Can Drinking Tea Trigger Migraine Attacks?

Tea-Induced Migraine Explained: Ingredients That Trigger Migraine Attacks

Tea-Induced Migraine Explained: Ingredients That Trigger Migraine Attacks
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Many people consider a cup of tea to be the remedy to virtually anything that ails you. Feel a cold coming on? Have a tummy ache? Stressed out? Tea is often the answer. Surely tea can do no wrong, right?

Because tea is linked to so many health benefits, it’s not commonly viewed as problematic. But certain ingredients in teas can cause migraine attacks, or weaken the effects of migraine medication.

Learning which ingredients can trigger migraine attacks can give you the information you need to feel better without missing out on your daily tea habit.

What Triggers Tea-Induced Migraine?

The answer is relatively simple: the caffeine in tea. “Tea can cause migraine attacks mainly because of the presence of caffeine,” says Tania Elliott, MD, a health influencer and clinical instructor at NYU Langone Health. If you steadily drink a caffeinated tea for hours (such as black, yerba maté, or green), it can cause a headache for the same reason as drinking too much coffee can. Caffeine narrows the blood vessels surrounding the brain, and when you stop consuming it, they expand again, which can cause pain.

That said, not all teas contain caffeine, and caffeine can help relieve migraine in some people.

Last, some ingredients found in herbal teas may trigger migraine attacks or other adverse reactions for some folks.

Common Tea Ingredients That May Worsen Migraine

Dr. Elliott says there are some specific ingredients commonly used in teas that are linked to causing migraine attacks. “Teas with ingredients such as ginkgo biloba, ginseng, and St. John’s wort have been shown in small studies to trigger or worsen migraine,” she says.

Additionally, “these herbs can interfere with the metabolism of certain migraine medicines, making them less effective,” she adds. In other words, if you popped a pill to help cure your migraine, and brewed yourself a hot cup of tea with one of the aforementioned herbs thinking that will help, it can backfire instead.

What Are Symptoms of Tea Intolerance?

Aside from migraine, some teas can also trigger intolerances or allergies, although rare. According to Rachelle Robinett, a New York–based holistic health practitioner, registered clinical herbalist, and founder of Supernatural, some herbs can cause a histamine reaction (an inflammatory response triggered by an allergen) in the body, which can in turn cause a headache, itchiness, or flushing (and in more serious cases, anaphylaxis).

“A histamine reaction is a natural and necessary reaction [from your immune system], but when overly severe or chronically triggered, can cause rashes or headaches, and especially migraine attacks,” Robinett says.

But this doesn’t mean you need to stop drinking tea cold turkey. “The approach for remedying that is usually to reduce high-histamine foods, including herbs [teas with citrus flavors in particular are considered high-histamine], but it’s important to consider what a ‘normal’ histamine reaction for most people is overactive for you. If your gut health is compromised, for example, that could cause a reaction since gut health and an immune response are directly linked,” Robinett says.

Her advice for getting to the root issue is tracking when your headaches or migraine attacks are occurring and if they are coinciding with anything else, like consuming high-histamine foods, such as alcohol, cheese, processed meat, or chocolate.

Can Tannins in Tea Cause Migraine Attacks?

What do tea and wine have in common? Tannins, also known as polyphenols — these are what give wine its bitterness and lip-puckering astringency. Although tannins are known for their anticancer properties, some studies analyzing the consumption of red wine suggest that the naturally occurring compounds can potentially trigger headaches and migraine attacks in some people.

It’s possible that the tannins in tea may have a similar effect, although more research is needed on the topic.

Remember that how long you steep your tea also plays a role in the amount of tannins that make it into your mug. “You will certainly extract more benefits the longer you steep tea. You’ll get more flavonoids, polyphenols, and catechins, but you’ll also extract more caffeine and tannins, which can lead to a more bitter, unpalatable liquid the longer the leaves remain,” says award-winning tea blender Steve Schwartz, author of Art of Tea: A Journey of Ritual, Discovery, and Impact.

The sweet spot for brewing? Investing in high-quality, loose-leaf teas, and simply following the package instructions in terms of steep time and water temperature. After all, the pros behind the product have likely determined the most adequate guidelines for brewing the most delicious teas. And don’t forget to check if your tea has gone bad — because, yes, tea will spoil just like any other food in your kitchen.

A few telltale signs your tea is past its prime: It's lost its potent, fragrant aroma; it’s flavorless; it’s oxidized; or it’s been infested with bugs.

To prevent your tea from going bad, experts suggest storing tea in an airtight container kept in a cold, dark, dry spot in your home. Some even recommend storing some types of tea in the freezer long-term.

What Types of Teas Should You Drink?

Robinett says you shouldn’t give up on tea altogether. In fact, the herbalist says it’s still fine to drink tea throughout the day. Of course, it’s important to keep in mind that moderation is key and choosing one that’s not caffeinated and low-histamine (if these are headache-inducing triggers for you) will likely yield the best outcomes.

She recommends some options to consider that likely won’t give you a tea-induced migraine: nettle, turmeric, chamomile, skullcap, and Moringa, to name a few. You can also opt for green tea (monitor your caffeine intake, if that’s a trigger for you), other herbal teas (made from rosemary, wild sage, and dandelion tea), or milk thistle tea, all of which contain a bevy of health benefits that promote healthy aging. Ultimately, however, a little trial and error will likely help you determine the best tea for your lifestyle (and, hopefully, it won’t trigger a headache either).

If migraine attacks persist after you’ve adjusted your tea drinking habits, speak with your doctor to rule out any other potential causes or to better pinpoint triggers.

When all of this advice is considered, it would seem that the solution to a tea-induced migraine is…tea (just a different variety). Hey, we’ll drink to that.

The Takeaway

  • Tea-induced migraine can occur due to caffeine present in certain teas like black, yerba maté, or green tea. Caffeine withdrawal may also trigger migraine.
  • Ingredients in some teas, such as ginkgo biloba, ginseng, and St. John’s wort, might worsen migraine by interfering with migraine medications.
  • If you consistently experience migraine from tea, consider choosing low-caffeine and low-histamine options like nettle, turmeric, chamomile, or Moringa tea to help alleviate your symptoms.
  • Consult your doctor if your migraine attacks persist after you’ve adjusted your tea drinking habits.

Mark Youssef, MD, MA, MFA

Medical Reviewer

Dr. Mark Youssef is currently a headache specialist with vast experience treating chronic migraine, along with other headache disorders such as cluster headache, post traumatic headache, and medication overuse headache. He is also a writer and publishes in medical and literary journals. He has been personally battling against chronic migraine for more than half of his life.

Emily Laurence

Author
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
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