Neurológia pre prax 2/2020

Coffee, tea, and tobacco, interactions and other risks in patients at a neurological outpatient department

At both outpatient and inpatient departments, one may encounter conditions that can be associated with coffee, tea, and tobacco consumption, e.g. nicotine poisoning, particularly with an e-cigarette filling liquid typically presented by emergency ambulance crews as unclear disturbances of consciousness, coma, etc., or sudden anxiety states with psychotic manifestations in the case of acute caffeine poisoning. These substance can also interfere with the effect of pharmacotherapy of patients through both pharmacokinetic and pharmacodynamic interactions. The risk of these intoxications has been increasing, particularly due to easy access to the above substances, including pure ones, on the internet.

Keywords: caffeine, nicotine, intoxication, interaction