Caffeine

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Caffeine
2D structure of caffeine
3D structure of caffeine
Clinical data
Pronunciation/kæˈfn, ˈkæfn/
Other namesGuaranine
Methyltheobromine
1,3,7-Trimethylxanthine
7-methyltheophylline[1] Theine
AHFS/Drugs.comMonograph
License data
Pregnancy
category
  • AU: A
Dependence
liability
Physical: Moderate 13% and variable low–high 10-73%[2]
N06BC01 (WHO) D11AX26 (WHO), V04CG30 (WHO)
Legal status
Legal status
  • AU: Unscheduled
  • DE: Unscheduled
  • UK:
    General sales list
    (GSL, OTC)
Pharmacokinetic data
Bioavailability99%[4]
Protein binding10–36%[5]
MetabolismPrimary: CYP1A2[5]
Minor: CYP2E1,[5] CYP3A4,[5]
CYP2C8,[5] CYP2C9[5]
MetabolitesParaxanthine 84%
Theobromine 12%
Theophylline 4%
Onset of action45 minutes–1 hour[4][6]
Elimination half-lifeAdults: 3–7 hours[5]
Infants (full term): 8 hours[5]
Infants (premature): 100 hours[5]
Duration of action3–4 hours[4]
ExcretionUrine (100%)
Identifiers
  • 1,3,7-Trimethyl-3,7-dihydro-1H-purine-2,6-dione
JSmol)
Density1.23 g/cm3
Melting point235 to 238 °C (455 to 460 °F) (anhydrous)[7][8]
  • CN1C=NC2=C1C(=O)N(C(=O)N2C)C
  • InChI=1S/C8H10N4O2/c1-10-4-9-6-5(10)7(13)12(3)8(14)11(6)2/h4H,1-3H3
  • Key:RYYVLZVUVIJVGH-UHFFFAOYSA-N
Data page
Caffeine (data page)

Caffeine is a

class.[9] It is mainly used as a eugeroic (wakefulness promoter) or as a mild cognitive enhancer to increase alertness and attentional performance.[10][11] Caffeine acts by blocking binding of adenosine to the adenosine A1 receptor, which enhances release of the neurotransmitter acetylcholine.[12] Caffeine has a three-dimensional structure similar to that of adenosine, which allows it to bind and block its receptors.[13] Caffeine also increases cyclic AMP levels through nonselective inhibition of phosphodiesterase.[14]

Caffeine is a bitter, white crystalline

beverages containing caffeine to relieve or prevent drowsiness and to improve cognitive performance. To make these drinks, caffeine is extracted by steeping the plant product in water, a process called infusion. Caffeine-containing drinks, such as coffee, tea, and cola, are consumed globally in high volumes. In 2020, almost 10 million tonnes of coffee beans were consumed globally.[18] Caffeine is the world's most widely consumed psychoactive drug.[19][20]
Unlike most other psychoactive substances, caffeine remains largely unregulated and legal in nearly all parts of the world. Caffeine is also an outlier as its use is seen as socially acceptable in most cultures and even encouraged in others.

Caffeine has both positive and negative health effects. It can treat and prevent the premature infant breathing disorders

drug dependence – associated with withdrawal symptoms such as sleepiness, headache, and irritability – when an individual stops using caffeine after repeated daily intake.[27][28][2] Tolerance to the autonomic effects of increased blood pressure and heart rate, and increased urine output, develops with chronic use (i.e., these symptoms become less pronounced or do not occur following consistent use).[29]

Caffeine is classified by the US

drip, percolation, or espresso).[32] Thus it requires roughly 50–100 ordinary cups of coffee to reach the toxic dose. However, pure powdered caffeine, which is available as a dietary supplement
, can be lethal in tablespoon-sized amounts.

Uses

Medical

Caffeine is used for both prevention

premature infants. It may improve weight gain during therapy[35] and reduce the incidence of cerebral palsy as well as reduce language and cognitive delay.[36][37] On the other hand, subtle long-term side effects are possible.[38]

Caffeine is used as a primary treatment for apnea of prematurity,[39] but not prevention.[40][41] It is also used for orthostatic hypotension treatment.[42][41][43]

Some people use caffeine-containing beverages such as coffee or tea to try to treat their

forced expiratory volume (FEV1) by 5% to 18% for up to four hours.[45]

The addition of caffeine (100–130 mg) to commonly prescribed pain relievers such as

Consumption of caffeine after abdominal surgery shortens the time to recovery of normal bowel function and shortens length of hospital stay.[47]

Caffeine was formerly used as a second-line treatment for

ADHD. It is considered less effective than methylphenidate or amphetamine but more so than placebo for children with ADHD.[48][49] Children, adolescents, and adults with ADHD are more likely to consume caffeine, perhaps as a form of self-medication.[49][50]

Enhancing performance

Cognitive performance

Caffeine is a

reaction time, wakefulness, concentration, and motor coordination.[51][52] The amount of caffeine needed to produce these effects varies from person to person, depending on body size and degree of tolerance.[51] The desired effects arise approximately one hour after consumption, and the desired effects of a moderate dose usually subside after about three or four hours.[4]

Caffeine can delay or prevent sleep and improves task performance during sleep deprivation.[53] Shift workers who use caffeine make fewer mistakes that could result from drowsiness.[54]

Caffeine in a dose dependent manner increases alertness in both fatigued and normal individuals.[55]

A

L-theanine use has synergistic psychoactive effects that promote alertness, attention, and task switching;[56] these effects are most pronounced during the first hour post-dose.[56]

Physical performance

Caffeine is a proven

central fatigue),[57][59][60] and cycling power output.[57] Caffeine increases basal metabolic rate in adults.[61][62][63] Caffeine ingestion prior to aerobic exercise increases fat oxidation, particularly in persons with low physical fitness.[64]

Caffeine improves muscular strength and power,[65] and may enhance muscular endurance.[66] Caffeine also enhances performance on anaerobic tests.[67] Caffeine consumption before constant load exercise is associated with reduced perceived exertion. While this effect is not present during exercise-to-exhaustion exercise, performance is significantly enhanced. This is congruent with caffeine reducing perceived exertion, because exercise-to-exhaustion should end at the same point of fatigue.[68] Caffeine also improves power output and reduces time to completion in aerobic time trials,[69] an effect positively (but not exclusively) associated with longer duration exercise.[70]

Specific populations

Adults

For the general population of healthy adults, Health Canada advises a daily intake of no more than 400 mg.[71] This limit was found to be safe by a 2017 systematic review on caffeine toxicology.[72]

Children

In healthy children, moderate caffeine intake under 400 mg produces effects that are "modest and typically innocuous".

Centers for Disease Control & Prevention, Food and Drug Administration, Sports Medicine & Fitness committee, National Federations of High School Associations).[77] For children age 12 and under, Health Canada recommends a maximum daily caffeine intake of no more than 2.5 milligrams per kilogram of body weight. Based on average body weights of children, this translates to the following age-based intake limits:[71]

Age range Maximum recommended daily caffeine intake
4–6 45 mg (slightly more than in 355 ml (12 fl. oz) of a typical caffeinated soft drink)
7–9 62.5 mg
10–12 85 mg (about 12 cup of coffee)

Adolescents

Health Canada has not developed advice for adolescents because of insufficient data. However, they suggest that daily caffeine intake for this age group be no more than 2.5 mg/kg body weight. This is because the maximum adult caffeine dose may not be appropriate for light-weight adolescents or for younger adolescents who are still growing. The daily dose of 2.5 mg/kg body weight would not cause adverse health effects in the majority of adolescent caffeine consumers. This is a conservative suggestion since older and heavier-weight adolescents may be able to consume adult doses of caffeine without experiencing adverse effects.[71]

Pregnancy and breastfeeding

The metabolism of caffeine is reduced in pregnancy, especially in the third trimester, and the half-life of caffeine during pregnancy can be increased up to 15 hours (as compared to 2.5 to 4.5 hours in non-pregnant adults).[78] Evidence regarding the effects of caffeine on pregnancy and for breastfeeding are inconclusive.[25] There is limited primary and secondary advice for, or against, caffeine use during pregnancy and its effects on the fetus or newborn.[25]

The UK

American Congress of Obstetricians and Gynecologists (ACOG) concluded in 2010 that caffeine consumption is safe up to 200 mg per day in pregnant women.[26] For women who breastfeed, are pregnant, or may become pregnant, Health Canada recommends a maximum daily caffeine intake of no more than 300 mg, or a little over two 8 oz (237 mL) cups of coffee.[71] A 2017 systematic review on caffeine toxicology found evidence supporting that caffeine consumption up to 300 mg/day for pregnant women is generally not associated with adverse reproductive or developmental effect.[72]

There are conflicting reports in the scientific literature about caffeine use during pregnancy.

growth retardation even when consumed in moderate to high amounts.[81] Other reviews, however, concluded that there is some evidence that higher caffeine intake by pregnant women may be associated with a higher risk of giving birth to a low birth weight baby,[82] and may be associated with a higher risk of pregnancy loss.[83] A systematic review, analyzing the results of observational studies, suggests that women who consume large amounts of caffeine (greater than 300 mg/day) prior to becoming pregnant may have a higher risk of experiencing pregnancy loss.[84]

Adverse effects

Physiological

Caffeine in coffee and other

gastrointestinal motility and gastric acid secretion.[85][86][87] In postmenopausal women, high caffeine consumption can accelerate bone loss.[88][89]

Acute ingestion of caffeine in large doses (at least 250–300 mg, equivalent to the amount found in 2–3 cups of coffee or 5–8 cups of tea) results in a short-term stimulation of urine output in individuals who have been deprived of caffeine for a period of days or weeks.[90] This increase is due to both a diuresis (increase in water excretion) and a natriuresis (increase in saline excretion); it is mediated via proximal tubular adenosine receptor blockade.[91] The acute increase in urinary output may increase the risk of dehydration. However, chronic users of caffeine develop a tolerance to this effect and experience no increase in urinary output.[92][93][94]

Psychological

Minor undesired symptoms from caffeine ingestion not sufficiently severe to warrant a psychiatric diagnosis are common and include mild anxiety, jitteriness, insomnia, increased sleep latency, and reduced coordination.

anxiety disorders.[96] According to a 2011 literature review, caffeine use may induce anxiety and panic disorders in people with Parkinson's disease.[97] At high doses, typically greater than 300 mg, caffeine can both cause and worsen anxiety.[98] For some people, discontinuing caffeine use can significantly reduce anxiety.[99]

In moderate doses, caffeine has been associated with reduced symptoms of

depression and lower suicide risk.[100] Two reviews indicate that increased consumption of coffee and caffeine may reduce the risk of depression.[101][102]

Some textbooks state that caffeine is a mild euphoriant,[103][104][105] while others state that it is not a euphoriant.[106][107]

Caffeine-induced anxiety disorder is a subclass of the DSM-5 diagnosis of substance/medication-induced anxiety disorder.[108]

Reinforcement disorders

Addiction

Whether caffeine can result in an addictive disorder depends on how addiction is defined. Compulsive caffeine consumption under any circumstances has not been observed, and caffeine is therefore not generally considered addictive.

ICDM-9 and ICD-10, include a classification of caffeine addiction under a broader diagnostic model.[110] Some state that certain users can become addicted and therefore unable to decrease use even though they know there are negative health effects.[3][111]

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.[112] Some state that research does not provide support for an underlying biochemical mechanism for caffeine addiction.[27][113][114][115] Other research states it can affect the reward system.[116]

"Caffeine addiction" was added to the ICDM-9 and ICD-10. However, its addition was contested with claims that this diagnostic model of caffeine addiction is not supported by evidence.[27][117][118] The American Psychiatric Association's DSM-5 does not include the diagnosis of a caffeine addiction but proposes criteria for the disorder for more study.[108][119]

Dependence and withdrawal

Withdrawal can cause mild to clinically significant distress or impairment in daily functioning. The frequency at which this occurs is self-reported at 11%, but in lab tests only half of the people who report withdrawal actually experience it, casting doubt on many claims of dependence.[120] and most cases of caffeine withdrawal were 13% in the moderate sense. moderately physical dependence and withdrawal symptoms may occur upon abstinence, with greater than 100 mg caffeine per day, although these symptoms last no longer than a day.[27] Some symptoms associated with psychological dependence may also occur during withdrawal.[2] The diagnostic criteria for caffeine withdrawal require a previous prolonged daily use of caffeine.[121] Following 24 hours of a marked reduction in consumption, a minimum of 3 of these signs or symptoms is required to meet withdrawal criteria: difficulty concentrating, depressed mood/irritability, flu-like symptoms, headache, and fatigue.[121] Additionally, the signs and symptoms must disrupt important areas of functioning and are not associated with effects of another condition.[121]

The ICD-11 includes caffeine dependence as a distinct diagnostic category, which closely mirrors the DSM-5's proposed set of criteria for "caffeine-use disorder".[119][122]  Caffeine use disorder refers to dependence on caffeine characterized by failure to control caffeine consumption despite negative physiological consequences.[119][122] The APA, which published the DSM-5, acknowledged that there was sufficient evidence in order to create a diagnostic model of caffeine dependence for the DSM-5, but they noted that the clinical significance of the disorder is unclear.[123] Due to this inconclusive evidence on clinical significance, the DSM-5 classifies caffeine-use disorder as a "condition for further study".[119]

Tolerance to the effects of caffeine occurs for caffeine-induced elevations in blood pressure and the subjective feelings of nervousness. Sensitization, the process whereby effects become more prominent with use, occurs for positive effects such as feelings of alertness and wellbeing.[120] Tolerance varies for daily, regular caffeine users and high caffeine users. High doses of caffeine (750 to 1200 mg/day spread throughout the day) have been shown to produce complete tolerance to some, but not all of the effects of caffeine. Doses as low as 100 mg/day, such as a 6 oz (170 g) cup of coffee or two to three 12 oz (340 g) servings of caffeinated soft-drink, may continue to cause sleep disruption, among other intolerances. Non-regular caffeine users have the least caffeine tolerance for sleep disruption.[124] Some coffee drinkers develop tolerance to its undesired sleep-disrupting effects, but others apparently do not.[125]

Risk of other diseases

A neuroprotective effect of caffeine against Alzheimer's disease and dementia is possible but the evidence is inconclusive.[126][127]

Regular consumption of caffeine may protect people from

liver cirrhosis.[128] It was also found to slow the progression of liver disease in people who already have the condition, reduce the risk of liver fibrosis, and offer a protective effect against liver cancer among moderate coffee drinkers. A study conducted in 2017 found that the effects of caffeine from coffee consumption on the liver were observed regardless of how the drink was prepared.[129]

Caffeine may lessen the severity of

acute mountain sickness if taken a few hours prior to attaining a high altitude.[130] One meta analysis has found that caffeine consumption is associated with a reduced risk of type 2 diabetes.[131] Regular caffeine consumption may reduce the risk of developing Parkinson's disease and may slow the progression of Parkinson's disease.[132][133][23]

Caffeine increases intraocular pressure in those with glaucoma but does not appear to affect normal individuals.[134]

The DSM-5 also includes other caffeine-induced disorders consisting of caffeine-induced anxiety disorder, caffeine-induced sleep disorder and unspecified caffeine-related disorders. The first two disorders are classified under "Anxiety Disorder" and "Sleep-Wake Disorder" because they share similar characteristics. Other disorders that present with significant distress and impairment of daily functioning that warrant clinical attention but do not meet the criteria to be diagnosed under any specific disorders are listed under "Unspecified Caffeine-Related Disorders".[135]

Energy crash

Caffeine is reputed to cause a fall in energy several hours after drinking, but this is not well researched.[136][137][138][139]

Overdose

Torso of a young man with overlaid text of main side-effects of caffeine overdose.
Primary symptoms of caffeine intoxication[140]

Consumption of 1–1.5 grams (1,000–1,500 mg) per day is associated with a condition known as caffeinism.[141] Caffeinism usually combines caffeine dependency with a wide range of unpleasant symptoms including nervousness, irritability, restlessness, insomnia, headaches, and palpitations after caffeine use.[142]

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.[143] 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 400–500 mg 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.[144]

According to the International Classification of Diseases (ICD-11), cases of very high caffeine intake (e.g. > 5 g) may result in caffeine intoxication with symptoms including mania, depression, lapses in judgment, disorientation, disinhibition, delusions, hallucinations or psychosis, and rhabdomyolysis.[143]

Energy drinks

High caffeine consumption in energy drinks (at least one liter or 320 mg of caffeine) was associated with short-term cardiovascular side effects including hypertension, prolonged QT interval, and heart palpitations. These cardiovascular side effects were not seen with smaller amounts of caffeine consumption in energy drinks (less than 200 mg).[78]

Severe intoxication

As of 2007 there is no known antidote or reversal agent for caffeine intoxication. Treatment of mild caffeine intoxication is directed toward symptom relief; severe intoxication may require

Intralipid infusion therapy is indicated in cases of imminent risk of cardiac arrest in order to scavenge the free serum caffeine.[146]

Lethal dose

Death from caffeine ingestion appears to be rare, and most commonly caused by an intentional overdose of medications.

liver cirrhosis who overdosed on caffeinated mints.[153][154]

Interactions

Caffeine is a substrate for CYP1A2, and interacts with many substances through this and other mechanisms.[155]

Alcohol

According to DSST, alcohol causes a decrease in performance on their standardized tests, and caffeine causes a significant improvement.[156] When alcohol and caffeine are consumed jointly, the effects of the caffeine are changed, but the alcohol effects remain the same.[157] For example, consuming additional caffeine does not reduce the effect of alcohol.[157] However, the jitteriness and alertness given by caffeine is decreased when additional alcohol is consumed.[157] Alcohol consumption alone reduces both inhibitory and activational aspects of behavioral control. Caffeine antagonizes the activational aspect of behavioral control, but has no effect on the inhibitory behavioral control.[158] The Dietary Guidelines for Americans recommend avoidance of concomitant consumption of alcohol and caffeine, as taking them together may lead to increased alcohol consumption, with a higher risk of alcohol-associated injury.

Tobacco

Smoking tobacco increases caffeine clearance by 56%.[159] Cigarette smoking induces the cytochrome P450 1A2 enzyme that breaks down caffeine, which may lead to increased caffeine tolerance and coffee consumption for regular smokers.[160]

Birth control

Birth control pills can extend the half-life of caffeine, requiring greater attention to caffeine consumption.[161]

Medications

Caffeine sometimes increases the effectiveness of some medications, such as those for

headaches.[162] Caffeine was determined to increase the potency of some over-the-counter analgesic medications by 40%.[163]

The pharmacological effects of adenosine may be blunted in individuals taking large quantities of

methylxanthines like caffeine.[164] Some other examples of methylxanthines include the medications theophylline and aminophylline, which are prescribed to relieve symptoms of asthma or COPD.[165]

Pharmacology

Pharmacodynamics

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

In the absence of caffeine and when a person is awake and alert, little

drowsiness. When caffeine is consumed, it antagonizes adenosine receptors; in other words, caffeine prevents adenosine from activating the receptor by blocking the location on the receptor where adenosine binds to it. As a result, caffeine temporarily prevents or relieves drowsiness, and thus maintains or restores alertness.[5]

Receptor and ion channel targets

Caffeine is an

affinity (KD) values of caffeine for the human adenosine receptors are 12 μM at A1, 2.4 μM at A2A, 13 μM at A2B, and 80 μM at A3.[166]

Antagonism of adenosine receptors by caffeine also stimulates the

Heart palpitations are caused by blockade of the A1 receptor.[5]

Because caffeine is both water- and lipid-soluble, it readily crosses the

In addition to its activity at adenosine receptors, caffeine is an

RYR3).[170] It is also a competitive antagonist of the ionotropic glycine receptor.[171]

Effects on striatal dopamine

While caffeine does not directly bind to any

heterotetramer (this is a receptor complex with two adenosine A2A receptors and two dopamine D2 receptors).[172][173][174][175] The A2A–D2 receptor heterotetramer has been identified as a primary pharmacological target of caffeine, primarily because it mediates some of its psychostimulant effects and its pharmacodynamic interactions with dopaminergic psychostimulants.[173][174][175]

Caffeine also causes the release of dopamine in the

A2A heterodimers (a receptor complex composed of one adenosine A1 receptor and one adenosine A2A receptor) in the axon terminal of glutamate neurons.[172][167] During chronic caffeine use, caffeine-induced dopamine release within the nucleus accumbens core is markedly reduced due to drug tolerance.[172][167]

Enzyme targets

Caffeine, like other

cholinergic system where it is a moderate inhibitor of the enzyme acetylcholinesterase.[181][182]

Pharmacokinetics

A diagram featuring 4 skeletal chemical formulas. Top (caffeine) relates to similar compounds paraxanthine, theobromine and theophylline.
Caffeine is metabolized in the liver via a single demethylation, resulting in three primary metabolites, paraxanthine (84%), theobromine (12%), and theophylline (4%), depending on which methyl group is removed.
Urinary metabolites of caffeine in humans at 48 hours post-dose[183]

Caffeine from coffee or other beverages is absorbed by the small intestine within 45 minutes of ingestion and distributed throughout all bodily tissues.

hyperemesis).[188] However, rectal absorption is less efficient than oral: the maximum concentration (Cmax) and total amount absorbed (AUC) are both about 30% (i.e., 1/3.5) of the oral amounts.[189]

Caffeine's

oral contraceptives, and prolonged in the last trimester of pregnancy.[125] In newborns the half-life can be 80 hours or more, dropping very rapidly with age, possibly to less than the adult value by age 6 months.[125] The antidepressant fluvoxamine (Luvox) reduces the clearance of caffeine by more than 90%, and increases its elimination half-life more than tenfold; from 4.9 hours to 56 hours.[190]

Caffeine is

cytochrome P450 oxidase enzyme system, in particular, by the CYP1A2 isozyme, into three dimethylxanthines,[191]
each of which has its own effects on the body:

1,3,7-Trimethyluric acid is a minor caffeine metabolite.[5] 7-Methylxanthine is also a metabolite of caffeine.[192][193] Each of the above metabolites is further metabolized and then excreted in the urine. Caffeine can accumulate in individuals with severe liver disease, increasing its half-life.[194]

A 2011 review found that increased caffeine intake was associated with a variation in two genes that increase the rate of caffeine catabolism. Subjects who had this

chromosomes consumed 40 mg more caffeine per day than others.[195]
This is presumably due to the need for a higher intake to achieve a comparable desired effect, not that the gene led to a disposition for greater incentive of habituation.

Chemistry

Pure

stereogenic centers[198] and hence is classified as an achiral molecule.[199]

The

hybridized and planar. The imidazole ring also has a resonance. Therefore, the fused 5,6 ring core of caffeine contains a total of ten pi electrons and hence according to Hückel's rule is aromatic.[200]

Synthesis

One biosynthetic route of caffeine, as performed by Camellia and Coffea species[201][202]
One laboratory synthesis of caffeine[203][204]

The biosynthesis of caffeine is an example of convergent evolution among different species.[205][206][207]

Caffeine may be synthesized in the lab starting with dimethylurea and malonic acid.[clarification needed][203][204][208]

Commercial supplies of caffeine are not usually manufactured synthetically because the chemical is readily available as a byproduct of decaffeination.[209]

Decaffeination

Fibrous crystals of purified caffeine. Dark-field microscopy image, about 7 mm × 11 mm.

Extraction of caffeine from coffee, to produce caffeine and decaffeinated coffee, can be performed using a number of solvents. Following are 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.[210]
  • Supercritical carbon dioxide extraction:
    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.[210]
  • 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.[210]

"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 10 mg of caffeine per cup, compared to approximately 85 mg of caffeine per cup for regular coffee.[211]

Detection in body 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.[212]

Analogs

Some analog substances have been created which mimic caffeine's properties with either function or structure or both. Of the latter group are the

8-chlorotheophylline, which is an ingredient in dramamine. Members of a class of nitrogen substituted xanthines are often proposed as potential alternatives to caffeine.[214][unreliable source?] Many other xanthine analogues constituting the adenosine receptor antagonist class have also been elucidated.[215]

Some other caffeine analogs:

Precipitation of tannins

Caffeine, as do other alkaloids such as cinchonine, quinine or strychnine, precipitates polyphenols and tannins. This property can be used in a quantitation method.[clarification needed][216]

Natural occurrence

Roasted coffee beans

Around thirty plant species are known to contain caffeine.[217] Common sources are the "beans" (seeds) of the two cultivated coffee plants, Coffea arabica and Coffea canephora (the quantity varies, but 1.3% is a typical value); and of the cocoa plant, Theobroma cacao; the leaves of the tea plant; and kola nuts. Other sources include the leaves of yaupon holly, South American holly yerba mate, and Amazonian holly guayusa; and seeds from Amazonian maple guarana berries. Temperate climates around the world have produced unrelated caffeine-containing plants.

Caffeine in plants acts as a natural pesticide: it can paralyze and kill predator insects feeding on the plant.[218] High caffeine levels are found in coffee seedlings when they are developing foliage and lack mechanical protection.[219] In addition, high caffeine levels are found in the surrounding soil of coffee seedlings, which inhibits seed germination of nearby coffee seedlings, thus giving seedlings with the highest caffeine levels fewer competitors for existing resources for survival.[220] Caffeine is stored in tea leaves in two places. Firstly, in the cell vacuoles where it is complexed with polyphenols. This caffeine probably is released into the mouth parts of insects, to discourage herbivory. Secondly, around the vascular bundles, where it probably inhibits pathogenic fungi from entering and colonizing the vascular bundles.[221] Caffeine in nectar may improve the reproductive success of the pollen producing plants by enhancing the reward memory of pollinators such as honey bees.[17]

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

cardiac stimulants theophylline and theobromine, and polyphenols that can form insoluble complexes with caffeine.[222]

Products

Caffeine content in select food and drugs[223][224][225][226][227]
Product Serving size Caffeine per serving (
mg
)
Caffeine (mg/L)
Caffeine tablet (regular-strength) 1 tablet 100
Caffeine tablet (extra-strength) 1 tablet 200
Excedrin
tablet
1 tablet 65
Hershey's Special Dark (45% cacao content) 1 bar (43 g or 1.5 oz) 31
Hershey's Milk Chocolate
(11% cacao content)
1 bar (43 g or 1.5 oz) 10
Percolated coffee 207 
US fl oz
)
80–135 386–652
Drip
coffee
207 mL (7.0 US fl oz) 115–175 555–845
Coffee,
decaffeinated
207 mL (7.0 US fl oz) 5–15 24–72
Coffee, espresso 44–60 mL (1.5–2.0 US fl oz) 100 1,691–2,254
Tea – black, green, and other types, – steeped for 3 min. 177 mL (6.0 US fl oz) 22–74[226][227] 124–418
Guayakí
yerba mate
(loose leaf)
6 g (0.21 oz) 85[228] approx. 358
Coca-Cola 355 mL (12.0 US fl oz) 34 96
Mountain Dew 355 mL (12.0 US fl oz) 54 154
Pepsi Zero Sugar 355 mL (12.0 US fl oz) 69 194
Guaraná Antarctica 350 mL (12 US fl oz) 30 100
Jolt Cola 695 mL (23.5 US fl oz) 280 403
Red Bull 250 mL (8.5 US fl oz) 80 320
Coffee-flavored milk drink 300–600 mL (10–20 US fl oz) 33–197[229] 66–354[229]

Products containing caffeine include coffee, tea, soft drinks ("colas"), energy drinks, other beverages, chocolate,[230] caffeine tablets, other oral products, and inhalation products. According to a 2020 study in the United States, coffee is the major source of caffeine intake in middle-aged adults, while soft drinks and tea are the major sources in adolescents.[78] Energy drinks are more commonly consumed as a source of caffeine in adolescents as compared to adults.[78]

Beverages

Coffee

The world's primary source of caffeine is the coffee "bean" (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;[231] even beans within a given bush can show variations in concentration. In general, one serving of coffee ranges from 80 to 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.[232][233] Arabica coffee typically contains half the caffeine of the robusta variety.[231] In general, dark-roast coffee has very slightly less caffeine than lighter roasts because the roasting process reduces caffeine content of the bean by a small amount.[232][233]

Tea

Tea contains more caffeine than coffee by dry weight. A typical serving, however, contains much less, since less of the product is used as compared to an equivalent serving of coffee. Also contributing to caffeine content are growing conditions, processing techniques, and other variables. Thus, teas contain varying amounts of caffeine.[234]

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.[234]

Soft drinks and energy drinks

Caffeine is also a common ingredient of

slow-release excipient.[236]

Other beverages

  • Mate is a drink popular in many parts of South America. Its preparation consists of filling a gourd with the leaves of the South American holly yerba mate, pouring hot but not boiling water over the leaves, and drinking with a straw, the bombilla, which acts as a filter so as to draw only the liquid and not the yerba leaves.[237]
  • Guaraná
    fruit.
  • The leaves of Ilex guayusa, the Ecuadorian holly tree, are placed in boiling water to make a guayusa tea.[238]
  • The leaves of Ilex vomitoria, the yaupon holly tree, are placed in boiling water to make a yaupon tea.
  • Commercially prepared coffee-
    flavoured milk beverages are popular in Australia.[239] Examples include Oak's Ice Coffee and Farmers Union Iced Coffee. The amount of caffeine in these beverages can vary widely. Caffeine concentrations can differ significantly from the manufacturer's claims.[229]

Chocolate

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.[240] A typical 28-gram serving of a milk chocolate bar has about as much caffeine as a cup of decaffeinated coffee. By weight, dark chocolate has one to two times the amount of caffeine as coffee: 80–160 mg per 100 g. Higher percentages of cocoa such as 90% amount to 200 mg per 100 g approximately and thus, a 100-gram 85% cocoa chocolate bar contains about 195 mg caffeine.[224]

Tablets

No-Doz 100 mg caffeine tablets

Tablets offer several advantages over coffee, tea, and other caffeinated beverages, including convenience, known dosage, and avoidance of concomitant intake of sugar, acids, and fluids. A use of caffeine in this form is said to improve mental alertness.[241] These tablets are commonly used by students studying for their exams and by people who work or drive for long hours.[242]

Other oral products

One U.S. company is marketing oral dissolvable caffeine strips.[243] Another intake route is SpazzStick, a caffeinated lip balm.[244] Alert Energy Caffeine Gum was introduced in the United States in 2013, but was voluntarily withdrawn after an announcement of an investigation by the FDA of the health effects of added caffeine in foods.[245]

Inhalants

Similar to an

vaping.[246] In 2012, the FDA sent a warning letter to one of the companies marketing an inhaler, expressing concerns for the lack of safety information available about inhaled caffeine.[247][248]

Combinations with other drugs

History

Discovery and spread of use

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, c. 1900

According to Chinese legend, the

Cha Jing, a famous early work on the subject of tea.[251]

The earliest credible evidence of either coffee drinking or knowledge of the coffee plant appears in the middle of the fifteenth century, in the

Persia and Turkey. From the Middle East, coffee drinking spread to Italy, then to the rest of Europe, and coffee plants were transported by the Dutch to the East Indies and to the Americas.[253]

Kola nut use appears to have ancient origins. It is chewed in many West African cultures, in both private and social settings, to restore vitality and ease hunger pangs.[254]

The earliest evidence of

pre-Columbian Mesoamerica, and cocoa beans were often used as currency.[255]

Xocolatl was introduced to

Spaniards, and became a popular beverage by 1700. The Spaniards also introduced the cacao tree into the West Indies[256] and the Philippines.[257]

The leaves and stems of the yaupon holly (

Chemical identification, isolation, and synthesis

Pierre Joseph Pelletier

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).[260] According to Runge, he did this at the behest of Johann Wolfgang von Goethe.[a][262] In 1821, caffeine was isolated both by the 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 that the French chemists had made their discoveries independently of any knowledge of Runge's or each other's work.[263] However, Berzelius later acknowledged Runge's priority in the extraction of caffeine, stating:[264] "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."

Pelletier's article on caffeine was the first to use the term in print (in the French form Caféine from the French word for coffee: café).[265] 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, Messrs. 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 ...

Robiquet was one of the first to isolate and describe the properties of pure caffeine,[266] whereas Pelletier was the first to perform an elemental analysis.[267]

In 1827, M. Oudry isolated "théine" from tea,[268] but in 1838 it was proved by Mulder[269] and by Carl Jobst[270] that theine was actually the same as caffeine.

In 1895, German chemist

Hermann Emil Fischer (1852–1919) first synthesized caffeine from its chemical components (i.e. a "total synthesis"), and two years later, he also derived the structural formula of the compound.[271] This was part of the work for which Fischer was awarded the Nobel Prize in 1902.[272]

Historic regulations

Because it was recognized that coffee contained some compound that acted as a stimulant, first coffee and later also caffeine has sometimes been subject to regulation. For example, in the 16th century

Frederick II of Prussia banned it in 1777,[278][279] and coffee was banned in Sweden
at various times between 1756 and 1823.

In 1911, caffeine 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".[280] Although the Supreme Court later ruled in favor of Coca-Cola in United States v. Forty Barrels and Twenty Kegs 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.[281]

Society and culture

Regulations

United States

The US Food and Drug Administration (FDA) considers safe beverages containing less than 0.02% caffeine;

yerba maté) are likely less recognized as caffeine sources. For these natural sources of caffeine, there is no regulatory provision requiring that a food label identify the presence of caffeine nor state the amount of caffeine present in the food.[284] The FDA guidance was updated in 2018.[285]

Consumption

Global consumption of caffeine has been estimated at 120,000 tonnes per year, making it the world's most popular psychoactive substance.[19] This amounts to an average of one serving of a caffeinated beverage for every person every day.[19] The consumption of caffeine has remained stable between 1997 and 2015.[286] 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.[286]

Religions

The Seventh-day Adventist Church asked for its members to "abstain from caffeinated drinks", but has removed this from baptismal vows (while still recommending abstention as policy).[287] 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: "... the Church revelation spelling out health practices (Doctrine and Covenants 89) does not mention the use of caffeine. The Church's health guidelines prohibit alcoholic drinks, smoking or chewing of tobacco, and 'hot drinks' – taught by Church leaders to refer specifically to tea and coffee."[288]

Gaudiya Vaishnavas generally also abstain from caffeine, because they believe it clouds the mind and overstimulates the senses.[289] To be initiated under a guru, one must have had no caffeine, alcohol, nicotine or other drugs, for at least a year.[290]

Caffeinated beverages are widely consumed by Muslims. In the 16th century, some Muslim authorities made unsuccessful attempts to ban them as forbidden "intoxicating beverages" under Islamic dietary laws.[291][292]

Other organisms

Caffeine effects on spider webs
Caffeine effects on spider webs

The bacteria Pseudomonas putida CBB5 can live on pure caffeine and can cleave caffeine into carbon dioxide and ammonia.[293]

Caffeine is toxic to birds

mollusks, various insects, and spiders.[296] This is at least partly due to a poor ability to metabolize the compound, causing higher levels for a given dose per unit weight.[183] Caffeine has also been found to enhance the reward memory of honey bees.[17]

Research

Caffeine has been used to double chromosomes in

See also

References

Notes
  1. ^ In 1819, Runge was invited to show Goethe how belladonna caused dilation of the pupil, which Runge did, using a cat as an experimental subject. Goethe was so impressed with the demonstration that:

    Nachdem Goethe mir seine größte Zufriedenheit sowol über die Erzählung des durch scheinbaren schwarzen Staar Geretteten, wie auch über das andere ausgesprochen, übergab er mir noch eine Schachtel mit Kaffeebohnen, die ein Grieche ihm als etwas Vorzügliches gesandt. "Auch diese können Sie zu Ihren Untersuchungen brauchen," sagte Goethe. Er hatte recht; denn bald darauf entdeckte ich darin das, wegen seines großen Stickstoffgehaltes so berühmt gewordene Coffein.

    ("After Goethe had expressed to me his greatest satisfaction regarding the account of the man [whom I'd] rescued [from serving in Napoleon's army] by apparent "black star" [i.e., amaurosis, blindness] as well as the other, he handed me a carton of coffee beans, which a Greek had sent him as a delicacy. 'You can also use these in your investigations,' said Goethe. He was right; for soon thereafter I discovered therein caffeine, which became so famous on account of its high nitrogen content.").[261]
Citations
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    Boiling Point
    178 °C (sublimes)
    Melting Point
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    237 °C Oxford University Chemical Safety Data
    238 °C LKT Labs [C0221]
    237 °C Jean-Claude Bradley Open Melting Point Dataset 14937
    238 °C Jean-Claude Bradley Open Melting Point Dataset 17008, 17229, 22105, 27892, 27893, 27894, 27895
    235.25 °C Jean-Claude Bradley Open Melting Point Dataset 27892, 27893, 27894, 27895
    236 °C Jean-Claude Bradley Open Melting Point Dataset 27892, 27893, 27894, 27895
    235 °C Jean-Claude Bradley Open Melting Point Dataset 6603
    234–236 °C Alfa Aesar A10431, 39214
    Experimental Boiling Point:
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    178 °C (Sublimes) Alfa Aesar 39214
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  27. ^ . Long-term caffeine use can lead to mild physical dependence. A withdrawal syndrome characterized by drowsiness, irritability, and headache typically lasts no longer than a day. True compulsive use of caffeine has not been documented.
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    Caffeine-induced increases in performance have been observed in aerobic as well as anaerobic sports (for reviews, see [26,30,31])...

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    Physiologic and performance effects
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     • Amphetamines seem to enhance athletic performance in anaerobic conditions 39 40
     • Improved reaction time
     • Increased muscle strength and delayed muscle fatigue
     • Increased acceleration
     • Increased alertness and attention to task
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  115. . Caffeine is not considered addictive, and in animals it does not trigger metabolic increases or dopamine release in brain areas involved in reinforcement and reward. ... these earlier data plus the present data reflect that caffeine at doses representing about two cups of coffee in one sitting does not activate the circuit of dependence and reward and especially not the main target area, the nucleus accumbens. ... Therefore, caffeine appears to be different from drugs of dependence like cocaine, amphetamine, morphine, and nicotine, and does not fulfil the common criteria or the scientific definitions to be considered an addictive substance.42
  116. . Through these interactions, caffeine is able to directly potentiate dopamine neurotransmission, thereby modulating the rewarding and addicting properties of nervous system stimuli.
  117. . The suggestion has also been made that a caffeine dependence syndrome exists ... In one controlled study, dependence was diagnosed in 16 of 99 individuals who were evaluated. The median daily caffeine consumption of this group was only 357 mg per day (Strain et al., 1994).
    Since this observation was first published, caffeine addiction has been added as an official diagnosis in ICDM 9. This decision is disputed by many and is not supported by any convincing body of experimental evidence. ... All of these observations strongly suggest that caffeine does not act on the dopaminergic structures related to addiction, nor does it improve performance by alleviating any symptoms of withdrawal
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    F15 Mental and behavioural disorders due to use of other stimulants, including caffeine ...

    .2 Dependence syndrome
    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.
    The dependence syndrome may be present for a specific psychoactive substance (e.g., tobacco, alcohol, or diazepam), for a class of substances (e.g., opioid drugs), or for a wider range of pharmacologically different psychoactive substances. [Includes:]
    Chronic alcoholism
    Dipsomania
    Drug addiction
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  173. ^ .
  174. ^ . Adenosine A2A receptor (A2AR)-dopamine D2 receptor (D2R) heteromers are key modulators of striatal neuronal function. It has been suggested that the psychostimulant effects of caffeine depend on its ability to block an allosteric modulation within the A2AR-D2R heteromer, by which adenosine decreases the affinity and intrinsic efficacy of dopamine at the D2R.
  175. ^ . The striatal A2A-D2 receptor heteromer constitutes an unequivocal main pharmacological target of caffeine and provides the main mechanisms by which caffeine potentiates the acute and long-term effects of prototypical psychostimulants.
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