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Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision

Substance-Related Disorders > Introduction >

Caffeine-Related Disorders

Topics Discussed: caffeine-related disorder.

Excerpt: "Caffeine can be consumed from a number of different sources, including coffee (brewed = 100–140 mg/8 oz, instant = 65–100 mg/8 oz), tea (40–100 mg/8 oz), caffeinated soda (45 mg/12 oz), over-the-counter analgesics and cold remedies (25–50 mg/tablet), antidrowsiness pills (100–200 mg/tablet), and weight-loss aids (75–200 mg/tablet). Chocolate and cocoa have much lower levels of caffeine (e.g., 5 mg/chocolate bar). The consumption of caffeine is ubiquitous in much of the United States, with an average caffeine intake of approximately 200 mg/day, and up to 30% of Americans consuming 500 mg or more per day. Some individuals who drink large amounts of coffee display some aspects of dependence on caffeine and exhibit tolerance and perhaps withdrawal. However, the data are insufficient at this time to determine whether these symptoms are associated with clinically significant impairment that meets the criteria for Substance Dependence or Substance Abuse. In contrast, there is evidence that Caffeine Intoxication can be clinically significant, and specific text and..."



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