Caffeine Flashcards

1
Q

Define Caffeine

A

mild psychostimulant
belongs to class of chemicals called methylxanthines

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2
Q

When was the first recorded history of caffeine

A

1000 AD in an Arabian medical bool

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3
Q

How is caffeine absorbed

A

absorbed easily via the digestive system due to its high lipid solubility

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4
Q

what is the timeline of caffeine

A

reaches the organs in five minutes, peaks in blood in thirty, maximal CNS effect in two hours

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5
Q

How is coffee metabolized

A

liver (smokers metabolizer faster)

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6
Q

how is caffeine excreted

A

90% excreted as active/inactive metabolites

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7
Q

what is the result of caffeine metabolism

A

psychoactive metabolites (xanthines)

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8
Q

what are some psychoactive xanthines

A

theophylline (used for asthma)
theobromine (found in chocolate)

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9
Q

what are the psychological effects of caffeine in a moderate dose

A

mood elevation
enhance thought process
reduced fatigue
improves auditory vigilance and visual reaction time
increased capacity for muscular work and sustained intellectual task performance

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10
Q

what are the psychological effects of caffeine at high doses

A

insomnia
restlessness
mild sensory disturbances
muscle tenseness
anxiety/panic attacks in susceptible individuals

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11
Q

what is the difference between caffeine and other psychostimulants in moderate doses

A

effects on blood pressure and heart rate are inconsistent i.e. caffeine does not always raise blood pressure

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12
Q

what are the physical effects of caffeine at moderate doses

A

vasoconstrictor indirectly on the ANS (increased HR and BP)
Direct on heart for vasodilation
dilates bronchial tubes

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13
Q

what is caffeine toxicity

A

lethal doses lead to convulsions and respiratory arrest

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14
Q

what are the pharmacodynamics of caffeine

A

Adenosine receptor antagonist
blocking adenosine receptors increases neuronal activity (primarily of norepinephrine and glutamate)
AGONIST of transmitter release

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15
Q

what is adenosine

A

neuromodulator that normally slows down neuronal activity in the CNS and PNS

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16
Q

what are the sites of actions of caffeine

A

Cerebral cortex
medulla (locus coeruleus)
respiratory centers in medulla

17
Q

what is the locus coeruleus

A

mediator of arousal and vigilance

18
Q

what are the additional mechanisms of actions of caffeine at high doses

A

GABA receptor antagonist
blocks inhibition in the brain and leads to overall arousal
increases anxiety

19
Q

describe caffeine tolerance

A

can take 2 months of abstinence to lose tolerance
can be overcome by increasing dose

20
Q

why is caffeine so popular

A

low reinforcing properties
Reward comes from alleviating unpleasant withdrawal symptoms

21
Q

what is the pharmacodynamics of caffeine tolerance

A

up regulation of adenosine receptors