Do I Have an Allergy to Alcohol? (2024)

What Is an Alcohol Allergy?

An alcohol allergy is when your body reacts to alcohol as if it’s a harmful intruder and makes antibodies that try to fight it off. This causes an allergic reaction.

Alcohol allergies are rare, but if you do have one, it doesn’t take much to trigger a reaction. Two teaspoons of wine or a mouthful of beer may be enough.

Alcohol Allergy vs. Intolerance

Most people who have a reaction to alcohol aren’t allergic to it. They have an intolerance. They don’t have one of the active enzymes needed to process alcohol -- alcohol dehydrogenase (ADH) or aldehyde dehydrogenase (ALDH). This is often called alcohol intolerance.

Alcohol allergy symptoms

The symptoms of alcohol allergy are usually more serious. Signs of an alcohol allergy include:

Alcohol intolerance symptoms

If you have alcohol intolerance, you may get:

In a few cases, alcohol intolerance can be a sign of a more serious problem. If you think you have it, talk with your doctor and find out what’s causing it.

Common Food Allergens in Alcoholic Beverages

Alcoholic beverages are made from complex mixtures of grains, chemicals, and preservatives that your body needs to break down.

If your body can’t do this well enough, you will have a reaction.

Common allergens in alcoholic beverages include:

  • Barley
  • Egg protein (usually in wine)
  • Gluten
  • Grapes
  • Histamines
  • Hops
  • Rye
  • Seafood proteins
  • Sodium metabisulfite
  • Sulfites
  • Wheat
  • Yeast

Red wine is more likely to cause a reaction than any other alcoholic drink. Beer and whiskey also can cause reactions because both are made from four common allergens: yeast, hops, barley, and wheat.

Alcohol Allergy Risk Factors

You may be more likely to have an intolerance to alcohol or allergic symptoms if you:

If you’re taking medication, check with your doctor to see if it’s OK to drink alcohol while you take it.

Alcohol Allergy Diagnosis

If you think alcohol is causing your reactions, talk to your doctor. To find out what’s going on, they may do the following:

  • Ask you about your family history. Much like allergies, alcohol intolerance can be passed down in families. Your doctor will ask if you have other relatives who have similar problems when they drink.
  • Ask you about your symptoms
  • Do a physical exam
  • Do a skin prick test. It can show if you are allergic to an ingredient in alcoholic beverages. You’ll get a prick on your skin with a tiny bit of the substance you may be allergic to. If you are allergic, you’ll get a raised bump in that spot.
  • Test your blood

Your doctor also may recommend that you stop drinking all alcoholic beverages for a while. Then you can start again, perhaps trying just one of your go-to drinks at a time. If the reactions return with specific drinks, then you know which ones cause problems for you.

Alcohol Allergy Treatment and Prevention

Avoiding alcohol is the only sure way to prevent an alcohol-related reaction.

If you do have a reaction, its effects can range from hives, which may not need medical care, to a more serious, possibly life-threatening reaction (anaphylaxis). Anaphylaxis caused by an alcohol allergy is treated the same as with any other type of allergy:

  • Lie down right away.
  • Take a shot of adrenaline (epinephrine) if possible.
  • Call 911.

If you have an alcohol allergy, make sure to have epinephrine shots with you at all times and wear a medical ID bracelet that tells health professionals you have an allergy.

Do I Have an Allergy to Alcohol? (2024)

FAQs

Do I Have an Allergy to Alcohol? ›

But the hallmark symptom of alcohol intolerance is flushing of the skin of the chest, neck and face. Symptoms of an alcohol allergy include rashes, itchiness, swelling and severe stomach cramps. Allergy symptoms are often more painful and uncomfortable than alcohol intolerance symptoms.

How do you know if you are allergic to alcohol? ›

Symptoms and Complications

Whether you're drinking beer, wine or hard liquor, the symptoms of alcohol intolerance are the same. They include flushing (such as a red face), rapid heart rate, headache, low blood pressure, hives, runny nose and stomach pain.

Can you suddenly get alcohol intolerance? ›

A sudden intolerance to alcohol is possible if you begin using a medication that causes alcohol intolerance or develop a disease that causes it. Most cases of suddenly developed alcohol intolerance occur due to starting a new medicine that causes it.

Why do I break out in hives when I drink alcohol? ›

For some individuals, the seemingly innocent act of enjoying a drink can lead to an uncomfortable and perplexing reaction - hives. Alcohol-induced urticaria is a condition where an allergic reaction is triggered by the immune system misinterpreting certain ingredients in alcoholic beverages as threats.

What are the symptoms of alcohol flush? ›

Some people who drink alcohol experience an unpleasant phenomenon called the alcohol flush reaction. The primary feature of the alcohol flush reaction is a red face—or flush—but it can also be accompanied by hives, nausea, low blood pressure, the worsening of asthma, or an episode of migraine.

Can you develop an allergy to alcohol later in life? ›

Yes, alcohol allergies can develop at any age, even if you have previously consumed alcohol without any problems. Changes in the immune system or repeated exposure to certain allergens can trigger this.

What are the symptoms of sulfite intolerance? ›

Symptoms include flushing, fast heartbeat, wheezing, hives, dizziness, stomach upset and diarrhoea, collapse, tingling or difficulty swallowing. Many of these reactions when fully assessed have been found not to be anaphylaxis, or caused by triggers other than sulfites.

Why do I suddenly have bad reactions to alcohol? ›

In people with alcohol allergy, as little as 1 ml of pure alcohol (equivalent to 10ml of wine or a mouthful of beer) is enough to provoke severe rashes, difficulty breathing, stomach cramps or collapse. Alcohol can also increase the likelihood of severe allergic reactions (anaphylaxis) from other causes like food.

Why am I suddenly more sensitive to alcohol? ›

Changes in alcohol tolerance over time

It is possible for a person's tolerance to certain ingredients to change over time, and an intolerance may just happen suddenly due to genetics. People who have asthma, hay fever, or other allergies to foods may have a higher risk of developing an alcohol intolerance.

Why don't I enjoy alcohol anymore? ›

As people get older, their bodies become less able to process large amounts of alcohol and it takes longer to recover from its effects. Additionally, certain medications can increase sensitivity to the side effects of drinking, making it more difficult for us to enjoy a night out with friends or family.

How to get rid of an alcohol allergy? ›

The only way to avoid alcohol intolerance symptoms or an allergic reaction is to avoid alcohol or the particular beverage or ingredients that cause the problem. For a minor reaction, over-the-counter or prescription antihistamines might help reduce symptoms, such as itching or hives.

How long does an alcohol rash last? ›

Although individual skin lesions resolve within 24 hours, when the overall condition persists for more than 6 weeks, it is classified as chronic urticaria.

What alcohol has histamines? ›

The fermentation of barley and hops in beer production can lead to the formation of histamine, particularly in beers that undergo longer fermentation periods. Champagne and Sparkling Wines: Champagne and other sparkling wines may also have elevated histamine levels, although typically not as high as red wine.

What are the symptoms of alcohol allergy in adults? ›

But the hallmark symptom of alcohol intolerance is flushing of the skin of the chest, neck and face. Symptoms of an alcohol allergy include rashes, itchiness, swelling and severe stomach cramps. Allergy symptoms are often more painful and uncomfortable than alcohol intolerance symptoms.

Does drinking alcohol make you itchy? ›

These reactions can be caused by many different factors, so it is important to take note of these reactions if they happen to you or a loved one. Key points to remember about alcohol-induced skin reactions include: Alcohol use can cause skin reactions like rashes, flushing, redness and itching, among other symptoms.

What are the symptoms of acetaldehyde syndrome? ›

The high acetaldehyde concentrations described share similarity to symptoms of the flush (flushing of the skin, accelerated heart rate, shortness of breath, throbbing headache, mental confusion and blurred vision).

Why do I get drunk quickly? ›

Your weight: The less body tissue you have to absorb alcohol, the more — and faster — you'll feel its effects. A bigger body gives the alcohol more space to diffuse. Your sex: Differences in body composition are why males and females metabolize alcohol at different rates.

What medication causes alcohol intolerance? ›

Numerous classes of prescription medications can interact with alcohol, including antibiotics, antidepressants, antihistamines, barbiturates, benzodiazepines, histamine H2 receptor antagonists, muscle relaxants, nonnarcotic pain medications and anti-inflammatory agents, opioids, and warfarin.

Why does beer give me a headache but not liquor? ›

Beer's ingredients — like tyramine, histamine or tannins — may be an equal problem for others. However, researchers are conflicted about the link between these ingredients and migraine. For some, the byproduct of beer's fermentation process may be enough to trigger migraine.

Why do I get a cold after drinking alcohol? ›

You might not link a cold to a night of drinking, but there might be a connection. Alcohol puts the brakes on your body's defenses, or immune system. Your body can't make the numbers of white blood cells it needs to fight germs. So for 24 hours after drinking too much, you're more likely to get sick.

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