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January 2007 Maryland Shriner Health Tip

Decreasing Your Caffeine Intake

Although extensive study has found no link between moderate caffeine intake and increased risk of significant health conditions such as cancer, heart disease, and birth defects, there are some conditions that may be improved if you decrease your caffeine intake. If your health care provider suggests that you cut down on caffeine, here are some steps to help you do so.

Here's Why:

Caffeine is a mild stimulant. Many people drink coffee, tea, or soda for this effect—it helps them feel more awake and alert. However, this stimulant effect can also cause jitters, anxiety, and difficulty sleeping. Each person's tolerance to caffeine is different, and with age, we appear to become more sensitive to the effects of caffeine.

Your health care provider may recommend that you reduce caffeine intake in certain situations. For example:
  • If you are pregnant or nursing – during pregnancy, you may be more sensitive to caffeine. Also, caffeine can pass through the placenta and breast milk to your baby.
  • If you have a specific medical problem – for example, high blood pressure, gastritis, or ulcers. Talk to your doctor about how caffeine affects you in order to determine if you need to cut back.
Here's How:

First, you'll need to know all the possible sources of caffeine in your diet. The following table should help you judge the relative caffeine content of different beverages. While chocolate does not contain caffeine, for some people the “theobromines” in chocolate have similar effects. We have also listed the caffeine equivalents for some chocolate products below.

Common Sources of Caffeine

Serving Size

Average Caffeine Content (mg)

Over-the-Counter Drugs

NoDoz, maximum strength; Vivarin

1 tablet

200

Excedrin

2 tablets

130

Coffee

Coffee, brewed

8 ounces

135

Espresso coffee

2 ounces

100

Coffee, instant

8 ounces

95

Cappuccino

8 ounces

60

Decaffeinated

8 ounces

5

Tea

Iced tea

12 ounces

70

Tea, leaf or bag

8 ounces

50

Tea, green

8 ounces

30

Tea, instant

8 ounces

15

Decaffeinated

8 ounces

1.6

Soft Drinks

Mountain Dew

12 ounces

56

Dr. Pepper, regular or diet

12 ounces

42

Sunkist Orange Soda

12 ounces

42

Colas

12 ounces

40

7-UP or Diet 7-UP

12 ounces

0

Chocolate Products

Baker's chocolate

1 ounce

25

Dark chocolate, semi sweet

1 ounce

20

Cocoa beverage

8 ounces

8

Chocolate milk beverage

8 ounces

5

Milk chocolate

1 ounce

5

Chocolate-flavored syrup

1 ounce

4



Cut Back Gradually

Some people experience headaches or drowsiness if they go "cold turkey" from their caffeine intake. Decreasing over a period of time can help prevent these effects. Try the following:
  • Mix half regular and half decaffeinated coffee
  • Drink instant coffee, which has less caffeine than regular coffee
  • Brew tea for a shorter time; a 1-minute brew contains about half of the caffeine that a 3-minute brew contains
If you find that one of the above three methods of gradual cutting back works for you, then you can proceed to the following:
  • Drink decaffeinated coffee or tea which has almost no caffeine
  • Drink herbal tea, which naturally has no caffeine
  • Replace coffee, tea, and soda with water or juice
If, like most people these days, you are watching your waistline then don’t forget that juices and sugar-containing soft drinks may have more calories than some of the caffeinated beverages you are giving up.

Read Labels

You may be surprised at the caffeine content of your favorite beverages or of some of the over-the-counter products in your medicine cabinet. Be sure to check labels for the caffeine content. Many sodas and other products come in caffeine-free forms, so look for these.

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