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Alcohol inhalation is a method of administering
alcohol Alcohol most commonly refers to: * Alcohol (chemistry), an organic compound in which a hydroxyl group is bound to a carbon atom * Alcohol (drug), an intoxicant found in alcoholic drinks Alcohol may also refer to: Chemicals * Ethanol, one of sev ...
(also known as
ethanol Ethanol (abbr. EtOH; also called ethyl alcohol, grain alcohol, drinking alcohol, or simply alcohol) is an organic compound. It is an alcohol with the chemical formula . Its formula can be also written as or (an ethyl group linked to a ...
) directly into the respiratory system, with aid of a
vaporizing Vaporization (or vaporisation) of an element or compound is a phase transition from the liquid phase to vapor. There are two types of vaporization: evaporation and boiling. Evaporation is a surface phenomenon, whereas boiling is a bulk phenome ...
or nebulizing device. It is chiefly applied for
recreational use Recreational drug use indicates the use of one or more psychoactive drugs to induce an altered state of consciousness either for pleasure or for some other casual purpose or pastime by modifying the perceptions and emotions of the user. When a ...
, when it is also referred to as alcohol smoking, but it has medical applications for testing on
laboratory rats A laboratory rat or lab rat is a brown rat of the subspecies '' Rattus norvegicus domestica'' which is bred and kept for scientific research. While less commonly used for research than mice (see laboratory mouse), rats have served as an importa ...
, and treatment of
pulmonary edema Pulmonary edema, also known as pulmonary congestion, is excessive liquid accumulation in the tissue and air spaces (usually alveoli) of the lungs. It leads to impaired gas exchange and may cause hypoxemia and respiratory failure. It is due ...
and viral pneumonia. Depending on precise definition of ''alcohol'', ''botanical alcohol inhalation'' can be a subgenre of
aromatherapy Aromatherapy is based on the usage of aromatic materials including essential oils and other aroma compounds, with claims for improving psychological and physical well-being. It is offered as a complementary therapy or as a form of alternative ...
.


Recreational use

To inhale alcohol, it must be first converted from liquid into gaseous state (vapor) or
aerosol An aerosol is a suspension of fine solid particles or liquid droplets in air or another gas. Aerosols can be natural or anthropogenic. Examples of natural aerosols are fog or mist, dust, forest exudates, and geyser steam. Examples of anthropogen ...
(mist). For recreational use, a variety of methods have been invented. Alcohol can be vaporized by pouring it over
dry ice Dry ice is the solid form of carbon dioxide. It is commonly used for temporary refrigeration as CO2 does not have a liquid state at normal atmospheric pressure and sublimates directly from the solid state to the gas state. It is used primarily ...
in a narrow container and inhaling with a straw. Another method is to pour alcohol in a corked bottle with a pipe, and then use a bicycle pump to make a
spray Spray or spraying commonly refer to: * Spray (liquid drop) ** Aerosol spray ** Blood spray ** Hair spray ** Nasal spray ** Pepper spray ** PAVA spray ** Road spray or tire spray, road debris kicked up from a vehicle tire ** Sea spray, refers to ...
. Alcohol can be vaporized using a simple container and open-flame heater. Medical devices such as asthma nebulizers and inhalers were also reported as means of application. The practice gained popularity in 2004, with marketing of the device dubbed AWOL (Alcohol without liquid), a play on the military term
AWOL Desertion is the abandonment of a military duty or post without permission (a pass, liberty or leave) and is done with the intention of not returning. This contrasts with unauthorized absence (UA) or absence without leave (AWOL ), which ...
(Absent Without Leave). AWOL, created by British businessman Dominic Simler, was first introduced in Asia and Europe, and then in United States in August 2004. AWOL was used by nightclubs, at gatherings and parties, and it garnered attraction as a
novelty Novelty (derived from Latin word ''novus'' for "new") is the quality of being new, or following from that, of being striking, original or unusual. Novelty may be the shared experience of a new cultural phenomenon or the subjective perception of an ...
, as people 'enjoyed passing it around in a group'. AWOL was gimmicked as an alcohol "vaporizer", implying that it would heat the liquid until it entered a gaseous state, but is in fact a
nebulizer In medicine, a nebulizer (American English) or nebuliser (British English) is a drug delivery device used to administer medication in the form of a mist inhaled into the lungs. Nebulizers are commonly used for the treatment of asthma, cystic fibro ...
, a machine that agitates the liquid into an
aerosol An aerosol is a suspension of fine solid particles or liquid droplets in air or another gas. Aerosols can be natural or anthropogenic. Examples of natural aerosols are fog or mist, dust, forest exudates, and geyser steam. Examples of anthropogen ...
. AWOL's official website states that "AWOL and AWOL 1 are powered by ''Electrical Air Compressors'' while AWOL 2 and AWOL 3 are powered by ''electrical oxygen generators''", which refer to a couple of mechanisms used by the nebulizer drug delivery device for inhalation. Although the AWOL machine is marketed as having no downsides, such as the lack of calories or hangovers, Amanda Shaffer of ''
Slate Slate is a fine-grained, foliated, homogeneous metamorphic rock derived from an original shale-type sedimentary rock composed of clay or volcanic ash through low-grade regional metamorphism. It is the finest grained foliated metamorphic rock. ...
'' describes these claims as "dubious at best". Although inhaled alcohol does reduce the caloric content, the savings are minimal. After expressed safety and health concerns, sale or use of AWOL machines was
banned A ban is a formal or informal prohibition of something. Bans are formed for the prohibition of activities within a certain political territory. Some bans in commerce are referred to as embargoes. ''Ban'' is also used as a verb similar in meaning ...
in a number of American states. The AWOL device was later followed by new products for alcohol inhalation, such as "Vaportini", created in 2009, which uses simple thermal vaporization.


Effects and health concerns

There are occupational health and safety risks of inhaling alcohol vapor and mists. Inhalation devices make it "substantially easier to overdose on alcohol" than drinking, because the alcohol bypasses the stomach and liver and goes directly into the bloodstream, and because the user does not have a reliable way of determining how much alcohol they have taken in. Inhaled alcohol cannot be purged from the body by vomiting, which is the body's main protection against alcohol poisoning. Inhaled alcohol can dry out nasal passages and make them more susceptible to infection. There is also a potential increased risk of addiction.


Medical applications

Inhalation of vapor obtained by nebulization of water and ethanol in oxygen has been used in treatment of
pulmonary edema Pulmonary edema, also known as pulmonary congestion, is excessive liquid accumulation in the tissue and air spaces (usually alveoli) of the lungs. It leads to impaired gas exchange and may cause hypoxemia and respiratory failure. It is due ...
in humans. Alcohol vapor acts as an anti-foaming agent in the lungs, so the
sputum Sputum is mucus that is coughed up from the lower airways (the trachea and bronchi). In medicine, sputum samples are usually used for a naked eye examination, microbiological investigation of respiratory infections and cytological investigatio ...
becomes more liquid, and can be easily expelled. The method has also been used to reduce the
alcohol withdrawal Alcohol withdrawal syndrome (AWS) is a set of symptoms that can occur following a reduction in alcohol use after a period of excessive use. Symptoms typically include anxiety, shakiness, sweating, vomiting, fast heart rate, and a mild fever. M ...
syndrome in patients who had intestinal tract surgeries.


Regulation

In the United States, many state legislatures have banned alcohol inhalation machines. Support for such legislation comes from groups fighting underage drinking and
drunk driving Drunk driving (or drink-driving in British English) is the act of driving under the influence of alcohol. A small increase in the blood alcohol content increases the relative risk of a motor vehicle crash. In the United States, alcohol is i ...
, including alcohol companies such as
Diageo Diageo plc () is a multinational alcoholic beverage company, with its headquarters in London, England. It operates from 132 sites around the world. It was the world's largest distiller before being overtaken by Kweichow Moutai of China in 201 ...
and industry groups such as the Distilled Spirits Council of the United States (DISCUS).


See also

*
Alcohol enema An alcohol enema, also known colloquially as butt-chugging or boofing, is the act of introducing alcohol into the rectum and colon via the anus, i.e., as an enema. This method of alcohol consumption can be dangerous and even deadly because it lead ...
* * *
Vodka eyeballing Vodka eyeballing is the practice of consuming vodkas by pouring it into the eye sockets, where it is absorbed through the mucous membranes of the region into the bloodstream. Reports of this practice as a new fad surfaced in the media beginning i ...


References


Further reading

* Campbell, Lynn. Opposition mounts to alcohol inhalers. ''Des Moines Register'', February 21, 2005. * Currier, Joel. Lawmakers take sober view of vaporized-alcohol machine. ''St. Louis Post-Dispatch'', February 20, 2005. * Diageo. Diageo Supports Ban on “Alcohol Without Liquid” (AWOL) Machine. Diageo press release, January 26, 2005. * Kliner, Kate. Liquor minus liquid: Why a new way of consuming alcohol may never make it to Tempe. ''Arizona State University Devil'', February 10, 2005. * Monticelli, Sergio. Corn craze: Ethanol huffing sweeps Stanford. ''Stanford Daily'', March 7, 2016. *
AWOL - inhaling alcoholgizmag

Brazilian Journal of Medical and Biological Research - Can calories from ethanol contribute to body weight preservation by malnourished rats?


{{Alcohol and health Alcohol Drug paraphernalia Inhalants