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caffeine

 
also caf·fein (kă-fēn', kăf'ēn', kăf'ē-ĭn) pronunciation
n.
A bitter white alkaloid, C8H10N4O2, often derived from tea or coffee and used in medicine chiefly as a mild stimulant and to treat certain kinds of headache.

[German Kaffein (from Kaffee, coffee) or French caféine, both from French café, coffee. See café.]

caffeinated caf'fein·at'ed (kăf'ə-nā'tĭd) adj.

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Heterocyclic compound that, like other alkaloids, has marked physiological effects. It occurs in coffee beans, tea leaves, kola nuts, cacao, maté, and guarana and in the products made from them. Its stimulating effect on the central nervous system, heart, cardiovascular system, and kidneys makes it medically useful in treating respiratory depression caused by overdose of barbiturates, morphine, or heroin. Its positive effects can include improved motor performance, decreased fatigue, increased alertness, and enhanced sensory activity. Excessive caffeine can produce irritability, anxiety, insomnia, and potentially serious symptoms such as heart irregularities and delirium. Much of the caffeine included in many over-the-counter stimulants, cold remedies, and painkillers has been extracted during production of decaffeinated coffee and tea.

For more information on caffeine, visit Britannica.com.

An alkaloid, formerly synthesized by methylation of theobromine isolated from cacao, but now recovered from the solvents used in the manufacture of decaffeinated coffee. Chemically, caffeine is 1,3,7-trimethylxanthine, and has the formula below. It is widely used in medicine as a stimulant for

the central nervous system and as a diuretic. It occurs naturally in tea, coffee, and yerba maté, and small amounts are found in cola nuts and cacao. Caffeine crystallizes into long, white needlelike crystals that slowly lose their water of hydration to give a white solid that melts at 235–237.2°C (455–459.0°F). It sublimes without decomposition at lower temperatures. Caffeine has an intensely bitter taste, though it is neutral to litmus. See also Alkaloid.


An alkaloid (chemically trimethylxanthine) found in coffee and tea (when it is sometimes called theine). It raises blood pressure, stimulates the kidneys, and temporarily averts fatigue and tiredness, so has a stimulant action. It can also be a cause of insomnia in some people, and decaffeinated coffee and tea are commonly available.

Coffee beans contain about 1% caffeine, and the beverage contains about 70 mg/100 mL. Tea contains 1.5-2.5% caffeine, about 50-60 mg/100 mL of the beverage. Cola drinks contain 12-18 mg/100 mL, and some energy drinks may contain more.

See also coffee, decaffeinated; theobromine; xanthine.

Caffeine occurs naturally in about 60 species of plant, including coffee beans, tea leaves, and cocoa nuts. It is a constituent of chocolate bars, coffee, tea, and cola-type drinks and occurs in the following approximate amounts:

CAFFEINE PER AVERAGECUP OR BAR (MG)
ground coffee90
instant coffee60
decaffeinated coffee3
tea40
cola40
chocolate bar40


Caffeine is a mildly addictive drug. It acts as a stimulant, increasing blood pressure, and accelerating heart rate and breathing. It also makes you feel more alert and energetic.

High caffeine consumption prior to competition is banned by the International Olympic Committee because it improves performance artificially and it may be harmful if taken in excess. Concentrations above 12 micrograms per millilitre are regarded as positive indicators of doping.

Caffeine may boost athletic performance by improving muscle strength and reaction times. Drinking as little as two cups of coffee may enable athletes of average ability to run the 1500 metres several seconds faster. Coffee may also improve endurance and delay fatigue by mobilizing free fatty acids, making them more readily available as fuel. A high carbohydrate diet appears to nullify this effect.

Excessive caffeine intake can cause sleeplessness, diarrhoea, fluid loss, and stomach irritation. Many researchers have tried to link high caffeine consumption to an increased risk of certain diseases, such as cancer, high blood pressure, and heart disease. As yet, the links have not been confirmed and some of the evidence is contradictory. However, there is a well-established correlation between heart disease and those who both smoke and have high levels of caffeine consumption. Caffeine, when consumed at the same time as other foods, may also interfere with the absorption of minerals, such as calcium and iron. Loss of bone density associated with ageing in adults, may be accelerated by drinking two or more cups of coffee a day. Coffee also acts as a diuretic, increasing urine production by as much as 30 per cent.

Although there is still some uncertainty about the effects of caffeine, the general medical opinion is that between 200-250 milligrams of caffeine a day rarely cause adverse reactions in healthy adults. It also appears that caffeine consumed during exercise (rather than before or after it) has little effect on heart rate, performance, or urine production.

[ka-FEEN] An organic compound found in foods such as chocolate, coffee, cola nuts and tea. Scientific studies have shown that caffeine stimulates the nervous system, kidneys and heart, causes the release of insulin in the body and dilates the blood vessels.

Caffeine is a methylxanthine present in tea and coffee, and therefore probably is the most common drug, regularly taken, in the world. Three very similar compounds — all in this same group of alkaloids — are present in common beverages, namely caffeine, theophylline, and theobromine. The first two are found mainly in tea and coffee, and the third in cocoa. Cola beans, used in the manufacture of well-known soft drinks, also contain caffeine. The three compounds differ very little from each other: simply the number and disposition of methyl groups about the xanthine nucleus is variable. Weight for weight, the caffeine content of coffee beans (0.7-1.5%) and tea leaves (2-3%) is similar, but generally a coffee infusion is stronger than that used for tea. Thus the dose of alkaloid per usual portion of tea or coffee is very similar, namely 50-150 mg, depending on taste.

Infusions made from the leaves of Camellia sinensis (i.e. tea) have been consumed in the East for almost two millenia, and the practice reached Europe in the sixteenth century. The demand grew, and plantations were started in the Indian subcontinent. The British remain the most constant tea drinkers, with an average annual consumption of 4.5 kg, equivalent to a daily caffeine intake of 300 mg. In Japan tea is made from powdered green leaves. An elaborate tea ceremony is sometimes performed in which the tea maker performs a series of ritualized procedures in a very precise way. The green tea served at these ceremonies is usually bitter in taste.

Coffee cultivation began in the Yemen in the ninth century, the beans being obtained from a bush, Coffea arabica, and they were introduced into Europe alongside tea in the sixteenth century. The major source of coffee is now in the state of Sao Paulo, Brazil. Coffee is supposed to have been discovered by an Ethiopian holy man whose goats had eaten the berries, allowing them to frisk all night long. It was claimed that coffee ‘quickens the spirits and makes the heart lightsome’ and is ‘good against the dropsy’, but a distinguished professor of medicine at Cambridge around 1900 claimed coffee caused tremors and agitation. Explanations for all these claims can be made, particularly when allowance is made for ‘dose’. However, assuming the effects are due to caffeine, tea drinkers as well as coffee drinkers will benefit, or suffer, alike. While lethargy and irritability often result from withdrawal in drinkers, it is doubtful whether true caffeine dependency exists.

The pharmacological effects of caffeine are widespread and various. By inhibition of certain enzymes, it allows an increase in the concentration of the ‘second messenger’, cyclic AMP, within cells, enhancing in turn the systems which this activates. Since caffeine penetrates the blood-brain barrier it is assumed that the central stimulant effects that enhance alertness and counteract feelings of fatigue, are due to this action. Caffeine also acts on the kidneys as a mild diuretic; this combined with its stimulant actions on heart muscle provide good evidence for the claim that it is ‘good for the dropsy’, both by strengthening the force of the heart beat and by removing accumulated body fluid.

— Alan W. Cuthbert

Drug Info:

Caffeine

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Brand names: .44 Magnum™357 HR Magnum®Alert®Alertness AL®AwakeCafcit®Enerjets®Fastlene®Keep Alert®Keep Going®Lucidex™Molie®NoDoz®NoDoz® Maximum StrengthOvertime®Revive®Stay AwakeStay Awake®Ultra Pep-Back®Valentine®Verv®Vivarin®Wakespan®Waykup®

Chemical formula:



Caffeine Citrate Solution for injection

What is this medicine?

CAFFEINE (KAF een) is a stimulant. It is used to help premature babies breathe more regularly.
 
This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
•anemia
•colitis
•heart disease, irregular heartbeat
•infection
•kidney disease
•liver disease
•seizure disorder
•an unusual or allergic reaction to caffeine, aminophylline, theophylline, other medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding

How should I use this medicine?

This medicine is for infusion into a vein. It is given by a health care professional in a hospital or clinic setting.

Talk to your pediatrician regarding the use of this medicine in children. While this drug is prescribed for newborns for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If your prescriber or health care professional has prescribed a regular schedule and you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:
•MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

This medicine may also interact with the following medications:
•cimetidine
•ketoconazole
•ketoprofen
•medicines for colds or breathing difficulties
•phenobarbital
•phenytoin
•stimulant medicines for attention disorders, weight loss, or to stay awake
•theophylline

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

The doctor will follow the child's condition closely while receiving this medicine. Tell the doctor if your child's breathing does not improve or gets worse. The doctor may order important blood work.

If you are breast-feeding a child who is taking this medicine watch your diet. Avoid food and drinks that contain additional caffeine, like coffee, tea, colas and chocolate. The caffeine you eat will pass to the infant with breast-feeding.

What side effects may I notice from receiving this medicine?

Side effects in your infant that you should report to your doctor or health care professional as soon as possible:
•allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
•bloated stomach
•bloody, dark stools
•breathing problems
•irritable, fussy
•fast, irregular heartbeat
•fever, infection
•not eating or sleeping like usual
•seizure
•trembling
•trouble passing urine or change in the amount of urine
•unusual bleeding or bruising
•unusually quiet, not responsive
•vomiting

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
•dry skin
•feeding problems
•frequent passing of urine
•pain when injected

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

This drug is given in a hospital or clinic and will not be stored at home.

Last updated: 7/1/2002

Important Disclaimer: The drug information provided here is for educational purposes only. It is intended to supplement, not substitute for, the diagnosis, treatment and advice of a medical professional. This drug information does not cover all possible uses, precautions, side effects and interactions. It should not be construed to indicate that this or any drug is safe for you. Consult your medical professional for guidance before using any prescription or over the counter drugs.


A mild stimulant that is found in tea and coffee. It is often included, in small doses, in analgesic preparations, and is claimed to increase analgesic effects. However, there is considerable scepticism as to whether it actually contributes to pain control.

Side effects and precautions:
the alerting effect of caffeine in analgesic preparations may not always be wanted, and the caffeine may worsen a headache. Overconsumption of caffeine can cause feelings of anxiety and restlessness, and very large doses, or sudden withdrawal, can cause headaches.

Proprietary preparations:
Alka-Seltzer XS (combined with aspirin and paracetamol); Anadin (combined with aspirin); Anadin Extra, Anadin Extra Soluble (combined with aspirin and paracetamol); Beechams Flu-Plus Caplets (combined with paracetamol and phenylephrine); Beechams Powders (combined with aspirin); Beechams Powders Capsules (combined with paracetamol and phenylephrine); Boots Cold and 'Flu Relief Tablets (combined with paracetamol, phenylephrine, and ascorbic acid); Boots Max Strength Cold & Flu Capsules (combined with paracetamol and phenylephrine); Boots Max Strength Sinus Relief Capsules (combined with paracetamol and phenylephrine); Boots Paracetamol and Codeine Extra Capsules (combined with paracetamol and Codeine); Hedex Extra (combined with paracetamol); Lemsip Cold & Flu Capsules (combined with paracetamol and phenylephrine); Non-Drowsy Sudafed Congestion and Headache Capsules (combined with paracetamol and phenylephrine); Panadol Extra (combined with paracetamol); Solpadeine Headache (combined with paracetamol); Solpadeine Plus (combined with paracetamol and codeine); Syndol (combined with paracetamol, codeine, and doxylamine); Veganin (combined with paracetamol and aspirin); Yeast-Vite (combined with nicotinamide, riboflavin, and thiamine).

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Definition

Caffeine is a drug that stimulates the central nervous system.

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.

General Use

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.

Precautions

Caffeine cannot replace sleep and should not be used regularly for staying awake as the drug can lead to serious sleep disorders, like insomnia.

People who use large amounts of caffeine over long periods build up a tolerance to it. When that 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.

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.

Children under the age of 12 should normally avoid caffeine.

Side Effects

Although caffeine is used to treat headaches, regular consumption of large quantities of caffeine containing beverages can cause severe headaches.

Excess use of caffeine by children leads to decreased nighttime sleep, but increased daytime sleep.

Interactions

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

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.

Serious side effects are possible when caffeine is combined with certain drugs. For example, taking caffeine with the decongestant phenylpropanolamine can raise blood pressure. Very serious heart problems may occur if caffeine and monoamine oxidase (MAO) inhibitors are taken together. These drugs are used to treat Parkinson's disease, depression, and other psychiatric conditions. People who use these drugs should consult a pharmacist or physician 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.

Parental Concerns

Moderate amounts of caffeine are not normally associated with adverse effects. As a rule, a daily intake of 300 milligrams should not present a problem. The following list gives the estimated amount of caffeine in common foods, but actual concentrations may be higher or lower.

  • coffee, 115 mg
  • black tea, 40 mg
  • cola and other soft drinks, 18 mg
  • chocolate milk, 5 mg
  • milk chocolate (1 ounce) 6 mg

Resources

Books

Beers, Mark H., and Robert Berkow, eds. The Merck Manual, 2nd home ed. West Point, PA: Merck & Co., 2004.

Mcevoy, Gerald, et al. AHFS Drug Information 2004. Bethesda, MD: American Society of Healthsystems Pharmacists, 2004.

Siberry, George K., and Robert Iannone, eds. The Harriet Lane Handbook, 15th ed. Philadelphia: Mosby Publishing, 2000.

Periodicals

Hering-Hanit, R., and N. Gadoth. "Caffeine-induced headache in children and adolescents." Cephalalgia 23, no. 5 (June 2003): 332–5.

Pollak Charles P., and David Bright. "Caffeine consumption and weekly sleep patterns in U.S. seventh, eighth, and ninth graders." Pediatrics 111, no. 1 (January 2003): 42–6.

Steer, P. A., and D. J. Henderson-Smart. "Caffeine versus theophylline for apnea in preterm infants." Cochrane Database of Systematic Review 2 (2000): CD000273.

Organizations

Baylor College of Medicine USDA/ARS Children's Nutrition Research Center. 1100 Bates Street, Houston, TX 77030.

University of Minnesota Extension Service. Office of the Director, 240 Coffey Hall, 1420 Eckles Ave. St. Paul, MN 55108–6068.

Web Sites

"Caffeine." Center for the Evaluation of Risks to Human Reproduction. Available online at (accessed October 16, 2004).

"Questions and Answers about Caffeine and Health." International Food Information Council. Available online at www.ific.org/publications/qa/caffqa.cfm (accessed October 16, 2004).

[Article by: Nancy Ross-Flanigan Samuel Uretsky, PharmD]



A mildly addictive central nervous system stimulant. It is a constituent of many common products including chocolate bars, coffee, tea, and cola-type drinks. A cup of ordinary percolated coffee contains about 100-150 mg of caffeine. Caffeine may enhance the performance of endurance activities by improving the mobilization of fatty acids, enabling the more efficient use of fat as fuel and sparing glycogen reserves. The caffeine also lowers an endurance athlete's perception of effort at a given work rate, potentially enabling the athlete to work harder for the same perceived effort. In addition, caffeine enhances physical performances requiring speed and strength. It improves reaction times and alertness immediately after it is taken, but these improvements may be followed by feelings of mild fatigue and depression. Caffeine consumed before a physical activity acts as a diuretic drug, increasing the risk of dehydration, but its diuretic effect seems to be absent when the caffeine is taken during the activity. Chronic, excessive caffeine intake can lead to insomnia, diarrhoea, fluid and weight loss, stomach irritation, ulcers, and hypertension. In 2004, caffeine was taken off the World Anti-Doping Agency (WADA) List of Prohibited substances, but in 2005 WADA was considering putting caffeine back on the list after several Australian athletes, including the national rugby union captain, George Gregan, admitted to taking it to enhance performance.

Caffeine
Caffeine

A Cup of Caffeine... er... Coffee
 
A Cup of Caffeine... er... Coffee
What is it about caffeine that keeps us up at night?

Caffeine is an alkaloid that acts as a stimulant on the heart and cardiovascular system, kidneys, and nervous system. It's found naturally in coffee, tea, yerba maté, cacao and kola nuts. On the up side, caffeine can make us more alert and sharpen our sensory perception. The flip side of that is that it can cause insomnia, irritability, anxiety and irregularities in the heartbeat. March is National Caffeine Awareness Month. Focusing on the negative aspects of the substance, the goal is to reduce dependence on caffeine. It's not too late in the month to try some decaffeinated drinks and cut down on the chocolate (though dark chocolate has its own medical rewards, so don't cut it out altogether!).

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From our Archives: Today's Highlights, March 31, 2011

Caffeine is a naturally occurring stimulant found in the leaves, seeds, or fruit of over sixty plants around the world. Caffeine exists in the coffee bean in Arabia, the tea leaf in China, the kola nut in West Africa, and the cocoa bean in Mexico. Because of its use throughout all societies, caffeine is the most widely used psychoactive substance in the world. The most common caffeine sources in North America and Europe are coffee and tea. Since about 1980, extensive research has been conducted on how caffeine affects health. Most experts agree that moderate use of caffeine (300 milligrams, or about three cups of coffee, per day) is not likely to cause health problems.

How Caffeine Affects the Body
Caffeine is best known for its stimulant, or "wake-up," effect. Once a person consumes caffeine, it is readily absorbed by the body and carried around in the bloodstream, where its level peaks about one hour after consumption. Caffeine mildly stimulates the nervous and cardiovascular systems. It affects the brain and results in elevated mood, decreased fatigue, and increased attentiveness, so a person can think more clearly and work harder. It also increases the heart rate, blood flow, respiratory rate, and metabolic rate for several hours. When taken before bedtime, caffeine can interfere with getting to sleep or staying asleep.

Exactly how caffeine will affect an individual, and for how long, depends on many factors, including the amount of caffeine ingested, whether one is male or female, one's height and weight, one's age, and whether one is pregnant or smokes. Caffeine is converted by the liver into substances that are excreted in the urine.

Some people are more sensitive to the effects of caffeine than others. With frequent use, tolerance to many of the effects of caffeine will develop. At doses of 600 milligrams (about six cups of coffee) or more daily, caffeine can cause nervousness, sweating, tenseness, upset stomach, anxiety, and insomnia. It can also prevent clear thinking and increase the side effects of certain medications. This level of caffeine intake represents a significant health risk.

Caffeine can be mildly addictive. Even when moderate amounts of caffeine are withdrawn for 18 to 24 hours, one may feel symptoms such as headache, fatigue, irritability, depression, and poor concentration. The symptoms peak within 24 to 48 hours and progressively decrease over the course of a week. To minimize withdrawal symptoms, experts recommend reducing caffeine intake gradually. Caffeine in Food and Drugs
Due to its stimulant properties, caffeine is used around the world in any of its many forms, such as coffee, tea, soft drinks, and chocolate. The accompanying table displays the amount of caffeine in foods. An eight-ounce cup of drip-brewed coffee has about 85 milligrams of caffeine, whereas the same amount of brewed tea contains about 47 milligrams. Twelve-ounce cans of soft drinks (soda) provide about 35 to 45 milligrams of caffeine.

Food/Beverage Caffeine (milligrams)
Coffee
   Espresso coffee, brewed, 8 fluid ounces    502
   Coffee, brewed, 8 fluid ounces    85
   Coffee, instant, 8 fluid ounces    62
   Coffee, brewed, decaffeinated, 8 fluid ounces    3
   Coffee, instant, decaffeinated, 8 fluid ounces    2
Tea
   Tea, brewed, 8 fluid ounces    47
   Tea, herbal, brewed, 8 fluid ounces    0
   Tea, instant, 8 fluid ounces    29
   Tea, brewed, decaffeinated, 8 fluid ounces    3
Chocolate Beverages
   Hot chocolate, 8 fluid ounces    5
   Chocolate milk, 8 fluid ounces    5
Soft Drinks
   Cola, 12 ounce can    37
   Cola, with higher caffeine, 12 ounce can    100
   Cola or pepper-type, diet, 12 ounce can    49
   Cola or pepper-type, regular or diet, without caffeine, 12 ounce can    0
   Lemon-lime soda, regular or diet, 12 ounce can    0
   Lemon-lime soda, with caffeine, 12 ounce can    55
   Ginger ale, regular or diet, 12 ounce can    0
   Root beer, regular or diet, 12 ounce can    0
Chocolate
   Milk chocolate bar, 1.55 ounces    9
   M & M milk chocolate candies, 1.69 ounces    5
   Dark chocolate, semisweet, 1 ounce    20
SOURCE: U.S. Department of Agriculture National Nutrient Database for Standard Reference, Release 16 July 2003.


The caffeine content of coffee and tea depends on the variety of the coffee bean or tea leaf, the particle size, the brewing method, and the length of brewing or steeping time. Brewed coffee has more caffeine than instant coffee, and espresso has more caffeine than brewed coffee. Espresso is made by forcing hot pressurized water through finely ground, dark-roast beans. Because it is brewed with less water, it contains more caffeine than regular coffee per fluid ounce.

In soft drinks, caffeine is both a natural and an added ingredient. About 5 percent of the caffeine in colas and pepper-flavored soft drinks is obtained naturally from cola nuts; the remaining 95 percent is added. Caffeine-free drinks contain virtually no caffeine and make up a small part of the soft-drink market.

Numerous prescription and nonprescription drugs also contain caffeine. Caffeine increases the ability of aspirin and other painkillers to do their job, and it is often used in headache and pain-relief remedies as well as in cold products and alertness or stay-awake tablets. When caffeine is an ingredient, it must be listed on the product label.


Caffeine and Health
Current research on how caffeine affects a variety of health issues is summarized below. Keep in mind that most experts agree that moderate use of caffeine is not likely to cause any health problems.

  • Studies have looked at the effects of caffeine on heart health. Moderate caffeine consumption does not appear to adversely affect cardiovascular health.
  • Caffeine appears to increase the excretion of calcium, a mineral needed for healthy bones. Calcium is particularly important to prevent osteoporosis, a bone disease characterized by loss of bone strength and seen especially in older women (although men get it too). Moderate caffeine intake does not seem to cause a problem with calcium, as long as one is consuming the recommended amount (adult men and women should be taking between 1,000 and 1,200 milligrams of calcium, depending on age and gender).
  • In the past there have been concerns that the caffeine in coffee may cause cancer. Research has shown that caffeine in coffee does not cause breast or intestinal cancer. However, not enough research has been done to determine if caffeine in coffee is involved in urinary bladder or pancreatic cancer. Taken in moderation, it is unlikely that caffeine will cause cancer.
  • Evidence suggests that, at levels over 500 milligrams per day, caffeine may delay conception. Moderate caffeine consumption does not appear to be of concern to women trying to get pregnant. Moderate consumption is also important for a healthy pregnancy. Excessive caffeine intake has been associated with miscarriages and low birth weight babies.
  • Because children have developing nervous systems, it is important to moderate their caffeine consumption. For children, major sources of caffeine include soft drinks and chocolate.
  • Caffeine may be useful as part of a weight control program because it increases the rate at which the body burns calories for three or more hours after being consumed.
  • Caffeine's ability to improve physical performance is well known among well-trained athletes. Through a mechanism that is not completely understood, caffeine seems to increase endurance and speed in some situations. Excessive use of caffeine is restricted in international competitions.
Bibliography
Heaney, R. P. (2002). "Effects of Caffeine on Bone and the Calcium Economy." Food and Chemical Toxicology 40:1263–1270.
Juhn, M. S. (2002). "Ergogenic Aids in Aerobic Activity." Current Sports Medicine Reports 1:233–238.
Kaiser, Lucia Lynn, and Allen, Lindsay. (2002). "Position of the American Dietetic Association: Nutrition and Lifestyle for a Healthy Pregnancy Outcome." Journal of the American Dietetic Association 102:1479–1490.
Nawrot, P.; Jordan, S.; Eastwood, J.; Rotstein, J.; Hugenholtz, A.; and Feeley, M. (2003). "Effects of Caffeine on Human Health." Food Additives and Contaminants 20:1–30.
Sizer, Frances, and Whitney, Eleanor. (2003). Nutrition: Concepts and Controversies. Belmont, CA: Wadsworth/Thomson Learning.
Smith, A. (2002). "Effects of Caffeine on Human Behavior." Food and Chemical Toxicology 40:1243–1255.
Weinberg, Bennett Alan, and Bealer, Bonnie K. (2002). The World of Caffeine: The Science and Culture of the World's Most Popular Drug. London: Taylor & Francis.

Internet Resource
Spriet, Lawrence L., and Graham, Terry. "Caffeine and Exercise Performance." American College of Sports Medicine. Available from http://mplus.nlm.nih.gov/medlineplus

    Description
    Precautions
    Interactions
    Complications
    Parental concerns
    Resources

What is Caffeine?

Caffeine is a mild alkaloid stimulant made by some plants. It is found in coffee beans, tea leaves, and cocao beans, added to soft drinks, energy drinks, energy bars, and sold in capsules and tablets as a dietary supplement. Caffeine has no nutritional value.

What is the Purpose of Caffeine?

Caffeine is a mild stimulant. It is used to temporarily relieve fatigue and increase mental alertness. Caffeine is added to some antihistamine drugs to help counteract the sleepiness they may cause. It is also added to over-the-counter headache remedies (e.g., Excedrin) and migraine headache drugs to enhance their painkilling effects. Under medical supervision, citrated caffeine (a prescription drug) is used to treat breathing problems in premature infants.

Caffeine

ProductAmount of caffeine(mg)
Cocaine energy drink, 8.5 oz.280
Caffeine tablet, 1200
Coffee, brewed 8 oz.135
Red Bull energy drink, 8.5 oz.80
SoBe No Fear energy drink, 8 oz.80
Excedrin headache tablet, 165
Mountain Dew, 1 can, 12 oz.55
Black tea, brewed, 8 oz.50
Diet Coke, 1 can, 12 oz.45
Sunkist Orange, regular or diet, 1 can, 12 oz.41
Coffee, espresso, 1 oz.40
Pepsi Cola, 1 can, 12 oz.37
Coca-Cola Classic, 1 can, 12 oz.34
Hershey’s Special Dark chocolate, 1 bar, 1.5 oz.31
Barq’s Root Beer, 1 can, 12 oz.22
Green tea, brewed, 8 oz.15
Hershey’s Milk Chocolate, 1 bar, 1.5 oz.10
Coffee, decaffeinated, 8 oz.5
Tea, decaffeinated, 8 oz.4
Diet Barq’s Root Beer, 1 can, 12 oz.0
Sprite, diet or regular, 1 can, 12 oz.0
7-Up, 1 can, 12 oz.0
Columbia Encyclopedia:

caffeine

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caffeine (kăfēn'), odorless, slightly bitter alkaloid found in coffee, tea, kola nuts (see cola), ilex plants (the source of the Latin American drink maté), and, in small amounts, in cocoa (see cacao). It can also be prepared synthetically from uric acid. While relatively harmless, it is the most commonly used mind-altering drug in the world. When used in moderation, caffeine acts as a mild stimulant to the nervous system, blocking the neurotransmitter adenosine and resulting in a feeling of well-being and alertness. It increases the heart rate, blood pressure, and urination and stimulates secretion of stomach acids; excessive intake can result in restlessness, insomnia, and heart irregularities. The effects of caffeine vary from person to person, as people excrete it at different rates. Physical dependence and unpleasant symptoms upon withdrawal (headache, fatigue, depression) are common in regular caffeine users.

Bibliography

See B. A Weinberg and B. K. Bealer, The World of Caffeine (2001).


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caffeine

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pronunciation

IN BRIEF: A substance which is a stimulant that is found in coffee, tea, and cola drinks.

pronunciation That soda had no caffeine in it.

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A stimulant found in coffee beans, tea leaves, cocoa beans, and Kola nuts. Besides the naturally occurring form, caffeine is also added to beverages like colas. The four major food sources of caffeine in the United States are tea, cola beverages, coffee, and chocolate. It is often seen when the consumption of one is diminished, the craving for another type increases. It is almost similar to the body titrating to a specified level of caffeine as being optimum. It is a misnomer that there is no caffeine in tea. Actually caffeine in tea is called theine, which is the same compound. There is a legal limit to caffeine in the United States. It is 6 mg per liquid ounce as consumed in beverages. See Alkaloids, Theobromine, Chocolate.


1,3,7-trimethylxanthine, 3,7-dihydro-1,3,7-trimethyl-1H-purine-2,6-dione; a substance found in certain plants, notably in tea and coffee and the beverages derived from them. It is an adenosine (A1 and A2) receptor antagonist and phosphodiesterase inhibitor, and a stimulant of the central nervous system, affecting the cardiovascular system and causing diuresis. Its actions are similar to those of theophylline but less potent.





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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.

(kafēn′, kaf′ē-in)
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
Systematic (IUPAC) name
1,3,7-trimethyl-1H-purine-2,6(3H,7H)-dione
3,7-dihydro-1,3,7-trimethyl-1H-purine-2,6-dione
Clinical data
AHFS/Drugs.com monograph
Pregnancy cat. B?(AU) B(US)
Legal status Unscheduled (AU) GSL (UK) OTC (US)
Routes Oral, Insufflation, Enema, Dermal[1]
Pharmacokinetic data
Bioavailability 99%
Protein binding 17% to 36%
Metabolism demethylation by CYP1A2
Half-life 5 hrs
Excretion urine
Identifiers
CAS number 58-08-2
ATC code N06BC01
PubChem CID 2519
DrugBank DB00201
ChemSpider 2424 YesY
UNII 3G6A5W338E YesY
KEGG D00528 YesY
ChEBI CHEBI:27732 YesY
ChEMBL CHEMBL113 YesY
Chemical data
Formula C8H10N4O2 
Mol. mass 194.19
SMILES eMolecules & PubChem

Caffeine is a bitter, white crystalline xanthine alkaloid that acts as a stimulant drug. Caffeine is found in varying quantities in the seeds, leaves, and fruit of some plants, where it acts as a natural pesticide that paralyzes and kills certain insects feeding on the plants. It is most commonly consumed by humans in infusions extracted from the seed of the coffee plant and the leaves of the tea bush, as well as from various foods and drinks containing products derived from the kola nut. Other sources include yerba maté, guarana berries, guayusa, and the yaupon holly.

In humans, caffeine acts as a central nervous system stimulant, temporarily warding off drowsiness and restoring alertness. It is the world's most widely consumed psychoactive drug, but, unlike many other psychoactive substances, it is both legal and unregulated in nearly all parts of the world. Beverages containing caffeine, such as coffee, tea, soft drinks, and energy drinks, enjoy great popularity; in North America, 90% of adults consume caffeine daily.[5]

Caffeine is toxic at sufficiently high doses, but ordinary consumption poses few known health risks, even when carried on for years — there may be a modest protective effect against some diseases, including certain types of cancer. Some people experience sleep disruption if they consume caffeine, especially during the evening hours, but others show little disturbance and the effect of caffeine on sleep is highly variable.

Evidence of a risk to pregnancy is equivocal, but some authorities have concluded that prudent advice is for pregnant women to limit consumption to the equivalent of two cups of coffee per day or less. Caffeine has diuretic properties when administered to people who are not used to it, but regular users develop a tolerance to this effect, and studies have generally failed to support the common notion that ordinary consumption contributes significantly to dehydration. With heavy use, strong tolerance develops rapidly and caffeine can produce clinically significant physical and mental dependence.

Health effects

Health effects of caffeine.png

Stimulant effects

Caffeine is a central nervous system and metabolic stimulant,[6] and is used both recreationally and medically to reduce physical fatigue and to restore alertness when drowsiness occurs. It produces increased wakefulness, faster and clearer flow of thought, increased focus, and better general body coordination.[7] The amount of caffeine necessary to produce effects varies from person to person, depending on body size and degree of tolerance. Effects begin less than an hour after consumption, and a moderate dose usually wears off in about five hours.[7]

Caffeine has a number of effects on sleep, but does not affect all people in the same way. It improves performance during sleep deprivation but may lead to subsequent insomnia.[8] In shift workers it leads to fewer mistakes caused by tiredness.[9] In athletics, moderate doses of caffeine can improve sprint,[10] endurance[11] and team sports performance,[12] but the improvements are not usually very large. High doses of caffeine, however, can impair athletic performance by interfering with coordination.[13] Evidence shows that, contrary to common advice, caffeine may be helpful at high altitude.[14]

Physical effects

Consumption of large amounts of caffeine — usually more than 250 mg per day — can lead to a condition known as caffeinism. Caffeinism usually combines caffeine dependency with a wide range of unpleasant physical and mental conditions including nervousness, irritability, restlessness, insomnia, headaches, and heart palpitations after caffeine use.[15]

Coffee consumption is associated with a lower overall risk of cancer.[16] This is primarily due to a decrease in the risks of hepatocellular and endometrial cancer, but it may also have a modest effect on colorectal cancer.[17] There does not appear to be a significant protective effect against other types of cancers, and heavy coffee consumption may increase the risk of bladder cancer.[17] There is little or no evidence that caffeine consumption increases the risk of cardiovascular disease, and it may somewhat reduce the risk of type 2 diabetes.[18] Drinking four or more cups of coffee per day does not affect the risk of hypertension compared to drinking little or no coffee. However those who drink 1-3 cups per day may be at a slightly increased risk.[19] Caffeine increases intraocular pressure in those with glaucoma but does not appear to affect normal individuals.[20] It may protect people from liver cirrhosis.[21] There is no evidence that coffee stunts a child's growth.[22] Caffeine may increase the effectiveness of some medications including ones used to treat headaches.[23]

Caffeine consumption during pregnancy does not appear to increase the risk of congenital malformations, miscarriage or growth retardation even when consumed in moderate to high amounts.[24] However as the data supporting this conclusion is of poor quality some suggest limiting caffeine consumption during pregnancy.[25][26] For example the UK Food Standards Agency has recommended that pregnant women should limit their caffeine intake, out of prudence, to less than 200 mg of caffeine a day—the equivalent of two cups of instant coffee, or one and a half to two cups of fresh coffee.[27] Although the evidence that caffeine may be harmful during pregnancy is equivocal, there is clear evidence that the hormonal changes associated with pregnancy slow the metabolic clearance of caffeine from the system, causing a given dose to have longer-lasting effects (as long as 15 hours in the third trimester).[28]

On the positive side, caffeine is the primary treatment of the breathing disorders apnea of prematurity[29] and may also be effective in preventing bronchopulmonary dysplasia in premature infants.[30] The only short-term risk associated with caffeine citrate treatment is a temporary reduction in weight gain during the therapy,[31] and longer term studies (18 to 21 months) have shown lasting benefits of treatment of premature infants with caffeine.[32] The possibility of subtle long-term developmental problems cannot, however, entirely be ruled out.[33]

When doses of caffeine equivalent to 2-3 cups of coffee are administered to people who have not consumed caffeine over the previous days, they produce a stimulation in urinary output.[34] Because of this diuretic effect, some authorities have recommended that athletes or airline passengers avoid caffeine in order to reduce the risk of dehydration.[34] Most people who consume caffeine, however, ingest it daily. Regular users of caffeine have been shown to develop a strong tolerance to the diuretic effect,[34] and studies have generally failed to support the notion that ordinary consumption of caffeinated beverages contributes significantly to dehydration, even in athletes.[35][36][37]

Psychological

Four caffeine-induced disorders are recognized by the American Psychiatric Association (APA) including: caffeine intoxication, caffeine-induced sleep disorder, caffeine-induced anxiety disorder and caffeine-related disorder not otherwise specified (NOS).[38] In moderate doses it may reduce symptoms of depression and lower suicide risk.[39] High doses may trigger anxiety and rarely mania and psychosis. As of 2010 the effect of caffeine on people with ADHD is not known.[39] The DSM-IV defines caffeine-induced sleep disorder, as an individual who regularly ingests high doses of caffeine sufficient to induce a significant disturbance in his or her sleep, sufficiently severe to warrant clinical attention.[38]

Caffeine can have both positive and negative effects on anxiety disorders depending on the dose. At high doses, typically greater than 300 mg, it can both cause and worsen anxiety.[40] At low doses it may have little effect or may reduce symptoms of anxiety. Caffeine withdrawal, on the other hand, can cause an increase in anxiety level.[39] In moderate doses caffeine typically does not affect learning or memory.[41] It does however improve cognitive function in people who are fatigued, due to its effect on alertness. Some studies have however found a modest protective against Alzheimer disease, but the evidence is inconclusive.[42][43][44]

Caffeine intoxication

Torso of a young man with overlayed text of main side-effects of caffeine overdose.
Primary symptoms of caffeine intoxication[45]

Caffeine overdose can result in a state of central nervous system over-stimulation called caffeine intoxication (DSM-IV 305.90),[38] or colloquially the "caffeine jitters". The symptoms of caffeine intoxication are comparable to the symptoms of overdoses of other stimulants: they may include restlessness, fidgeting, anxiety, excitement, insomnia, flushing of the face, increased urination, gastrointestinal disturbance, muscle twitching, a rambling flow of thought and speech, irritability, irregular or rapid heart beat, and psychomotor agitation.[45] In cases of much larger overdoses, mania, depression, lapses in judgment, disorientation, disinhibition, delusions, hallucinations, or psychosis may occur, and rhabdomyolysis (breakdown of skeletal muscle tissue) can be provoked.[46][47]

Extreme overdose can result in death.[48][49] The median lethal dose (LD50) given orally, is 192 milligrams per kilogram in rats. The LD50 of caffeine in humans is dependent on individual sensitivity, but is estimated to be about 150 to 200 milligrams per kilogram of body mass or roughly 80 to 100 cups of coffee for an average adult.[4] Though achieving lethal dose with caffeine would be exceptionally difficult with regular coffee, there have been reported deaths from overdosing on caffeine pills, with serious symptoms of overdose requiring hospitalization occurring from as little as 2 grams of caffeine. An exception to this would be taking a drug such as fluvoxamine or levofloxacin, which blocks the liver enzyme responsible for the metabolism of caffeine, thus increasing the central effects and blood concentrations of caffeine five-fold.[47][48][49][50] Death typically occurs due to ventricular fibrillation brought about by effects of caffeine on the cardiovascular system.

Treatment of severe caffeine intoxication is generally supportive, providing treatment of the immediate symptoms, but if the patient has very high serum levels of caffeine then peritoneal dialysis, hemodialysis, or hemofiltration may be required.[45]

Addiction, tolerance and withdrawal

With repetitive use, physical dependence or addiction are likely to occur. Also, the stimulatory effects of caffeine are substantially reduced over time, a phenomenon known as a tolerance. Tolerance develops quickly to some (but not all) effects of caffeine, especially among heavy coffee and energy drink consumers.[51] Some coffee drinkers develop tolerance to its sleep-disrupting effects, but others apparently do not.[28] Withdrawal symptoms—including headache, irritability, inability to concentrate, drowsiness, insomnia, and pain in the stomach, upper body, and joints—may appear within 12 to 24 hours after discontinuation of caffeine intake, peak at roughly 48 hours, and usually last from one to five days.[52]

In other animals

Left: picture of a regular spider web with a caption "drug-naive", right: heavily distorted spider web with a caption "caffeinated".
Caffeine has a significant effect on spiders, which is illustrated here in the erratic construction of their webs.

While safe in humans, caffeine is considerably toxic to various animals, such as dogs and birds.[53][54]

The increased toxicity of caffeine in some animals is at least partly due to a poorer ability to metabolize the compound.[55]

Caffeine also has a pronounced effect on mollusks, various insects, and spiders.[56]


Sources and consumption

Caffeine Content in Select Food and Drugs[57][58][59][60][61]
Product Serving size Caffeine per serving (mg) Caffeine per liter (mg)
Caffeine tablet (regular-strength) 1 tablet &10000000000000100000000100
Caffeine tablet (extra-strength) 1 tablet &10000000000000200000000200
Excedrin tablet 1 tablet &1000000000000006500000065
Hershey's Special Dark (45% cacao content) 1 bar (43 g; 1.5 oz) &1000000000000003100000031
Hershey's Milk Chocolate (11% cacao content) 1 bar (43 g; 1.5 oz) &1000000000000001000000010
Percolated coffee 207 mL (7 U.S. fl oz) &1000000000000008000000080–135 &10000000000000386000000386–652
Drip coffee 207 mL (7 U.S. fl oz) &10000000000000115000000115–175 &10000000000000555000000555–845
Coffee, decaffeinated 207 mL (7 U.S. fl oz) &100000000000000050000005–15 &1000000000000002400000024–72
Coffee, espresso 44–60 mL (1.5-2 U.S. fl oz) &10000000000000100000000100 &100000000000016910000001,691–2254
Tea – black, green, and other types, – steeped for 3 min 177 mL (6 U.S. fl oz) &1000000000000002200000022-74[60][61] &10000000000000124000000124-416
Guayakí yerba mate (loose leaf) 6 g (0.2 U.S. oz) &1000000000000008500000085[62] &10000000000000358000000358 about
Coca-Cola Classic 355 mL (12 U.S. fl oz) &1000000000000003400000034 &1000000000000009600000096
Mountain Dew 355 mL (12 U.S. fl oz) &1000000000000005400000054 &10000000000000154000000154
Guaraná Antarctica 350 mL (11 U.S. fl oz) &1000000000000003000000030 &10000000000000100000000100
Jolt Cola 695 mL (23.5 U.S. fl oz) &10000000000000280000000280 &10000000000000403000000403
Red Bull 250 mL (8.4 U.S. fl oz) &1000000000000008000000080 &10000000000000320000000320

Global consumption of caffeine has been estimated at 120,000 tonnes per year, making it the world's most popular psychoactive substance. This amounts to one serving of a caffeinated beverage for every person every day.[63]

Caffeine is found in many plant species, where it acts as a natural pesticide, with high caffeine levels being observed in seedlings still developing foliage but lacking mechanical protection;[64] caffeine paralyzes and kills certain insects feeding upon the plant.[65] High caffeine levels have also been found in the surrounding soil of coffee bean seedlings. Therefore, caffeine is understood to have a natural function as both a natural pesticide and an inhibitor of seed germination of other nearby coffee seedlings, thus giving it a better chance of survival.[66]

Common sources of caffeine are coffee, tea, and (to a lesser extent) chocolate derived from cocoa beans.[67] Less commonly used sources of caffeine include the yerba maté, guarana and ilex guayusa plants,[68] which are sometimes used in the preparation of teas and energy drinks. Two of caffeine's alternative names, mateine and guaranine, are derived from the names of these plants.[69][70]

The disparity in experience and effects between the various natural caffeine sources could be because plant sources of caffeine also contain widely varying mixtures of other xanthine alkaloids, including the cardiac stimulants theophylline and theobromine, and other substances such as polyphenols that can form insoluble complexes with caffeine.[71]

One of the world's primary sources of caffeine is the coffee "bean" (which is the seed of the coffee plant), from which coffee is brewed. Caffeine content in coffee varies widely depending on the type of coffee bean and the method of preparation used;[72] even beans within a given bush can show variations in concentration. In general, one serving of coffee ranges from 80–100 milligrams, for a single shot (30 milliliters) of arabica-variety espresso, to approximately 100–125 milligrams for a cup (120 milliliters) of drip coffee.[73][74] Arabica coffee typically contains half the caffeine of the robusta variety.[72]

In general, dark-roast coffee has very slightly less caffeine than lighter roasts because the roasting process reduces a small amount of the bean's caffeine content.[73][74]

Tea is another common source of caffeine. Although tea contains more caffeine than coffee (by dry weight), a typical serving contains much less, as tea is normally brewed much weaker. Besides strength of the brew, growing conditions, processing techniques and other variables also affect caffeine content. Certain types of tea may contain somewhat more caffeine than other teas.[75]

Tea contains small amounts of theobromine and slightly higher levels of theophylline than coffee. Preparation and many other factors have a significant impact on tea, and color is a very poor indicator of caffeine content. Teas like the pale Japanese green tea, gyokuro, for example, contain far more caffeine than much darker teas like lapsang souchong, which has very little.[75]

No-Doz 100 mg caffeine tablets

Caffeine is also a common ingredient of soft drinks, such as cola, originally prepared from kola nuts. Soft drinks typically contain about 10 to 50 milligrams of caffeine per serving. By contrast, energy drinks, such as Red Bull, can start at 80 milligrams of caffeine per serving. The caffeine in these drinks either originates from the ingredients used or is an additive derived from the product of decaffeination or from chemical synthesis. Guarana, a prime ingredient of energy drinks, contains large amounts of caffeine with small amounts of theobromine and theophylline in a naturally occurring slow-release excipient.[76]

Chocolate derived from cocoa beans contains a small amount of caffeine. The weak stimulant effect of chocolate may be due to a combination of theobromine and theophylline, as well as caffeine.[77] A typical 28-gram serving of a milk chocolate bar has about as much caffeine as a cup of decaffeinated coffee, although some dark chocolate currently in production contains as much as 160 mg per 100g.[58]

Various manufacturers market caffeine tablets, claiming that using caffeine of pharmaceutical quality improves mental alertness. These effects have been borne out by research that shows caffeine use (whether in tablet form or not) results in decreased fatigue and increased attentiveness.[7]

These tablets are commonly used by students studying for their exams and by people who work or drive for long hours.[78] One U.S. company is also marketing dissolving caffeine strips as an alternative to energy drinks.[79] Another unusual intake route is SpazzStick, a caffeinated lip balm.[80]

Inhaled caffeine is a distribution method now under scrutiny of some U.S. lawmakers. [81].

Chemical properties and biosynthesis

Caffeine is an achiral molecule[85] without stereoisomers.[86]

The two amide groups of caffeine exist predominately as zwitterionic resonance structures where the nitrogen and carbon atoms are double bonded to each other so that both of these nitrogen atoms are essentially planar (in sp2 orbital hybridization). The fused ring system therefore contains a total of ten pi electrons and hence according to Hückel's rule is aromatic.[citation needed]

Caffeine is synthesized in plants from the purine nucleotides AMP, GMP, and IMP. These in turn are transformed into xanthosine and then theobromine, the latter being the penultimate precursor of caffeine.[87]

Being readily available as a byproduct of decaffeination, caffeine is not usually synthesized chemically.[88] If desired, it may be synthesized from dimethylurea and malonic acid.[83][84][89]

Pure anhydrous caffeine is a white colorless powder with a melting point of 227–228 °C. Caffeine is moderately soluble in water at room temperature (2 g/100 mL), but very soluble in boiling water (66 g/100 mL).[90] It is also moderately soluble in ethanol (1.5 g/100 mL).[90] It is weakly basic (pKa = ~0.6) requiring strong acid to protonate it.[3]

Pharmacology

Inside the body caffeine acts through several mechanisms, but its most important effect is to counteract a substance called adenosine that naturally circulates at high levels throughout the body, and especially in the nervous system. In the brain, adenosine plays a generally protective role, part of which is to reduce neural activity levels — for example, there is some evidence that adenosine helps to induce torpor in animals that seasonally hibernate.[91]

Mechanism of action

Two skeletal formulas: left – caffeine, right – adenosine.
Caffeine's primary mechanism of action is as an antagonist of adenosine receptors in the brain

Because caffeine is both water-soluble and lipid-soluble, it readily crosses the blood–brain barrier that separates the bloodstream from the interior of the brain. Once in the brain, the principal mode of action is as a nonselective antagonist of adenosine receptors (in other words, an agent that reduces the effects of adenosine). The caffeine molecule is structurally similar to adenosine, and is capable of binding to adenosine receptors on the surface of cells without activating them, thereby acting as a competitive inhibitor.[92]

Adenosine is found in every part of the body, because it plays a role in the fundamental ATP-related energy producing mechanism and is also necessary for RNA synthesis, but it has additional functions in the brain. The evidence indicates that brain adenosine acts to protect the brain by suppressing neural activity and by increasing blood flow via receptors located on vascular smooth muscle.[93] Brain adenosine levels are increased by various types of metabolic stress, including lack of oxygen and interruption of blood flow. There is evidence that adenosine functions as a synaptically released neurotransmitter in some parts of the brain; however, stress-related adenosine increases appear to be produced mainly by extracellular metabolism of ATP. Unlike most neurotransmitters, adenosine does not seem to be packaged into vesicles that are released in a voltage-controlled manner, but the possibility of such a mechanism has not entirely been ruled out.[93]

Several classes of adenosine receptors have been described, with different anatomical distributions. A1 receptors are widely distributed, and act to inhibit calcium uptake. A2A receptors are heavily concentrated in the basal ganglia, an area that plays a critical role in behavior control, but can be found in other parts of the brain as well, in lower densities. There is evidence that A 2A receptors interact with the dopamine system, which is involved in reward and arousal. (A2A receptors can also be found on arterial walls and blood cell membranes.)[94]

Beyond its general neuroprotective effects, there are reasons to believe that adenosine may be more specifically involved in control of the sleep-wake cycle. Robert McCarley and his colleagues have argued that accumulation of adenosine may be a primary cause of the sensation of sleepiness that follows prolonged mental activity, and that the effects may be mediated both by inhibition of wake-promoting neurons via A1 receptors, and activation of sleep-promoting neurons via indirect effects on A2A receptors.[94] More recent studies have provided additional evidence for the importance of A2A, but not A1, receptors.[95]

A number of potential mechanisms have been proposed for the athletic performance-enhancing effects of caffeine.[96] In the classic, or metabolic theory, caffeine may increase fat utilization and decrease glycogen utilization. Caffeine mobilizes free fatty acids from fat and/or intramuscular triglycerides by increasing circulating epinephrine levels. The increased availability of free fatty acids increases fat oxidation and spares muscle glycogen, thereby enhancing endurance performance. In the nervous system, caffeine may reduce the perception of effort by lowering the neuron activation threshold, making it easier to recruit the muscles for exercise.[97]

Caffeine metabolites

Metabolites of caffeine also contribute to caffeine's effects. Paraxanthine is responsible for an increase in the lipolysis process, which releases glycerol and fatty acids into the blood to be used as a source of fuel by the muscles. Theobromine is a vasodilator that increases the amount of oxygen and nutrient flow to the brain and muscles. Theophylline acts as a smooth muscle relaxant that chiefly affects bronchioles and acts as a chronotrope and inotrope that increases heart rate and force of contraction.[98]

Metabolism

A diagram featuring 4 skeletal chemical formulas. Top (caffeine) relates to similar compounds paraxanthine, theobromine and theophylline.
Caffeine is metabolized in the liver into three primary metabolites: paraxanthine (84%), theobromine (12%), and theophylline (4%)

Caffeine from coffee or other beverages is absorbed by the small intestine within 45 minutes of ingestion and then distributed throughout all tissues of the body.[99] Peak blood concentration is reached within one hour.[100] It is eliminated by first-order kinetics.[101] Caffeine can also be absorbed rectally, evidenced by the formulation of suppositories of ergotamine tartrate and caffeine (for the relief of migraine)[102] and chlorobutanol and caffeine (for the treatment of hyperemesis).[103]

The biological half-life of caffeine—the time required for the body to eliminate one-half of the total amount of caffeine—varies widely among individuals according to such factors as age, liver function, pregnancy, some concurrent medications, and the level of enzymes in the liver needed for caffeine metabolism. It can also be significantly altered by drugs or hormonal states. In healthy adults, caffeine's half-life has been measured with a range of results. Some measures get 4.9 hours.[104], and others are at around 6 hours [105]. Heavy cigarette smokers show a decrease in half-life of 30-50%, oral contraceptives can double it, and pregnancy can raise it even more, to as much as 15 hours during the last trimester. In newborn infants the half-life can be 80 hours or more; however it drops very rapidly with age, possibly to less than the adult value by the age of 6 months.[28] The antidepressant Fluvoxamine (Luvox) reduces the clearance of caffeine by more than 90%, and prolongs its elimination half-life more than tenfold; from 4.9 hours to 56 hours.[104]

Caffeine is metabolized in the liver by the cytochrome P450 oxidase enzyme system (to be specific, the 1A2 isozyme) into three metabolic dimethylxanthines,[106] each of which has its own effects on the body:

Each of these metabolites is further metabolized and then excreted in the urine. Caffeine can accumulate in individuals with severe liver disease, increasing its half-life.[107]

Some quinolone antibiotics exert an inhibitory effect on the cytochrome P-450 enzyme CYP1A2, thereby reducing clearance of caffeine and thus increasing blood levels.[108]

A 2011 analysis published by PLoS Genetics reviewed five studies covering more than 47,000 subjects of European descent. Researchers determined that habitual caffeine intake is associated with variations in two genes that regulate how quickly the body processes caffeine. Subjects who had a high-intake mutation of either gene on both chromosomes consumed 40 mg more caffeine per day (equivalent to a can of cola) than people who did not.[109]

Detection in biological fluids

Caffeine can be quantified in blood, plasma, or serum to monitor therapy in neonates, confirm a diagnosis of poisoning, or facilitate a medicolegal death investigation. Plasma caffeine levels are usually in the range of 2–10 mg/L in coffee drinkers, 12–36 mg/L in neonates receiving treatment for apnea, and 40–400 mg/L in victims of acute overdosage. Urinary caffeine concentration is frequently measured in competitive sports programs, for which a level in excess of 15 mg/L is usually considered to represent abuse.[110]

Decaffeination

Fibrous crystals of purified caffeine. Dark field light microscope image, the image covers an area of approx. 11 by 7 mm.

Extraction of caffeine from coffee, to produce decaffeinated coffee and caffeine, is an important industrial process and can be performed using a number of different solvents. Benzene, chloroform, trichloroethylene, and dichloromethane have all been used over the years but for reasons of safety, environmental impact, cost, and flavor, they have been superseded by the following main methods:

  • Water extraction: Coffee beans are soaked in water. The water, which contains many other compounds in addition to caffeine and contributes to the flavor of coffee, is then passed through activated charcoal, which removes the caffeine. The water can then be put back with the beans and evaporated dry, leaving decaffeinated coffee with its original flavor. Coffee manufacturers recover the caffeine and resell it for use in soft drinks and over-the-counter caffeine tablets.[111]
  • Supercritical carbon dioxide extraction: Supercritical carbon dioxide is an excellent nonpolar solvent for caffeine, and is safer than the organic solvents that are otherwise used. The extraction process is simple: CO2 is forced through the green coffee beans at temperatures above 31.1 °C and pressures above 73 atm. Under these conditions, CO2 is in a "supercritical" state: It has gaslike properties that allow it to penetrate deep into the beans but also liquid-like properties that dissolve 97–99% of the caffeine. The caffeine-laden CO2 is then sprayed with high pressure water to remove the caffeine. The caffeine can then be isolated by charcoal adsorption (as above) or by distillation, recrystallization, or reverse osmosis.[111]
  • Extraction by organic solvents: Certain organic solvents such as ethyl acetate present much less health and environmental hazard than previously used chlorinated and aromatic organic solvents. Another method is to use triglyceride oils obtained from spent coffee grounds.[111]

History

An old photo of a dozen old and middle-aged men sitting on the ground around a mat. A man in front sits next to a mortar and holds a bat, ready for grinding. A man opposite to him holds a long spoon.
Coffeehouse in Palestine, circa 1900

Caffeine was first isolated from coffee in 1820 by the German chemist Friedlieb Ferdinand Runge, and then independently in 1821 by French chemists Pierre Robiquet, Pierre Pelletier, and Joseph Caventou. Pelletier coined the word "cafeine" from the French word for coffee (café), and this term became the English word "caffeine".

According to Chinese legend, the Chinese emperor Shennong, reputed to have reigned in about 3000 BCE, accidentally discovered tea when he noted that when certain leaves fell into boiling water, a fragrant and restorative drink resulted.[112] Shennong is also mentioned in Lu Yu's Cha Jing, a famous early work on the subject of tea.[113]

The history of coffee has been recorded as far back as the ninth century. During that time, coffee beans were available only in their place of origin, Ethiopia. Legends trace the discovery of coffee either to a Sufi dervish named Omar, or to a goatherder named Kaldi, who observed goats become elated and sleepless at night after grazing on coffee shrubs and, upon trying the berries the goats had been eating, experienced the same vitality.[114] The earliest literary mention of coffee may be a reference to Bunchum in the works of the 9th-century Persian physician al-Razi.[114]:11 The first reliable record of the use of coffee outside Ethiopia comes from Aden, in 1451.[114]:16 The appreciation of coffee as a beverage in Europe dates from the 17th century. The first coffee house in Venice opened some time in the late 1640s.[114]:127 In Britain, the first coffee house was opened in Oxford in 1650.[114]:41 They soon became popular throughout Western Europe, and played a significant role in social relations in the 17th and 18th centuries.[115]

Use of the kola nut, like the coffee berry and tea leaf, appears to have ancient origins. It is chewed in many West African cultures, individually or in a social setting, to restore vitality and ease hunger pangs. In 1911, kola became the focus of one of the earliest documented health scares, when the US government seized 40 barrels and 20 kegs of Coca-Cola syrup in Chattanooga, Tennessee, alleging the caffeine in its drink was "injurious to health".[116] Although the judge ruled in favor of Coca-Cola, two bills were introduced to the U.S. House of Representatives in 1912 to amend the Pure Food and Drug Act, adding caffeine to the list of "habit-forming" and "deleterious" substances, which must be listed on a product's label.[117]

The earliest evidence of cocoa bean use comes from residue found in an ancient Mayan pot dated to 600 BCE. In the New World, chocolate was consumed in a bitter and spicy drink called xocolatl, often seasoned with vanilla, chile pepper, and achiote. Xocolatl was believed to fight fatigue, a belief probably attributable to the theobromine and caffeine content. Chocolate was an important luxury good throughout pre-Columbian Mesoamerica, and cocoa beans were often used as currency.[citation needed]

Xocolatl was introduced to Europe by the Spaniards, and became a popular beverage by 1700. The Spaniards also introduced the cacao tree into the West Indies and the Philippines. It was used in alchemical processes, where it was known as "black bean".[citation needed]

The leaves and stems of the yaupon holly (Ilex vomitoria) were used by Native Americans to brew a tea called asi or the "black drink".[118] Archaeologists have found evidence of this use stretch back far into antiquity, possibly dating to Late Archaic times.[citation needed]

Discovery

In 1819, the German chemist Friedlieb Ferdinand Runge isolated relatively pure caffeine for the first time; he called it "Kaffebase" (i.e., a base that exists in coffee).[119] In 1821, caffeine was isolated both by French chemist Pierre Jean Robiquet and by another pair of French chemists, Pierre-Joseph Pelletier and Joseph Bienaimé Caventou, according to Swedish chemist Jöns Jacob Berzelius in his yearly journal. Furthermore, Berzelius stated the French chemists had made their discoveries independently of any knowledge of Runge's or each other's work.[120]

Pelletier's article on caffeine was the first to use the term in print (in the French form Caféine).[121] It corroborates Berzelius's account:

Caffeine, noun (feminine). Crystallizable substance discovered in coffee in 1821 by Mr. Robiquet. During the same period – while they were searching for quinine in coffee because coffee is considered by several doctors to be a medicine that reduces fevers and because coffee belongs to the same family as the cinchona [quinine] tree – on their part, Mssrs. Pelletier and Caventou obtained caffeine; but because their research had a different goal and because their research had not been finished, they left priority on this subject to Mr. Robiquet. We do not know why Mr. Robiquet has not published the analysis of coffee which he read to the Pharmacy Society. Its publication would have allowed us to make caffeine better known and give us accurate ideas of coffee's composition ...

German chemist Emil Fischer (1852-1919) first synthesized caffeine from raw materials in 1895 and two years later, he also derived the structural formula of the compound.[citation needed]

Robiquet was one of the first to isolate and describe the properties of pure caffeine[122] while Pelletier was the first to perform an elemental analysis.[123]

Berzelius later acknowledged Runge's priority in the extraction of caffeine, stating:[124] "However, at this point, it should not remain unmentioned that Runge (in his Phytochemical Discoveries, 1820, pages 146–147) specified the same method and described caffeine under the name Caffeebase a year earlier than Robiquet, to whom the discovery of this substance is usually attributed, having made the first oral announcement about it at a meeting of the Pharmacy Society in Paris.) According to Runge, he did this at the behest of Johann Wolfgang von Goethe."[125] In 1827, M. Oudry isolated "theine" from tea,[126] but it was later proved by Mulder[127] and by Carl Jobst[128] that theine was the same as caffeine.[125] The structure of caffeine was elucidated near the end of the 19th century by Hermann Emil Fischer, who was also the first to achieve its total synthesis. This was part of the work for which Fischer was awarded the Nobel Prize in 1902.[129]

Legality

Today, caffeine is legal and available in many forms in all jurisdictions.

Historically, coffee and thus caffeine has been illegal for some classes in Mecca in parts of the 16th century[130], in the Ottoman empire [131], Charles II of England tried to ban it in 1676 [132], Frederic II of Prussia banned it in 1777 [133][134], and coffee was banned in Sweden in the years 1756-1769, 1794-1796, 1799-1802, and 1817-1823.[135] The bans on coffee have often had religious, economic, or political reasons rather than being based on concerns for the well-being of the population.

Religion

Some Seventh-day Adventists, Church of God (Restoration) adherents, and Christian Scientists do not consume caffeine.[citation needed] Some from these religions believe that one is not supposed to consume a non-medical, psychoactive substance, or believe that one is not supposed to consume a substance that is addictive. The Church of Jesus Christ of Latter-day Saints has said the following with regard to caffeinated beverages: "With reference to cola drinks, the Church has never officially taken a position on this matter, but the leaders of the Church have advised, and we do now specifically advise, against the use of any drink containing harmful habit-forming drugs under circumstances that would result in acquiring the habit. Any beverage that contains ingredients harmful to the body should be avoided."[136]

Gaudiya Vaishnavas generally also abstain from caffeine, as it is alleged to cloud the mind and over-stimulate the senses. To be initiated under a guru, one must have had no caffeine (along with alcohol, nicotine and other drugs) for at least a year.[citation needed]

People who refrain from the consumption of caffeine, for religious or other reasons, may instead use a substitute that performs a culturally similar role to coffee.

In Islam, the main rule on caffeine is that it is permissible. With regard to the caffeine in coffee, Imam Shihab al-Din said: "it is halal (lawful) to drink, because all things are halal (lawful) except that which God has made haraam (unlawful)".[137]

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External links


Translations:

Caffeine

Top

Dansk (Danish)
n. - koffein

Nederlands (Dutch)
cafeïne

Français (French)
n. - caféine

Deutsch (German)
n. - Koffein, Tein

Ελληνική (Greek)
n. - καφεϊνη

Italiano (Italian)
caffeina

Português (Portuguese)
n. - cafeína (f) (Quím.)

Русский (Russian)
кофеин

Español (Spanish)
n. - cafeína

Svenska (Swedish)
n. - koffein

中文(简体)(Chinese (Simplified))
咖啡因, 茶精

中文(繁體)(Chinese (Traditional))
n. - 咖啡因, 茶精

한국어 (Korean)
n. - 카페인

日本語 (Japanese)
n. - カフェイン

العربيه (Arabic)
‏(الاسم) الكافيين, البنيين, المادة المنبهه في الشاي و القهوة‏

עברית (Hebrew)
n. - ‮קפאין‬


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