Sulfites in Wine

Sulfites or sulfur dioxide is a fruit preservative widely used in dried fruits as well as wine.  It is also produced by the human body at the level of about 1000 mg (milligrams) per day.  Consumption of food preserved with sulfites is generally not a problem except for a few people who are deficient in the natural enzyme to break it down.  For these people, the additional sulfites from food can be a problem.  There are reports of severe and life threatening reactions when sulfites were added at erroneously and enormously high levels (100 times what was supposed to be used!) on salad bar vegetables.  I have found two reviews of the medical effects of sulfites-unfortunately I could find neither on-line as they appear to be too old.  They should be available at medical school libraries.
AF Gunnison and DW Jacobsen, Sulfite hypersensitivity.  A critical review. CRC Critical Review in Toxicology, 17: 185-214 (1987).  CRC Journals
R.K. Bush, S.L. Taylor and W. Busse, A critical evaluation of clinical trials in reactions to sulfites, J. Allergy Clin. Immunol. 78:191-202 (1986).  J. Allergy Clin Immunol

The levels in wine average 80 mg/liter, or about 10 mg in a typical glass of wine, with slightly higher amounts in white versus red. A number of studies show reactions by sensitive patients to drinking wine with sulfites, but it appears that their reactions are also caused by other components. For details on this issue see this review: A.T. Bakalinsky, Sulfites, Wine and Health, in Wine in Context: Nutrition, Physiology, Policy, A.L. Waterhouse and R.M. Rantz, Eds. American Society for Enology and Viticulture, Davis, 1996. (Publication List)

The medical literature has virtually no reports on sulfites inducing headache.  There are many studies of sulfites and asthmatic responses, and a few of these address sulfites in wine.  A few studies from Australia shows that even with extremely sensitive people, there is only an asthmatic response in a small number of sensitive subjects (4 out of 24) for a single drink (150 ml) at extremely high sulfite levels-300 mg/liter or 45 mg.  No effects were seen at lower levels, such as 150 mg/liter, or with several increasing doses up to 750 mg/liter! See H Valley and PJ Thompson, Role of sulfite additives in wine induced asthma: single dose and cumulative dose studies, Thorax 56:763-769 (2001). Link

There are many erroneous ideas about sulfites, so to put the record straight:

I get about one note every two months protesting this assertion from individuals who say they get terrible headaches from sulfites.  Their experiences may well be true, but anonymous emails cannot be verified and tested, rendering them useless in advancing a valid understanding. I have offered to post their stories if they are willing to verify their identities (to me) and let me compile them in a list for a future research investigation.  Unless the sufferers are willing to undergo some actual verification of their affliction by an independent observer, their stories remain heresay.  Neither science nor the law is willing to take a stand on such grounds.  

So, if you feel that you are so afflicted and you are willing to go on a verified list of potential subjects of a scientific study, please send me a note that includes your postal address, and daytime phone, and a statement of your willingness to be a participant in a future study. This personal information will NOT be posted in the internet.  I will keep this in a list for medical researchers interested in such a study.  Just so you know, your note will NOT be a legal document and any future study on human subjects will include many more documents explaining the nature of any study in which you may participate as well as the risks, etc., and you will have ample opportunity to back out if you have concerns about the study.

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Updated March 2007

Andrew L. Waterhouse, Copyright 2002, 2005, 2006, 2007
Minor Wine Components