Alcohol and migraine: what should we tell patients?

alcohol and migraines

Although genetic factors influence the risk of having migraine, environmental triggers can cause episodes or increase their frequency. Light sensitivity is a common symptom of migraine (as is sensitivity to sounds or smells), but not everyone who has the disease will experience it. Identify other symptoms of migraine and find answers to Frequently Asked Questions to help you start the conversation about migraine with your primary care provider.

What to know about headaches after alcohol

Individual sensitivity plays a significant role in whether someone will experience an alcohol-induced headache. Sulphites have not been shown convincingly to lead to headache in individuals with sulphite sensitivity. Sulphites are considered to be the cause of red wine intolerance, particularly asthma 51. Nevertheless, other studies have confirmed the sensitivity to the sulphites in Halfway house wine in limited number of individuals, and in wine-sensitive asthmatic subjects there was no major role for sulphite additives in inducing asthmatic response 52,53.

  • And for about one-third of people who have migraines, alcohol is also a trigger.
  • Observations with missing information in any of the independent variables were handled with listwise deletion, that is, only complete cases were used for parameter estimation.
  • Whether or not alcohol is a common migraine headache trigger is debatable.
  • The exact mechanism behind this observation may indicate that migraine leads to alcohol-avoidance rather than alcohol having a protective role against migraine.

Links to NCBI Databases

  • Participants who answered affirmatively to the question “do you smoke cigarettes?
  • Headache from alcohol withdrawal — also known as delayed alcohol-induced headache, or a hangover — usually develops the morning after you drink alcohol, when the level of alcohol in your blood drops to almost nothing.
  • Many things can trigger a migraine, from stress at work to changes in the weather to foods like aged cheese.
  • As a result, a female’s blood alcohol concentration tends to be higher, making it more likely for females to experience headaches and hangovers.

If both stress https://ecosoberhouse.com/article/addiction-to-amphetamine-symptoms-treatment-and-recovery/ and alcohol are migraine triggers for you, combining them won’t do you any favors. In addition to this, people are sometimes more likely to drink more when they are feeling stressed and a little reckless. Sometimes, migraines don’t plague patients until the next morning, just as their blood-alcohol content level is back to normal. Many people confuse this with a regular hangover until the intensity of the migraine sets in.

Migraine vs. alcohol-induced headache

They involve throbbing pain that generally occurs on one side of the head. As a result, a female’s blood alcohol concentration tends to be higher, making it more likely for females to experience headaches and hangovers. 2020 research shows that women are more likely to experience hangovers, memory problems, and liver disease from consuming alcohol. Baseline Characteristics, mean ± standard deviation or frequency (%) among 98 participants with episodic migraines followed for 6 weeksa.

alcohol and headaches

Deena E. Kuruvilla, MD, a board-certified neurologist and the director of the Westport Headache Institute, where she employs a holistic biopsychosocial approach to diagnosis and treatment. She held clinical appointments at the Yale University School of Medicine prior to starting her own practice and has authored many articles, book chapters, and research publications. If migraines persist or worsen, consulting a healthcare professional for personalized advice is recommended.

alcohol and migraines

Choosing drinks wisely may help mitigate potential triggers while still allowing for social enjoyment. Recognizing these personal health factors allows individuals to make informed decisions about their drinking habits. “This is a self-selected population; it’s not necessarily reflective of the larger migraine population. Often patients who use the N1-Headache app are very motivated and are keen to identify their triggers,” he said. “There’s a larger question in the field about whether we overestimate triggers in patients with migraine, because triggers can vary not only from patient to patient, but also from time to time,” he told Migraine Science Collaborative.

alcohol and migraines

Data sources and search terms

Delayed alcohol headaches or hangovers generally take hours to start, such as the following day after a night of drinking too much. The role of alcohol in triggering migraine attacks is unclear, and the research is limited. Here’s what to know about preventing migraine attacks when also drinking alcohol, plus how to treat one if it’s too late. Headaches and migraines are both types of painful sensations in the head, but they have distinct characteristics and underlying causes. From a physiological perspective, migraines are believed to involve abnormal brain activity, while headaches can have various triggers, such as dehydration or tension. Migraines often present with additional symptoms beyond head pain, such as nausea, sensitivity to light and sound, and visual disturbances.

  • Any wine, beer, rum, tequila, vodka, etc. makes me very sick 😫 🤕🤮🤢.
  • Although alcohol has long been suspected to be a common migraine trigger, studies have been inconclusive in proving this association.
  • Patients often make this decision after experiencing a strong connection between alcohol and migraines firsthand.
  • Tension-type headaches are one of the most common types, affecting more than 70% of people.
  • Recognizing these personal health factors allows individuals to make informed decisions about their drinking habits.

Furthermore, mental health professionals, such as therapists or counselors, can assist individuals in coping with the emotional and psychological impact of migraines, offering strategies to manage stress and improve overall quality of life. Overall, seeking professional help for migraine management can significantly improve the well-being of individuals living with this condition. People without migraine who consume greater quantities of alcohol often report immediate headaches. Then again, according to a 2023 review of research, studies have found that alcohol appears to be less likely to cause migraine headaches.

What Are the Main Differences Between Headaches and Migraines?

alcohol and migraines

Roughly a third of migraine sufferers say that alcoholic beverages can trigger their migraine attacks. A tenth of migraine sufferers say alcohol is a frequent or consistent trigger. Assessment of alcohol consumption is challenging, because the results are dependent on the patient’s honesty. Patients sometimes have a tendency not to admit their drinking habits 90.

alcohol and migraines

Wine (more red than white) and other grape products have been shown to have an endothelium-dependent vaso-relaxing activity, probably via nitric oxide (NO)-mediated pathway; ethanol and resveratrol cause no relaxation 62. Alcohol-free red wine polyphenol extract increases endothelial NO release alcohol and migraines 64. However in vivo studies show that only the ingestion of red wine with alcohol, but not of dealcoholized red wine, provokes arterial dilatation and thus the effect of wine is due to ethanol 65. Also oral intake of pure alcohol (at a dose corresponding to a two drink equivalent) produces significant vasodilatation in man 66.

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