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J Okla State Med Assoc ; 98(8): 380-4, 2005 Aug.
Article in English | MEDLINE | ID: mdl-16206866

ABSTRACT

Caffeine can cause or worsen psychiatric symptoms but also has the potential to interact with many psychiatric medications. This article provides a literature review regarding interactions between caffeine and psychiatric medications. Caffeine is metabolized by the CYP1A2 enzyme and also acts as a competitive inhibitor of this enzyme. Thus, caffeine can interact with a wide range of psychiatric medications, including antidepressant agents, antipsychotic agents, antimanic agents, antianxiety agents, and sedative agents. These interactions may lead to caffeine-related or medication-related side effects that may complicate psychiatric treatment. By recognizing this potential, along with educating the patient, and utilizing a tapering approach, prevention of caffeine interactions is achievable.


Subject(s)
Caffeine/adverse effects , Psychotropic Drugs/adverse effects , Anti-Anxiety Agents/adverse effects , Anti-Anxiety Agents/pharmacology , Antidepressive Agents/adverse effects , Antidepressive Agents/pharmacology , Antimanic Agents/adverse effects , Antimanic Agents/pharmacology , Antipsychotic Agents/adverse effects , Antipsychotic Agents/pharmacology , Caffeine/pharmacology , Drug Interactions , Humans , Hypnotics and Sedatives/adverse effects , Hypnotics and Sedatives/pharmacology , Medical History Taking , Psychotropic Drugs/pharmacology
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