clock clock iconcutlery cutlery iconflag flag iconfolder folder iconinstagram instagram iconpinterest pinterest iconfacebook facebook iconprint print iconsquares squares iconheart heart iconheart solid heart solid icon
Close up of a creamy yellow painkiller cocktail on ice in a rounded cocktail glass with a wedge of orange and a wedge of pineapple attached to the rim

Painkiller Cocktail

  • Author: Lisa
  • Total Time: 10 minutes
  • Yield: 2 drinks 1x


This creamy, fruity, refreshing rum drink is the signature cocktail of the Virgin Islands. It's similar to a piña colada, only less sweet and more sophisticated, with rich, smooth, subtle flavors. A wonderful drink for a festive brunch or for cocktails on a summer night.


Units Scale
  • 8 ounces pineapple juice
  • 4 ounces Pusser's Rum
  • 2 ounce orange juice (no pulp)
  • 2 ounce coconut cream, stirred well, such as coco lopez or Coco Real
  • 1 Whole nutmeg (for grating)
  • Ice
  • Thin wedges of pineapple and/or thin slices of orange, to garnish


  1. Add pineapple juice, rum, orange juice and coconut cream to a cocktail shaker with ice and shake vigorously.
  2. Strain into 2 big glasses filled with ice. Grate fresh nutmeg on top.
  3. Garnish with orange slices and/or pineapple slices.


Nutmeg Grater: I use this grater for nutmeg. It also works for grating parmesan cheese and zesting lemons. Here's a good choice if you want a dedicated nutmeg grater. 

How to make a pitcher of Painkillers: Use the proportions 4 parts pineapple juice, 2 parts rum, 1 part orange juice and 1 part coconut cream. Mix all the ingredients in a pitcher and pour into large, ice-filled glasses. For best results, chill the rum and the two juices the fridge for a few hours, before mixing. However don't chill the coconut cream because it will get solid and difficult to mix.

  • Prep Time: 10 minutes
  • Cook Time: 0 mins
  • Category: Cocktail
  • Method: Mix
  • Cuisine: Caribbean

Keywords: Caribbean cocktail with rum, pineapple juice and coconut cream