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CAFEINE CAS : 58-08-2 - UNEP Chemicals

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OECD SIDS CAFFEINE<br />

5. TOXICITY DATE: 04-MAR-2003<br />

SUBSTANCE ID: <strong>58</strong>-<strong>08</strong>-2<br />

role.<br />

toxic effects (tolerance and withdrawl, review)<br />

01-MAR-2001 (437)<br />

Remark: toxic effects (tolerance and withdrawl)<br />

Twenty healthy volunteers paricipated a study to<br />

investigate whether measurable changes in cerebral blood<br />

flow velocities could develop from caffeine use or from its<br />

withdrawl.<br />

After 24 h of complete caffeine abstinence 10 suffered from<br />

moderate to severe headache with complete recovery within 1<br />

h after caffeine intake. The BFVs in both middle cerebral,<br />

both posterior cerebral and basilar arteries were higher<br />

following the withdrawl period, reaching statistical<br />

significance in the left middle cerebral basilar and both<br />

posterior posterior arteries. BFVs decreased significantly<br />

within half an hour after caffeine intake in all subjects,<br />

and were simmilar to baseline values after 2 hours.<br />

14-MAR-2001 (438)<br />

Remark: Review of medical literature on fibrocystic breast disease<br />

and caffeine intake indicated a weak evidence for an<br />

association.<br />

toxic effects (benign breast disease, review)<br />

15-FEB-2001 (439)<br />

Remark: Overview: benign breast disease in relation to caffeine and<br />

other methylxanthines (case series, intervention in trials<br />

and etiological studies).<br />

There is controversy about the role of caffeine in benign<br />

fibrocystic breast disease (FDB). Some investigators<br />

associate caffeine with FBD, since the substance is a<br />

phosphordiesterase inhibitor and increases the cAMP level<br />

(which stimulates epithelial proliferation and high levels<br />

of which are found in benign breast tissue). Many other<br />

authors fail to find a significant correlation between<br />

caffeine (or coffee) intake and FBD. Several factors are<br />

responsible for the inconsistencies in the results. These<br />

factors include unknown precise cause of FBD, variability<br />

in diagnosis, difficulties in matching controls and<br />

classifying patients, and mixed intake of several<br />

methylxanthines. No association was found in a study with<br />

biopsy-confirmed controls.<br />

toxic effects (benign breast disease, review)<br />

20-FEB-2001 (331) (440)<br />

Remark: The relation of coffee and tea consumption to fibrocystic<br />

disease of the breast and to breast cancer was studied in<br />

451 women hospitalized. A modest, positive association<br />

between caffeinated beverage consumption and both diseases<br />

was found. However, there was no apparent dose-response<br />

effect.<br />

toxic effects (benign breast disease)<br />

15-FEB-2001 (441)<br />

Remark: In a case-control study with 323 women with beningn breast<br />

disease and 1,428 controls, no differences were noted in<br />

<strong>UNEP</strong> PUBLICATIONS 275

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