The spins (as in having "the spins")[1] is an adverse reaction of intoxication that causes a state of vertigo and nausea,[2] causing one to feel as if "spinning out of control",[3] especially when lying down. It is most commonly associated with drunkenness[4] or mixing alcohol with other psychoactive drugs[5] such as cannabis. This state is likely to cause vomiting,[6] but having "the spins" is not life-threatening unless pulmonary aspiration occurs.[2]