Nightwatch: Search for the (hangover) cure

  • Article by: Tom Horgen , Star Tribune
  • Updated: January 10, 2008 - 4:55 PM

Is there any hope for thwarting the party person's greatest nemesis? Many have tried -- including a Plymouth company -- but most have failed to come up with a way to prevent or cure hangovers.

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Fred Wehling travels to China on business, where deals often are discussed over food and drink. During one trip, a friend mashed up some guava leaf and gave Wehling a concoction to drink before a meeting.

"We drank our liquor that night and I did not get as hungover and didn't get as drunk as I probably should have," Wehling said.

So when he returned to Minnesota, Wehling's company, Plymouth-based Amerilab Technologies (maker of Fizzies soda pop tablets), created a formula that includes guava leaf and more than 40 other ingredients. The result? A new effervescent tablet for preventing hangovers called Drinkin' Mate.

But can hangovers be prevented or cured? There are hangover cures, they say -- over the counter and in your own kitchen. Do they really work? I sought out an expert opinion to get the lowdown on the science behind hangovers and the reality behind some of these supposed "cures."

Dr. David Satin, who works in family medicine and teaches at the University of Minnesota, said that while the science of hangovers hasn't been explored to its full potential, a 2005 study published by the British Medical Journal is considered the "bible of hangovers" thus far.

In it, doctors found that there is no one way to cure a hangover, which has multiple symptoms.

The medical term for a hangover, Satin said, is actually "veisalgia," from the Greek "-algia" meaning pain and "veis" stemming from the Norwegian word "kveis," which means "an uneasiness following debauchery." Yep, debauchery and then pain. Sounds about right.

Once inside you, alcohol is quickly absorbed through your stomach lining and then into your blood stream. From there it does a number of things. It selectively dilates the blood vessels in your body -- and much of this dilation happens in your brain. "That's why you end up with a headache," Satin said. "You're putting a lot of pressure in that closed space."

Dehydration is a big factor. Alcohol is a diuretic, which causes your body to lose water, mostly through urination. "When you take in a diuretic, it sort of overrides your kidneys' normal mechanism -- it turns the kidneys stupid," Satin said. By decreasing the body's anti-diuretic hormone, alcohol tricks the kidneys into sending water to the bladder instead of retaining it. In severe dehydration, your brain shrinks away from your skull, also contributing to your headache.

Alcohol is also a central-nervous-system depressant. Contributing to the lethargy is alcohol's effect on your blood sugar. Right after drinking, your blood sugar rises, but then it plummets, zapping your energy. And if that weren't enough, your body also releases so-called "inflammatory molecules," which result in nausea and headaches. These are the same molecules that are released when you're sick.

"We don't know why, but one could argue that the body releases inflammatory molecules to fight alcohol off like it's a poison," Satin said.

Maybe some sleep would help, right? Wrong. While most drinkers love the feeling of hitting the sack after a full night of drunkenness, the rest isn't actually doing much for you. Alcohol's depressive effect on your nervous system might help you fall asleep, but it won't be a restful night. Instead of sleeping soundly, your body is working extra hard to make up for its depressed state.

Different types of alcohol affect your body differently, and thus can cause different symptoms. Studies have found that dark-colored alcohol, such as whiskey and red wine, contain a higher level of congeners, a toxic byproduct of fermentation. If you get a headache after drinking such alcohol, you might want to try vodka or gin instead.

So if you're waging a full-fledged war on your insides every time you have a drink, what can you do about it? While experts don't think any one product can cure a hangover, Satin said that you can target certain symptoms.

For years, drinkers have sworn by everything from greasy food to "the hair of the dog that bit you" (more alcohol). Beyond those homemade "cures," there's always the over-the-counter hangover pills found in drug stores and gas stations. Maybe the most popular brand is Chaser, which uses activated calcium carbonate to filter the absorption of congeners.

So does this stuff work? Even Drinkin' Mate's creators will tell you it depends on the person, on how much you drink and when you drink it. Wehling said Drinkin' Mate is best described as a preventive device, taken before you drink or before you go to sleep.

I tried it a couple times, and admittedly felt fine the next morning. Still, further drinking, er, testing, must be completed.

thorgen@startribune.com • 612-673-7909

  • The cures:
    TRUE OR FALSE?


    Dr. David Satin of the University of Minnesota gave us his 2 cents on the realities behind supposed hangover remedies. Bottom line: None will cure all symptoms, but some might help specific pains.

    Soda True. Coke and other soft drinks contain caffeine and sugar, which are good for replenishing your energy.

    Greasy food True and false. A greasy meal will delay the absorption of alcohol into your stomach lining, but only if it’s eaten beforehand. Eating after you drink won’t help much, but the sugar and salt will help bring back the blood sugar and salt that you lost while drinking.

    Sports drinks  True. Beyond the sugar in sports drinks like Gatorade and Powerade, these products contain electrolytes, which get depleted when you drink alcohol.

    Advil (ibuprofen) and Tylenol True. Ibuprofen is an anti-inflammatory and a painkiller. But anti-inflammatory medicines can give you a bleeding ulcer if you take them too often, so take with food. Tylenol is not an anti-inflammatory medicine, but it will help with the pain and it’s safer for your stomach. Combining alcohol and any over-the-counter pain reliever can cause liver damage in some people, so consult your doctor.

    Coffee  True and False. Caffeine can temper the effects of the blood-vessel constriction process, but will only make dehydration worse.

    Orange juice  True and false. Orange juice has sugar, so that’s good. But Satin isn’t convinced that vitamin C does much for a hangover.

    Tomato juice  Could be true. “Some people think eating honey or drinking tomato juice, both rich in fructose [sugar], might help the body metabolize alcohol more effectively,” Satin said.

    Burnt toast  False. Some people mistake the carbon in burnt toast for the activated calcium carbonate in hangover pills such as Chaser.

    Activated calcium carbonate  True. But where do you get it? Tums. It helps to neutralize stomach acids upset by the inflamed stomach lining.

    Vitamins B and C False. While people swear by these vitamins as ways to provide nutrients to a depleted immune system, Satin isn’t convinced. The alcohol has already done its damage.

    Bananas  True. Good for potassium, which you pee out when drinking.

    Hair of the dog (more alcohol) False. Alcohol made you feel good the night before, and it’ll do it again. But you’ll just be delaying the inevitable. More alcohol will just put your body through the same process.

    Water  True. It’ll counteract dehydration, a major hangover cause. “In general, we know that it’s fluids, fluids, fluids,” Satin said. “That’s probably the only one thing that is universally good.”

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