shifts the odds; nothing guarantees a clear morning.

Hangover prevention habits, rated by the evidence (as of October 2026)
Habit Evidence What the research shows
Drinking less Strong More alcohol means a worse hangover; feeling drunk was the strongest predictor in one trial.1, 3
Eating first Good mechanism, no hangover trial Food slows absorption and alcohol clears a bit faster after a meal.2, 8
Pacing Good mechanism, no hangover trial Your body clears roughly one standard drink every one to two hours.2, 8
Clear over dark drinks Some Bourbon gave worse hangovers than vodka at the same blood alcohol level.4
Protecting sleep Plausible Alcohol's sleep disruption tracked with hangover severity in a lab trial.4
Water between drinks Weak No change in next-day symptoms in a small trial; only a modest effect in surveys.5, 9
Drink order No effect Order and type of beer and wine made no difference.3
Pre-drinking supplements Not convincing Systematic reviews found no remedy with better than very low-quality evidence.10, 11

What should you eat before drinking?

A real meal. Alcohol is absorbed fastest from the small intestine, and food slows how quickly your stomach empties into it, so blood alcohol rises more slowly. Meals high in fat, carbohydrate or protein work about equally well.2

Food also seems to help on the way out: blood alcohol falls at about 0.010% to 0.015% an hour after drinking on an empty stomach, versus 0.015% to 0.020% after eating.8 That's a mechanism, not proof that a meal prevents hangovers, and no trial has tested that directly.

One small study of 23 drinkers found that people who ate more zinc and nicotinic acid (niacin) in their usual diet reported milder hangovers.12 That's a correlation, not a reason to take supplements.

How to prevent a hangover while you're drinking

Count standard drinks, pace yourself, and alternate with something nonalcoholic. Those three habits limit the thing that matters most: how much alcohol ends up in your blood.1

A US standard drink contains 14 grams of pure alcohol. Real pours, especially of wine, cocktails and craft beer, are often bigger.13

What counts as one US standard drink (14 g of alcohol)
Drink Typical strength One standard drink
Regular beer About 5% 12 fl oz
Malt liquor or hard seltzer About 7% 8 to 10 fl oz
Table wine About 12% 5 fl oz
Fortified wine About 17% 3 to 4 fl oz
Liqueur About 24% 2 to 3 fl oz
Distilled spirits (80 proof) 40% 1.5 fl oz

A 12-ounce beer at 10% counts as two drinks.13 Our guide to what a standard drink is has more examples.

  • Pace yourself. Your body clears alcohol at a fairly fixed rate, roughly one standard drink every one to two hours for many adults, and nothing has been shown to meaningfully speed it up.2, 8 Drink faster than that and your blood alcohol keeps climbing.
  • Know the binge line. For a typical adult, about 5 drinks for men or 4 for women in roughly two hours brings blood alcohol to 0.08% or higher.14
  • Alternate with water. It slows your pace and helps with thirst, but don't count on it alone. In a 2026 crossover trial of 13 men, water with sake didn't change next-day symptoms, and survey data show only a modest effect.5, 9 More in does water between drinks prevent a hangover?

Does the type of drink matter? Congeners and dark liquors

A little. Darker drinks tend to contain more congeners, the other compounds produced during fermentation, and those can make a hangover feel worse for some people. But the alcohol itself is the main culprit.1

The best test: 95 heavy drinkers aged 21 to 33 drank to the same breath alcohol level (0.11%) on bourbon one night and vodka on another, with placebo nights for comparison. Both drinks produced hangovers, and people felt worse after bourbon. Next-day performance didn't differ, and the authors concluded that congeners affect only how people feel.4

Wine has its own issue: sulfites, added as preservatives, can cause headaches in people who are sensitive to them.1 Methanol, a congener found in some drinks, is a popular suspect, but in 36 drinkers urine methanol didn't track hangover severity.15 For wine specifically, see wine hangovers.

Does mixing drinks matter? "Beer before liquor" tested

Not in the best trial. Order and mixing made no measurable difference; how drunk people got did.3

In the 2019 study, 90 adults aged 19 to 40 (half of them women) drank beer and then wine, wine and then beer, or only one of the two, up to a breath alcohol level of at least 0.11%. A week or more later, they switched. Neither the type nor the order changed hangover severity. Feeling drunk and vomiting were the strongest predictors.3

Two caveats: the trial was open-label, and it tested beer and wine, not liquor. No trial has tested "beer before liquor" itself.3 Mixing drinks can still make it harder to keep count. More folk rules are fact-checked in hangover myths.

What should you do before bed?

Stop early, skip acetaminophen, and give yourself time to sleep in.

  • Stop early. Alcohol helps you fall asleep but fragments the second half of the night and cuts REM sleep.16 Blood alcohol can also keep rising after the last drink.14
  • Water and a snack, if you want them. Fine for thirst and hunger, but neither has been shown to prevent a hangover.9
  • Don't take acetaminophen "just in case." Some people take it before bed to head off a hangover, but alcohol and acetaminophen together can be toxic to the liver.1
  • Plan the morning, too. A hangover can impair attention, decision-making and coordination, so don't plan on driving early.1
  • Look out for friends. If someone is very drunk, don't put them to bed to sleep it off and walk away.14

Do "pre-drinking" supplements prevent hangovers? What the FDA and research say

No supplement or drug has been shown to prevent hangovers. A 2005 systematic review found "no compelling evidence" for any intervention, and a 2022 review of 21 placebo-controlled trials rated all the evidence as very low quality.10, 11

Trials of products taken before drinking haven't changed that. N-acetylcysteine (NAC) didn't significantly reduce total hangover scores in a 49-person trial.18 Prickly pear extract taken five hours before drinking eased some symptoms, but the overall symptom score didn't significantly improve.19

Dihydromyricetin (DHM), a plant flavonoid, is one of the most common ingredients in these products, yet as of October 2026 no randomized trial indexed in PubMed has tested DHM on its own for hangover in people. The research is mostly in rats and mice, and the small human trials used Hovenia extracts that contain less than 1% DHM.20 In 2025, researchers concluded that efficacy hadn't been demonstrated for any hangover product on the US market.21

Regulators agree. In July 2020, FDA sent warning letters to seven companies, treating claims to cure, treat or prevent hangovers as unapproved drug claims.22 It cited even "Helps prevent hangover symptoms*," asterisk and disclaimer included.23 As an FDA official put it at the time, "Dietary supplements are not a substitute for responsibly limiting one's alcohol consumption."24 For more, see do hangover pills work?

Your personal risk factors: genetics, age, sleep and medications

Some people get worse hangovers from the same amount of alcohol. A few reasons are well documented.

  • Genetics. About 36% of East Asians have a flushing response to alcohol, mostly because of an inherited ALDH2 deficiency that lets acetaldehyde build up, causing flushing, nausea and a fast heartbeat. Regular drinkers with the variant have a much higher risk of esophageal cancer, and no supplement makes drinking safer for them.25 Asian Americans with the variant also reported worse hangovers.26 See Asian flush.
  • Age. Contrary to the cliché, surveys find hangovers become less common and severe with age. In 51,645 Danes, men aged 18 to 29 had 6.8 times the odds of a severe hangover after binge drinking as men 60 and older.27 A Dutch study of 761 drinkers found the same decline after accounting for how much people drank, possibly because pain sensitivity falls with age.28 Both are surveys, so treat them with some caution.
  • Sleep. Alcohol's disruption of sleep tracked with hangover severity in a lab trial, so a short or broken night adds to the damage.4
  • Medications and health conditions. People taking medicines that interact with alcohol, or with conditions that do, should avoid it, as should anyone pregnant, recovering from alcohol use disorder or unable to control their drinking.6 Ask a pharmacist if you're unsure.

For the biology behind all of this, see what causes a hangover, and for the morning itself, how to cure a hangover.

What we don't know yet

  • Whether eating first or pacing reduces hangovers in a controlled trial. The case rests on how alcohol is absorbed and cleared.2
  • Whether beer-before-liquor order matters; only beer and wine have been tested.3
  • Whether any supplement prevents hangovers. Most positive results come from single, small trials.11

Frequently asked questions

What should I eat before drinking to avoid a hangover?

A real meal. Food slows how fast alcohol reaches your bloodstream, and meals high in fat, carbohydrate or protein all work about equally well. No food prevents a hangover outright, but drinking on an empty stomach makes your blood alcohol rise faster.

Does drinking water between drinks prevent a hangover?

Not on its own. In a 2026 randomized trial, water with alcohol didn't change next-day symptoms, and surveys show only a modest effect. It's still worth doing, because it slows your pace and helps with thirst.

Does clear liquor give you less of a hangover?

Somewhat, in the one good trial: bourbon produced worse hangovers than vodka at the same blood alcohol level. But vodka still caused hangovers, and next-day performance was the same. How much you drink matters far more than what color it is.

Can you take something before drinking to prevent a hangover?

No supplement or drug has been shown to prevent hangovers, and FDA treats claims that a product prevents hangovers as drug claims. The most effective things to do beforehand are to eat a meal and decide how many drinks you'll have.

Why do I get hangovers after only a few drinks?

Hangovers can happen at blood alcohol levels below what researchers once assumed, and the same dose produces very different blood alcohol levels in different bodies; women typically reach higher peaks than men. Your drinks may also be bigger than standard, since a strong craft beer can count as two. Genetics, such as the ALDH2 variant behind alcohol flushing, and poor sleep can add to it.

Sources

  1. National Institute on Alcohol Abuse and Alcoholism. Hangovers (fact sheet, updated December 2025). NIH. NIAAA
  2. Cederbaum AI. Alcohol metabolism. Clin Liver Dis. 2012;16(4):667-685. PubMed
  3. Köchling J, et al. Grape or grain but never the twain? A randomized controlled multiarm matched-triplet crossover trial of beer and wine. Am J Clin Nutr. 2019;109(2):345-352. PubMed
  4. Rohsenow DJ, et al. Intoxication with bourbon versus vodka: effects on hangover, sleep, and next-day neurocognitive performance in young adults. Alcohol Clin Exp Res. 2010;34(3):509-518. PubMed
  5. Imai H, et al. Water intake during drinking does not alleviate hangover symptoms. Front Pharmacol. 2026;17:1852528. PubMed
  6. U.S. Department of Agriculture; U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2025–2030 (released January 7, 2026). USDA/HHS. PDF
  7. Verster JC, et al. Sensitivity to experiencing alcohol hangovers: reconsideration of the 0.11% blood alcohol concentration (BAC) threshold for having a hangover. J Clin Med. 2020;9(1):179. PubMed
  8. Jones AW. Evidence-based survey of the elimination rates of ethanol from blood with applications in forensic casework. Forensic Sci Int. 2010;200(1-3):1-20. PubMed
  9. Mackus M, et al. Alcohol hangover versus dehydration revisited: the effect of drinking water to prevent or alleviate the alcohol hangover. Alcohol. 2024;121:9-18. PubMed
  10. Pittler MH, et al. Interventions for preventing or treating alcohol hangover: systematic review of randomised controlled trials. BMJ. 2005;331(7531):1515-1518. PubMed
  11. Roberts E, et al. The efficacy and tolerability of pharmacologically active interventions for alcohol-induced hangover symptomatology: a systematic review of the evidence from randomised placebo-controlled trials. Addiction. 2022;117(8):2157-2167. PubMed
  12. Verster JC, et al. Dietary nutrient intake, alcohol metabolism, and hangover severity. J Clin Med. 2019;8(9):1316. PubMed
  13. National Institute on Alcohol Abuse and Alcoholism. What Is A Standard Drink? (updated December 2025). NIH. NIAAA
  14. National Institute on Alcohol Abuse and Alcoholism. Understanding the Dangers of Alcohol Overdose (updated December 2025). NIH. NIAAA
  15. Mackus M, et al. Urine methanol concentration and alcohol hangover severity. Alcohol. 2017;59:37-41. PubMed
  16. Ebrahim IO, et al. Alcohol and sleep I: effects on normal sleep. Alcohol Clin Exp Res. 2013;37(4):539-549. PubMed
  17. U.S. Food and Drug Administration. 21 CFR 201.326: Over-the-counter drug products containing internal analgesic/antipyretic active ingredients; required warnings. eCFR. eCFR
  18. Coppersmith V, et al. The use of N-acetylcysteine in the prevention of hangover: a randomized trial. Sci Rep. 2021;11(1):13397. PubMed
  19. Wiese J, et al. Effect of Opuntia ficus indica on symptoms of the alcohol hangover. Arch Intern Med. 2004;164(12):1334-1340. PubMed
  20. Skinner SG, et al. Therapeutic effects of dihydromyricetin on wholly alcohol-attributed conditions: a systematic review. Nutrients. 2026;18(14):2221. PubMed
  21. Verster JC, et al. The alcohol hangover product market of the United States of America. Drug Science, Policy and Law. 2025. SAGE Journals
  22. U.S. Food and Drug Administration. FDA sends warning letters to seven companies illegally selling hangover products (constituent update). July 29, 2020. FDA
  23. U.S. Food and Drug Administration. Warning letter 593764, dated July 23, 2020 (one of the seven hangover-product letters). FDA. FDA
  24. Cleveland Clinic Health Essentials (Peart D, RD). Hangover pills aren't worth the hype. March 13, 2024. Cleveland Clinic
  25. Brooks PJ, et al. The alcohol flushing response: an unrecognized risk factor for esophageal cancer from alcohol consumption. PLoS Med. 2009;6(3):e50. PubMed
  26. Wall TL, et al. Hangover symptoms in Asian Americans with variations in the aldehyde dehydrogenase (ALDH2) gene. J Stud Alcohol. 2000;61(1):13-17. PubMed
  27. Tolstrup JS, et al. Does the severity of hangovers decline with age? Survey of the incidence of hangover in different age groups. Alcohol Clin Exp Res. 2014;38(2):466-470. PubMed
  28. Verster JC, et al. Alcohol hangover across the lifespan: impact of sex and age. Alcohol Alcohol. 2021;56(5):589-598. PubMed
  29. Substance Abuse and Mental Health Services Administration. SAMHSA's National Helpline. HHS. SAMHSA
  30. MedlinePlus, U.S. National Library of Medicine. Alcohol withdrawal (reviewed January 1, 2025). NIH. MedlinePlus

Published by Fuller Health, which makes After Party. This article is general information, not medical advice: talk to a doctor or pharmacist about your own health, medicines and drinking. Last reviewed October 9, 2026. How we research and write.

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