What is the prognosis of caffeine toxicity?

Updated: Oct 24, 2020
  • Author: David Yew, MD; Chief Editor: Michael A Miller, MD  more...
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Answer

Rare cases of caffeine-induced ventricular dysrhythmias refractory to advanced cardiac life support (ACLS) protocols are reported. In general, however, the prognosis is excellent for patients with caffeine toxicity who reach a medical facility and who can be supported through the acute phase.

Death is an uncommon result of caffeine poisoning, but may be due to caffeine-related dysrhythmias, seizures, and aspiration of emesis. Oral doses of caffeine greater than 10 g can be fatal in adults. [10]

The AAPC reported no deaths related to caffeine in 2017. [17]  The FDA’s Center for Food Safety and Applied Nutrition (CFSAN) Adverse Event Reporting System (CAERS) reported 29 deaths related solely to Monster, 5-Hour Energy, and Rockstar energy drinks from 2004-2013. [23]


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