Guidelines for Cancer Patients Fasting During Ramadan Released by UAE Oncology Society
The Emirates Oncology Society has introduced specific guidelines to help cancer patients make informed decisions about fasting during Ramadan. Professor Humaid Bin Harmal Al-Shamsi, President of the Emirates Oncology Society and Oncology Professor at the University of Sharjah, emphasized that each patient’s condition is unique, making a personalized approach essential.
Assessing Fasting Feasibility
Professor Al-Shamsi stated that the decision to fast should be made in consultation with an attending physician. If fasting is likely to cause discomfort or adverse health effects, patients are advised to refrain from it for their well-being.
Intravenous chemotherapy patients are exempt from fasting as IV fluids invalidate the fast. However, they may fast on non-treatment days. Special anti-nausea patches, lasting up to a week, can also be used as an alternative to oral medications post-chemotherapy.
Fasting with Different Cancer Treatments
Patients undergoing targeted or hormonal therapies through subcutaneous or intramuscular injections can safely fast since these treatments do not break the fast. Those on oral targeted therapies or "smart" drugs may fast by adjusting their medication schedule to after Iftar. However, some medications require specific timing, making it essential to consult a physician or oncology pharmacist.
For patients on twice-daily oral medication, a minimum 9-10 hour interval between doses is necessary. If this is not feasible, a physician should be consulted to determine fasting eligibility.
Hydration and Nutrition for Cancer Patients
Hydration is crucial for cancer patients observing Ramadan, with a recommended fluid intake of 1.5 to 2 liters between Iftar and Suhoor. A balanced diet rich in proteins, vegetables, and fish while limiting sugars and refined carbohydrates is also advised.
Professor Al-Shamsi dispelled the misconception that avoiding sugar and protein "kills" cancer cells, emphasizing that cancer patients require higher protein intake. While reducing sugar can be beneficial as part of a healthy lifestyle, it should not be based on unverified claims.
Patients with gastrointestinal cancers should avoid spicy or heavy foods to prevent digestive discomfort during fasting.
Impact of Fasting on Cancer Treatments
The effects of fasting vary depending on treatment type. Patients undergoing mild radiotherapy for a short duration can generally fast without issues. However, those receiving intensive radiotherapy over several weeks may initially fast but could experience dehydration and fatigue, making fasting inadvisable in later stages.
Patients recovering from major cancer surgeries should avoid fasting, as they require intravenous medications and sufficient nutrition for recovery.
Psychological and Family Support
Professor Al-Shamsi highlighted the psychological benefits of fasting, such as improved mental resilience and well-being. He advised families to respect a patient’s decision to fast if their doctor has approved it.
In some cases, families may discourage fasting, creating unnecessary psychological pressure. Cancer patients are encouraged to maintain a positive social environment, avoid stressors, and steer clear of misleading information on social media.
Key Guidelines for Cancer Patients Considering Fasting
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Intravenous Chemotherapy Patients – Exempt from fasting due to IV fluid use, but may fast on non-treatment days using anti-nausea patches instead of oral medication.
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Targeted or Hormonal Therapy Patients – Subcutaneous or intramuscular injections do not break the fast, allowing patients to fast safely.
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Oral Medication Users – May fast by adjusting medication intake to after Iftar, ensuring proper spacing of doses. Consultation with a physician is recommended if medications require more frequent intake.
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Hydration & Nutrition – Maintain a balanced diet and sufficient fluid intake to prevent dehydration and nutritional deficiencies.
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Radiotherapy Patients – Those undergoing mild radiotherapy may fast, but those receiving intensive treatments should assess fasting feasibility as side effects develop.
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Post-Surgical Patients – Strongly advised against fasting to ensure proper recovery and medication adherence.
By following these guidelines, cancer patients can make informed decisions about fasting during Ramadan while prioritizing their health and well-being.
