Drinking alcohol during chemotherapy: Is it safe?

Persona rechazando una copa de vino tinto, simbolizando la recomendación de evitar el consumo de alcohol durante el tratamiento de quimioterapia

The latest European Union (EU) Cancer Prevention Committee has stressed the importance of reducing harmful alcohol consumption as part of its efforts to combat cancer. In the European Plan to Combat Cancer, a target is set to reduce harmful alcohol consumption by at least 10% by 2025.

In turn, he has recommended avoiding alcohol consumption to reduce the risk of developing cancer. The European Cancer Plan stresses that not consuming alcohol is one of the most effective ways of preventing various types of cancer.

Alcohol is a proven carcinogen and alcohol consumption increases the risk of breast, liver, head and neck, esophageal and colorectal cancer. In 2019, 4.4% of cancers diagnosed worldwide and 401,000 cancer deaths were attributed to alcohol consumption, according to World Health Organization (WHO) data.

In turn, alcohol consumption can interfere during cancer treatment and increase side effects.

 

What is chemotherapy and how does it affect the body?

Chemotherapy is a drug treatment with strong chemicals designed to destroy rapidly dividing cells. Chemotherapy is often used to treat cancer because cancer cells grow and multiply much faster than most cells in the body.

However, this therapy can also affect healthy cells that divide rapidly, such as those in the hair, skin, and lining of the digestive tract.

Common side effects of chemotherapy 

Chemotherapy can have a number of side effects. The most common are the following:

  • Nausea and vomiting. These symptoms can be quite uncomfortable, but there are medications that can help control them.
  • Fatigue. This is one of the most common side effects and can be very debilitating. It is important to rest and conserve energy.
  • Weakening of the immune system. Chemotherapy can reduce the number of white blood cells, increasing the risk of infections.
  • Damage to the tissues of the mouth and digestive tract. This can cause sores, pain and difficulty eating.
  • Changes in appetite and sense of taste. Patients may experience loss of appetite or changes in how they perceive tastes.

 

How does alcohol interact with chemotherapy ?

Alcohol consumption during chemotherapy is not recommended for several reasons.

Interaction with the liver

Alcohol can affect liver function, which can hinder the elimination of drugs and increase their toxicity since many chemotherapy drugs are metabolized in the liver. This in turn can increase side effects such as nausea, vomiting and diarrhea.

Weakening of the immune system

The mechanism of action of chemotherapy already weakens the immune system in itself, while alcohol consumption can worsen this situation, increasing the risk of infections.

Additional complications 

Increased side effects can lead to dehydration of the patient caused by nausea or diarrhea. Alcohol can also interfere with the action of chemotherapy drugs, reducing their efficacy.

 

Consequences of alcohol consumption on the patient’s general well-being

  • Increased anxiety and depression: alcohol may initially provide a feeling of relaxation, but in the long term may increase levels of anxiety and depression. This is because alcohol alters neurotransmitter levels in the brain, which can worsen emotional symptoms already present due to cancer diagnosis and treatment.
  • Interference with sleep: alcohol can affect the quality of sleep, which can lead to insomnia problems. Poor sleep can aggravate fatigue and emotional distress, making treatment management even more difficult.

 

Specialist recommendations 

Alcohol consumption has been found to be among the causes of more than 200 diseases, injuries and other health disorders. Therefore, specialists insist that its consumption is associated with the risk of non-communicable diseases, such as liver disease, heart disease and various types of cancer, as well as mental and behavioral health disorders, such as depression, anxiety and alcohol use disorders.

 

 

Although alcohol consumption is not recommended in any case, it is crucial to abstain from alcohol during chemotherapy treatment to minimize risks and side effects, and to ensure the effectiveness of the treatment. Following the indications of the medical team is fundamental for the success of the treatment and the well-being of the patient.

At IVOQA we have a team of nutritional prehabilitators and psycho-oncologists who can help you increase your quality of life during your cancer treatment. If you want more information you can request an appointment through our contact phone or email.

Dr. Rosa María Morera

Radiation Oncology

  • Specialist in Radiation Oncology.
  • Degree in Medicine and Surgery.  Faculty of Medicine, Complutense University of Madrid (2-8-1990).
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  • Expert with university micro-credential mention in Physics, Technology and Protontherapy. King Juan Carlos University.
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  • Master in Administration and Management of Health Services XXIV Edition (2013-2014). Pompeu Fabra University.
  • Doctoral Thesis Reading: ‘Radical thoracic irradiation and pulmonary functional study in patients with locally advanced non-small cell lung cancer. Systematic review and prospective case series’ . Qualification of outstanding ‘cum laude’.
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  • She is a researcher in numerous clinical trials, publishing several national and international scientific articles.

Dr. Jose María Oliver

Breast radiology

  • Breast radiologist and specialist in cryoblation of breast lesions in the IVOQA Breast Unit.
  • Degree in Medicine and Surgery from the University of Navarra (1983-1989). Specialisation via MIR in Radiology. Number 289.
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  • Head of the Breast Radiology Section at the Hospital Universitario La Paz.
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Dr. Jesús Cañete Gómez

General and Digestive Surgery. Oncological Surgery

  • Graduate in Medicine and Surgery from the University of Seville (2000- 2006).
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  • Training in transanal rectal cancer treatment (TAMIS and TaTME).
    Training in minimally invasive surgery at Jackson Memorial Hospital (Miami).
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  • Doctor of Medicine from the University of Seville (‘cum laude’).
  • Associate Professor at the University of Seville Founder of the surgical team Laparoscopic Surgery Seville – MISS (Minimally Invasive Surgical Solutions) – minimally invasive surgical techniques in scheduled and emergency surgery.
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Dr. Juan José Segura Sampedro

General and digestive surgery. Oncological Surgery

  • Degree in Medicine and Surgery from the University of Seville. 2003-2009.
  • Specialist in peritoneal carinomatosis.
  • Doctor of Medicine from the University of Seville (‘cum laude’).
  • Oncological Surgeon in the Section of Peritoneal, Retroperitoneal and Soft Parts Oncological Surgery, Department of General and Digestive System Surgery, Hospital Universitario La Paz, Madrid.
  • Associate Professor of Surgery, Faculty of Medicine, University of the Balearic Islands, Palma de Mallorca.
  • 3IP in the Research Group in Advanced Oncological Surgery, m-Health and Innovation in Surgical Technology, Institute for Health Research of the Balearic Islands (IdISBa), Palma de Mallorca.
  • He has written numerous publications in journals and books and is a member of the Spanish Society of Surgical Oncology (SEOQ), the Spanish Society of Coloproctology (AECP), the Spanish Association of Surgeons (AEC), the European Society of Oncological Surgery (ESSO) and the Spanish Group of Peritoneal Oncological Surgery (GECOP).

Pablo Soto

Specialist in sports training for oncology patients

  • Higher Degree in Dietetics (2020-2022)
  • Treatment and rehabilitation of cancer patients

Dr. Gonzalez Larriba

Medical oncology

  • Professor of Medical Oncology at the Complutense University of Madrid
  • Head of the Medical Oncology Section of the Hospital Clínico San Carlos in possession of the European Certificate in Oncology
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  • Master in Oncology Services Management by the University of Alcala de Henares
  • Visiting Professor of Oncology at the University of Palermo (Italy)
  • Multiple stays in international centres (Memorial Sloan Kettering Cancer Center, Gustave Roussy Institute, University of Lyon, Princess Margaret Hospital in Toronto, University of Pittsburgh)
  • Maximum recognition of the Professional Career by the Regional Ministry of Health of the Community of Madrid
  • Director of the Master’s Degree in Genitourinary Tumours at the Complutense University of Madrid
  • Founder and member of the Board of Directors of the Spanish Lung Cancer Group, Spanish Genitourinary Tumour Group and Spanish Melanoma Group
  • Member of the Board of Directors of the Spanish Society of Medical Oncology
  • Miembro de la European Society of Medical Oncology, American Society of Clinical Oncology, International Association for the Study od Lung Cancer, etc.
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Francisco Flores

Physiotherapy

  • Graduate in physiotherapy. UEM.
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  • ROVIRA i VIRGILI.
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  • MASTER Specialist in Biomechanical Analysis, Intervention and Treatment “Check yourMOtion”.
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Dr. Javier Heras Aznar

BREAST UNIT

  • Graduate in Medicine and Surgery from Universidad Autonoma de Madrid 1992.
  • Specialist via MIR in Family Medicine at Hospital Universitario Ramón y Cajal 1994-1996.
  • Specialist via MIR in OBSTETRICS AND GYNECOLOGY at Hospital Universitario Santa Cristina in Madrid 1997-2001.
  • Specialized in the last 27 years in Gynecological Oncology and Breast Pathology, both malignant and benign, with experience in Oncoplastic Surgery.
  • Specialization Course in Oncoplastic Breast Surgery 2015.
  • Coordinator of the Breast Unit and the Breast Tumors and Gynecology Oncology Committee in Hospital Universitario Infanta Sofía.
  • Main Author of the Breast Unit Accreditation Project (Hospital Universitario Infanta Sofía) 2019-2020.

Dr. Beatriz García-Conde

DIGESTIVE SYSTEM MEDICINE

  • Graduate in Medicine and Surgery.
  • MIR specialisation in Digestive System Medicine, Puerta de Hierro University Hospital in Majadahonda. Currently working at the 12 de Octubre University Hospital.
  • Specialist in capsule endoscopy and in diagnostic and therapeutic endoscopy: chromoendoscopy, colon cancer screening, digestive dilatations, PEG placement, endoluminal vacuum therapy (fistulas/leaks), polypectomy/mucosectomy.
  • She also a general digestive consultant with a Master’s Degree in Neurogastroenterology.

Dr. Micaela Riat Castro Zocchi

DIGESTIVE SYSTEM MEDICINE

  • Graduate in Medicine and Surgery.
  • MIR specialisation in Digestive System Medicine, Princesa Hospital (Madrid).
  • Clinical consultation. Diagnostic and therapeutic endoscopy: Chromoendoscopy, Colon Cancer Screening, Placement of digestive prosthesis (oesophagus, colon), Digestive dilatations, PEG Placement, Endoluminal Vacuum Therapy (fistulas/leaks), Polypectomy/mucosectomy. Experience in Bariatric Endoscopy: Intragastric balloon.

Dr. Diana Fresneda Cuesta

DIGESTIVE SYSTEM MEDICINE

  • Graduate in Medicine and Surgery.
  • MIR specialisation in Digestive System Medicine, Jiménez Díaz Foundation. (Madrid)
  • Clinical consultation. Specialist in Endoscopic Capsule and in Diagnostic and Therapeutic Endoscopy: Chromoendoscopy, Colon Cancer Screening, Ligation of Oesophagus Varices, Placement of digestive prosthesis (oesophagus, colon), Digestive dilatations, PEG Placement, Endoluminal Vacuum Therapy (fistulas/leaks), Polypectomy/mucosectomy. Experience in bariatric endoscopy: intragastric balloon, POSE method and Endo-sleeve with POSE system, etc.

Dr. Teresa Valdés Lacasa

DIGESTIVE SYSTEM MEDICINE

  • Graduate in Medicine and Surgery
  • MIR specialisation in Digestive System Medicine, 12 de Octubre University Hospital (Madrid). Advanced Endoscopy Fellowship (ERCP and digestive prostheses) at Ninewells Hospital (United Kingdom). 2020-2021.
  • Clinical consultation and abdominal ultrasound.
  • Specialist in pancreatico-biliary conditions and therapeutic endoscopy: ERCP, placement of digestive prostheses (oesophagus, duodenum, colon, biliary), digestive dilatations, placement of PEGs, endoluminal vacuum therapy (fistulas/leaks), polypectomy/mucosectomy.

Dr. Andrés J. del Pozo García, MD. PhD.

DUAL SPECIALISATION IN DIGESTIVE SYSTEM MEDICINE / FAMILY AND COMMUNITY MEDICINE

  • Graduate in Medicine and Surgery.
  • Dual specialised training (MIR) at the Princesa University Hospital (Madrid).
  • Specialist in Digestive System Medicine and Specialised in Family and Community Medicine
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Dr. José María Abadal Villayandre

SPECIALIST IN VASCULAR INTERVENTIONAL RADIOLOGY

  • Graduate in Medicine and Surgery from Navarra University.
  • MIR specialisation in Radiology, Radiodiagnosis at Gregorio Marañón University Hospital.
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  • European Board Interventional Radiology (EBIR) Health Sciences) at Alfonso X el Sabio University. 2010-2014.
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  • Scientific and research activity with numerous publications and research studies.
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Belén Pérez Peiro. Psychologist

SPECIALIST IN PSYCHO-ONCOLOGY

  • Graduate in Psychology
  • Clinical psychologist, Gregorio Marañón University General Hospital, Psycho-oncology, Gynaecological Psychology, Neuropsychology, Detoxification and Out-patient Hospital, inflammatory bowel disease and teenagers.
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  • Expert qualification in Psychosomatic Medicine and Health Psychology.
  • Expert qualification in Psychopathology and Psychiatry from the Spanish Society of Psychosomatic Medicine and Medical Psychology.
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Dr. Ana María Moreno

SPECIALIST IN INTERNAL MEDICINE AND NUTRITIONAL PREHABILITATION

  • Graduate in Medicine and Surgery. 1986– 1992.
  • Extraordinary Graduation Award. 1992.
  • MIR specialisation in Internal Medicine. Number 283.
  • Master’s Degree in Palliative Care from Valladolid University. 2011.
  • University Master’s Degree in Advanced Chronic Nursing and palliative care from Antonio de Nebrija University. 2017.
  • PhD Courses 1993.
  • Extensive professional career in many renowned hospitals.
  • Head of Internal Medicine Services at Viamed Santa Elena (Madrid). September 2021 – Present.
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  • Numerous publications and papers. Participation in courses and seminars.