'acocotl' originates from Nahuatl, specifically the word 'acocotl', where 'aco-' meant 'water' and '-cotl' referred to 'tube' or 'pipe'.

'acocotl' has remained largely unchanged from its original Nahuatl form, maintaining its reference to the agave plant.

Initially, it referred to the agave plant used for water transport, but over time it evolved to include its use in beverages.