Caffeinated alcoholic drink

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Two bottles of Rev, a cola with 7% ABV RevDrink.JPG
Two bottles of Rev, a cola with 7% ABV

A caffeinated alcoholic drink is a drink that contains both alcohol (also known formally as ethanol) and a significant amount of caffeine. Caffeine, a stimulant, masks some of the depressant effects of alcohol. [1] However, in 2010 and 2011, this type of drink faced criticism for posing health risks to its drinkers. In some places there is a ban on caffeinated alcoholic drinks.

Contents

Ingredients

Anhydrous caffeine, the product of the decaffeination process. For many caffeinated alcoholic drinks, this is a primary source of caffeine. Caffeine USP.jpg
Anhydrous caffeine, the product of the decaffeination process. For many caffeinated alcoholic drinks, this is a primary source of caffeine.
Sample of absolute ethanol Sample of Absolute Ethanol.jpg
Sample of absolute ethanol

The main ingredients in caffeinated alcoholic drinks are alcohol and caffeine. The caffeine is often added by ingredients like energy drinks, coffee, tea, or dark chocolate. A well-known and popular such drink is Irish coffee.

Pharmacology

Health risks

In 2010, the FDA advised that caffeinated alcoholic beverages should not be consumed because of the counteracting effects of caffeine and alcohol. The FDA posited that caffeine often causes consumers to drink more than they normally would because caffeine can mask some of the sensory cues individuals might normally rely on to determine their level of intoxication. This masking of intoxication then leads individuals to engage in behaviors that they would otherwise avoid if they understood their true level of intoxication. [3] However, research has not fully supported this tenet. For example, one study found that Australian students thought they were more intoxicated when mixing caffeine with alcohol than when consuming alcohol on its own for every level of blood alcohol content.[ citation needed ] Consuming high levels of caffeine was associated with more alcohol-related consequences than when consuming alcohol on its own, even when consuming relatively little alcohol. It may be that caffeine causes individuals to focus on the stimulant effects of the intoxication, which have been associated with greater perceived intoxication than the depressant effects of alcohol. [4]

Research

It is inferred that caffeinated alcoholic drinks cause one to act in ways that would be less likely if one were drinking non-caffeinated alcoholic drinks.

Universities have conducted studies to compare the outcomes of the consumption of regular alcoholic drinks and of caffeinated alcoholic drinks:

Australia

In Australia, the Ministerial Council on Drug Strategy is considering regulation to address the growing concerns over the drinks. [ citation needed ]

Canada

In Canada, regulations restrict the manufacture and sale of caffeinated alcoholic drinks unless the caffeine comes from a natural ingredient such as guarana; caffeine as an ingredient cannot be directly added to an alcoholic drink. [9]

Mexico

In Mexico, caffeinated alcoholic drinks cannot be sold in bars or nightclubs.[ citation needed ]

United Kingdom

Several Scottish politicians and social activists have singled out the a caffeinated alcoholic drink Buckfast Tonic Wine as being particularly responsible for crime, disorder, and general social deprivation in certain communities. There have been numerous calls for the drink to be banned (either throughout the country or in certain areas or shops), made more expensive to dissuade people from buying the product, or sold in plastic bottles to reduce glassing incidents. Helen Liddell, former Secretary of State for Scotland, called for the wine to be banned. [10] In 2005, Scottish Justice Minister Cathy Jamieson suggested that retailers should stop selling the wine. [11] All of these initiatives have been countered by lawyers acting for Buckfast distributors, J. Chandler & Company, in Andover. [10] [12]

In certain parts of Scotland, Buckfast Tonic Wine is associated with drinkers who are prone to committing anti-social behaviour when drunk. Photo of an empty bottle of Buckfast Tonic Wine.JPG
In certain parts of Scotland, Buckfast Tonic Wine is associated with drinkers who are prone to committing anti-social behaviour when drunk.

In January 2010, a BBC investigation revealed that Buckfast Tonic Wine had been mentioned in 5,638 crime reports in the Strathclyde area of Scotland from 2006 to 2009, equating to an average of three per day. In 2017, Scottish Police reported there had been 6,500 crimes related to the drink in the previous two years. [13]

United States

The adverse effects of caffeinated alcoholic drinks have led to increased regulation. Under the Federal Food, Drug, and Cosmetic Act, a substance intentionally added to food (such as caffeine in alcoholic drinks) is deemed "unsafe" and is unlawful unless its particular use has been approved by FDA (Food and Drug Administration) regulation. The substance is subject to a prior sanction until the substance is Generally Regarded As Safe (GRAS). [14] In order for a substance to be characterized as GRAS, there must be sufficient evidence to prove its safety; this evidence should be generally known and accepted by qualified professionals. [9] The FDA did not approve the use of caffeine in alcoholic drinks, and thus the drinks cannot be legally marketed. As a result, the FDA sent letters to four manufacturers of caffeinated alcoholic drinks (Phusion Projects, Charge Beverages Corporation, New Century Brewing Company, and United Brands Company, Inc.) to alert them that the agency would be considering whether caffeine can lawfully be added to alcoholic drinks. [9] These letters also gave the manufacturers fifteen days to stop the addition of caffeine to the alcoholic drinks or to stop selling the drinks altogether.

The Federal Trade Commission (FTC) also took action against the four companies, warning that their marketing tactics might violate federal law and urging them to take swift and appropriate steps to protect consumers. [15]

CDC recommends against the combination of alcohol and caffeine. [16]

The Dietary Guidelines for Americans recommend avoidance of concomitant consumption of alcohol and caffeine, as this may lead to increased alcohol consumption, with a higher risk of alcohol-associated injury.

In 2009, the FDA required several manufacturers to remove caffeine from their alcopops including City Brewing of La Crosse, Wisc. which makes Hard Wired and 24/7; Gaamm Imports Inc., of Deerfield Beach, Fla. which makes Booya Espresso Silver Tequila and Caffeine, and United Brands Co., maker of Joose, Max Vibe, Max Fury, Max Live and 3Sum. Anheuser-Busch and Miller have stopped making their caffeinated alcoholic drinks, Tilt, Bud Extra and Sparks. [17] Rhythm was also banned 2009.

The day before the FDA sent out the warning letters, Phusion Projects (now Four Loko), a five-year-old Chicago company, said it would stop putting caffeine in the drinks and put a non-caffeinated version of the drink on the market in December 2010. In a statement, the company's founders said that they still believed it was safe to blend caffeine and alcohol but wanted to cooperate with regulators. [15] The FDA continues work with Phusion Projects and other manufacturers to assure their products meet safety standards. [3]

See also

Related Research Articles

<span class="mw-page-title-main">Caffeine</span> Central nervous system stimulant

Caffeine is a central nervous system (CNS) stimulant of the methylxanthine class. It is mainly used as a eugeroic (wakefulness promoter) or as a mild cognitive enhancer to increase alertness and attentional performance. Caffeine acts by blocking binding of adenosine to the adenosine A1 receptor, which enhances release of the neurotransmitter acetylcholine. Caffeine has a three-dimensional structure similar to that of adenosine, which allows it to bind and block its receptors. Caffeine also increases cyclic AMP levels through nonselective inhibition of phosphodiesterase.

<span class="mw-page-title-main">Drink</span> Liquid intended for human consumption

A drink or beverage is a liquid intended for human consumption. In addition to their basic function of satisfying thirst, drinks play important roles in human culture. Common types of drinks include plain drinking water, milk, juice, smoothies and soft drinks. Traditionally warm beverages include coffee, tea, and hot chocolate. Caffeinated drinks that contain the stimulant caffeine have a long history.

<span class="mw-page-title-main">Alcohol intoxication</span> Behavioural and physical changes due to the consumption of alcohol

Alcohol intoxication, also known in overdose as alcohol poisoning, commonly described as drunkenness or inebriation, is the behavior and physical effects caused by a recent consumption of alcohol. In addition to the toxicity of ethanol, the main psychoactive component of alcoholic beverages, other physiological symptoms may arise from the activity of acetaldehyde, a metabolite of alcohol. These effects may not arise until hours after ingestion and may contribute to the condition colloquially known as a hangover. The term intoxication is commonly used when large amount of alcohol is consumed along with physical symptoms and deleterious health effects.

Caffeinism is a state of intoxication caused by excessive consumption of caffeine. This intoxication covers a variety of unpleasant physical and mental symptoms associated with the consumption of excessive amounts of caffeine.

<span class="mw-page-title-main">Energy drink</span> Beverage containing stimulants

An energy drink is a type of drink containing stimulant compounds, usually caffeine, which is marketed as providing mental and physical stimulation. They may or may not be carbonated and may also contain sugar, other sweeteners, or herbal extracts, among numerous other possible ingredients.

<span class="mw-page-title-main">Buckfast Tonic Wine</span> Caffeinated fortified wine

Buckfast Tonic Wine is a caffeinated alcoholic drink consisting of fortified wine with added caffeine, originally made by monks at Buckfast Abbey in Devon, England. It is now made under a licence granted by the monastery, and distributed by J. Chandler & Company in Great Britain, James E McCabe Ltd in Northern Ireland, and Richmond Marketing Ltd in Ireland. It is based on a traditional recipe from France. The wine's distributor reported record sales of £43.2 million as of March 2017.

<span class="mw-page-title-main">Caffeinated drink</span> Type of drink

A caffeinated drink, or caffeinated beverage, is a drink that contains caffeine, a stimulant that is legal practically all over the world. Some are naturally caffeinated while others have caffeine added as an ingredient.

<span class="mw-page-title-main">Vodka Red Bull</span> Caffeinated alcoholic beverage

Vodka Red Bull is a caffeinated alcoholic drink consisting of the energy drink Red Bull and varying amounts of vodka. Although some people consider it a cocktail, it fails to meet this definition under the International Bartending Association's criteria.

<span class="mw-page-title-main">Caffeine dependence</span> Medical condition

Caffeine dependence is a condition characterized by a set of criteria including tolerance, withdrawal symptoms, persistent desire or unsuccessful efforts to control use, and continued use despite knowledge of adverse consequences attributed to caffeine. It can appear in physical dependence or psychological dependence, or both. Caffeine is one of the most common additives in many consumer products, including pills and beverages such as caffeinated alcoholic beverages, energy drinks, pain reliever medications, and colas. Caffeine is found naturally in plants such as coffee and tea and other plants. Studies have found that 89 percent of adults in the U.S. consume on average 200 mg of caffeine daily. One area of concern that has been presented is the relationship between pregnancy and caffeine consumption. Repeated caffeine doses of 100mg appeared to result in smaller size at birth in newborns. When looking at birth weight however, caffeine consumption did not appear to make an impact.

<span class="mw-page-title-main">Polysubstance use</span> Use of multiple psychoactive substances

Polysubstance use or poly drug use refers to the use of combined psychoactive substances. Polysubstance use may be used for entheogenic, recreational, or off-label indications, with both legal and illegal substances. In many cases one drug is used as a base or primary drug, with additional drugs to leaven or compensate for the side effects, or tolerance, of the primary drug and make the experience more enjoyable with drug synergy effects, or to supplement for primary drug when supply is low.

<span class="mw-page-title-main">Four Loko</span> Line of alcoholic drinks

Four Loko is a line of alcoholic beverages sold by Phusion Projects of Chicago, Illinois, United States. Four Loko's recipe formerly included caffeine. Phusion operates as Drink Four Brewing Company. Four Loko, the company's most popular beverage, debuted in the United States market in 2005 and is available in 49 states, and in 21 countries including Ecuador, Guatemala, Paraguay, The Bahamas, Peru, Mexico, Colombia, Bolivia, Honduras, El Salvador, Nicaragua, Costa Rica, China, Canada and some countries in Europe. The name "Four" is derived from the original drink having four "key ingredients".

Tilt was an alcoholic beverage launched by Anheuser-Busch in the United States in August 2005. It was sold in 16 and 24 fluid ounce cans. Its alcoholic content by volume varied. In 16oz cans, it ranged from 4-6.6% depending on state laws. In 24oz cans, its alcoholic content by volume was originally 12%, but was later lowered to 8% in 2010. The drink was reformulated in 2008.

<span class="mw-page-title-main">Hangover</span> Discomfort following alcohol consumption

A hangover is the experience of various unpleasant physiological and psychological effects usually following the consumption of alcohol, such as wine, beer, and liquor. Hangovers can last for several hours or for more than 24 hours. Typical symptoms of a hangover may include headache, drowsiness, concentration problems, dry mouth, dizziness, fatigue, gastrointestinal distress, absence of hunger, light sensitivity, depression, sweating, hyper-excitability, irritability, and anxiety.

<span class="mw-page-title-main">Joose</span> Flavored malt beverage

Joose is a flavored malt beverage introduced by United Brands Co. in 2005. Joose is the first premium malt beverage at 9.9% ABV in a 24 oz can. It is also sold at 12% ABV and 14% ABV in a 23.5 oz can.

Surrogate alcohol is a term for any substance containing ethanol that is intentionally consumed by humans but is not meant for human consumption. Some definitions of the term also extend to illegally produced alcoholic beverages.

<span class="mw-page-title-main">Alcoholic beverage</span> Drink with a substantial ethanol amount

An alcoholic beverage is a drink that contains ethanol, a type of alcohol and is produced by fermentation of grains, fruits, or other sources of sugar. The consumption of alcoholic drinks, often referred to as "drinking", plays an important social role in many cultures. Alcoholic drinks are typically divided into three classes—beers, wines, and spirits—and typically their alcohol content is between 3% and 50%.

<span class="mw-page-title-main">Ban on caffeinated alcoholic drinks in the United States</span> November 2010 drinks ban

The 17 November 2010 United States ban on caffeinated alcoholic drinks is a ban which prevents the marketing and distribution of any prepackaged caffeinated alcoholic drink.

In the alcoholic beverages industry, congeners are substances, other than the desired type of alcohol and ethanol, produced during fermentation. These substances include small amounts of chemicals such as methanol and other alcohols, acetone, acetaldehyde, esters, tannins, and aldehydes. Congeners are responsible for most of the taste and aroma of distilled alcoholic beverages, and contribute to the taste of non-distilled drinks. Brandy, rum and red wine have the highest amount of congeners, while vodka and beer have the least.

<span class="mw-page-title-main">Alcohol (drug)</span> Active ingredient in fermented drinks

Alcohol, sometimes referred to by the chemical name ethanol, is a depressant drug found in fermented beverages such as beer, wine, and distilled spirit -- in particular, rectified spirit. Ethanol is colloquially refereed to as "alcohol" because it is the most prevalent alcohol in alcoholic beverages, but technically all alcoholic beverages contain several types of psychoactive alcohols, that are categorized as primary, secondary, or tertiary; Primary alcohols are oxidized to aldehydes, secondary alcohols undergo oxidation to form ketones, while tertiary alcohols are generally resistant to oxidation; Ethanol is a primary alcohol that has unpleasant actions in the body, many of which are mediated by its toxic metabolite acetaldehyde. Less prevalent alcohols found in alcoholic beverages, are secondary, and tertiary alcohols. For example, the tertiary alcohol 2M2B which is up to 50 times more potent than ethanol and found in trace quantities in alcoholic beverages, has been synthesized and used as a designer drug. Alcoholic beverages are sometimes laced with toxic alcohols, such as methanol and isopropyl alcohol. A mild, brief exposure to isopropyl alcohol is unlikely to cause any serious harm, but many methanol poisoning incidents have occurred through history, since methanol is lethal even in small quantities, as little as 10–15 milliliters. Ethanol is used to treat methanol and ethylene glycol toxicity.

References

  1. "Caffeinated Alcoholic Beverages". Centers for Disease Control and Prevention. 20 Jul 2010. Retrieved 8 Mar 2012.
  2. Allen-Gipson DS, Jarrell JC, Bailey KL, Robinson JE, Kharbanda KK, Sisson JH, Wyatt TA (May 2009). "Ethanol blocks adenosine uptake via inhibiting the nucleoside transport system in bronchial epithelial cells". Alcoholism: Clinical and Experimental Research. 33 (5): 791–8. doi:10.1111/j.1530-0277.2009.00897.x. PMC   2940831 . PMID   19298329.
  3. 1 2 Food and Drug Administration (2010). "FDA Warning Letters issued to four makers of caffeinated alcoholic beverages". United States. Department of Health and Human Services. Washington, DC. Archived from the original on 2011-02-26.
  4. Norberg, Newins, Crone, Lam, Henry, Mills, & Dennis (2019). Why are caffeinated alcoholic beverages especially risky? Addictive Behaviors, 98, 106062. doi.org/10.1016/j.addbeh.2019.106062
  5. "Students Who Get Drunk Weekly Have Higher Risk Of Injuries". ScienceDaily.
  6. "Dangerous Duo". State Legislatures. 37 (1): 10. 2011.
  7. "Consumption of alcohol/energy drink mixes linked with casual, risky sex". ScienceDaily.
  8. Ball, NJ; Miller, KE; Quigley, BM; Eliseo-Arras, RK (April 2021). "Alcohol Mixed With Energy Drinks and Sexually Related Causes of Conflict in the Barroom". Journal of Interpersonal Violence. 36 (7–8): 3353–3373. doi:10.1177/0886260518774298. PMID   29779427. S2CID   29150434.
  9. 1 2 3 "U.S. Students Mourn Alcohol and Caffeine Drink Four Loko [ permanent dead link ]." UK Wired. 13 Dec. 2010.
  10. 1 2 Leishman, David (27 June 2014). "Blame It on the Bucky!: The Positioning of Buckfast Tonic Wine between Acceptability and Transgression". ILCEA  [ fr ] (19). doi: 10.4000/ilcea.2412 . ISSN   1639-6073.
  11. "Buckfast yobs give Jamieson hard time". Archived from the original on 2006-03-10. Retrieved 2005-08-30.{{cite web}}: CS1 maint: bot: original URL status unknown (link)
  12. Jamieson, Cathy (3 March 2005). "Letter from the Minister for Justice to Angus G MacLeod" (PDF). Scotland.gov.uk. Retrieved 2010-12-28.
  13. "England gets a taste for Buckfast, the fortified wine that's linked to crime". The Daily Telegraph . 17 July 2017.
  14. "U.S. Food and Drug Administration: FDA to Look Into Safety of Caffeinated Alcoholic Beverages." Drug Week Newsletter 4 December 2009: page 1622.
  15. 1 2 Goodnough, Abby. "F.D.A. Issues Warning Over Alcoholic Energy Drinks." The New York Times 18 November 2010, final ed.: A25.
  16. "Dangers of mixing alcohol with caffeine and energy drinks | CDC". www.cdc.gov. 10 September 2021.
  17. James, Frank (13 November 2009). "FDA Places Alcohol-Caffeine Drinks Under Scrutiny". NPR.

Further reading