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Two painkiller cocktails on a straw placemat with a pineapple and coconut to the side.

Painkiller Cocktail

Let's celebrate summer with a classic tiki drink -- the Painkiller cocktail! Similar to the beloved piña colada, this tropical cocktail features sweet coconut, pineapple, orange juice and a healthy dose of dark rum for the perfect summer drink. Sipping on this fruity cocktail will make you think you're vacationing beachside.
Course Beverages
Cuisine Caribbean
Prep Time 5 minutes
Total Time 5 minutes
Servings 1 drink
Calories 327kcal


  • Cocktail shaker
  • Jigger or small measuring cup
  • Citrus juicer
  • Fun tiki glass


  • 4 ounces pineapple juice
  • 2 ounces dark rum see note
  • 1 ounce freshly squeezed orange juice
  • 1 ounce cream of coconut not to be confused with coconut cream, see note
  • Ice
  • Freshly grated nutmeg for garnish
  • Additional garnishes, such as pineapple leaves, cherries, orange slices, etc. optional


  • Add the pineapple juice, rum, orange juice, cream of coconut and a handful of ice to a cocktail shaker.
  • Put on the top and shake vigorously for 15-30 seconds.
  • Fill a fun tiki glass with crushed ice. Strain the cocktail into the glass and garnish with freshly grated nutmeg. Add additional desired garnishes. Enjoy!



  • For a 12-serving pitcher, stir together 6 cups pineapple juice, 3 cups dark rum, 1 ½ cups orange juice and 1 ½ cups cream of coconut directly in the pitcher and refrigerate for a few hours until you're ready to serve. Before pouring, I recommend giving it a stir because the cream of coconut will settle to the bottom of the pitcher, so you may want to keep a large wooden spoon next to the pitcher. 
  • Cream of coconut and coconut cream are not the same and cannot be substituted in this drink. Find cream of coconut in the drink mixer aisle in a can or squeezable bottle. 
  • I highly recommend freshly squeezed orange juice rather than bottled orange juice for best flavor.
  • Crushed ice is traditional for serving with tiki drinks. You can use crushed ice straight from your freezer, or if you're a Sonic ice lover, you can buy Sonic's famous crushed ice at your local restaurant.
  • Although I serve with crushed ice, I still use cubed ice for shaking.
  • Make sure you use two hands when shaking. We want a lot of force behind the shake to properly agitate our drink and dilute some of the ice.
  • Nutritional information is only an estimate. The accuracy of the nutritional information for any recipe on this site is not guaranteed.


Serving: 1drink | Calories: 327kcal | Carbohydrates: 37g | Protein: 1g | Fat: 5g | Saturated Fat: 4g | Polyunsaturated Fat: 1g | Monounsaturated Fat: 1g | Sodium: 17mg | Potassium: 205mg | Fiber: 1g | Sugar: 33g | Vitamin A: 62IU | Vitamin C: 26mg | Calcium: 18mg | Iron: 1mg