The Painkiller The official cocktail of the British Virgin Islands and one of the most popular mixed drinks in the Caribbean, the painkiller drink recipe is traditionally made with Pusser's Rum. INGREDIENTS: 2-4 oz. of Pusser's Rum 4 oz. pineapple juice 1 oz. cream of coconut 1 oz. orange juice Grated fresh nutmeg In a cocktail shaker filled with ice add first four ingredients and stir. Pour into cocktail glasses and top with grated nutmeg.