Alcohol consumption and hangover patterns among migraine sufferers
The response to alcohol varies from person to person, and there is no alcohol that absolutely will not cause a migraine or other headache. Most studies point to red wine as a common headache culprit, particularly in people with migraine. These individuals commonly cite wine, especially red wine, as a migraine trigger.
- Nausea (a feeling that you might vomit) or vomiting and sensitivity to bright light or sound are also widely reported migraine symptoms.
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If a cross-sectional study received seven or more positive answers, a case–control eight and a cohort study nine, ten or 11, their assessments were described as having a low risk of bias. A high risk of bias was reported when a cross-sectional study received five or fewer “yes” responses, a case–control fewer than six and a cohort study below seven. A moderate risk of bias was assigned when the paper received positive answers between mentioned ranges. The assessments were conducted by three researchers (BB, PN and MS1) separately, then the fourth author (MWP) compared this data and made a final decision.
Managing Alcohol and Migraine Symptoms

There was no association between alcohol intake and the probability of a migraine attack one day after the consumption of alcohol. Alcoholic drinks have compounds in addition to the alcohol (ethanol) itself that can trigger migraine attacks in some people. These are components like phenols, flavonoid radicals, histamine, sulfites, tyramine, and tannins, which all have the potential to be migraine triggers.
Recent studies show that alcohol acts as a trigger at least occasionally in a percentage similar to that of the previous studies (37%), but as a frequent/consistent trigger in only 10% of the patients 22,24. Curiously, in some countries, the percentages of alcohol or wine as migraine triggers were negligible, 6.1 25 and 1.4% 26, perhaps depending on the degree of alcohol habits. The concept of dietary migraine (migraine provoked by some foods such as cheese, chocolate, citrus fruit, alcoholic beverages) has been with us for more than 200 years, since Fothergill’s first description in 1778 1,2. However, despite the original paper of Hanington 3 and the vigorous literature that Sober living home follows, serious doubts exist as to whether the condition really exists as a clinical entity. Histamine, tannins, tyramine, flavonoid phenols, sulfites, and phenylethylamine are all found within alcoholic beverages and this also includes beer.
How to tell if alcohol triggers your migraine attacks
In brief, for each level of alcohol intake, we calculated the adjusted average risk per day of having a headache had everyone in the sample consumed that number of alcohol servings. We estimated average treatment effects as the average risk of having a headache had everyone consumed that number of alcohol servings on a given day minus the average risk of having a migraine on that day had everyone consumed no alcohol. A second explanation for the results presented in our meta-analysis might encompass a certain protective role of alcohol with regards to migraine. However, according to this idea, populations with higher migraine prevalence should have lower alcohol consumption. For example, due to religious requirements, people in Iran consume considerably less alcohol than Europeans 22, 84; nevertheless, migraine prevalence in Iran is 15.1% 85 while in Europe it is 35% 86. In Europe, alcohol consumption is higher than in Asian countries, but in Europe alcohol as a trigger is reported more frequently than it is in Asia 87.
Did you know that 20% of women say they avoid pregnancy because of migraine? While migraine thankfully does not affect fertility, it can complicate conversations about family planning and infertility treatments. Learn more about the relationship between migraine and family planning. It’s critical to have a support network of understanding people who can not only check in on you but also empathize with your experience. Then consider joining our Move Against Migraine support group on Facebook so you can connect with others who live with migraine. Brandy, red wine, and rum have the highest levels of congeners, while gin and vodka contain fewer of these chemicals.
International Patients
In the study by Hauge et al., 59% of patients reported that alcohol triggered a migraine attack within 1 h of exposure, but only 14% reported migraine headache the next day. To prevent attacks, 91% of patients in the group who experienced an alcohol-induced reaction stated that they did not drink any alcohol or avoided some types of alcohol 113. In conclusion, no significant association between alcohol consumption with migraine and tension headache was found in many studies 26, 28–30. Some common symptoms are a severe headache, vertigo attack or stroke like symptoms that can last for hours or even days. Migraine sufferers may also experience nausea, vomiting, and sensitivity to light and sound among other symptoms. To understand more about the symptoms experienced with migraine attacks, read our articles on vestibular migraine or different types of headaches.
It has been proposed that migraine patients with some food sensitivity may have a genetic deficiency of the enzyme responsible for breaking down tyramine. One study demonstrated migraine provocation after administration of 100 mg tyramine to patients with diet-induced migraine, but other studies have not confirmed this association 84. Furthermore, it has been shown that the tyramine content in both red and white wine is low 50. In various studies, alcohol was reported as a trigger for CH attacks by 37.3% 25 to 55.0% of patients 26.
What’s the Connection Between Alcohol and Migraines?
Baseline Characteristics, alcohol and migraines mean ± standard deviation or frequency (%) among 98 participants with episodic migraines followed for 6 weeksa. People who rely on nonsteroidal anti-inflammatory drugs (NSAIDs) to manage migraine pain should also be careful with alcohol. Drinking alcohol while taking NSAIDs can increase the risk of serious side effects, like gastrointestinal bleeding.
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Second, we may have missed useful studies indexed in other databases. Furthermore, potential bias may result from a lack of systematic rigor in the search methodology and the variety of article types included. Furthermore, comparison of studies is limited because some of them focused on one specific trigger, such as alcohol, whereas others assessed a variety of triggers, including alcohol.

If, after keeping track, you become convinced alcohol is the problem, then it’s now time to identify the symptoms. A common misconception is that overconsumption of alcohol is what triggers headaches. As many migraine sufferers can attest to, sometimes it just takes one glass of wine or even a sip. While having an alcoholic drink may not cause a headache in most people, studies have shown that alcohol can trigger migraines in about one-third of those who experience frequent headaches (17). Tracking your dietary intake through a detailed headache diary can help you identify exactly which specific drinks act as your personal migraine triggers. This data-driven approach empowers you to https://ecosoberhouse.com/ make highly informed choices about your social habits and long-term dietary restrictions for better health.
What Are the Main Differences Between Headaches and Migraines?
There is likely to be inter-individual variability in the susceptibility to alcohol-induced headaches, and individual risk may vary by genetics, hormones, or other factors that may interact with the risk of a headache. Further research is needed to examine the potential heterogeneity in risk and headache intensity across individuals and to assess how this risk may depend on the timing and amount of alcoholic beverage intake. Several types of headaches exist, with tension headaches being the most common. Cluster headaches are painful and happen in groups or “clusters,” while migraines are a moderate-to-severe type of headache.