Healthdirect Free Australian health advice you can count on.

Medical problem? Call 1800 022 222. If you need urgent medical help, call triple zero immediately

healthdirect Australia is a free service where you can talk to a nurse or doctor who can help you know what to do.

Red wine being poured from a bottle to a glass to illustrate the concept of alcohol

Red wine being poured from a bottle to a glass to illustrate the concept of alcohol
beginning of content

Alcohol - an overview

7-minute read

What is alcohol?

Alcohol usually refers to drinks such as beer, wine or spirits that contain a chemical known as ethyl alcohol (ethanol). It is a mood-changing legal drug that belongs to the class of drugs known as 'depressants'.

This doesn’t mean that alcohol makes you depressed (although it can have this effect). It means that alcohol slows down the central nervous system and inhibits many of the brain’s functions. It also affects almost all of the body’s cells and systems.

When a person drinks alcohol it is absorbed into the blood stream through the walls of the stomach and small intestine, and then rapidly distributed to all parts of the body — including the brain.

Although the rate of absorption can differ depending on a number of factors, including sex, body size and composition, age, experience of drinking, genetics, nutrition and individual metabolism, it generally only takes a few minutes for alcohol to reach the brain.

The liver is the main body organ responsible for removing alcohol from the bloodstream.

It is processed at a fixed rate, and it generally takes about one hour to break down the alcohol content of one standard drink. You cannot remove alcohol from your blood by vomiting, having a cold shower or drinking coffee or other caffeine drinks.

What is a standard drink?

Working out exactly what is a standard drink is not always easy. However, one standard drink contains 10g of pure alcohol (equivalent to 12.5ml of pure alcohol), regardless of glass size or type of alcohol (such as beer, wine or spirits).

For example, a 250ml bottle of high-strength pre-mix spirits (7-10% alcohol by volume) is equivalent to 1.4-1.9 standard drinks. A 285ml glass of full strength beer (4.8% alcohol by volume) is equivalent to 1.1 standard drinks.

Therefore, these 2 drinks represent almost 3 standard drinks, based on their alcohol content.

This is why you must measure standard drinks by the amount of alcohol they contain, and not by the number of glasses that you consume.

Check the label of any bottle, can or cask of alcohol for the number of standard drinks it contains.

You can also use these handy calculators to work out how much you are drinking:

Standard drink
Standard drink guide (developed by Department of Health). Click here for an extended version.

How much alcohol can different people drink safely?

No amount of alcohol can be said to be safe for everyone because alcohol affects people in different ways. Factors such as gender, age, mental health, drug use and existing medical conditions can change how alcohol affects different people.

If you are a healthy adult, and limit your drinking to no more than 2 standard drinks on any one day, you will reduce your risk of harm from alcohol-related disease or injury to a low level. If you drink more than this, your risk will increase.

Alcohol use increases the risk of cancers, including cancers of the mouth, stomach, oesophagus, bowel, liver and breast. Alcohol consumption may also lead to weight gain which in turn can contribute to other types of cancers. The Cancer Council recommends people limit their alcohol consumption to reduce cancer risk.

Pregnant women should not drink alcohol because it increases the risk of harm to the baby. This is because alcohol can cross the placental barrier and find its way into the foetal blood.

It’s best to limit your alcohol intake while you’re breastfeeding, but your baby won’t be harmed if you have an occasional drink. You should avoid drinking immediately before breastfeeding.

Alcohol and children

A younger person’s body doesn’t cope with alcohol as well as an older person’s. The younger person’s brain, heart and liver aren’t fully developed and so they are less able to process it. Alcohol can therefore seriously damage a younger person’s health.

In some states, it is an offence to supply alcohol to a person aged under 18 years of age in a private home, unless the young person’s parent or guardian has given permission and the alcohol is supplied in a responsible manner. However, the laws that cover alcohol and children vary between states and change from time to time.

For more information, contact the Alcohol and Drug Foundation.

Each week in Australia, alcohol consumption is responsible for numerous hospitalisations and deaths in teenagers aged 14-17 years.

Some useful tips for dealing with teenagers and drinking include:

  • setting a good example in your own consumption of alcohol
  • talking to your teenager about alcohol laws and the potential consequences of breaking them
  • rewarding good behaviour when they show a responsible attitude towards alcohol
  • talking to your teenager about how to deal with peer pressure related to alcohol or binge drinking

What is binge drinking?

Binge drinking means drinking heavily on a single occasion, or drinking continuously over a number of days or weeks. A person might be more likely to engage in this behaviour if they feel peer pressure to do so, or if they're feeling awkward or uncomfortable at a party.

Binge drinking also has adverse short-term effects, such as nausea, and carries the risk of injury, both to the person drinking and to others around them. It can also have long-term effects on their health and wellbeing. These effects include significant damage to the brain and liver, physical and psychological dependence on alcohol, and the risk of developing emotional and mental health problems such as depression and anxiety.

Drinking and driving

Driving is a complex task, and people who drink and drive have a much greater chance of having a car accident because they are less able to see or locate moving lights, judge distances or respond to multiple stimuli. In fact, alcohol consumption leads to more road crashes than any other single factor in Australia.

Australian law requires fully-licensed car drivers to have a blood alcohol concentration (BAC) of 0.05 or less when driving. Australian police are also able to stop any vehicle at any time to breath test the driver for their BAC.

A BAC is a measurement of the amount of alcohol in your body, expressed as grams of alcohol per 100ml of blood. This means that a 0.05 BAC is the equivalent of 0.05g of alcohol per 100ml of blood.

The laws regarding BAC are different for special licence categories such as learner and probationary drivers, taxi, bus, train and heavy truck drivers. These laws can be found on your state or territory’s police website.

Tips on how to drink responsibly

  • Keep an eye on what you’re drinking; set limits for yourself and stick to them.
  • Start with non-alcoholic drinks and alternate with alcoholic drinks, or try drinks with a lower alcohol content.
  • Eat before or while you are drinking.
  • Don’t drink and drive.
  • If you are going out in a group, work out who will drive everyone home. If no one wants to be the nominated driver, bring enough money for a taxi.
  • Avoid mixing alcohol and medication.
  • Understand that your blood alcohol will continue to rise after you have consumed your last drink. You generally won’t reach your maximum BAC until 45-90 minutes after consuming your final drink.

More information

If you or someone you know needs support or treatment for their alcohol consumption habits, you can contact:

  • your doctor
  • your local community health service
  • DrinkWise Australia
  • Alcoholics Anonymous Australia or call 1300 22 22 22
  • National Alcohol and Other Drug hotline: 1800 250 015. Provides free and confidential advice about alcohol and other drugs. It will automatically direct you to the Alcohol and Drug Information Service in your state or territory
  • eheadspace (for youth aged 12-25) on 1800 650 890

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: October 2018


Back To Top

Need more information?

These trusted information partners have more on this topic.

Top results

Your Room | NSW Health and the Alcohol And Drug Information Service

A joint initiative by NSW Health and St Vincent's Alcohol and Drug Information Service to get facts about alcohol and other drugs.

Read more on Department of Health website

Fetal Alcohol Spectrum Disorder (FASD) - Alcohol and Drug Foundation

Fetal Alcohol Spectrum Disorder (FASD) describes a range of physical, cognitive, developmental and emotional deficits attributable to alcohol consumption during pregnancy.

Read more on Alcohol and Drug Foundation website

Fetal alcohol spectrum disorder - NT.GOV.AU

Diagnosis, symptoms and treatment of fetal alcohol spectrum disorder.

Read more on NT Health website

Preventing Fetal Alcohol Spectrum Disorder (FASD) - Alcohol and Drug Foundation

There is a clear causal link between heavy consumption of alcohol and FASD. However, the link between low-level alcohol exposure and the risk of harm to children developing in the womb is yet to be properly understood. This uncertainty has led to mixed messages and some confusion.

Read more on Alcohol and Drug Foundation website

Great power. Great irresponsibility. - Alcohol and Drug Foundation

Corporate social responsibility is also a powerful shield for the alcohol industry. Alcohol industry bodies use their public relations arm to be loud and proud about their corporate social responsibly while promoting industry-friendly interventions.

Read more on Alcohol and Drug Foundation website

Fetal alcohol spectrum disorder (FASD) | Raising Children Network

Drinking alcohol in pregnancy can cause birth defects and long-term health problems for babies and children. This is fetal alcohol spectrum disorder (FASD).

Read more on raisingchildren.net.au website

I have specific cultural beliefs and values where can I go for support for my alcohol and drug use?

There are many culturally-specific services that can help you, such as drug and alcohol services run by Aboriginal Corporations, and Culturally and Linguistically Diverse (CALD) services.

Read more on NSW Health website

If I decide I need help with my alcohol/drug use, what options are available?

If you're trying to stop or reduce your use of substances, seeking professional help can be a good idea, particularly if you've been coping with your drug or alcohol issue for a long time.

Read more on NSW Health website

Are there drug and alcohol services specifically for young people?

Yes, there are specialist detox, rehab, counselling and other services for young people.

Read more on NSW Health website

Creating equity for young people living with FASD - Alcohol and Drug Foundation

We take a look at the latest research from Western Australia, focusing on the juvenile justice system, and how early diagnosis and prevention efforts could have a broad and significant positive ripple effect.

Read more on Alcohol and Drug Foundation website

Healthdirect 24hr 7 days a week hotline

24 hour health advice you can count on

1800 022 222

Government Accredited with over 140 information partners

We are a government-funded service, providing quality, approved health information and advice

Australian Government, health department logo ACT Government logo New South Wales government, health department logo Northen Territory Government logo Government of South Australia, health department logo Tasmanian government logo Government of Western Australia, health department logo