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Diet and Nutrition

What to Know About Tepache, a Probiotic-Rich Fermented Drink From Mexico

Sheena P. Patel, MS, RDNFarzon A. Nahvi, MD
Written by Sheena P. Patel, MS, RDN | Reviewed by Farzon A. Nahvi, MD
Updated on November 21, 2025

Key takeaways:

  • Tepache is a fermented beverage that originated in Mexico.

  • Fermented foods and drinks contain probiotics, which can bring a range of health benefits, including support for your gut microbiome. 

  • Tepache contains small amounts of alcohol and may not be a good option for everyone.

Tepache is a fermented drink made from pineapple peels, brown sugar, and spices. And it’s been enjoyed in Mexico for generations. This bubbly beverage has recently gained broader attention for its probiotic benefits and refreshing flavor. Like kefir (a fermented milk-based drink) and kombucha (a fermented tea), tepache is part of a long tradition of fermented foods and drinks that may support gut health while offering a unique flavor.

What is tepache?

Tepache is a fermented, sparkling beverage that’s most commonly made from the peel and rind of pineapples. The drink, also known as “chicha,” is uncaffeinated and fermented by microorganisms naturally found in the environment and the fruit.

How is tepache made?

Tepache is made through the fermentation process. Fermentation is when bacteria and yeast break down food components (such as sugar) into other products (such as acids or alcohol). A basic tepache recipe usually includes: 

  • Pineapple rinds

  • Raw sugar, like piloncillo (panela)

  • Water

  • Cinnamon

After mixing these ingredients, the concoction is then set aside to ferment for a couple of days.

While pineapple is a common base for tepache, you can also make it by fermenting other fruits and vegetables, including:

  • Apples

  • Oranges

  • Guava

  • Corn

Good to know: Making tepache at home can be risky. Consuming drinks that weren’t properly fermented can lead to serious illness. There are some safety tips to reduce this risk, but it’s probably best to opt for drinks that are pasteurized. 

Tepache and your health

There isn’t much research on the nutrition and health benefits of tepache alone. Most of the health claims surrounding tepache come from the fact that it contains probiotics. Probiotics are live microorganisms like bacteria and yeast that are made when a food or drink is fermented.

Fermented drinks like tepache can deliver a dose of beneficial probiotics. The potential benefits include:

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  • Curious about other beverages from Latin America? Yerba mate is a traditional tea that has been used in South America for centuries. And it’s loaded with vitamins and minerals.

There’s also research to show that probiotic drinks can help people manage certain health conditions. These drinks may help:

But keep in mind that these potential health benefits are about probiotics in general. And there are many strains of probiotics. A couple of small studies on Mexican tepache aimed to discover which strains of probiotics were in the drink. Some of the strains found are linked to specific health properties

For example, there’s some evidence that Lactiplantibacillus plantarum can ease diarrhea caused by E. coli infection. And Lactobacillus can help balance the gut, which helps with nutrient absorption. That said, it’s unclear if the same strains or the same amounts would result from all of the different tepache recipes.

Is there alcohol in tepache?

Yes, tepache contains alcohol. But its alcohol content is significantly lower than beer or wine. Traditional tepache tends to be low in alcohol content. Tepache beverages sold in the U.S. have an alcohol by volume (ABV) of around 0.5% to 2%. The amount of alcohol in tepache varies depending on how long it’s fermented. 

Is tepache similar to kombucha?

Yes, tepache and kombucha have some things in common. Both drinks are made with a fermentation process and have a similar type of tang and sour flavor with fizz. 

But tepache is made from fermented fruit (usually pineapple), while kombucha is made from fermented tea. In the U.S., kombucha is more readily available at grocery stores and specialty markets. Tepache isn’t as common in the U.S., but you may find it in local Mexican grocery stores.

Are there any cons to drinking tepache?

Tepache, like many other fermented products, has a distinct flavor that may not be for everyone. It also contains sugars, so drinking it may put you over the American Heart Association’s recommended limits of 36 g for men and 25 g for women. 

It’s important to note that tepache is generally unpasteurized, meaning that it hasn’t gone through heat treatment to destroy potentially harmful bacteria. Unpasteurized drinks have a higher chance of giving you foodborne illnesses. Unpasteurized tepache is especially risky for:

If you’re unsure whether the tepache you find at the store is pasteurized, check the label. If it’s not pasteurized, it should have a warning label. Talk with a healthcare professional if you have specific health concerns or questions about tepache or other fermented drinks.

Frequently asked questions

Tepache is generally considered safe for most people — including children — when it’s made and stored properly. If you buy bottled tepache in a store, check the label to make sure that it’s pasteurized and non-alcoholic. Under federal law, fermented drinks like kombucha and tepache must be labeled as alcoholic if the ABV is 0.5% or above at any point during the production process. 

To be on the safe side, young children should avoid homemade versions of tepache where the production process can’t be verified. 

The taste of tepache varies based on the recipe. In general, tepache has a mild, refreshing flavor with a balance of fruity sweetness, tang, and warm spice. Fermentation gives it a gentle carbonation and a subtle sour note, similar to a mild kombucha.

The bottom line

Tepache is a fermented drink that has been around for centuries. Originating in Mexico, tepache has gained attention in other parts of the world. While the studies on tepache specifically are limited, fermented foods and drinks in general may support gut health. Next time you see tepache in the store, give it a try, and see what you think.

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Why trust our experts?

Sheena P. Patel, MS, RDN, has been practicing as a registered dietitian nutritionist for over 10 years and has a wide variety of experience in the nutrition field.
Alex Eastman, PhD, RN, is a California-based registered nurse and staff medical editor at GoodRx, where he focuses on clinical updates and Latino health.
Farzon Nahvi, MD, is an emergency medicine physician and author of “Code Gray: Death, Life, and Uncertainty in the ER.” He works at Concord Hospital in Concord, New Hampshire, and teaches at the Geisel School of Medicine at Dartmouth.

References

GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.

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