[FAQ] 7. What causes red wine headaches? How can I prevent them?

Jan 12, 2007 11 Replies

Here's a draft of an additional topic for the FAQ. As always, comments welcomed. [note to cwdjrx: a complete copy of v 0.7 will soon follow]


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  1. What causes red wine headaches? How can I prevent them?

First of all, if you have noticed that you frequently get headaches after drinking wine, especially red wine, YOU ARE NOT ALONE. This is a common enough problem that medical science has graced it with a name ("Red wine headache" syndrome), but unfortunately their knowledge of the problem doesn't go much farther. It's generally agreed that it is not an allergic reaction, and sulfites do not cause the problem. However, there is much debate over what does cause the headaches, and even whether all red wine headaches are caused in the same way. The suspect molecules in red wine are the tannins (the bitter, astringent flavors that some younger red wines have), histamines and prostaqlandins. All of these are more common in red than in white wines, and alcohol may also play a role in conjunction with one or more of these suspected causes.



Because histamines and prostaglandins are involved in the inflammatory response, it has been suggested that taking an aspirin before drinking red wine may prevent a headache [IMPORTANT WARNING: Tylenol (acetominophen) has a known bad interaction with alcohol in the liver - DO NOT take Tylenol before or after drinking alcohol]. It has also been suggested that drinking black tea before drinking red wine may prevent a red wine headache. Yet another suggestion is to avoid tannic red wines by drinking softer reds (Dolcetto or Beaujolais) or aged red wines.



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Mark Lipton


In addition to whatever is specific to red wine, drinking any alcoholic beverage acts to dehydrate a person, and dehydration causes headaches. Drinking sufficient water will help counteract that, but in some drinking situations it's easy to overlook.

Jose

in article aIudnd-cyrAthTrYnZ2dnUVZ snipped-for-privacy@insightbb.com, Mark Lipton at snipped-for-privacy@eudrup.ude wrote on 1/11/07 9:12 PM:

Very common to the subject of red wine headaches is that US sufferers frequently say they do NOT get headaches from the same varietals if consumed in Italy or France. I've recently concluded this may be attributable to a few things:

  1. Most people drinking wine in France or Italy, are drinking more water with meals and eating more healthy food than they likely do at home.
  2. To the extent that headache often has a tension factor, one would think that a person on leisurely vacation in France or Italy is just not prone to the same tension they might have at home.
  3. Though I too have seen recent literature (UC Davis) shifting blame away from sulfites, I have spoken with a few Italian winemakers who say they do NOT add sulfites to stabilize their wines as do most US wineries. To whatever extent sulfites may be causal, this would add to point #1 above.

.... also re the sulfite issue, I am confused by a couple of winemakers at

100% organic winemakers who have told me they do not add sulfites (criterion for 100% organic), but also that lab testing of their wines shows no measurable sulfites at all. Logic leads me to conclude that wines, unstabilized by additional sulfites, degrade and natural sulfite levels dissipate. Too bad for the headache sufferers..... these wines tend to look, taste and smell rather vile.

Comments?

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Hi Mark,

Nice article. Note that Tylenol is not a brand in Europe; and the generic is called paracetemol instead of acetominophen. In France the common brand is Doliprane, but I'm not sure that's so elsewhere.

In keeping with Jose and Midlife's comments the French government guideline for partying (yes, it's true), is double the amount of water to wine. Prost or Proust, as you like.

-E

The obvious...

if you drink 4 bottles alone and get a headache, consider drinking less :-)

Good points, Emery! I recall Jean trying to score some Tylenol in Uzès: we though we were so smart since we called it acetominophen, only to get blank stares at the Apotheque. Little did we know...

BTW, did you get an email from me earlier this week? If not, could you drop me an email?

Mark Lipton

Probably would have done better clutching you head and groaning. Although they might have given you Doliprane + codeine, (over the counter here), then watch out!

Done.

-E

Back atcha, big guy. Let me know if this one doesn't make it.

Mark Lipton

Don't get me wrong: sulfites do cause allergies in a very small subpopulace. However, the symptoms of sulfite allergies don't match the experiences of RWH sufferers. They include the standard bag of allergic symptoms: sneezing, runny nose, itchy eyes or, in worse cases, constriction of the airways. RWH more closely matches migraine symptoms, and there have been some suggestions that in some instances drinking red wine might be triggering a migraine, but again there are numberous examples of people with no history of migraines who nonetheless regularly get headaches from red wine.

Since sulfites are good antioxidants, any wine that's been exposed to oxygen will have decreased sulfite levels. For a wine that's totally unsulfured, it probably doesn't take much exposure, perhaps as little as it would get during racking. There *are* a number of decent unsulfited wines made in France, such as Theirry Allemand's "sans soufre" Cornas and Marcel Lapierre's unsulfured Morgon. They have to be very gingerly handled, though, since they are bacteriological time bombs.

Mark Lipton

in article YZOdnXXGHdoa7jXYnZ2dnUVZ snipped-for-privacy@insightbb.com, Mark Lipton at snipped-for-privacy@eudrup.ude wrote on 1/12/07 9:52 PM:

Is it your thought that sufites do not cause headache? I am aware that allergic reactions and headache are generally totally different reactions. Allergic subjects break out in hives (etc.) and some, apparently, can have intestinal reactions.

I've been looking for possible help for red wine headache sufferers. Do you (or anyone else) happen to know who imports/distributes these wines in the US? I do see the Allemand listed at a major SoCal retailer, but finding the supplier can be a challenge. To whatever extent 100% organic would be a solution for them, I'd like to help. Also, are there any reasonably good quality 100% organic wines made in the US? In Southern California there's a definite preference for California wine..... not that a sufferer should turn down anything that works for them.

in article C1CE24A3.12C67% snipped-for-privacy@cox.net, Midlife at snipped-for-privacy@cox.net wrote on 1/13/07 5:54 AM: Do you

Google says: Both are imported by Kermit Lynch. Will call them next week.

According to J. Murray Fefferman, fatty deli meat like corned beef, pastrami, smoked meat-(Canadian) will give you a headache especially served with Chrane's Horseradish. Murray is as you know a big Raven's fan. Due to the fact he hung out with E.A. Poe and got him absinthe and sherry to wean him off grain alcohol.

wrote

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