Caffeine withdrawal - Revision history

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T00:18:29Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

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	{{Headache DDX}}		{{Headache DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*History should can be sufficient		*History should can be sufficient
	*Consider further workup in ambiguous cases		*Consider further workup in ambiguous cases

2016-07-12T23:58:36Z

Disposition

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	==Disposition==		==Disposition==
	*~~R/O~~ more serious etiologies		*Rule out more serious etiologies
	*Timing<ref>Juliano LM and Griffiths RR. A critical review of caffeine withdrawal: empirical validation of symptoms and signs, incidence, severity, and associated features . Psychopharmacology. 2008; 176(1):1–29.</ref>		*Timing<ref>Juliano LM and Griffiths RR. A critical review of caffeine withdrawal: empirical validation of symptoms and signs, incidence, severity, and associated features . Psychopharmacology. 2008; 176(1):1–29.</ref>
	**Onset 12–24 h after abstinence		**Onset 12–24 h after abstinence

2016-07-12T23:58:08Z

Diagnosis

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	==Diagnosis==		==Diagnosis==
	*Hx should can be sufficient		*History should can be sufficient
	*Consider further ~~w/u~~ in ambiguous cases		*Consider further workup in ambiguous cases

	==Management==		==Management==

2016-03-22T16:23:22Z

Text replacement - "Category:Tox" to "Category:Toxicology"

2016-02-28T18:06:17Z

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	{{Headache DDX}}		{{Headache DDX}}

	==~~Workup~~==		==Diagnosis==
	*Hx should can be sufficient		*Hx should can be sufficient
	*Consider further w/u in ambiguous cases		*Consider further w/u in ambiguous cases

2016-02-28T18:05:53Z

2015-02-15T23:21:10Z

2015-02-15T23:20:29Z

2015-02-15T23:20:11Z

2015-02-15T23:18:28Z

Background

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	*Caffeine dependence and withdrawal is very common		*Caffeine dependence and withdrawal is very common
	*Up to 52% of moderate caffeine uses have withdrawal symptoms<ref>Silverman K, et al. Withdrawal syndrome after the double-blind cessation of caffeine consumption. NEJM. 1992; 327(16):1109–1114.</ref>		*Up to 52% of moderate caffeine uses have withdrawal symptoms<ref>Silverman K, et al. Withdrawal syndrome after the double-blind cessation of caffeine consumption. NEJM. 1992; 327(16):1109–1114.</ref>
	*Average caffeine content can vary<ref>Food Standards Agency (2001) Statement on the Reproductive Effects of Caffeine. London: Food Standards Agency.</ref><ref>Juliano LM and Griffiths RR. Caffeine. In Lowinson, J.H., Ruiz, P., Millman, R.B., Langrod, J.G. (Eds.). Substance Abuse: A Comprehensive Textbook, Fourth Edition. 2005. PP. 403-421. Baltimore: Lippincott, Williams, & Wilkins.</ref>
	**Coffee, 1 cup brewed – 100mg		{{Caffeine common dosages table}}
	**Coffee, 1 cup instant – 75mg
	**Tea, 1 cup – 50mg
	**Coffee, 1 cup brewed – 100mg
	**Red bull, 1 can – 80mg
	**Rockstar, 1 can – 160mg
	**Excedrin Migrain, 2 tabs – 130mg

	==Clinical Features==		==Clinical Features==