Can patients with hepatitis B drink alcohol?

May 28, 2025 Source: Cainiu Health
Disease description:

I am 32 years old and would like to know whether patients with hepatitis B can drink alcohol.

Doctor's answer (1)
Dr. Gao Jun

In general, patients with hepatitis B should not consume alcohol.

Hepatitis B is a liver disease caused by infection with the hepatitis B virus. Alcohol is primarily metabolized in the liver, and drinking can cause multiple types of liver damage in patients with hepatitis B, worsening the condition and increasing the risk of complications. Alcohol directly harms liver cells, leading to increased liver inflammation and fibrosis, and raising the risk of cirrhosis and liver cancer. The liver of a hepatitis B patient is already damaged by the viral infection, and alcohol consumption further aggravates this damage, causing the condition to deteriorate.

Treatment for hepatitis B typically includes antiviral medications and liver-protective drugs. Alcohol consumption may interfere with the metabolism and effectiveness of these medications, reducing treatment efficacy. Hepatitis B patients are already prone to complications such as cirrhosis and liver cancer, and alcohol intake further increases the risk of developing these complications. In addition, alcohol consumption may impair immune system function, making it easier for the hepatitis B virus to replicate and spread. Drinking may also increase the risk of other health problems such as cardiovascular disease and pancreatitis, and may increase the likelihood of injuries, violence, and traffic accidents after drinking.

To protect the liver, patients with hepatitis B should completely abstain from alcohol consumption. They should also follow medical advice for standardized antiviral treatment and regular follow-up monitoring to control disease progression and improve quality of life. Additionally, healthy lifestyle habits such as a balanced diet, moderate exercise, avoiding smoking and exposure to toxic substances can also help reduce the burden on the liver and promote liver health.