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Some beverages combine alcohol with caffeine to create a caffeinated alcoholic drink. The stimulant effects of caffeine may mask the depressant effects of alcohol, potentially reducing the user's awareness of their level of intoxication. Such beverages have been the subject of bans due to safety concerns. In particular, the United States Food and Drug Administration has classified caffeine added to malt liquor beverages as an "unsafe food additive". [246] Doherty M, Smith PM (April 2005). "Effects of caffeine ingestion on rating of perceived exertion during and after exercise: a meta-analysis". Scandinavian Journal of Medicine & Science in Sports. 15 (2): 69–78. doi: 10.1111/j.1600-0838.2005.00445.x. PMID 15773860. S2CID 19331370. Temple JL (January 2019). "Review: Trends, Safety, and Recommendations for Caffeine Use in Children and Adolescents". Journal of the American Academy of Child and Adolescent Psychiatry. 58 (1): 36–45. doi: 10.1016/j.jaac.2018.06.030. PMID 30577937. S2CID 58539710.
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The differing perceptions in the effects of ingesting beverages made from various plants containing caffeine could be explained by the fact that these beverages also contain varying mixtures of other methylxanthine alkaloids, including the cardiac stimulants theophylline and theobromine, and polyphenols that can form insoluble complexes with caffeine. [219] Products Caffeine content in select food and drugs [220] [221] [222] [223] [224]Caffeine | C8H10N4O2". pubchem.ncbi.nlm.nih.gov. National Center for Biotechnology Information. Archived from the original on 2 March 2022 . Retrieved 1 March 2022.
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The earliest evidence of cocoa bean use comes from residue found in an ancient Mayan pot dated to 600 BCE. Also, 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. [251]Hong CT, Chan L, Bai CH (June 2020). "The Effect of Caffeine on the Risk and Progression of Parkinson's Disease: A Meta-Analysis". Nutrients. 12 (6): 1860. doi: 10.3390/nu12061860. PMC 7353179. PMID 32580456. a b Introduction to Pharmacology (thirded.). Abingdon: CRC Press. 2007. pp.222–223. ISBN 978-1-4200-4742-4. Archived from the original on 14 January 2023 . Retrieved 25 August 2017. Caffeine overdose can result in a state of central nervous system overstimulation known as caffeine intoxication, a clinically significant temporary condition that develops during, or shortly after, the consumption of caffeine. [140] This syndrome typically occurs only after ingestion of large amounts of caffeine, well over the amounts found in typical caffeinated beverages and caffeine tablets (e.g., more than 400–500mg at a time). According to the DSM-5, caffeine intoxication may be diagnosed if five (or more) of the following symptoms develop after recent consumption of caffeine: restlessness, nervousness, excitement, insomnia, flushed face, diuresis, gastrointestinal disturbance, muscle twitching, rambling flow of thought and speech, tachycardia or cardiac arrhythmia, periods of inexhaustibility, and psychomotor agitation. [141]
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Institute of Medicine (US) Committee on Military Nutrition Research (2001). "2, Pharmacology of Caffeine". Pharmacology of Caffeine. National Academies Press (US). Archived from the original on 28 September 2021 . Retrieved 15 December 2022. Sherwood L, Kell R (2009). Human Physiology: From Cells to Systems (1st Canadianed.). Nelsen. pp.613–9. ISBN 978-0-17-644107-4. Some textbooks state that caffeine is a mild euphoriant, [104] [105] [106] while others state that it is not a euphoriant. [107] [108] A cluster of behavioural, cognitive, and physiological phenomena that develop after repeated substance use and that typically include a strong desire to take the drug, difficulties in controlling its use, persisting in its use despite harmful consequences, a higher priority given to drug use than to other activities and obligations, increased tolerance, and sometimes a physical withdrawal state.Global coffee consumption, 2020/21". Statista. Archived from the original on 3 March 2021 . Retrieved 10 March 2021. Robertson D, Wade D, Workman R, Woosley RL, Oates JA (April 1981). "Tolerance to the humoral and hemodynamic effects of caffeine in man". The Journal of Clinical Investigation. 67 (4): 1111–7. doi: 10.1172/JCI110124. PMC 370671. PMID 7009653. Nestler EJ (December 2013). "Cellular basis of memory for addiction". Dialogues in Clinical Neuroscience. 15 (4): 431–43. doi: 10.31887/DCNS.2013.15.4/enestler. PMC 3898681. PMID 24459410. DESPITE THE IMPORTANCE OF NUMEROUS PSYCHOSOCIAL FACTORS, AT ITS CORE, DRUG ADDICTION INVOLVES A BIOLOGICAL PROCESS: the ability of repeated exposure to a drug of abuse to induce changes in a vulnerable brain that drive the compulsive seeking and taking of drugs, and loss of control over drug use, that define a state of addiction.... A large body of literature has demonstrated that such ΔFosB induction in D1-type NAc neurons increases an animal's sensitivity to drug as well as natural rewards and promotes drug self-administration, presumably through a process of positive reinforcement Caffeine does not appear to be a reinforcing stimulus, and some degree of aversion may actually occur, with people preferring placebo over caffeine in a study on drug abuse liability published in an NIDA research monograph. [114] Some state that research does not provide support for an underlying biochemical mechanism for caffeine addiction. [2] [115] [116] [117] Other research states it can affect the reward system. [118]
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Global consumption of caffeine has been estimated at 120,000tonnes per year, making it the world's most popular psychoactive substance. [22] This amounts to an average of one serving of a caffeinated beverage for every person every day. [22] The consumption of caffeine has remained stable between 1997 and 2015. [281] Coffee, tea and soft drinks are the most important caffeine sources, with energy drinks contributing little to the total caffeine intake across all age groups. [281] Religions a b c Juliano LM, Griffiths RR (October 2004). "A critical review of caffeine withdrawal: empirical validation of symptoms and signs, incidence, severity, and associated features". Psychopharmacology. 176 (1): 1–29. doi: 10.1007/s00213-004-2000-x. PMID 15448977. S2CID 5572188. Results: Of 49 symptom categories identified, the following 10 fulfilled validity criteria: headache, fatigue, decreased energy/ activeness, decreased alertness, drowsiness, decreased contentedness, depressed mood, difficulty concentrating, irritability, and foggy/not clearheaded. In addition, flu-like symptoms, nausea/vomiting, and muscle pain/stiffness were judged likely to represent valid symptom categories. In experimental studies, the incidence of headache was 50% and the incidence of clinically significant distress or functional impairment was 13%. Typically, onset of symptoms occurred 12–24 h after abstinence, with peak intensity at 20–51 h, and for a duration of 2–9 days.
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Extraction by organic solvents: Certain organic solvents such as ethyl acetate present much less health and environmental hazard than chlorinated and aromatic organic solvents used formerly. Another method is to use triglyceride oils obtained from spent coffee grounds. [207] Decaffeinated" coffees do in fact contain caffeine in many cases– some commercially available decaffeinated coffee products contain considerable levels. One study found that decaffeinated coffee contained 10mg of caffeine per cup, compared to approximately 85mg of caffeine per cup for regular coffee. [208] Detection in body fluids Caffeine's biological half-life– the time required for the body to eliminate one-half of a dose– varies widely among individuals according to factors such as pregnancy, other drugs, liver enzyme function level (needed for caffeine metabolism) and age. In healthy adults, caffeine's half-life is between 3 and 7hours. [8] The half-life is decreased by 30-50% in adult male smokers, approximately doubled in women taking oral contraceptives, and prolonged in the last trimester of pregnancy. [126] In newborns the half-life can be 80hours or more, dropping very rapidly with age, possibly to less than the adult value by age 6 months. [126] The antidepressant fluvoxamine (Luvox) reduces the clearance of caffeine by more than 90%, and increases its elimination half-life more than tenfold; from 4.9hours to 56hours. [187]
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