Can You Drink Alcohol If Using Medicated Eye Drops?
In our latest question and answer, the pharmacist discusses whether or not you can drink alcohol if using medicated ophthalmic drops (i.e. eye drops).
Hello! I received a prescription for Prednisolone ac eye drops and Olopatadine hcl eye drops from my doctor for dry eyes. I have a wedding this weekend and would like to know if I am able to drink alcohol while using the eye drops. Thank you
Sep 22, 2022- Most eye drops are not absorbed into your bloodstream significantly, so they are unlikely to interact with alcohol unlike oral medications.
- If you are using beta-blocker eye drops like timolol, ask your pharmacist or doctor about alcohol use since some absorption can occur with certain drops.
- For the specific eye drops you asked about (prednisolone AC and olopatadine), there are no known interactions with alcohol.
Answer
Most eye drops are not absorbed systemically to a significant extent and therefore, there is less of a concern with drug interactions (like with alcohol) or contraindications when compared to oral medications.
Nevertheless, multiple studies show that there is at least some absorption with ocular medications and certain eye drops may need to be used cautiously. One example is eye drops that are classified as "beta-blockers". They theoretically could exacerbate breathing problems in asthmatics and at least one study has reported cardiovascular effects with the eye drop timolol.
Below is a flowchart detailing how systemic drug absorption can occur from eye drops:

Source: Clinical Ophthalmology
So, if you are using ophthalmic eye drops, while interactions and contraindications will be uncommon, it is important to ask your doctor or pharmacist about any problems you might have with other drugs you are taking or concomitant illnesses you may have.
Additionally, it is very important to apply eye drops correctly, as doing so can greatly reduce systemic absorption. Be sure to follow proper administration methods.
In regard to the two eye drops you specifically mentioned, there are no reports of interactions with alcohol.
Prednisolone AC And Alcohol
Prednisolone AC is a commonly used ophthalmic steroid. It is absorbed through the aqueous humor, but is reported to have minimal systemic absorption and the majority of drug metabolism occurs locally in the eye. There isn't thought to be any interaction with prednisolone AC when used in the eye and alcohol.
Olopatadine And Alcohol
Olopatadine, an ophthalmic antihistamine, is not extensively absorbed when administered in the eye and is not thought to cause sedation or drowsiness, like many oral antihistamines. There are no reports of interactions with alcohol.
Final Words
Thanks for your question and reach back out anytime.
References & sources
Glossary — Terms in This Answer
- Systemic absorption
- When a medication enters the bloodstream and circulates throughout the body rather than acting only locally where it was applied.
- Drug interactions
- When two or more substances affect each other's action in the body, potentially changing how well a medication works or causing unwanted effects.
- Contraindications
- Conditions or circumstances in which a particular medication should not be used because it could be harmful.
- Beta-blockers
- A class of medications that block certain nerve signals to slow heart rate and reduce blood pressure.
- Ophthalmic
- Relating to or intended for use in or on the eye.
- Aqueous humor
- The clear fluid that fills the front part of the eye and helps maintain its shape.
- Antihistamine
- A medication that blocks the effects of histamine, a chemical released during allergic reactions.