Alcohol consumption is a common aspect of social gatherings and relaxation for many people; however, for individuals who suffer from migraines, choosing what to drink can significantly impact their well-being. Migraines, characterized by severe headaches often accompanied by nausea, sensitivity to light, and throbbing pain, can be triggered by various factors, including alcoholic beverages.

Therefore, selecting the right drink is paramount for migraine sufferers, as it can potentially help minimize the risk of migraine attacks and allow them to enjoy the social and recreational aspects of alcohol responsibly. In this context, understanding the relationship between alcohol and migraines, as well as making informed choices, becomes essential to strike a balance between enjoying the occasional drink and maintaining one’s health and well-being.
The best alcohol for migraine sufferers to drink to avoid headaches and an alcohol hangover
Migraine headache triggers can vary from person to person, and what works for one individual may not work for another. Alcohol is a known migraine trigger for some people due to its vasodilatory effects and the presence of certain compounds like histamines and tannins in various alcoholic beverages. However, if you’re looking to minimize the risk of triggering a migraine, here are some general guidelines:
- Clear Spirits: Clear spirits like vodka, gin, and white rum tend to have fewer impurities and lower levels of histamines and tannins, making them less likely to trigger migraines compared to darker spirits.
- Moderation: Consuming alcohol in moderation is key. Overindulging can lead to dehydration and increased blood vessel dilation, both of which can trigger migraines.
- Hydration: Drinking plenty of water alongside your alcoholic beverage can help counteract the dehydrating effects of alcohol, which can be a migraine trigger.
- Low-Sulfite Wines: If you enjoy wine, choose low-sulfite wines. Red wines and certain white wines can be high in sulfites, which can be a migraine trigger for some people. Look for wines labeled as “sulfite-free” or “low-sulfite.”
- Avoid High-Histamine Beverages: Some alcoholic drinks, like red wine, champagne, and beer, have higher levels of histamines. These histamines can contribute to migraine attacks in some individuals. Opt for lower histamine options if you’re sensitive to this compound.
- Mixers: Be mindful of the mixers you use. Sugary or caffeine-containing mixers, like cola or energy drinks, can also trigger migraines in some people. Consider using non-caffeinated and low-sugar mixers.
- Beer Choices: If you enjoy beer, consider trying lighter beers like pilsners and lagers instead of heavier, maltier beers like stouts and porters, which may be more likely to trigger migraines.
- Cocktails: Homemade cocktails give you more control over the ingredients. You can experiment with ingredients that are less likely to trigger migraines.
- Pay Attention to Your Triggers: Keep a migraine diary to track which alcoholic beverages, if any, trigger your migraines. This will help you identify specific triggers and make more informed choices.
It’s important to remember that individual tolerance varies, and what works for one person may not work for another.
What cocktails should a migraine sufferer order?
Migraine sufferers should exercise caution when choosing cocktails, as certain ingredients and alcoholic beverages may be more likely to trigger headaches. Here’s a list of 10 cocktails that are generally considered to be lower risk for migraine sufferers, but individual sensitivities can vary, so it’s essential to be aware of your specific triggers:
- Vodka Soda: A simple and safe choice, vodka mixed with soda water is low in histamines and tannins, which can be migraine triggers.
- Mojito: Made with white rum, fresh mint, lime, and soda water, this cocktail is generally lighter and less likely to trigger migraines.
- Tequila Sunrise: Tequila, orange juice, and grenadine make up this fruity cocktail, which avoids some of the common migraine triggers found in other drinks.
- Gin and Tonic: This classic cocktail, made with gin and tonic water, can be a good choice for migraine sufferers, but be mindful of the quinine in tonic water, which can be a trigger for some.
- Paloma: Tequila, grapefruit juice, and soda, the Paloma is a refreshing and tangy option that is less likely to trigger migraines than some other cocktails.
- Rum Punch: A well-balanced rum punch with fruit juices can be a flavorful and lower-risk option for those with migraines.
- Tom Collins: This cocktail combines gin, lemon juice, simple syrup, and soda water, making it a lighter and potentially safer choice.
- Whiskey Sour: Made with whiskey, fresh lemon juice, and a touch of simple syrup, this cocktail avoids some of the common migraine triggers found in darker spirits.
- Cucumber Cooler: Gin, muddled cucumber, lime, and soda water make this cocktail a refreshing and lower-risk option.
- Prosecco with a Splash of Fruit Juice: A glass of Prosecco (a sparkling wine) with a small amount of your favorite fruit juice can be a light and enjoyable alternative to cocktails with more complex ingredients.
It’s important to remember that moderation is key. Even with these potentially safer cocktail choices, overindulgence can still lead to dehydration and other factors that trigger migraines.
What causes a migraine?
Migraines are a complex neurological disorder whose exact cause is not fully understood. However, they are believed to involve a combination of genetic, environmental, and neurological factors. Here are some of the key factors that contribute to the development of migraines:
- Genetic Predisposition: Migraines often run in families, suggesting a strong genetic component. If you have a family history of migraines, you may be more susceptible to developing them.
- Neurological Abnormalities: Migraines are thought to involve changes in the brain’s neurological processes. The brain’s blood vessels may constrict and then expand, triggering pain and other migraine symptoms. This is often referred to as the “vascular theory” of migraines.
- Triggers: Various factors can trigger migraines in susceptible individuals. Common triggers include certain foods (e.g., aged cheeses, chocolate, processed meats), alcohol, caffeine, stress, hormonal changes, changes in sleep patterns, environmental factors (e.g., strong odors, bright lights), and weather changes.
- Hormonal Changes: Many women experience migraines associated with hormonal fluctuations, such as during the menstrual cycle, pregnancy, or menopause. Some women experience relief from migraines during pregnancy, while others may have increased migraine frequency.
- Serotonin Imbalance: Serotonin, a neurotransmitter, plays a role in regulating pain and mood. Imbalances in serotonin levels can contribute to migraines.
- Cortical Spreading Depression occurs in the brain during a migraine attack. It involves a slow wave of electrical activity moving across the brain, which can cause changes in blood flow and lead to migraine symptoms.
- Central Sensitization: Migraine sufferers may have a lower threshold for pain and sensory stimuli, leading to heightened sensitivity to various sensory inputs during a migraine attack.
- Inflammation: Some researchers believe inflammation in the blood vessels and surrounding tissues may contribute to migraine attacks.
Migraine triggers and symptoms can vary from person to person, and understanding one’s specific triggers and seeking professional medical advice is crucial for effective management and treatment of migraines.

The best wine to choose as a migraine sufferer:
If you’re a migraine sufferer and you’d like to enjoy a glass of wine without triggering a migraine, there are some general guidelines to follow when selecting a wine:
- Low-Sulfite Wines: Some people are sensitive to sulfites, which are naturally occurring compounds in wine and are also added as preservatives. High-sulfite wines can be a migraine trigger for some individuals. To reduce the risk, look for “sulfite-free” or “low-sulfite” wines.
- White Wines: White wines generally tend to have lower levels of histamines than red wines, and histamines are a potential migraine trigger for some people.
- Dry Wines: Dry wines typically have less sugar than sweet or off-dry wines. The high sugar content can contribute to some individuals’ migraines, so opt for drier wine varieties.
- Low Alcohol Content: Low alcohol content may be less likely to trigger migraines, so consider wines with alcohol by volume (ABV) in the 11-13% range.
- Lighter Varietals: Lighter wine varietals like Pinot Grigio, Sauvignon Blanc, and Chardonnay may be better options for migraine sufferers compared to heavier and more tannic varietals like Cabernet Sauvignon or Merlot.
- Organic and Biodynamic Wines: Some people find that organic or biodynamic wines, produced with fewer additives and chemicals, are easier on their system and less likely to trigger migraines.
- Moderation: Consuming wine in moderation is crucial. Overindulging can lead to dehydration and an increased risk of migraines.
To find the best wine for your needs, consider keeping a migraine diary to track which wines trigger your migraines. This will help you identify specific triggers and make more informed choices.

Why is it important to keep a migraine diary?
Keeping a migraine diary for people who suffer from headache disorders, also known as a headache diary, can be a valuable tool for individuals who experience migraines. Here are several reasons why it’s crucial to maintain a migraine diary:
- Identify Triggers: A migraine diary can help you identify potential triggers (including food triggers like artificial sweeteners) or patterns contributing to your migraine attacks. You may discover specific triggers that you can avoid or mitigate by tracking various factors such as food, beverages, stress, sleep, and environmental conditions.
- Personalized Understanding: Migraines can be highly individualized, and what triggers a migraine in one person may not affect another. Keeping a diary lets you understand your unique migraine patterns and how they relate to your lifestyle and environment.
- Treatment Efficacy: If you’re undergoing treatment for your migraines, a diary can help you and your healthcare provider assess the effectiveness of different therapies. You can track the frequency, severity, and duration of your migraines over time, allowing you to make informed decisions about your treatment plan.
- Medication Management: A diary can help you track your medication use and its effects if you use medications to treat your migraines. This can help you avoid overuse of certain medications, leading to medication overuse headaches.
- Communication with Healthcare Providers: A detailed migraine diary can provide crucial information when you consult a healthcare provider or neurologist for migraine management. It can help your healthcare provider diagnose more accurately and recommend the most appropriate treatment strategies.
- Lifestyle Changes: A migraine diary can highlight lifestyle factors that may contribute to your migraine attacks. Armed with this information, you can make proactive changes to your routine to reduce the frequency and severity of migraines.
- Better Self-Care: Understanding your migraine triggers can empower you to practice self-care. By avoiding or minimizing known triggers, you can work to prevent future migraines.
- Stress Reduction: Tracking your migraines can also help you identify stress-related or emotional-related patterns. This information can prompt you to adopt stress reduction techniques and better manage emotional triggers.
- Future Prevention: Over time, you can develop a comprehensive understanding of your condition as you accumulate data in your migraine diary. This knowledge can help you take steps to prevent future migraine attacks.
- Research and Education: For those interested in migraine research or participating in clinical trials, a migraine diary can provide valuable data and contribute to a better understanding of the condition.
To maintain an effective migraine diary, a migraine patient must record details about each migraine attack, including the date, time, duration, severity, symptoms, possible triggers, and any medications or remedies used. Over time, this record can become a valuable tool for managing your migraines and improving your quality of life.
What is the difference between a tension headache and a migraine?
Tension headaches and migraines are two of the most common types of headaches, but they have distinct characteristics and causes. Here are the key differences between tension headaches and migraines:
Tension Headache:
- Pain Location: Tension headaches typically cause a dull, aching pain that is often described as a tight band or pressure around the head. The pain is usually bilateral and affects both sides of the head.
- Pain Quality: The pain in a tension headache is often described as a constant, steady ache. It is not throbbing or pulsating.
- Duration: Tension headaches can last for hours to days but are typically shorter in duration than migraines.
- Triggers: Common triggers for tension headaches include stress, anxiety, poor posture, muscle tension in the neck and shoulders, and fatigue.
- Symptoms: Tension headaches typically do not have the additional symptoms (aura, nausea, vomiting, sensitivity to light or sound) that are common with migraines.
- Activity: Many people with tension headaches can continue with their daily activities, although they may be uncomfortable.
Migraine:
- Pain Location: Migraine headaches often affect one side of the head, although they can be bilateral. The pain is usually throbbing or pulsating in nature.
- Pain Quality: The pain in a migraine is typically moderate to severe and is often accompanied by other symptoms like nausea, vomiting, and sensitivity to light (photophobia) and sound (phonophobia).
- Duration: Migraine attacks can last for hours to several days. They are usually longer-lasting than tension headaches.
- Triggers: Migraine triggers can vary widely but may include certain foods, alcohol, hormonal changes, stress, changes in weather, and more.
- Symptoms: Migraine attacks are often associated with auras, which are sensory disturbances that can precede or accompany the headache. Auras may include visual disturbances, tingling sensations, or difficulty speaking. These are not typically seen in tension headaches.
- Activity: During a migraine attack, many individuals are unable to carry on with their usual activities and may need to rest in a dark, quiet room.
It’s essential to differentiate between tension headaches and migraines because their management and treatment approaches can be different. While tension headaches can often be managed with relaxation techniques, stress reduction, and over-the-counter pain relievers, migraines may require prescription medications and lifestyle modifications.
Does too much caffeine cause migraines?
Caffeine can have a complex relationship with migraines, and its effects can vary from person to person. For some individuals, too much caffeine may trigger or exacerbate migraine attacks, while for others, it may provide some relief. Here’s a closer look at how caffeine can impact migraines:
Caffeine as a Trigger:
- Overuse and Withdrawal: Consuming excessive amounts of caffeine, or abruptly discontinuing caffeine if you’re used to it, can lead to caffeine withdrawal headaches, which are a type of headache that shares some characteristics with migraines. This withdrawal headache is often triggered by changes in blood vessel constriction and dilation that are associated with caffeine.
- Vasoconstriction and Vasodilation: Caffeine is known to cause temporary vasoconstriction (narrowing of blood vessels), which can provide relief for some individuals during a migraine attack. However, the rebound effect, when the caffeine wears off and vessels dilate, may lead to a worsening of the headache for some people.
- Dehydration: Caffeine is a diuretic, which means it can lead to increased urination and potential dehydration. Dehydration is a known migraine trigger for some individuals.
Caffeine as a Treatment:
- Enhancing Medications: Some over-the-counter and prescription migraine medications, such as Excedrin Migraine, contain caffeine because it can enhance the effects of the primary pain-relieving ingredients (e.g., acetaminophen or aspirin). For some people, this combination can be effective in relieving migraine symptoms.
- Vasoconstriction: Caffeine’s vasoconstrictive properties can help reduce blood flow in the brain, which may alleviate the pain associated with migraines for some individuals.
Some people may find that moderate caffeine consumption helps manage their migraines, while others may experience caffeine as a trigger. It’s important to be aware of your own body’s response to caffeine and to manage your caffeine intake accordingly.

What is a cocktail headache?
A “cocktail headache” is not a medical term or an officially recognized type of headache. It’s often used informally to describe a headache or hangover resulting from consuming alcoholic cocktails or other alcoholic beverages. The symptoms of a “cocktail headache” are similar to those of alcohol-induced headaches or hangovers.
These symptoms can include:
- Headache: A throbbing or dull headache is a common hangover or alcohol-induced headache feature. Alcohol can lead to dehydration and blood vessel dilation, contributing to headache pain.
- Nausea: Many people experience nausea or an upset stomach after consuming alcohol, especially in excess.
- Sensitivity to Light and Sound: Sensitivity to light (photophobia) and sound (phonophobia) can be part of a hangover or alcohol-induced headache.
- Fatigue: Excessive alcohol consumption can disrupt sleep patterns and lead to feelings of fatigue and tiredness the next day.
- Dehydration: Alcohol is a diuretic, which means it can lead to increased urination and dehydration. Dehydration can exacerbate headache symptoms.
- Mood Changes: Hangovers can sometimes accompany mood changes, including irritability and anxiety.
It’s important to note that the severity of these symptoms can vary depending on the individual, the amount of alcohol consumed, the type of alcohol, and other factors. “Cocktail headaches” or alcohol-induced headaches are typically short-lived and tend to resolve as the body processes and eliminates the alcohol from the system.
The best way to prevent “cocktail headaches” is to drink alcohol moderately and practice responsible drinking. Staying hydrated, eating before and while drinking, and getting adequate rest can also help reduce the risk of experiencing these types of headaches and hangovers.
How to get rid of a migraine from alcohol
If you have a migraine that you suspect is triggered by alcohol consumption, there are several steps you can take to alleviate the symptoms and find relief:
- Hydration: Dehydration is a common trigger for alcohol-induced headaches, including migraines. Drink plenty of water to rehydrate your body. Sip water slowly rather than chugging it to avoid overloading your system.
- Rest: Find a quiet, dark room to rest and relax. Lie down in a comfortable position and close your eyes. Sleep or simply rest in a calm environment to help your body recover.
- Avoid Alcohol: If you suspect that alcohol is the cause of your migraine, avoid further alcohol consumption. Continuing to drink may worsen the headache.
- Over-the-Counter Pain Relief: Non-prescription pain relievers like ibuprofen (Advil), naproxen (Aleve), or aspirin can be helpful for relieving the pain associated with a migraine. Follow the recommended dosage instructions and consult a healthcare provider if you have any concerns about taking these medications.
- Caffeine: If caffeine has been a regular part of your diet and you haven’t had any caffeine-containing drinks recently, a small amount of caffeine (e.g., a cup of coffee or tea) may help relieve the headache. Be cautious with caffeine, as excessive intake can also trigger headaches in some people.
- Ice or Heat: Applying a cold or warm compress to your forehead or neck can provide some relief. Experiment with both to see which feels better for you.
- Ginger: Some people find ginger tea or supplements to be helpful in managing nausea associated with migraines. Ginger is a natural remedy that may provide relief.
- Acupressure: Some people find relief through acupressure. Gently massaging or applying pressure to specific points on the body, like the fleshy area between your thumb and forefinger, may help reduce headache symptoms for some individuals.
- Aromatherapy: Certain essential oils, such as lavender and peppermint, have been reported to provide relief for some people. Inhaling the scent or applying diluted oil to your temples may be soothing.
- Professional Help: If your migraines are frequent or severe, consider consulting with a healthcare provider or a headache specialist. They can provide you with personalized treatment options, including prescription medications that may help manage or prevent future migraines.
It’s essential to recognize that migraine triggers and responses to remedies can vary greatly from person to person. Alcohol intake is absolutely a trigger for most migraine sufferers, but so is their menstrual cycles or not getting too much sleep. The most important thing you can do is figure out the root cause and avoid the major trigger at all cost… EVEN if it’s your favorite kind of alcohol.