Disease
• Excitement.
• Restlessness.
• Nervousness.
• Insomnia.
• Dieresis.
• Flushed face.
• Twitching in muscle.
• Gastrointestinal disturbance.
• Rambling thinking or speech.
• Tachycardia.
• Psychomotor agitation.
• Periods of exhaustion.
Caffeine-induced sleep disorder results from over-consumption of caffeine. If a person consumes caffeine immediately before bedtime or regularly throughout the day then the sleep delays, total sleep time reduces, normal stages of sleep later and the sleep quality decreases. High dose of caffeine in late evening sleep onset latency (length of time it takes to go from full wakefulness to sleep).
Excessive caffeine consumption leads to an intoxicated state. Caffeine intoxication presents as excitement, restlessness, agitation, rambling thought, and insomnia. Caffeine taken in the morning can have these signs of intoxication the following night.
The amount of caffeine that is necessary to produce symptoms varies from person to person. Caffeine affects every individual differently. It is observed that consuming caffeine regularly some people do not report any sleep problems.
Through stomach and small intestine caffeine enters the bloodstream and produces the stimulating effect as soon as 15 minutes after consumption.
When caffeine enters the body it persists for several hours and takes about 6 hours to eliminate the one-half of consumed caffeine.
Caffeine reaches the brain and increases the secretion of norepinephrine that is associated with fight or flight stress response.
The increase in no epinephrine levels raises the activity of neurons in the brain and produce symptoms that resemble a panic attack.
Diagnosis is based on:
• Individual’s recent history.
• Physical examination.
• Lab analysis of body fluids.
Lower or stop the consumption of caffeine. Some may experience mild withdrawal symptoms e.g. irritability, headache, occasional nausea, but these symptoms resolve quickly.
• Monitor the daily intake of caffeine.
• Substitute decaffeinated tea, coffee, for caffeinated beverages.
• Generalized anxiety disorder.
• Panic disorder.
• Amphetamine intoxication.
• Withdrawal effect of sleep medications, tranquilizers, sedatives or nicotine.
• Depression.
The commonly indicated medicines are:-
• Nux- vomica
• Kali phos
• Scutellaria
• Passiflora
• Coffea cruda
