Addiction: Caffeine
Key points
- Addiction involves being habituated to a certain practice.
- The rate of absorption of the drug is dependent on one's size, weight and tolerance (which rises with increased consumption of the drug).
- 250-300 mg of caffeine per day is considered a moderate amount.
- The drug with greatest number of people who are addicted to it then, is caffeine, since it is the most commonly used drug.
Definition
Addiction involves being habituated to a certain practice. The drug with greatest number of people who are addicted to it then, is caffeine, since it is the most commonly used drug. However, few people experience a degree of social and functioning problems to qualify as being clinically dependent on caffeine; thus there is no official diagnosis of caffeine dependence. But there is a category for caffeine-related disorders to cover caffeine intoxication and caffeine withdrawal, both conditions being based on exhibiting an ample number of symptoms.
Caffeine is found in many foods including coffee, tea, chocolate and many carbonated beverages. It is also found in over-the-counter medicines, such as pain relievers, appetite suppressants and cold medicines. Caffeine functions a central nervous system stimulant and also a diuretic. It is actually a myth that black coffee will "sober up" an inebriated person but rather it will cause agitation in the person (Morrison, 1995). Another helpful tip is to never give a frostbite or hypothermia victim something with caffeine in it (like coffee or tea) or alcohol. Caffeine, a stimulant, can cause the heart to beat faster and hasten the effects the cold has on the body.
The amount of caffeine in some common foods and beverages is as follows:
- Coffee, brewed - 40 to 180 milligrams (mg) per cup
- Coffee, instant - 30 to 120 mg per cup
- Coffee, decaffeinated - 3 to 5 mg per cup
- Tea, brewed American - 20 to 90 mg per cup
- Tea, brewed imported - 25 to 110 mg per cup
- Tea, instant - 28 mg per cup
- Tea, canned iced - 22 to 36 mg per 12 ounces
- Cola and other soft drinks, caffeine-containing - 36 to 90 mg per 12 ounces
- Cola and other soft drinks, decaffeinated - 0 mg per 12 ounces
- Cocoa - 4 mg per cup
- Chocolate, milk - 3 to 6 mg per ounce
- Chocolate, bittersweet - 25 mg per ounce
Symptoms
The rate of absorption of the drug is dependent on one's size, weight and tolerance (which rises with increased consumption of the drug). Caffeine is absorbed and distributed quickly. Once absorbed, it passes into the central nervous system, stimulating it and producing the well-documented effect of alertness. Excessive caffeine intake though, can lead to a fast heart rate, excessive urination, nausea and vomiting, restlessness, anxiety, depression, tremors, difficulty sleeping, loss of calcium and potassium resulting in a longer recovery after exercising.
The effects of caffeine on health have been widely studied. A 1984 statement from the American Medical Association Council on Scientific Affairs said, "Moderate tea or coffee drinkers probably have no concern for their health relative to their caffeine consumption provided other lifestyle habits (diet, alcohol consumption) are moderate as well." Studies have examined the effects of caffeine on fibrocystic breast disease, cardiovascular disease, birth defects, reproductive function and behavior in children. Caffeine has been linked to some of these.
Written and revised by
Gerald Hurowitz, M.D.
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