Alcohol and migraine: trigger factor, consumption, mechanisms A review Full Text

Those who were included in this study had episodic migraine and self-identified as low dose alcohol consumers. However, a headache after drinking will usually resolve itself over time. Migraine is a disabling disease that no one should have to go through alone. It’s essential to build a support network of understanding people who can not only check in on you during an attack but also empathize with your experience. Then consider joining the Move Against Migraine support group on Facebook so you can connect with others who live with migraine.
When do Alcohol-Related Headaches Happen?
- Many foods are considered to have the capacity to release histamine from tissue mast cells, even if they themselves contain only small amounts of histamine.
- The investigators even found a slightly lower probability of a migraine attack on the second day after alcohol consumption.
- But whether this causes or relieves headache symptoms depends largely on the type of headache.
- Ultimately, the decision of whether or not to consume alcoholic drinks is up to you.
- We recommend a look at our patient guides, which include useful information including how to talk to your doctor about migraine.
Of the studies included in our analysis, 19 were based only on questionnaires while five included interviews with patients. However, these limitations are to some extent discounted by the number of studies included and the cultural diversity of participants. Criteria to recognize habits for alcohol consumption was various in almost each study. Some of them assessed the drinking by daily alcohol intake 44, 45, 47, 48, 55, 58, 59, 62, part of them measured drinking within one week 44, 47, 51, 53, 60, 61 or month 36, 44, 47, 49, 51. Additionally, there were cases 56, 57 where division was based on never, current or past drinking.
Medications to Ease Withdrawal Symptoms

Learning more about your specific health history and drinking habits can help you better understand your risk of alcohol-induced headaches. At Monument, you can speak with a specialized physician, like myself, to get personalized information and care. It’s also worth noting that alcohol-induced anxiety, or ‘hangxiety’, can worsen and even cause headaches in some cases. Once the initial effects of alcohol wear off, our nervous system becomes overexcited, leading to anxiety.
How to Get Rid of a Cocktail Headache
You may try avoiding those drinks in the future to prevent migraine attacks. Red wine is the type of alcohol most often reported as a headache trigger. In a study published in 2018, 77.8% of patients reported red wine as a trigger in general, with 8.8% of patients noting it as a consistent trigger. A 2023 review of studies concluded that alcohol consumption increases the risk of headaches, particularly migraine and tension-type headaches. Always drink responsibly—which includes minimizing the chances that alcohol will affect your migraine. Current medical opinions on alcohol consumption are evolving with research, so it’s important to educate yourself on the effects of alcohol on your health.


Headaches are common during alcohol withdrawal, also called Alcohol Withdrawal Syndrome (AWS). They can be an early warning sign that the brain is struggling to manage pain properly. As a physician, my best advice for decreasing or avoiding alcohol-related headaches is to take steps to change your relationship with alcohol.
- This condition ranges from mild to severe and arises from the central nervous system‘s adaptation to the constant presence of alcohol.
- Things like stress, lack of sleep (too much sleep as well), hormones and weather can play a huge part of triggering an attack.
- The duration and severity of the symptoms are influenced by a multitude of factors, including the duration of alcohol use, the amounts of alcohol consumed, and individual health factors.
- Health Union reaches millions of people through condition-specific online health communities and a Social Health Network of patient leaders across virtually all health conditions.
Consumption varies greatly between cultures, regions, and between individuals, a fact which may explain why different studies have found opposing results. The exact mechanism behind this observation may indicate that migraine leads to alcohol-avoidance rather than alcohol having a protective role against migraine. However, there is a need to conduct further studies related to primary headaches and alcohol consumption with low risk of bias. Additionally, patients and physicians should consider the latest medical knowledge to avoid perpetuating the myths about alcohol consumption and primary headaches. Additionally, it would be useful to check whether migraine patients enjoy the advantages or disadvantages of less drinking.
Another reason that headaches will frequently develop following alcohol consumption, as well as during alcohol withdrawal, is due to dehydration . This type of headache can be incredibly painful, but ultimately, the cause of this headache can be somewhat easily addressed. Alcohol is a diuretic, which means that it increases urination and in doing so increases your risk of becoming dehydrated. Dehydration, especially when coupled with the loss of electrolytes that happens while drinking, can lead to severe headaches. While amphetamine addiction treatment there are a variety of different symptoms that occur during the detox process, a common symptom that many people have to cope with is chronic, severe headaches. Alcohol withdrawal is challenging to get through due to a combination of physiological and psychological factors.
There are also behavioral treatment options and lifestyle changes that can help. If a doctor has prescribed medication for your chronic migraine and you choose to move forward with that line of treatment, follow instructions carefully. It is crucial to take medications at the recommended times to ensure maximum effectiveness. Additionally, it is important to communicate with your doctor if you experience any adverse effects or if the medication does not seem to be working as expected.

Although genetic factors influence the risk of having migraine, environmental triggers can cause episodes or increase their frequency. migraines from alcohol Regardless of the percentage of people affected, it is clear that the effects of alcohol can result in migraine episodes for some people. Because alcohol use can increase with stress, some researchers believe it is a combination of the alcohol and stress which sets migraine attack in motion.
ways to curb your drinking
Even a small amount of alcohol can sometimes spur on a migraine attack. One member of MyMigraineTeam shared how many drinks they could have without triggering an episode. Mixed models obtain the differences between each individual effect and the population estimates, thus estimates from Table 4 can be adjusted to provide an individualized model for each user.