Can I drink alcohol even though I have ALS?

Alcohol consumption (even in the presence of an alcohol use disorder) is not associated with an increased risk of ALS. Alcohol can still be consumed even after an ALS diagnosis—without any apparent risk of exacerbating the progression of ALS. Therefore, “abstinence” from alcohol is not recommended in the context of ALS. Drinking (beer, wine, and other alcoholic beverages) is an important source of enjoyment for many people and an integral part of celebrations and social events.

Daily alcohol consumption (especially beer and wine) can also be part of everyday eating and drinking habits. To maintain one’s desired lifestyle and enjoyment of life, alcohol consumption may continue. However, it is important to note that alcohol consumption may exacerbate ALS-related speech disorders (dysarthria). Once blood alcohol levels decrease, the speech disorder subsides again. Additional risks include an increased risk of falls (due to ALS-related weakness or spasticity in the leg or trunk muscles).

The risks associated with a temporary worsening of speech or gait disturbances must be weighed against the individual’s enjoyment of the experience. Furthermore, appropriate precautions (such as assistance with standing up and walking, or the proactive use of assistive devices) should be planned for after alcohol consumption.