Fresh Coffee Being Poured into Cup Article About Caffeine Effects

Caffeine with Panic Attacks, Stress, and Fatigue

Many people generally consume caffeine during the morning before they start their day. The CDC states that caffeine takes up to 30 minutes to affect the body and reaches a half-life (when half the dose leaves the body) of 5-6 hours. The FDA also reports that about 80% of US adults consume caffeine daily. For many, it can be part of a healthy diet and aid in alertness. However, consuming too much caffeine can lead to more negative effects. People who are more caffeine sensitive, pregnant, or have a specific medical condition may want to think twice about consuming caffeine because it can cause severe disturbances in the heart and nervous system. Of course, you shouldn’t rely on consuming caffeine to help you feel awake and alert. We encourage you to talk with your doctor if you have any questions or concerns about caffeine and your health.

What Is Caffeine?

Caffeine is a natural stimulant found in more than 60 plants (such as coffee beans, tea leaves, cocoa pods, etc.). There is also synthetic (man-made) caffeine. This type of caffeine is often added to specific medications, drinks, or foods.

What Are the Effects of Caffeine?

Caffeine works by stimulating the brain, heart, muscles, and central nervous system- which helps us stay alert and prevent feelings of exhaustion. It is known to block the chemical adenosine (a natural chemical that helps us calm down). As a result, it causes us to feel alert when we consume caffeine. When ingested, it travels to the gut and quickly absorbs into our bloodstream. It then travels to the liver and is broken into different compounds that affect various organs within your body (such as the brain).

How Does Caffeine Affect My Body?

These are some of the various ways caffeine can affect specific systems within our body:

  1. Central Nervous System– As a central nervous stimulant, caffeine increases alertness when entering your brain- which helps you feel more awake and attentive. Through medications or different foods and drinks, it can also help treat/manage drowsiness, headaches, and migraines. According to the Alzheimer’s Society, some studies suggest that people who often drink coffee may also have a lower risk of developing dementia or Alzheimer’s later in life. However, more research is needed.
  1. Digestive and Excretory Systems– Caffeine can increase the amount of acid in your stomach, leading to heartburn or an upset stomach. Caffeine acts as a hyper-mobility agent that increases movement in the gastrointestinal tract. It can even lead to an increase in colon movements, which can have a laxative effect where you feel like you need to poop more often. You may also have to pee more often since caffeine goes through your liver and exits through urine.
  1. Circulatory and Respiratory Systems– Caffeine may also cause your blood pressure to increase within a short period. Some studies suggest that an increase in blood pressure results from a temporary block in a hormone that naturally widens our arteries. Or it may result from an increase in adrenaline. While this spike is only temporary, those with irregular heart rhythms should be careful since an increase in adrenaline can cause your heart to work harder. Meanwhile, caffeine may also alter an individual’s breathing rate due to the stimulating effect caffeine has on the nervous system. It is also known to relax our respiratory muscles, which increases airflow in the lungs. Overdose of caffeine can also lead to an irregular heartbeat and breathing issues.
  1. Skeletal and Muscular Systems– Large amounts of caffeine may interfere with our body’s ability to absorb and metabolize calcium and may lead to issues with osteoporosis. Caffeine withdrawal may also lead to achy muscles.
  1. Reproductive Systems– Caffeine can also travel from the bloodstream to the placenta. If pregnant, it poses a risk of increasing your baby’s heart rate and metabolism. Caffeine can also slow the rate of fetal growth, which increases the risk of miscarriage. Doctors recommend pregnant women consume no more than 200 mg of caffeine a day. Caffeine may also interfere with the body’s ability to balance reproductive hormones- causing fertility issues. In men, scientists believe that too much caffeine can lead to sperm DNA damage.

Woman Surprised Holding 2 Cups of Coffee

What Are Panic Attacks?

Panic attacks are sudden and abrupt as a surge of intense fear/discomfort overtakes a person. As stated in the DSM-5, panic attacks usually can last up to 10 minutes (some may last longer). Panic attacks may also occur if you suffer from a panic disorder- but they can also occur within other psychiatric disorders. 

What Are the Signs of a Panic Attack?

Panic attacks often involve a sudden and intense feeling of fear, terror, or discomfort. They usually occur very suddenly and without an obvious, immediate trigger. The symptoms can be very severe and intense that they can severely disrupt someone’s life. Here are the following symptoms the DSM-5 attribute to panic attacks:

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Possible Mental Symptoms:

  • Derealization (feeling of detachment from your surroundings)
  • Depersonalization (feelings of being detached from your body or mental processes)
  • Fear of losing control or being mentally unbalanced
  • Fear of dying

Possible Physical Symptoms: 

  • Chest pain
  • Chills or hot sensations
  • Excessive sweating
  • Choking feeling
  • Dizziness, lightheadedness, or faintness
  • Heart palpitations, pounding heart, accelerated heart rate
  • Hot flashes
  • Nausea or abdominal distress
  • Numbness or tingling sensations
  • Tremblings or shaking
  • Shortness of breath or difficulty breathing

How Can Caffeine Affect Panic Attacks?

Studies show that consuming caffeine can worsen anxiety symptoms in some individuals. One study even shows that caffeine consumption (about 5 cups worth) can raise the risk of panic attacks in individuals with a panic disorder. Researchers also found that consuming lots of caffeine increases anxiety levels in individuals with panic disorder and healthy adults.

It is important to note that caffeine does not directly cause panic attacks- but it can cause symptoms that mimic the ones that people with anxiety generally feel. These feelings of symptoms can frighten an individual and trigger a panic attack. For example, caffeine may:

  • Increase your heart rate. Caffeine may lead to an increase in heart rate, which can frighten an individual with anxiety. They may fear that something is wrong or that a panic attack will occur. This sudden rush of intense fear and anxiety can trigger an actual panic/anxiety attack.
  • Cause stomach discomfort. Caffeine is a diuretic and laxative. For some people, it can lead to digestive discomfort. However, people with anxiety also tend to experience stomach discomfort as a symptom of anxiety. Therefore, they may think that they are about to have an episode- and may trigger a panic/anxiety attack.
  • Change your mental sharpness.  Caffeine can increase mental alertness. However, this can be an issue for people with anxiety because it can trigger anxious thoughts- which can trigger a panic attack.
  • Cause many other physical symptoms. Caffeine jitters can lead to symptoms such as sweaty palms, dizziness, chest pain, restlessness, headaches, etc. These symptoms mimic the symptoms someone with anxiety may feel during an episode- which can trigger a panic attack.

What about Caffeine and Stress?

Caffeine affects how our bodies produce adenosine, adrenaline, dopamine, and cortisol. Usually, caffeine inhibits our body’s ability to absorb adenosine (a hormone that calms our body). At the same time, it increases the production of cortisol, norepinephrine, epinephrine, adrenaline, and dopamine. As a result, caffeine consumption may lead to feelings of stress. If one continually drinks high amounts of caffeine- it can lead to elevated levels of cortisol which can mimic feelings of chronic stress.

Caffeine Effects | Woman Yawns from Fatigue Holding Coffee

What about Caffeine and Fatigue?

Caffeine can have undesirable effects because it blocks adenosine receptors while simultaneously increasing the production of natural stimulants. Once the effects of caffeine wear off- this can then lead to feelings of fatigue. Eventually, the adenosine molecules will bind again to the receptors, which leads to feelings of sleepiness. Caffeine can also impact blood sugar levels as it affects glucose metabolism. As a result, some individuals may feel fatigued, have a headache, or have trouble concentrating.

People who drink caffeine before bed may also experience problems with insomnia. Because some people rely on drinks such as coffee to wake them up, they may have more caffeine throughout the day- which can negatively impact sleep.

Are you tired even though you just had your cup of coffee (or other caffeinated beverage)? It can be a sign that you are gaining tolerance to caffeine. Over time, our body gets used to the amount of caffeine we usually consume, and we slowly stop experiencing any positive effects. As a result, we may try to have more coffee, which can negatively impact our alertness and sleep over time. Your body may also metabolize caffeine quickly. In this case, you may feel sleepy sooner as the body becomes sensitive to adenosine (the hormone that helps the body calm down).

Overall, we highly recommend you talk with your doctor if you have any questions or notice any issues when consuming caffeine. Caffeine can be a part of a healthy diet. However, specific individuals may have to be more careful in their dose of caffeine (or avoid it altogether). If caffeine leads to you not feeling good, there are always other alternatives you can enjoy


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