Beware the perils of caffeine withdrawal

April 06, 2009|By Judy Fortin CNN Medical Correspondent

Susan Todd loves her daily coffee fix. "I can drink four or five cups, easily, comfortably," said Todd, 59, of Clinton Township, Michigan.

But if she skips her regular dose of caffeine, Todd warned, watch out.

"I feel lousy all over. It's not that anything hurts," she explained. "I just feel sluggish, and a cup of caffeine will cure that."

Todd is among the estimated 80 to 90 percent of North American adults and children who consume caffeine products every day. Experts estimate about half that number will experience headaches and other symptoms from caffeine withdrawal syndrome.

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There are a number of reasons why someone might need to reduce or stop their daily caffeine intake. Experts tell pregnant women not to consume more than 200 milligrams of caffeine a day (about one 12-ounce cup of coffee). Caffeinated products are not recommended for people who are prone to panic attacks or those who suffer from anxiety. Some surgical patients may also experience the symptoms of caffeine withdrawal syndrome on the day of surgery, because they are told not to eat or drink anything.

Researchers at Johns Hopkins University in Baltimore, Maryland, recognized the condition as a disorder five years ago after reviewing decades of studies. They concluded the higher the caffeine intake, the more likely a patient was to suffer from severe withdrawal symptoms when denied the ingredient.

Researchers also reported that some caffeine users considered themselves addicted to caffeine because they were unable to quit or cut down on their usage.

Michael Kuhar, chief of the division of neuroscience at the Yerkes National Primate Research Center at Emory University in Atlanta, Georgia, prefers to use the word "dependent" rather than "addicted." Even though he called caffeine a drug, Kuhar wouldn't go so far as saying it has reached the status of cocaine or heroin.

According to Kuhar, caffeine is a mild stimulant. "If you take a cup of caffeine you're likely to feel good and energized," he said.

Miss that cup of "Joe" or can of cola and don't be surprised if you start feeling funny, Kuhar warned. He said some people complain of "headache, fatigue, sleepiness, inability to focus and concentrate." Others report experiencing flu- like symptoms, irritability, depression and anxiety after skipping as little as one cup of coffee a day.

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