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Why Does Red Wine Make You Feel Worse Than White Wine?

5 min read

According to a 2019 study among patients with migraines, over 77% of participants identified red wine as the most common trigger among alcoholic beverages. But why does red wine make you feel worse than white wine, even if the alcohol content is similar? The answer lies in key compounds present in darker wines that can trigger more severe physical reactions.

Quick Summary

Higher levels of congeners, histamines, and other compounds in red wine can cause more intense headaches, inflammation, and hangover symptoms than white wine. The fermentation process and extended skin contact during red wine production are key factors.

Key Points

  • Congeners are Higher in Red Wine: Darker alcoholic drinks like red wine contain more congeners, which are byproducts of fermentation that can lead to more severe hangovers and inflammation.

  • Red Wine has More Histamine: The extended fermentation of red wine, particularly malolactic fermentation, results in higher histamine levels, which can trigger headaches, flushing, and other allergy-like symptoms in sensitive individuals.

  • Tannins Affect Your Body Differently: Tannins, extracted from red grape skins, give red wine its dry mouthfeel but may also cause headaches in some people by stimulating the release of certain neurotransmitters.

  • Quercetin Blocks Alcohol Metabolism: A flavonol called quercetin, found in higher concentrations in red grape skins, has been shown to interfere with the body's ability to metabolize alcohol, leading to a buildup of toxic acetaldehyde.

  • White Wine Has Fewer Triggers: The fermentation process for white wine, which removes grape skins early, results in significantly lower levels of congeners, histamines, tannins, and quercetin, leading to fewer adverse reactions for many drinkers.

In This Article

For many people, the symptoms that follow a few glasses of red wine—specifically headaches, flushing, and an overall feeling of malaise—seem far worse than those experienced after drinking white wine. It's a phenomenon that has puzzled drinkers and scientists for years. While alcohol is the primary cause of hangovers regardless of the drink, the unique chemical composition of red wine introduces additional variables that can exacerbate the negative effects.

The Role of Congeners in Your Hangover

Congeners are complex chemical byproducts of the fermentation process that give alcoholic beverages their distinct flavor, aroma, and color. Since red wine is fermented with grape skins and seeds for a longer period, it contains significantly higher concentrations of these compounds compared to white wine. Darker beverages like red wine, brandy, and whiskey are known to have more congeners than lighter liquors, and research has shown a correlation between higher congener levels and more severe hangovers. Your body must work harder to break down these extra substances, in addition to processing the alcohol, which can intensify next-day symptoms.

How Congeners Affect Your Body

  • Acetaldehyde: A toxic compound produced when the body metabolizes alcohol. It is estimated to be 10 to 30 times more toxic than ethanol itself and can induce hangover-like symptoms. Some red wines, particularly those that have undergone oak aging, may contain higher levels of acetaldehyde. Your body's ability to process acetaldehyde efficiently, governed by an enzyme called ALDH2, can also be a factor.
  • Inflammation: Both alcohol and congeners can increase inflammatory responses in the body. The higher concentration of congeners in red wine can result in a more pronounced inflammatory effect, contributing to that rundown, achy feeling associated with bad hangovers.

The Histamine and Tannin Factor

Beyond congeners, other compounds unique to red wine have been identified as potential triggers for headaches and other uncomfortable side effects. Histamines and tannins are two of the most well-known culprits.

Histamines and Wine Headaches

Histamine is a biogenic amine found in many fermented foods and beverages, and red wine contains significantly more histamine than white wine. For some individuals, particularly those with low levels of the enzyme that breaks down histamine (diamine oxidase or DAO), consuming red wine can cause a histamine overload. This can trigger a range of allergic-like reactions, including:

  • Headaches
  • Facial flushing
  • Congestion

Research suggests that the malolactic fermentation process, which nearly all red wines undergo to soften their taste, is a key reason for the increased histamine levels.

Tannins and Their Impact

Tannins are compounds found in grape skins, seeds, and stems. They are responsible for the dry, slightly bitter sensation in your mouth after drinking a red wine. While tannins are an integral part of red wine's structure and aging potential, they are also associated with triggering headaches in sensitive individuals. Some theories suggest that tannins can lead to a release of serotonin, a neurotransmitter that, for some, can be associated with migraines. Since white wine is fermented without grape skins, its tannin content is negligible compared to red wine.

A Comparison: Red vs. White Wine Components

Feature Red Wine White Wine
Congeners Higher concentrations due to fermentation with skins and seeds. Significantly lower concentration.
Histamines Higher levels, up to 200% more than white, especially after malolactic fermentation. Lower levels, as malolactic fermentation is often skipped.
Tannins High levels from extended skin and seed contact. Low to non-existent due to skins being removed before fermentation.
Quercetin Higher levels from sun-exposed grape skins; can inhibit alcohol metabolism. Lower levels, as skins are not used in fermentation.
Alcohol Content Often higher ABV in premium reds. Can be lower ABV, though depends on the specific wine.

The Quercetin Connection

A recent study from the University of California, Davis, proposed another potential explanation for the infamous 'red wine headache'. The study identified quercetin, a flavonol found in the skin of red grapes, as a likely culprit. When metabolized with alcohol, quercetin can interfere with an enzyme that breaks down alcohol, leading to a buildup of a toxic byproduct called acetaldehyde. This accumulation can trigger headaches and flushing. The researchers found that grapes exposed to more sunlight produce higher levels of quercetin, potentially explaining why some high-quality red wines might be more likely to cause this reaction.

What to Do If You're Sensitive to Red Wine

If you find yourself consistently feeling worse after drinking red wine, there are strategies you can employ to minimize the negative effects:

  • Switch to white wine: Many people who are sensitive to red wine find that switching to white wine or clear spirits significantly reduces or eliminates their symptoms.
  • Choose lower-tannin reds: If you prefer red wine, opt for lighter-bodied varieties like Pinot Noir, which generally have lower tannin levels than fuller-bodied reds.
  • Drink plenty of water: Dehydration is a major component of any hangover. Alternating each glass of wine with a glass of water can help mitigate this effect.
  • Eat before and during drinking: Consuming food, especially fatty foods, slows the absorption of alcohol into the bloodstream, giving your body more time to process the compounds.
  • Try an antihistamine: For those who suspect a histamine sensitivity, some experts suggest taking an antihistamine before drinking red wine, though it is crucial to consult a doctor before doing so.
  • Consider a purification product: Emerging products on the market claim to remove histamines, sulfites, and other irritants from wine. For more information on this, see ALKAA's guide on low-histamine wine.

Conclusion: Navigating Your Wine Choices

While red wine's complex blend of congeners, histamines, tannins, and quercetin contributes to its rich character and flavor, these very compounds can also lead to more severe reactions in many people. The fermentation process used to create red wine, which includes extended contact with grape skins, is the primary reason for these higher concentrations. While the exact trigger can be different for each person, the scientific evidence points to these compounds as the key reason why red wine makes you feel worse than white wine. Understanding the chemical differences allows you to make more informed choices, whether you decide to switch to a different type of wine or adopt practices that minimize the unpleasant aftereffects.

Frequently Asked Questions

No, it is highly unlikely that sulfites are the primary cause of headaches. In fact, many white wines and other foods contain higher levels of sulfites than red wine, and the symptoms of a true sulfite allergy are typically hives and breathing difficulties, not headaches.

Individual reactions vary due to genetic factors and overall health. For instance, some people have a less efficient version of an enzyme (ALDH2) that breaks down alcohol byproducts. This, combined with high levels of compounds like histamine or quercetin in red wine, can trigger headaches more easily.

No, not all red wines affect people equally. Levels of tannins and quercetin vary depending on the grape and winemaking process. Some people find that lighter, lower-tannin reds like Pinot Noir are less likely to cause a headache.

Yes, staying hydrated by drinking a glass of water between each glass of wine can help mitigate the dehydrating effects of alcohol and potentially reduce the severity of a hangover.

Some studies suggest that more expensive red wines from regions with high sun exposure might contain more headache-inducing quercetin. However, other experts point to additives in cheaper, mass-market wines as a potential problem.

If you are prone to red wine headaches, the best solution is prevention. Once a headache has set in, standard headache remedies like water, over-the-counter pain relievers, and rest are your best course of action.

Facial flushing, often called "Asian flush," is caused by an accumulation of acetaldehyde, a toxic byproduct of alcohol metabolism. The quercetin in red wine can block the enzyme that breaks down acetaldehyde, leading to a visible flush, particularly in those with a genetic predisposition.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.