This article will explore the nutritional links between niacin and alcohol, including how to use niacin for alcohol recovery. One of the first supplements that I took to help my body recover from years of drinking was a B-Complex containing niacin.
Known as Vitamin B3, niacin plays a large role in regulating metabolism and maintaining neurotransmitter balance. Chronic alcohol consumption severely depletes levels of niacin in our bodies, including reserve stores that our systems keep on hand for emergencies.
B-Vitamins are crucial for recovery because alcohol burns them up very quickly, and they are necessary for a myriad of bodily processes including healthy energy levels.
We will now proceed to cover the following subjects:
Niacin And Alcohol – Why Do We Need Niacin?
Niacin is an essential nutrient that is required to turn carbohydrates into energy, and which also aids in the breakdown of proteins and fats.
There are three compounds that are all commonly referred to as Vitamin B3:
- Niacin (nicotinic acid)
- Niacinamide (nicotinamide)
- Inositol hexanicotinate
Since niacin is the oldest known treatment for high cholesterol levels, many doctors still prescribe mega-doses of niacin to lower “bad” (LDL) cholesterol.
Niacinamide is sometimes referred to as “no-flush” niacin, since it does not produce any facial flushing when large doses are consumed.
Either niacin or niacinamide can be used for the purpose of biochemical repair after quitting alcohol. We will discuss why niacinamide may actually be more useful.
In a nutshell, niacin is necessary for the following mechanisms:
- Helps the body convert carbohydrates into energy
- Involved in the synthesis of neurotransmitters
- Required for tissue regeneration and DNA repair
Niacin is necessary for the proper functioning of every major organ including the brain and the skin. Alcohol is one of the major contributors to niacin deficiency in developed countries.
Niacin And Alcohol – Symptoms of Niacin Deficiency
Symptoms of alcohol-induced niacin deficiency include the following:
- Canker sores
- Swollen tongue
In severe cases of niacin deficiency, a condition called pellagra may develop that can cause dementia, diarrhea, scaly skin and eventual death if left untreated.
The most reliable way to determine whether you have a niacin deficiency is to get your blood tested by a medical professional.
However, supplementing with niacin has been proven to be quite safe.
If you have been drinking for an extended period of time, it would be wise to take a supplement that contains B-vitamins including niacin.
Before I quit drinking, I suffered from eczema rashes on my arms, greatly impaired focus and chronic fatigue. While other deficiencies were probably at play, these conditions went away as soon as I quit drinking and started taking a B-vitamin complex.
Niacin And Alcohol – How Alcohol Causes Niacin Deficiency
Alcohol depletes niacin because it burns up B-vitamins in the liver, where many B-vitamins including niacin are stored.
Furthermore, long-term alcohol consumption damages areas of the gut that require higher levels of niacin for rapid tissue regeneration.
This results in impaired digestion and an inability of the gut lining to absorb basic nutrients.
To summarize, alcoholism prevents the absorption and utilization of niacin in three main ways:
- Liquid meals – Many alcoholics simply don’t consume enough quality foods, often obtaining more calories from alcohol than food
- Gut absorption – Alcohol wreaks havoc on the gut and inhibits absorption of vitamins and minerals in the stomach and intestines
- Diuretic toxin – Since the body treats alcohol as a poison, it tends to flush niacin along with other nutrients (especially magnesium) on a cellular level
It can take weeks or months for an alcoholic to restore gut health, even with a proper diet and nutritional supplementation.
This is why, in addition to supplementing with B-vitamins like niacin, I highly recommend taking probiotics and digestive enzymes.
These will help to restore balance to your gut and increase the absorption of everything you consume. I have found high quality pancreatic enzymes at my local health food store and I drink kombucha on a regular basis.
Niacin And Alcohol – Niacin Dosage
Dietary sources of niacin include poultry, red meat, grains, and nuts. Many breads and cereals are enriched with niacin. Most people need at least 14-16 mg of niacin per day, but this is not enough for alcoholics who need to reverse a niacin deficiency.
Doctors sometimes prescribe up to 3 grams of niacin per day for people with high cholesterol.
If you have recently quit drinking alcohol, 100-200 mg per day of niacin is sufficient for biochemical repair.
Alcoholics who begin supplementing with B-vitamins usually begin to feel noticeably better. Depending on the severity of the alcohol problem or gut damage that inhibits absorption, it may take a few weeks before feeling any positive effects from niacin supplementation.
When I quit drinking, I used a B-complex supplement that contained 25 mg of synthetic niacin per serving. If I had to do it all over again, I would take Alcohol Support, which contains 50 mg of active niacin per serving (a total of 100 mg per day).
Alcohol Support is a better source of niacin than other B-complex supplements for several reasons:
Alcohol Support can be safely combined with other supplements containing B-vitamins. You can read more about how Alcohol Support works in my review of this supplement.
Always consult with your doctor before beginning new supplements or lifestyle changes.
Niacin And Alcohol – Interactions
Combining large doses of niacin with heavy drinking can be problematic for two reasons:
- Mega-doses(1 gram or more) of niacin and alcohol are both blood thinners
- Mega-doses(1 gram or more) of niacin and alcohol can both cause liver problems
People who consume large amounts of niacin and alcohol simultaneously can experience facial flushing, itchy skin, dizziness, and nausea. (source)
If you plan to take a mega-dose of niacin before quitting drinking, it’s best to get your liver enzymes checked periodically and to proceed only under the care of a doctor.
Large doses of niacin may be unsuitable for people with alcoholic cirrhosis.
However, I have not been able to find a single case of death caused by niacin supplementation alone. Alcohol is by far the leading cause of liver damage.
Many people have successfully used niacin for depression and for reducing alcohol cravings after quitting drinking. Others have reported that consuming niacin and alcohol at the same time reduced their alcohol cravings and thereby helped them wean off of drinking.
Niacin And Alcohol – Research
Research shows that niacin is effective for biochemical restoration, may reduce alcohol cravings, and has a favorable safety profile:
- A 2014 review of research and case studies concluded that niacin supplementation can improve psychological and physical recovery from alcoholism (source)
- A 2014 study showed that niacin supplementation helped reverse alcoholic fatty liver disease (source)
- A study on rats showed that a group given high doses of niacin consumed 36% less alcohol than rats given normal levels of niacin (source)
- A scientific review of the safety of niacinamide concluded that it is safe at doses of less than 3 grams per day (source)
As an interesting aside, consider the following passage about AA Founder Bill Wilson’s experience with niacin and alcohol recovery:
“Even as AA slowly grew, many of Bill’s financial and personal problems endured, most notably depression. I met Bill in New York in 1960. I introduced him to the concept of megavitamin therapy. Bill was very curious about it and began to take Niacin, 3000mg daily. Within a few weeks the fatigue and depression that had plagued him for years were gone. He gave it to 30 of his close friends in AA. Of the 30, 10 were free of anxiety, tension and depression in one month. Another 10 were well in two months. Bill then wrote “The Vitamin B3 Therapy,” and thousands of copies of this extraordinary pamphlet were distributed. As a result, Bill became unpopular with the members of the board of AA International. The medical members, who had been appointed by Bill, “knew” vitamin B3 could not be as therapeutic as Bill had found it to be. I found it very useful in treating patients who were both alcoholic and depressed.” -Dr. Abram Hoffer (source)
Niacin And Alcohol – Conclusion
If you’ve found this article helpful, be sure to check out my other article on vitamins for alcohol withdrawal. In that article and others like it, I’m not arguing that you need to take every remedy I discuss.
With nutritional repair and natural remedies, trial and error is the best approach. I’ve never had a bad reaction to vitamins or natural supplements. Some have simply worked much better than others. The best ones have worked so well that they’ve seriously changed my life.
Now that I’m more than a few years past alcohol addiction, I no longer need mega-doses of anything. I’ve even stopped taking a multivitamin. Instead, I use these three awesome supplements to optimize my body and mind.
Despite the plethora of pharmaceutical options for alcohol addiction, scientists have long understood the necessity of using vitamins for biochemical restoration. This is a subject that I discuss at length in my eBook, Drinking Sucks!
Many alcoholics in hospitals are given IV injections of thiamine (vitamin B1) to prevent brain damage. You can read my article on how to use thiamine for alcohol withdrawal here.
Basic (and high quality!) supplements are much safer than prescription drugs that mask the symptoms of underlying nutrient deficiencies. Untreated deficiencies can cause serious complications down the road.
If you have any questions about niacin and alcohol, please post them in the comment box below.