Addiction Alcohol Use Should You Drink Low Alcohol Beer or Alcohol Free Beverages? By Elizabeth Hartney, BSc, MSc, MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD is a psychologist, professor, and Director of the Centre for Health Leadership and Research at Royal Roads University, Canada. Learn about our editorial process Updated on June 14, 2021 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by John C. Umhau, MD, MPH, CPE Medically reviewed by John C. Umhau, MD, MPH, CPE John C. Umhau, MD, MPH, CPE is board-certified in addiction medicine and preventative medicine. He is the medical director at Alcohol Recovery Medicine. For over 20 years Dr. Umhau was a senior clinical investigator at the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health (NIH). Learn about our Medical Review Board Print David Lees / Getty Images Table of Contents View All Table of Contents Taste Past or Current Alcohol Use Placebo and Expectancy Effects Driving Safety Avoiding Intoxication Purported Health Benefits If you want to reduce the amount of alcohol you drink, you may wonder whether low alcohol or alcohol-free beverages are a good substitute for their full-strength counterparts. Making this decision involves considering a number of factors, but begins with understanding the difference between the two options. Alcohol-free beverages contain no alcohol at all. Low alcohol beverages, on the other hand, have had most of the alcohol removed by osmosis yet many still contain up to 0.5% alcohol. There are a few important factors that you should consider before deciding if either of these options is right for you. The Taste The issue of taste is quite important for many people. Some people drink, at least initially, because they enjoy it. Fortunately, there are quite a few options to choose from with are more than 38 different types of low alcohol beer available. Research shows that people cannot detect the difference between these and full-strength beers based on taste. If you dislike the taste of the alcohol-free or low alcohol beverage you choose, you are more likely to go back to the full-strength version. Therefore, if your goal is to reduce alcohol, it is a good idea to choose a low alcohol beverage that you enjoy rather than an alcohol-free version you dislike. "Mocktails" are another alcohol-free option that you might consider if you are craving the taste of your favorite drink. These non-alcoholic cocktails often utilize a combination of ingredients such as vinegar and spices to replicate the flavors of authentic alcoholic beverages, but without the actual alcohol. Past or Current Alcohol Use Concerns about alcohol use are another important factor to consider. This can include an issue with alcohol in the past or any current issues related to alcohol use, such as: A diagnosis of alcohol abuse, alcohol dependence, or alcohol use disorder Binge drinking or difficulty stopping once you have started drinking Problems with self-control when intoxicated Becoming aggressive, anxious, or depressed after drinking Physical problems as a result of alcohol use, such as liver disease If you have an alcohol-related concern, you may be better off avoiding alcoholic drinks of any kind. It is also worth considering avoiding them if one of your parents or siblings has had serious problems with alcohol since research suggests that alcohol use problems have a genetic component. If any of these situations apply, discuss the idea of replacing some or all of your alcoholic drinks with your doctor, alcohol counselor, or AA sponsor. Reflect on whether the low alcohol or alcohol-free beverage can help to reduce your alcohol intake or whether it could trigger you to drink more. Alcohol-free beverages are the better choice for anyone who should avoid alcohol altogether, whereas low alcohol beverages may be a better option for people who want to reduce their alcohol intake and prefer the taste and minimal effects of low alcohol beverages. Placebo and Expectancy Effects If you are prone to engaging in poor behavior while drinking, even low- and no-alcohol drinks may not offer complete solutions. In some cases, people may still act as if they are intoxicated due to phenomena known as placebo and expectancy effects. Placebo effects are effects that aren’t actually caused by the drug itself and can occur when people drink low alcohol and alcohol-free drinks. They may experience the feeling of being intoxicated, for instance, without having a high level of alcohol in the bloodstream. Expectancy effects also impact how a person reacts to low alcohol or alcohol-free beverages. Someone drinking a low alcohol or alcohol-free beverage might not consciously expect to become intoxicated. However, the taste and appearance of the drink can trigger expectancy effects, causing the person to behave as if they had consumed a greater amount of alcohol. It's helpful to consider whether you experience placebo or expectancy effects with low alcohol or alcohol-free beverages. Trusted friends are a good source of information, particularly if you tell them you want an honest opinion of your appearance and behavior. If you seem to behave irresponsibly after drinking low alcohol or alcohol-free beverages, it's probably a better idea to stick to water or soft drinks. Driving Safety Low alcohol or alcohol-free drinks are ideal for moderate drinkers who intend to drive. This is much safer than the approach of having one or two drinks and then stopping, which can impair the cognitive skills that are important for driving more than if you consume low alcohol or alcohol-free beverages. In many jurisdictions, the legal level of alcohol in the bloodstream is higher than the level at which driving is impaired (0.08 versus 0.05). Low alcohol and alcohol-free beverages do not dehydrate you to the same extent as full-strength beverages, so you feel less thirsty after drinking them than you do regular versions. This means that the risk of drinking an excessive amount of low alcohol or alcohol-free beverages is lower. Avoiding Intoxication If you feel uncomfortable or embarrassed drinking soft drinks in social situations but want to avoid intoxication, low alcohol or alcohol-free beverages are an ideal solution. These beverages look the same as full-alcohol drinks, so they are hard to tell apart. Vulnerable drinkers, such as young people attending clubs or parties, can also stay sober and more aware of their surroundings by replacing alcoholic drinks with low or no-alcohol alternatives. Another alternative to consider is drinking seltzer water with a lime in a cocktail glass. Purported Health Benefits Low alcohol beverages, particularly low alcohol red wine, are a good method for incorporating a small amount of alcohol into your diet if you wish to explore the health effects of alcohol reported in many studies. This includes improving your cardiovascular health. However, it should be noted that many health agencies do not recommend starting to drink "for any reason." Additionally, there are some people who shouldn't consume alcohol at all, such as those who are pregnant or have certain medical conditions. Research shows that people are particularly bad at judging home-poured drinks. So it is difficult to limit yourself to the small quantities recommended and avoid consuming amounts that are more harmful than not drinking at all. A Word From Verywell Deciding whether to consume low alcohol or alcohol-free drinks is a personal decision that involves considering a number of factors. Seeking input from your doctors, counselors, and those who care about you can help you make the best decision for you given your health and your specific circumstances. Was this page helpful? Thanks for your feedback! Learn the best ways to manage stress and negativity in your life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit 11 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Smeets PAM, de Graaf C. Brain responses to anticipation and consumption of beer with and without alcohol. Chem Senses. 2019;44(1):51-60. doi:10.1093/chemse/bjy071 Mann K, Aubin HJ, Witkiewitz K. Reduced drinking in alcohol dependence treatment, what is the evidence?. Eur Addict Res. 2017;23(5):219–230. doi:10.1159/000481348 Edenberg HJ, Foroud T. Genetics and alcoholism. Nat Rev Gastroenterol Hepatol. 2013;10(8):487-94. doi: 10.1038/nrgastro.2013.86 Vasiljevic M, Couturier DL, Frings D, Moss AC, Albery IP, Marteau TM. Impact of lower strength alcohol labeling on consumption: a randomized controlled trial. Health Psychol. 2018;37(7):658–667. doi:10.1037/hea0000622 Galindo MN, Navarro JF, Cavas M. The influence of placebo effect on craving and cognitive performance in alcohol, caffeine, or nicotine consumers: a systematic review. Front Psychiatry. 2020;11:849. doi:10.3389/fpsyt.2020.00849 Stamates AL, Lau-Barraco C, Linden-Carmichael AN. Alcohol expectancies mediate the relationship between age of first intoxication and drinking outcomes in college binge drinkers. Subst Use Misuse. 2016;51(5):598–607. doi:10.3109/10826084.2015.1126745 National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Committee on Accelerating Progress to Reduce Alcohol-Impaired Driving Fatalities; Negussie Y, Geller A, Teutsch SM, eds. Getting to Zero Alcohol-Impaired Driving Fatalities: A Comprehensive Approach to a Persistent Problem. Washington (DC): National Academies Press (US); 2018. Desbrow B, Murray D, Leveritt M. Beer as a sports drink? Manipulating beer's ingredients to replace lost fluid. Int J Sport Nutr Exerc Metab. 2013;23(6):593–600. doi:10.1123/ijsnem.23.6.593 Chiva-Blanch G, Arranz S, Lamuela-Raventos RM, Estruch R. Effects of wine, alcohol and polyphenols on cardiovascular disease risk factors: evidences from human studies. Alcohol Alcohol. 2013;48(3):270–277. doi:10.1093/alcalc/agt007 U.S. Department of Agriculture and Department of Health and Human Services. Dietary Guidelines for Americans 2020-2025. Boniface S, Kneale J, Shelton N. Actual and perceived units of alcohol in a self‐defined “usual glass” of alcoholic drinks in England. Alcohol Clin Exp Res. 2013;37(6):978–983. doi:10.1111/acer.12046 Get Treatment for Addiction Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.