Is Frequent Use of Alcohol Spray Harmful to Your Health? - Family Medicine

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Regarding the use of spray alcohol?


Hello doctor, since the pandemic started last year, I have been frequently using alcohol spray products.
A few days ago, I heard someone say that excessive inhalation could have negative effects on the body, and it made me a bit uneasy.
I would like to ask the doctor if this is true.
Thank you for taking the time to respond.

jam, 20~29 year old female. Ask Date: 2021/03/28

Dr. Xiao Yongxun reply Family Medicine


Dear Mr.
Jam:
1.
During the COVID-19 pandemic, most people used 75% alcohol spray; to date, there have been no reports of bodily harm.
In clinical medicine, there have also been no reported cases or publications indicating harm.
2.
Theoretically, alcohol spray disperses and evaporates in the air, with some being inhaled through the nostrils, nasopharynx, oropharynx, trachea, bronchi, and alveoli into the human body.
It then enters the bloodstream through the exchange in the alveoli and microcapillaries; this process must pass through many barriers.
Moreover, the human body possesses alcohol dehydrogenase, which can metabolize alcohol; therefore, it should be safe.
Unless someone deliberately and continuously inhales alcohol spray for an extended period, that would be a different scenario.
3.
If you have further questions, please discuss them with your family physician.

Reply Date: 2021/03/28

More Info


The concern regarding the frequent use of alcohol sprays, particularly in the context of the COVID-19 pandemic, is quite valid. Many individuals have turned to alcohol-based sanitizers and sprays as a primary means of disinfecting surfaces and maintaining personal hygiene. However, there are important considerations regarding the potential health impacts of inhaling alcohol vapors from these products.

Firstly, it is essential to understand that alcohol-based sanitizers typically contain a concentration of around 60-75% ethanol or isopropyl alcohol. These concentrations are effective for killing viruses and bacteria on surfaces and skin. When used as directed—applying to hands and allowing it to dry—these products are generally considered safe for most individuals. However, the concern arises when these products are used excessively or inappropriately, particularly in ways that lead to inhalation of the vapors.

Inhalation of alcohol vapors can potentially lead to respiratory irritation. The respiratory system is sensitive to various chemicals, and while occasional exposure to alcohol vapors is unlikely to cause significant harm, prolonged or excessive inhalation could lead to symptoms such as coughing, throat irritation, or even dizziness. This is particularly true for individuals with pre-existing respiratory conditions, such as asthma or chronic obstructive pulmonary disease (COPD), who may be more susceptible to the irritant effects of inhaled substances.

Moreover, the body has mechanisms to metabolize alcohol, primarily through the liver, where enzymes like alcohol dehydrogenase convert ethanol into acetaldehyde, a toxic compound that is further metabolized into less harmful substances. However, the inhalation of alcohol does not follow the same metabolic pathway as ingestion, and the effects can vary based on the amount inhaled and individual sensitivity.

It is also important to note that while there have been no widespread reports of harm from the use of alcohol sprays during the pandemic, the potential for adverse effects increases with the frequency and volume of exposure. If someone is using alcohol sprays in a confined space or in a manner that leads to significant inhalation, it could pose a risk.

To mitigate any potential risks, it is advisable to use alcohol sprays in well-ventilated areas and to follow the manufacturer's instructions carefully. Avoiding direct inhalation of the spray and allowing it to dry completely before entering the area can help reduce exposure to vapors. If you experience any adverse symptoms, such as persistent coughing or difficulty breathing, it is important to seek medical advice.

In summary, while the occasional use of alcohol sprays is generally safe and effective for disinfection, excessive or improper use—especially in a manner that leads to inhalation—can pose health risks. It is always best to use these products judiciously and to consult with a healthcare professional if you have specific concerns or pre-existing health conditions.

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