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Current Pain and Headache Reports

, Volume 15, Issue 3, pp 177–184 | Cite as

Alcohol and Migraine: What Should We Tell Patients?

  • Alessandro PanconesiEmail author
  • Maria Letizia Bartolozzi
  • Leonello Guidi
Article

Abstract

Alcoholic drinks are a migraine trigger in about one third of patients with migraine in retrospective studies on trigger factors. Many population studies show that patients with migraine consume alcohol in a smaller percentage than the general population. Moreover, research has shown a decreased prevalence of headache with increasing number of alcohol units consumed. The classification criteria of alcohol-related headaches remain problematic. We discuss the role and mechanism of action of alcohol or other components of alcoholic drinks in relation to alcohol-induced headache. In accordance with data from a recent prospective study, we believe that reports overestimate the role of alcohol, as well as other foods, in the triggering of migraine. If a relationship between the intake of alcohol and the migraine attack is not clear, a small dose of alcohol is not contraindicated either for enjoyment or its protective effect on cardiovascular disease.

Keywords

Hangover Migraine Headache Alcohol Headache classification criteria Trigger factors Wine Serotonin Serotonin release Alcohol consumption Congeners Vasodilatation Lifestyle 

Notes

Disclosures

No potential conflicts of interest relevant to this article were reported.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Alessandro Panconesi
    • 1
    Email author
  • Maria Letizia Bartolozzi
    • 1
  • Leonello Guidi
    • 1
  1. 1.Headache Center, Department of NeurologySan Giuseppe HospitalEmpoliItaly

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