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HomeCancerAlcohol and Chemotherapy: Why They Don't Mix
Key Takeaways

A cocktail at a party, a glass of wine at the weekend, or a beer among friends — alcohol is an important part of life for many people. The question is whether it can be combined with chemotherapy. The short answer is no.

Why alcohol and chemotherapy are incompatible

But maybe just one glass of wine?

Avoiding alcohol during chemotherapy

Whether wine or spirits, all alcohol is ethanol. Ethanol is a substance that causes cancer. Acetaldehyde (formed in the body after drinking alcohol) is the most toxic alcohol metabolite — it disrupts DNA synthesis and repair,6 which further contributes to cancer growth. Statements like "a glass of wine is nothing" or "a shot of brandy is healthy" are not supported by the research.

So what to drink during chemotherapy, when others are drinking alcohol and "having fun"?

With cancer, especially in later stages, emotional state becomes no less important than the physical. People often look to alcohol as emotional support or a way to lift the mood, but in oncology alcohol is "digging the hole deeper." This does not mean you must isolate yourself — you can take full part in celebrations by choosing drinks that not only do no harm but actively help your body and mind. Bitter green tea is a "DNA repair tool"; herbal teas, mineral water, and freshly made vegetable juices are good alternatives. Concentrated mushroom-polysaccharide formulas support the immune system during treatment.

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Can you drink alcohol during chemotherapy?

No. Most chemotherapy drugs are broken down by the liver, as is alcohol, so combining them can cause inflammation, impair drug action and increase side effects. Alcohol also worsens mouth ulcers (mucositis) and nerve damage (neuropathy), and can react with pain, sleep and anti-nausea medications.

Is one glass of wine okay during chemotherapy?

All alcohol is ethanol, a cancer-causing substance. Its metabolite acetaldehyde disrupts DNA synthesis and repair, contributing to cancer growth. The research does not support claims that a small amount is harmless or healthy.

What can you drink instead during chemotherapy?

You can take full part in celebrations with drinks that help rather than harm: bitter green tea (studied as a DNA-repair support), herbal teas, mineral water, and freshly made vegetable juices.

Does alcohol affect chemotherapy-related neuropathy?

Yes. Alcohol damages nerves, and neuropathy after chemotherapy can become even worse with alcohol use.

References
  1. Alcoholic neuropathy: possible mechanisms and future treatment possibilities. PubMed
  2. Managing Peripheral Neuropathy. cancer.org
  3. Effects of acetaldehyde-induced DNA lesions on DNA metabolism. Genes and Environment
  4. There is no safe level of alcohol, new study confirms. WHO
  5. The effects of tea on psychophysiological stress responsivity and post-stress recovery: a randomised double-blind trial. PubMed
  1. Green tea effects on cognition, mood and human brain function: A systematic review. PubMed
  2. Effect of Green Tea Phytochemicals on Mood and Cognition. PubMed
  3. Green Tea, Coffee, and Caffeine Consumption Are Inversely Associated with Self-Report Lifetime Depression. PubMed
  4. Cognitive function and tea consumption in community dwelling older Chinese in Singapore. PubMed
  5. The science of tea’s mood-altering magic. Nature
  6. Targeting DNA Repair Endonuclease ERCC1-XPF with Green Tea Polyphenol EGCG to Enhance Cisplatin Efficacy in Cancer Cells. PubMed
  7. Biophysical Approach to Mechanisms of Cancer Prevention and Treatment with Green Tea Catechins. PubMed
  8. Digestive stability and absorption of green tea polyphenols: Influence of acid and xylitol addition. ScienceDirect
  9. Balbo S et al. Implications of acetaldehyde-derived DNA adducts for understanding alcohol-related carcinogenesis. Advances in experimental medicine and biology. 2015. PubMed
  10. Wang H et al. Efficacy of biological response modifier lentinan with chemotherapy for advanced cancer: a meta-analysis. Cancer medicine. 2017. PubMed
  11. Oba K et al. Efficacy of adjuvant immunochemotherapy with polysaccharide K for patients with curative resections of gastric cancer. Cancer immunology, immunotherapy : CII. 2007. PubMed
  12. Cheng SC et al. mTOR- and HIF-1α-mediated aerobic glycolysis as metabolic basis for trained immunity. Science (New York, N.Y.). 2014. PubMed
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