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Updated: May 12, 2026

Chronic Intermittent Ethanol Vapor Exposure Paired with Two-Bottle Choice to Model Alcohol Use Disorder

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Alcoholic drinks as triggers in primary headaches.

Alessandro Panconesi¹, Michela Franchini, Maria Letizia Bartolozzi

¹Headache Centre, Department of Neurology, San Giuseppe Hospital, Empoli, FI, Italy. a.panconesi@virgilio.it

Pain Medicine (Malden, Mass.)

|April 26, 2013

Summary

Alcoholic drinks trigger headaches in a small fraction of migraine patients, but not migraine with aura or tension-type headaches. Many migraine patients are abstainers, with some avoiding alcohol due to headache concerns.

Keywords:

Alcohol Alcohol Consumption Migraine Tension-Type Headache Trigger Factors

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Published on: June 2, 2014

Area of Science:

Neurology
Clinical Medicine

Background:

Alcoholic drinks (ADs) are frequently anecdotally reported as headache triggers.
The specific role of ADs in primary headache disorders requires further investigation.

Purpose of the Study:

To investigate the role of alcoholic drinks (ADs) as triggers for primary headaches, including migraine without aura, migraine with aura (MA), chronic migraine (CM), and tension-type headache (TH).

Main Methods:

Patients diagnosed with primary headache disorders were surveyed about AD consumption and headache precipitation.
Alcohol habits and individual characteristics were analyzed using binary logistic models.

Main Results:

Only 4.9% of patients, all with migraine, reported ADs as a trigger. No patients with MA or TH reported ADs as triggers.
Among migraine patients who consume ADs, only 8% identified them as a precipitating factor.
Occasional and habitual AD consumption was not associated with TH. Occasional drinkers had a lower risk of CM compared to abstainers.

Conclusions:

ADs trigger headaches in a small minority of migraine patients and do not appear to trigger MA or TH attacks.
The prevalence of abstainers among the study participants was higher than in the general population.