Wine Headache? Chances Are It’s Not the Sulfites

Since the government insisted that wine labels include a “Contains Sulfites” warning, folks have been blaming the compound for their wine headaches. Very likely, finds Lettie Teague, the cause is something else

By Lettie Teague

THE LATE SENATOR Strom Thurmond was famous—some might say infamous—for a good many things, including a marathon filibuster against the Civil Rights Act, but the South Carolina congressman’s most lasting contribution may be the two words found on every bottle of wine sold in this country: Contains Sulfites.

The fiercely anti-alcohol senator successfully lobbied for this particular warning to be part of the 1988 Anti-Drug Abuse Act, a continuation of the so-called War on Drugs. Never mind that the average bottle of Cabernet contains far fewer sulfites than, say, a can of tuna or a bag of dried fruit, products that carry no warning at all. (A glass of wine contains roughly 10 mg of sulfites; two ounces of dried apricots, 112 mg.)
This back-label notification has led to a great many misunderstandings among those who attribute health problems, primarily headaches, to sulfites in wine, specifically red wine. Over the years, I’ve received many letters from readers lamenting the headaches they’ve suffered due to their alleged allergy to sulfites.

Often as not these readers wrote in the hope that I could recommend a “sulfite-free wine.” Alas, I could not, since there is no such thing as wine completely free of sulfites, which are inorganic salts produced as a byproduct of the fermentation process.

It is important to note that sulfites are also commonly added post-fermentation to combat oxidation and stabilize the wine. Many winemakers use sulfur dioxide, potassium metabisulfite or some combination of both. The latter is also used in a broad range of foods, from potato chips to shrimp (fresh and frozen) to lemon juice, like that in the small plastic lemon I have in my refrigerator—and perhaps you do too.
My plastic lemon doesn’t carry a sulfite warning, and until approximately 10 years ago, neither did wines sold in Europe. This may be why some American wine drinkers who’ve traveled abroad believe European wines contain no sulfites (another issue I am asked about quite often). They do, but European governments only recently required that wine labels acknowledge the fact.

A reader named Diana emailed me a few months ago about a sulfite-related encounter she’d had with a snobbish (and misinformed) sommelier in Salzburg. The sommelier told her that regulations required European winemakers to add sulfites to bottles for export, which is why Americans got hangovers from European wines stateside. This is, of course, false and hopefully not a reflection on the knowledge and trustworthiness of Salzburg sommeliers.
More important, only a tiny percentage of the U.S. population—less than 1%—actually suffers from true sensitivity to sulfites, and these people are invariably chronic asthmatics, according to David Lang, M.D., chairman of the Department of Allergy and Clinical Immunology of the Cleveland Clinic in Cleveland, Ohio.

Dr. Lang told me that in his 28 years of practice, he’s seen only one person who had “true allergic reactions” to sulfites. Such reactions, he added, typically involve shortness of breath and wheezing, not headaches. “Sulfites have been around for centuries and have been very well-tolerated,” Dr. Lang pointed out.

Non-asthmatics who come to Dr. Lang with sulfite-related fears might actually be allergic to something else in the wines, such as proteins or histamines. What’s more, white wine contains more sulfites than does red, so those who suffer from “red-wine sulfite allergy” may be reacting to tannins, which tend to be more significant in red wine than white.
I asked Dr. Lang how he tests whether a patient is actually sulfite-sensitive. He performs what he calls provocative dose testing, administering capsules of small amounts of sulfites in successively higher doses every thirty minutes, and closely monitoring the patient’s reaction.

‘‘Sulfites have been around for centuries and have been very well-tolerated.’’
—allergist David Lang, M.D.

This is the only viable test because blood or skin tests cannot detect a sulfite sensitivity, said Beth Corn, M.D., associate professor of medicine at New York’s Mount Sinai School of Medicine and part of the faculty of the Department of Allergy and Clinical Immunology. Dr. Corn sees quite a few patients who believe they have wine-related allergies; the real problem, in some cases, probably has more to do with excess alcohol intake than sulfites. “Sometimes patients tell me they don’t have a reaction to wine if they stop at one glass,” said Dr. Corn, who replies, “Then, why don’t you stop at one glass?”

Oregon-based winemaker Rollin Soles of Roco Winery in Willamette Valley has fielded his share of allergy-related questions from wine drinkers. Before founding Roco, Mr. Soles was head winemaker at Argyle winery for many years, where he made high-quality sparkling wine as well as Pinot Noir and Chardonnay.

Some tasters told Mr. Soles that, while most sparkling wines gave them headaches, his never did. Mr. Soles asked where they drank sparkling wine. Often as not, the answer was gallery openings or weddings, where the cheapest sort of wines are often served. Inexpensive wines often have sugars added to boost the alcohol content, and this added alcohol is often what causes the pain.

These headache sufferers were also likely drinking sparkling wine without eating. Drinking even a modest amount of alcohol without food is a sure way to a headache.
The anti-sparkling mind-set is similar to the prejudice against red wines that presumes they are the cause of sulfite-related headaches. Mr. Soles cited a study conducted in the early 1980s by Cornelius Ough, then a professor at University of California at Davis. Professor Ough was interested in tracing the source of red-wine headaches and devised a study in which people with a history of red-wine sensitivity were served both red and white wines as well as white wines colored red. He found that tasters had no more adverse reaction to red wine than to white.

For drinkers who do have a reaction to sulfites or an unshakable fear of one, there are wines with no added sulfites, known as NSAs, which I decided to try. I found about half a dozen bottles in my local wine shops, sometimes in a “no sulfites” section, despite the fact that no-sulfite wines don’t actually exist.

The NSA wines were so hard to find at the ShopRite store in Little Falls, N.J., I asked the salesman to lead me to them. What did he think of the NSA wines? He wasn’t impressed, although he said that the 2013 Badger Mountain Chardonnay, from Washington state, was better than the rest. So I bought a bottle of the Badger Mountain and a few others, both white and red, including the 2013 Mother’s Choice Organic California Red, which has the words “Contains No Detectable Sulfites” emblazoned on the front label just under an ersatz portrait of Whistler’s mother holding a wine glass.

The faux “Whistler’s Mother” was the best part of the wine, which was devoid of any character or flavor and possessed a flat, tinny finish. The same was true of the next two reds, but none were as terrible as the whites: the 2013 Pacific Redwood Organic Chardonnay, Frey Vineyards Organic “Natural White” Table Wine and the recommended 2013 Badger Mountain Chardonnay. They were among the worst wines I’ve ever had. All three looked and tasted like old apple cider and smelled oxidized. Upon tasting the wines, a friend of mine said, “Bring on the sulfites!” There wasn’t a single NSA wine from my selection that I could recommend.

I called a winemaker friend, Kareem Massoud, at Paumanok Vineyards in the North Fork of Long Island, for some professional insight. Mr. Massoud wasn’t surprised to hear my report of the undrinkable wines. “Those wines are completely naked, from an oxidation point of view. They have no protection at all,” he said. “Any winemaker worth his salt knows that wine is susceptible to oxidation.”

I mentioned to Mr. Massoud that several bottles carried advice to refrigerate or store them in a cool, dark place, and that the shop in which I purchased them was actually quite warm, no doubt hastening oxidation. Mr. Massoud wasn’t surprised by this either. “Once a wine is out in the market, there is no guarantee of the storage conditions. Even when you buy from the producer, there’s no guarantee,” he said.

Mr. Massoud has heard complaints about sulfite allergies over the years but thought wine drinkers should probably focus on something else, such as alcohol. Wine has alcohol. And too much alcohol can cause headaches. Perhaps that’s the warning that Senator Thurmond should have lobbied for instead.

See wine videos and more from Off Duty at youtube.com/wsj.com. Email Lettie at wine@wsj.com

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    Follow the quantity and timetable suggested by your health care provider. Tadalafil is the longest-lasting medication of the plant drugs that have actually gotten the approval of the FDA and could be used for the therapy of male impotence. Side impacts or buy tadalafil in australia consist of dizziness, sleepiness, lightheadedness or fainting. Hidden sources of the problem might be really different, and it’s vital to see to it the real cause is identified before you began the procedure. If you desire it to be like that, you rate to contrast the ideal drug stores there could be on our special comparison web page.

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    Similar to with other ED medications you are not expected to be taking this medication unless you require it. Do not share this medication with those to who it was not suggested. Make certain you never exceed the amount of tadalafil you have actually been recommended, as this is unexpected to make this medicine more reliable. Online drug stores offer generic medicines, and as lengthy as you locate the appropriate online pharmacy, you will have the ability to get the very same level of therapy for a whole lot less cash. Sid impacts are possible and could include headache, looseness of the bowels, flushing, pain in the stomach, muscular tissue indigestion, heartburn or discomfort, and coughing. The following ones are sometimes reported: lightheadedness, rash, loss of hearing, changes in shade eyesight, chest pain, priapism, supplanting ears, beclouded eyesight, and hives. This will certainly be nothing like decision when you select from hundreds of pharmacies and need to determine immediately.

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    Just a very little number of patients report the negative side effects pointed out, and these symptoms often disappear on their own. If you are not certain if the drug you are taking or are preparing to take concerns any one of the teams specified, you could constantly use an internet tablet identifier or check out the prescribed label more very carefully. tadalafil 20 mg order online has been reported to heighten several of the effects of substance abuse to lower blood tension – angiotensin II receptor blockers (eprosartan, irbesartan and candesartan), bendrofluazide, enalapril and metoprol.

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    These problems may need your medical professional to adjust the dose. As long as you let your doctor know you have such clinical concerns as tummy ulcer, blood cell condition, bleeding condition, liver illness, current cardiac arrest, heart problem, retinitis pigmentosa, current stroke or coronary infarction, breast discomfort, high blood pressure, reduced blood stress, heart rhythm issue or kidney disease, your procedure is likely to be secure and really effective. Tadalafil absorption is not affected by meals and liquor. A unsafe but rare adverse effects of tadalafil is sudden eyesight loss. Nevertheless, it’s vital to keep in mind that negative side effects are various for every case and have to be talked about separately with your medical professional. Make sure you always take the precise dose of this medication recommended and never exceed it, also if you think Tadalafil is not reliable for you. Its side impacts are typically moderate and include flushing, stale nose, drippy nose, problem, muscle pains, indigestion and pain in the back.

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    Integrating these medicines with Tadalafil could cause an abrupt drop in blood pressure that can in turn cause more major health results. If they have signs similar to yours, do not share your price for tadalafil with other individuals even. You are supposed to take Tadalafil when needed, however not more commonly compared to every 24 hrs. The following wellness problems have to be reported prior to you start the therapy: a past of a stroke, liver illness, hypotension, tummy lesion, coronary infarction, heart rhythm troubles, red blood cell ailment, heart problem, bleeding condition, chest discomfort, a history a heart strike, renal disease, retinitis pigmentosa, and hypertension. Make certain you meticulously note the quantity prescribed by your health treatment company and do not exceed it without previously discussing it with your medical professional.

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    Tadalafil (Cialis) phosphodiesterase inhibitor is a prescription medicine taken by mens not able to obtain challenging erections. Take just the dose of tadalafil 20 mg online pharmacy recommended to you.

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    For circumstances, people regarding a past of priapism are most likely to create the exact same problem once more (priapism is a prolonged construction lasting for over 4 hrs and normally uncomfortable). tadalafil 5 coupon functions by blocking an enzyme called phosphodiesterase-5, which results in the leisure of penis muscular tissues and increase of the blood flow.

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    If the side effects mentioned linger and do not stop also when the results of Tadalafil are gone, speak with your medical professional, as you might need your amount to be readjusted (probably decreased). If any of that is real for you, additional tests might be advised, or your doctor will need to monitor your progress very thoroughly to ensure you get the most out of your procedure with Tadalafil. Prior to you begin taking tadalafil 5mg discuss regarding your physician the fact of having bodily defect of the penis, higher or low blood pressure, heart disease, liver illness, bleeding ailment, blood cell condition, angina, tummy ulcer, heart rhythm issues, a current past a cardiac arrest, stroke or coronary infarction, or renal system disease, as those conditions might affect the dosage of Tadalafil you are prescribed or need added monitoring of your wellness condition. See to it you take the precise dosage of Tadalafil suggested to you and avoid taking even more of it, even if you believe you need an amount increase. Recreational medicines, such as amyl nitrate or nitrite can also consist of nitrates and need to consequently be stayed clear of. When your dosage is being determined, your age could be of value.

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    We are providing a fantastic way out for you: a choice of finest drug stores we chose based on a large range of elements. tadalafil 30mg tablet (Cialis) is a medicine for the therapy of erectile disorder. This drug is taken an hour before having sex and is understood to help you last for approximately 26 hrs.

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    Additionally inform your medical provider if you have fibrosis/scarring, blood system cancers, eye issues, energetic tummy lesions, recent movement, coronary canal illness, bleeding ailments, liver disease, penis angulation, history of painful/prolonged construction, Peyronie’s disease, kidney illness, or sickle cell anemia, as these medical problems could influence the amount your doctor will suggest. tadalafil soft negative effects are not many and often vanish soon on their very own. Priapism is a prolonged (over 4 hrs) and unpleasant construction that may take place in a little portion of patients taking impotence drugs. Your physician has to learn about any sort of medications you are taking right now, such as rifampin, troleandomycin, aprepitant, carbamazepine, dexamethasone, phenobarbital, metronidazole, other impotence therapies, fluvoxamine, rifabutin, higher blood tension, erythromycin, HIV protease preventions, cimetidine, amiodarone, clarithromycin, alpha blockers, fluoxetine, danazol, certain antifungals, isoniazid, ritonavir, sertraline, efavirenz, and saquinavir.

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    Tadalafil (Cialis) is recommended for patients that have impotence and have problem getting an adequate erection that would allow them to make love. Tadalafil is not visiting work unless the primary taking it is sexually stimulated, as this medicine is not likely to induce a construction by itself. Abrupt loss of vision is frequently reported by individuals regarding some pre-existing eye issues, along with those that smoke and are older compared to FIFTY. If there is any kind of chance you might have an allergy to any one of the inactive components of this medicine it’s not suggested to take it as you may experience hives, difficulty breathing, puffinessing or your face, lips, neck and tongue and will certainly need to seek emergency health care help. It’s simply that common Tadalafil could be produced by an additional business, but all the international criteria are very carefully noted. tadalafil uk pharmacy could or might not pass into breast milk (there is insufficient info about it) but is not anticipated to do harm to an unborn child. Make sure you inform your physician if you think Tadalafil is not being effective for you, but do not take a greater dosage based upon your very own judgment.

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    The adhering to are the risk aspects for creating this disorder: being older than 50, smoking on a regular basis, heart disease, high blood stress, pre-existing eye troubles, and high cholesterol levels. This medication is the most prominent FDA-approved treatment that has actually been made use of for many years and showed efficient for at least 80 % of people. Furthermore, why would certainly you pay additional money for brand name medicine high quality if you can get a generic medication and take pleasure in the procedure? If you are taking this medicine frequently try to stay clear of missing out on amounts. Prior to you start your treatment, it’s vital to make sure you are not taking certain medicines that may have an effect on the efficiency of tadalafil and your health and wellbeing, and do not have a record of an allergy to the active ingredient of this medicine.

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    An overdose should be reported to your local emergency situation center as quickly as possible to make sure such symptoms as nausea, really feeling light-headed, fainting, chest discomfort, or irregular heart beat are quick managed. There is no requirement to state them to your health care supplier. When taking canadian price for tadalafil, consuming liquor could get worse some of the side impacts you may experience.

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    Taking Tadalafil could be linked with a variety of light and severe side results. Tadalafil (Cialis) is intended for the treatment of guys experiencing impotence – a severe sexual condition that hinders the capacity of the patients to lead a typical sex life. Taking also a lot of 20 mg tadalafil cost could result in such overdose signs as irregular heartbeat, fainting, chest pain, queasiness, priapism and light-headedness and will have to be mentioned to the regional emergency. Tadalafil is a highly reliable medicine suggested to patients with erectile dysfunction. An increasing number of individuals involve the exact same conclusion: a drug like Tadalafil can and must be taken frequently for them to enjoy their sex life. Tadalafil comes as almond shaped medicines including from 2.5 to 20 mg of Cialis. Impotence is a disorder that can be efficiently managed when Tadalafil is made use of, as guys detected with this problem obtain a possibility to make love without being stressed over the solidity of their construction and its longevity.

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    Tadalafil (Cialis) can be utilized to get rid of erectile disorder in people of any ages, although older clients will certainly be needed to take this medication under the close supervision of their medical company. Conditions like uneven heartbeat, priapism, lightheadedness, lack of breath, seizure, unexpected hearing reduction, sweating, hefty sensation, chest pain, basic sick feeling, supplanting the ears or fainting and most likely to have an effect on the dosage of Tadalafil you are suggested and the overall effectiveness of your therapy. An overdose of this medication should be stated to your neighborhood emergency situation program to stop the signs described from becoming worse. You have to take Tadalafil whenever you wish to have sex – as it is not visiting treat erectile dysfunction, as opposed to assist you obtain control over your erection for time. Tell your wellness treatment supplier if you have any of the following wellness conditions that have actually been mentioned to have interference with tadalafil soft 20 mg: heart disease, hemorrhaging condition, a history a heart strike, congestive heart failing, heart rhythm issues, high blood pressure, belly lesion, a history of movement, hypotension, retinitis pigmentosa, renal illness, breast discomfort, liver condition, or blood cell disorder. Impotence is caused by the blood escaping back into the body ahead of time, which makes the tissues of penis narrow. If your construction does not disappear after you have actually completed intercourse, this could suggest you have a hazardous yet rare negative side effects – priapism.

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    Take this drug about 30-60 mins before you are preparing to make love. Never ever incorporate tadalafil regarding specific alpha-blocker medicines, nitroprusside, recreational drugs, and nitrates, as an abrupt decrease in blood pressure is possible. The following can be the contraindications: being expecting, having a record of vision troubles or priapism, or taking nitrate-based medicines that could cause sudden come by blood tension and ever before fatality if integrated regarding Tadalafil. This medication is not initially planned for women, it has actually been grouped as FDA pregnancy category B.

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    , if you have to take this medication on a regular basis make certain you take it at the very same every day to bear in mind much better.. In situation you are taking some medicines however are uncertain just how they are classified you will definitely find this information on the tag. Make certain you inform your medical carrier if you ever had any of the following wellness conditions, as this can be important in identifying a dose you have to be suggested: belly abscess, liver illness, reduced or high blood pressure, a past of heart disease, bleeding ailment, renal system illness, a physical defect of the penis, breast pain, a record of a movement, a current history of a cardiac arrest, heart rhythm issues, retinitis pigmentosa, heart disease, or any kind of red blood cell disorder. tadalafil 20 mg best price in india (Cialis) is a well-liked medication intended for the treatment of erectile disorder.

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