Caffeine is a drug that stimulates the central nervous system (CNS). Caffeine is found naturally in coffee, kola seed kernels or nuts (Cola nidtida), and a variety of teas. Other foods and beverages, such as chocolate and soft drinks, also contain caffeine, and the drug can be purchased in over-the-counter tablet and capsule form (No Doz, Overtime, Pep-Back, Quick-Pep, Caffedrine, and Vivarin). Some prescription pain relievers, medicines for migraine headaches, and antihistamines also contain caffeine.
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 caused by those drugs. Caffeine is also sometimes used to treat other conditions, including breathing problems in newborns and in young babies after surgery.
Kola can be prepared in decoction or tincture form. To prepare a decoction, mix 1-2 tsp of powdered kola nut in a cup of water. After bringing the water to a boil, simmer the decoction on low heat for 10-15 minutes. Tinctures of kola nut can be purchased at many health food stores or mail order suppliers. A tincture is an herbal preparation made by diluting the herb in alcohol, glycerin, or vinegar. Dosage of kola tincture varies by formula and the symptoms or illness it is supposed to treat, but an average recommended dosage might be 1-4 ml three times daily. Powdered kola nut and kola tinctures should be stored in airtight containers away from direct light to maintain potency.
For over-the-counter caffeine preparations, adults and children age 12 years and older should take 100-200 mg no more than every three to four hours. In timedrelease form, the dose is 200-250 mg once a day. Timedrelease forms should not be taken less than six hours before bedtime. Caffeine pills or tablets are typically not recommended for children under 12 years of age.
If caffeine is administered in a kola preparation, kola should always be obtained from a reputable source that observes stringent quality control procedures and industry-accepted good manufacturing practices. Consumers should look for the designations "U.S.P." (U.S. Pharmacopeia) or "NF" (National Formulary) on kola nut labeling. Herbal preparations prepared under USP or NF guidelines meet nationally recognized strength, quality, purity, packaging, and labeling standards as recommended by the United States Food and Drug Administration (FDA).
Avoid taking too much caffeine when it is being taken as an over-the-counter drug. Consider how much caffeine is being taken in from coffee, tea, chocolate, soft drinks, and other foods that contain caffeine. Check with a pharmacist or healthcare professional to find out how much caffeine is safe to use.
Caffeine cannot replace sleep and should not be used regularly to stay awake as the drug can lead to more 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 an individual stops using caffeine abruptly, withdrawal symptoms may occur, including headache, fatigue, drowsiness, yawning, irritability, restlessness, vomiting, or runny nose. These symptoms can go on for long as a week.
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.
Anyone with allergies to foods, dyes, preservatives, or to the compounds aminophylline, dyphylline, oxtriphylline, theobromine, or theophylline should check with a physician before using caffeine. Anyone who has ever had an unusual reaction to caffeine should also check with a physician before using it again.
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Author Info: Paula Ford-Martin, The Gale Group Inc., Gale, Detroit, Gale Encyclopedia of Nursing and Allied Health, 2002 |