caffeine (redirected from Caffene)

Caffeine 

Definition

Caffeine is a drug that stimulates the central nervous system.

Purpose

Caffeine makes people more alert, less drowsy, and improves coordination. Combined with certain pain relievers or medicines for treating migraine headache, caffeine makes those drugs work more quickly and effectively. Caffeine alone can also help relieve headaches. Antihistamines are sometimes combined with caffeine to counteract the drowsiness that those drugs cause. Caffeine is also sometimes used to treat other conditions, including breathing problems in newborns and in young babies after surgery.

Description

Caffeine is found naturally in coffee, tea, and chocolate. Colas and some other soft drinks contain it. Caffeine also comes in tablet and capsule forms and can be bought without a prescription. Over-the-counter caffeine brands include No Doz, Overtime, Pep-Back, Quick-Pep, Caffedrine, and Vivarin. Some pain relievers, medicines for migraine headaches, and antihistamines also contain caffeine.

Recommended dosage

Adults and children age 12 years and over

100-200 mg no more than every 3-4 hours. In timed-release form, the dose is 200-250 mg once a day. Timed-release forms should not be taken less than six hours before bedtime.

Children under 12 years

Not recommended.

Other considerations

People should avoid taking much caffeine when it is being used as an over-the-counter drug and should consider how much caffeine is being taken in from coffee, tea, chocolate, soft drinks, and other foods that contain caffeine. A pharmacist or physician should be consulted to find out how much caffeine is safe to use.

Precautions

Caffeine cannot replace sleep and should not be used regularly to stay awake as the drug can lead to more serious sleep disorders, such as insomnia.

People who use large amounts of caffeine over long periods build up a tolerance to it. When this happens, they have to use more and more caffeine to get the same effects. Heavy caffeine use can also lead to dependence. If the person then stops using caffeine abruptly, withdrawal symptoms may occur. These can include throbbing headaches, fatigue, drowsiness, yawning, irritability, restlessness, vomiting, or runny nose. These symptoms can go on for as long as a week if caffeine is avoided. Then the symptoms usually disappear. As of 2004, caffeine withdrawal has been officially recognized as a disorder classification manual.

If taken too close to bedtime, caffeine can interfere with sleep. Even if it does not prevent a person from falling asleep, it may disturb sleep during the night.

The notion that caffeine helps people sober up after drinking too much alcohol is a myth. In fact, using caffeine and alcohol together is not a good idea. The combination can lead to an upset stomach, nausea, and vomiting.

Older people may be more sensitive to caffeine and thus more likely to have certain side effects, such as irritability, nervousness, anxiety, and sleep problems.

Special conditions

Caffeine may cause problems for people with certain medical conditions or who are taking certain medicines.

ALLERGIES. Anyone with allergies to foods, dyes, preservatives, or to the compounds aminophylline, dyphylline, oxtriphylline, theobromine, or theophylline should check with a physician before using caffeine. Anyone who has ever had an unusual reaction to caffeine should also check with a physician before using it again.

PREGNANCY. Caffeine can pass from a pregnant woman's body into the developing fetus. Although there is no evidence that caffeine causes birth defects in people, it does cause such effects in laboratory animals given very large doses (equal to human doses of 12-24 cups of coffee a day). In humans, evidence exists that doses of more than 300 mg of caffeine a day (about the amount of caffeine in 2-3 cups of coffee) may cause miscarriage or problems with the baby's heart rhythm. Women who take more than 300 mg of caffeine a day during pregnancy are also more likely to have babies with low birth weights. Any woman who is pregnant or planning to become pregnant should check with her physician before using caffeine.

BREASTFEEDING. Caffeine passes into breast milk and can affect the nursing baby. Nursing babies whose mothers use 600 mg or more of caffeine a day may be irritable and have trouble sleeping. Women who are breastfeeding should check with their physicians before using caffeine.

OTHER MEDICAL CONDITIONS. Caffeine may cause problems for people with these medical conditions:

• peptic ulcer
• heart arrhythmias or palpitations
• heart disease or recent heart attack (within a few weeks)
• high blood pressure
• liver disease
• insomnia (trouble sleeping)
• anxiety or panic attacks
• agoraphobia (fear of being in open places)
• premenstrual syndrome (PMS)

USE OF CERTAIN MEDICINES. Using caffeine with certain other drugs may interfere with the effects of the drugs or cause unwanted—and possibly serious—side effects.

Side effects

At recommended doses, caffeine can cause rest-lessness, irritability, nervousness, shakiness, headache, lightheadedness, sleeplessness, nausea, vomiting, and upset stomach. At higher than recommended doses, caffeine can cause excitement, agitation, anxiety, confusion, a sensation of light flashing before the eyes, unusual sensitivity to touch, unusual sensitivity of other senses, ringing in the ears, frequent urination, muscle twitches or tremors, heart arrhythmias, rapid heartbeat, flushing, and convulsions. High caffeine consumption can lead to benign breast disease, which also can increase risk of breast cancer.

Interactions

Certain drugs interfere with the breakdown of caffeine in the body. These include oral contraceptives that contain estrogen, the antiarrhythmia drug mexiletine (Mexitil), the ulcer drug cimetidine (Tagamet), and the drug disulfiram (Antabuse), used to treat alcoholism.

Caffeine interferes with drugs that regulate heart rhythm, such as quinidine and propranolol (Inderal). Caffeine may also interfere with the body's absorption of iron. Anyone who takes iron supplements should take them at least an hour before or two hours after using caffeine.

Key terms

Arrhythmia — Abnormal heart rhythm.

Central nervous system — The brain and spinal cord.

Fetus — A developing baby inside the womb.

Palpitation — Rapid, forceful, throbbing, or fluttering heartbeat.

Withdrawal symptoms — A group of physical or mental symptoms that may occur when a person suddenly stops using a drug to which he or she has become dependent.

Serious side effects are possible when caffeine is combined with certain drugs. For example, taking caffeine with the decongestant phenylpropanolamine can raise blood pressure. And serious heart problems may occur if caffeine and monoamine oxidase inhibitors (MAO) are taken together. These drugs are used to treat Parkinson's disease, depression, and other psychiatric conditions. A pharmacist or physician should be consulted about which drugs can interact with caffeine.

Because caffeine stimulates the nervous system, anyone taking other central nervous system (CNS) stimulants should be careful about using caffeine. Those trying to withdraw from caffeine are advised to do reduce their consumption slowly over time by substituting decaffeinated or non-caffeinated products for some of the caffeinated products.

Resources

Periodicals

"Caffeine Withdrawal Recognized as Disorder." Ascribe Health News Service September 29, 2004.

"High Caffeine Intake May Increase Risk of Benign Breast Disease." Womenós Health Weekly September 16, 2004: 32.

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caffeine /caf·feine/ (kă-fēn´) (kaf´ēn) a xanthine found in coffee, tea, chocolate, and colas; it is a central nervous system stimulant, diuretic, striated muscle stimulant, and acts on the cardiovascular system. As the base or the citrate salt, it is used as a central nrvous system stimulant and as an adjunct in treating neonatal apnea; as the base it is also used in the treatment of vascular headaches and as an adjunct to analgesics.

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caf·feine or caf·fein (k-fn, kfn)

n.

A bitter white alkaloid often derived from tea or coffee and used chiefly as a mild stimulant and in the treatment of certain kinds of headache.

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caffeine

[kafēn′, kaf′ē·in]

Etymology: Ar, qahwah, coffee

a central nervous system stimulant.

indications It is prescribed to counteract migraine, drowsiness, and mental fatigue.

contraindications It is used with caution in patients with heart disease and peptic ulcer. Known hypersensitivity to this drug prohibits its use.

adverse effects Among the most serious adverse reactions are tachycardia and diuresis. GI distress, restlessness, and insomnia are common.

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xanthine [zan´thēn]

a purine compound found in most bodily tissues and fluids; it is a precursor of uric acid. Methylated xanthine compounds such as caffeine, theobromine, and theophylline are used for their bronchodilator effects.

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caffeine (kafēn´, kaf´ēin),

n a white, odorless, bitter compound isolated from tea and coffee that is used as a stimulant of the central nervous system. See also aspirin, phenacetin.

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caffeine

a central nervous system stimulant from coffee, tea, guarana and maté; it also acts as a mild diuretic. The production of more effective drugs has led to caffeine being discarded as an analeptic. It has even been bypassed by the persons who dope horses, especially because it is readily detectable in urine for up to 10 days after its administration.

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caffeine

Pharmacology A methylxanthine that is the most widely used psychoactive substance; it is present in coffee, tea, maté, soft drinks, cocoa, Excedrin, NoDoz, kola nuts, guarana products; low doses–20–200 mg produce positive subjective effects, feelings of well-being, alertness, energy; higher doses have adverse effects–eg, nervousness, anxiety. See Coffee.

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Patient discussion about caffeine.

Q. Am I addicted to caffeine? I love coffee! I can't start my day without it. I drink about 5 cups a day. How do I know if I am addicted?

A. There is no exact test to detect if you are addicted to caffeine. The best way to detect addiction is to stop drinking coffee and see if you experience withdrawal symptoms. These symptoms may vary in their extent, which usually depends upon the state of dependency and addiction. Symptoms of caffeine withdrawal may include headache, fatigue or drowsiness. In addition, changes in mood, such as depressed mood or irritability, may occur. Muscles may be painful or stiff. A person with withdrawal symptoms may have problems to concentrate. Some may experience flu-like symptoms, such as nausea or vomiting. Withdrawal symptoms may occur from 6 to 18 hours after a sudden cessation of use of caffeine.

Q. Whats the harm in drinking coffee? I drink coffee all day long and love it! My friends say I'm addicted and should cut back. But what is the harm in drinking coffee?

A. What caffeine actually does is set off a stress response. It stimulates your adrenal glands to make epinephrine and norepinephrine—the same stress hormones that are produced in response to any stressor. This sets the stress response in motion, causing tense muscles, elevated blood sugar, and increased pulse and respiration. You may feel mentally sharper because your brain is high on adrenaline. If stress hormones remain elevated, the body is thrown into a state of chronic stress. By sipping on coffee all day long, you are forcing your adrenal glands to continue to pump out stress hormones.

Q. Caffeine and stress test why do doctors tell you not to drink coffee before a cardio stress test?

A. CAFFEINE IS ALSO A STIMULENT,IS SPEEDS UP YOUR HEART,THE DOCTOR CANNOT GET A BASE LINE READING ON YOU........mrfoot56