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Fluids Hypertension Syndromes: Migraines, Headaches, Normal ...

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<strong>Fluids</strong> <strong>Hypertension</strong> <strong>Syndromes</strong> – Dr. Leonardo Izecksohn – page 277<br />

“The frequency of migraine headache in a clinic sample of Tourette syndrome subjects was nearly 4fold<br />

more than the frequency of migraines reported in the general population” (Kwak C and others).<br />

XVI - 229) Toxicity exacerbation: “Caffeine exacerbates the acute toxicity of 3,4-methylenedioxymethamphetamine<br />

(MDMA, 'ecstasy') in rats characterized by hyperthermia, tachycardia and lethality.<br />

Co-administration of caffeine with MDMA provoked a switch from MDMA-induced hypothermia and<br />

bradycardia to hyperthermia and tachycardia without influencing MDMA-induced hyperlocomotion.”<br />

(Vanattou-Saifoudine N, and others).<br />

XVI - 230) Type A personality: All patients we had with this personality were plenty with caffeine.<br />

Those who stopped the caffeine became more amiable and sensible, and less provocative.<br />

We conclude that caffeine is the main cause of “type A” personality and this can be changed<br />

stopping the caffeine drinks.<br />

XVI - 231) Umbilical vein endothelial cells inhibition: “These results suggest that high concentrations<br />

of caffeine inhibit cell growth of umbilical vein endothelial cells and induce apoptosis through<br />

the caspase-9 pathway.”(Matsuoka S, and others).<br />

XVI - 232) Urinary hydrogen peroxide levels increased: “A cup of brewed or canned coffee commercially<br />

available in Japan generated 120-420 micro mol hydrogen peroxide in incubation in a neutral<br />

medium at 37 degrees C for 6 h. Apparent hydrogen peroxide levels in urine collected 1-2 h after coffee<br />

drinking increased 3-10-fold compared to the levels before coffee drinking. The major component that<br />

generates hydrogen peroxide is 1,2,4-benzenetriol, and storing urine collected after coffee drinking increased<br />

hydrogen peroxide levels in a time-dependent fashion. Total hydrogen peroxide equivalent<br />

levels excreted in 3 h-urine after coffee drinking were estimated to be 0.5-10% that of coffee consumed.”<br />

(Hiramoto K, and others).<br />

XVI - 233) Urinary incontinence. Unstable bladder. Overactive Bladder Syndrome: “The mean<br />

caffeine intake of women with detrusor instability was significantly higher than that of controls.”<br />

(Arva L A, and others).<br />

“In 65,176 women 37 to 79 years old without incontinence in the Nurses' Health Study and the<br />

Nurses' Health Study II... There was a modest, significantly increased risk of incontinence at least<br />

weekly in women with the highest (greater than 450 mg) daily (caffeine) intake (RR 1.19) and a significant<br />

trend of increasing risk with increasing intake. This risk appeared focused on incident urgency<br />

incontinence (greater than 450 vs less than 150 mg daily, RR 1.34)... The attributable risk of urgency<br />

incontinence associated with high caffeine intake was 25%... A fourth of the cases with the highest caffeine<br />

consumption would be eliminated if high caffeine intake were eliminated.” (Jura Y H, and<br />

others).<br />

“Caffeine at 4.5 mg/kg caused diuresis and decreased the threshold of sensation at filling phase, with<br />

an increase in flow rate and voided volume. So, caffeine can promote early urgency and frequency of<br />

urination. Individuals with lower urinary tract symptom should avoid or be cautious in consuming caffeine<br />

containing foodstuffs.” (Lohsiriwat S, and others).<br />

XVI - 234) Urinary obstruction: “In the 297 women who participated, mean age was 68.2 years,<br />

mean body mass index was 30.2 kg/m(2), and median vaginal parity was 3... Coffee drinking was associated<br />

with difficulty emptying the bladder (adjusted OR 8.6) and weak stream (adjusted OR<br />

5.3).”(Bradley C S, and others).<br />

XVI - 235) Urticaria: “We describe a 10-year-old child who developed urticaria after the intake of<br />

coffee and cola beverages. The prick test and the oral challenge test with caffeine were both positive.”<br />

(Caballero T, and others).<br />

“In a 45-year-old woman with chronic urticaria anaphylactoid reactions occurred after (1) ingestion<br />

of coffee and (2) taking an analgesic drug. Prick testing in the patient and passive cutaneous anaphylax-

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