Theobromine poisoning

Last updated
Oral toxicity (mg/kg)
TDLo LD50
Cat 200
Dog 16300
Human 26~1,000
Mouse 837
Rabbit 1,000
Rat 1,265
Structure of theobromine (IUPAC name: 3,7-dimethyl-1H-purine-2,6-dione) Theobromin - Theobromine.svg
Structure of theobromine (IUPAC name: 3,7-dimethyl-1H-purine-2,6-dione)

Theobromine poisoning, also informally called chocolate poisoning or cocoa poisoning, is an overdosage reaction to the xanthine alkaloid theobromine, found in chocolate, tea, cola beverages, [1] and some other foods.

Contents

Sources

Cocoa powder contains about 2.1% theobromine by weight, [2] so 14  g (0.5  oz ) of raw cocoa contains approximately 0.3  g theobromine.

Processed chocolate, in general, has smaller amounts. The amount found in highly refined chocolate candies or sweets (typically 1.4–2.1 g/kg or 40–60 mg/oz) is much lower than that of dark chocolate or unsweetened baking chocolate (>14  g/kg or >400  mg/oz ).

In species

Humans

Pharmacology

Theobromine has a half-life of 10  hours , but over 16% may be unmodified 48 h after a single dose of 10 mg/kg (0.00016 oz/lb) [3]

In general, the amount of theobromine found in chocolate is small enough that chocolate can be safely consumed by humans with a negligible risk of poisoning. [4]

Toxicity

Theobromine doses at 0.8–1.5 g per day, such as may be found in 50–100 g (1.8–3.5 oz) of cocoa powder may be accompanied by sweating, trembling and severe headaches. These are the mild-to-moderate symptoms.[ citation needed ]

The severe symptoms are cardiac arrhythmias, [5] epileptic seizures, internal bleeding, heart attacks, and eventually death.[ citation needed ]

Limited mood effects were shown at 250 mg per day.[ citation needed ]

In other species

Toxicity

Median lethal (LD50) doses of theobromine have only been published for cats, dogs, rats, and mice; these differ by a factor of 6 across species. [6]

Serious poisoning happens more frequently in domestic animals, which metabolize theobromine much more slowly than humans, [7] and can easily consume enough chocolate to cause poisoning. The most common victims of theobromine poisoning are dogs, [8] [9] for whom it can be fatal. The toxic dose for cats is even lower than for dogs. [10] However, cats are less prone to eating chocolate since they are unable to taste sweetness. [11] Theobromine is less toxic to rats and mice, who all have an LD50 of about 1,000 mg/kg (0.016 oz/lb).

In dogs, the biological half-life of theobromine is 17.5 hours; in severe cases, clinical symptoms of theobromine poisoning can persist for 72 hours. [12] Medical treatment performed by a veterinarian involves inducing vomiting within two hours of ingestion and administration of benzodiazepines or barbiturates for seizures, antiarrhythmics for heart arrhythmias, and fluid diuresis. Theobromine is also suspected to induce right atrial cardiomyopathy after long term exposure at levels equivalent to approximately 15 g/kg (0.24 oz/lb) of dark chocolate per day. [13] According to the Merck Veterinary Manual, baker's chocolate of approximately 1.3 g/kg (0.021 oz/lb) of a dog's body weight is sufficient to cause symptoms of toxicity. [14] For example, 0.4  oz (11 g) of baker's chocolate would be enough to produce mild symptoms in a 20  lb (9.1 kg) dog, while a 25% cacao chocolate bar (like milk chocolate) would be only 25% as toxic as the same dose of baker's chocolate. [15] One ounce of milk chocolate per pound of body weight (63 g/kg) is a potentially lethal dose in dogs. [14]

Wildlife

In 2014, four American black bears were found dead at a bait site in New Hampshire. A necropsy and toxicology report performed at the University of New Hampshire in 2015 confirmed they died of heart failure caused by theobromine after they consumed 41 kg (90 lb) of chocolate and doughnuts placed at the site as bait. A similar incident killed a black bear cub in Michigan in 2011. [16]

Pest control

In previous research, the USDA investigated the possible use of theobromine as a toxicant to control coyotes preying on livestock. [17]

See also

Footnotes

  1. Gennaro, M. C.; Abrigo, C. (1992). "Caffeine and theobromine in coffee, tea and cola-beverages or any other fizzy drinks". Fresenius' Journal of Analytical Chemistry. 343 (6): 523–525. doi:10.1007/BF00322162. ISSN   0937-0633. S2CID   102045933.
  2. "FoodData Central". fdc.nal.usda.gov.
  3. Martínez-Pinilla, E; Oñatibia-Astibia, A; Franco, R (2015). "The relevance of theobromine for the beneficial effects of cocoa consumption". Frontiers in Pharmacology. 6: 30. doi: 10.3389/fphar.2015.00030 . PMC   4335269 . PMID   25750625.
  4. "3,7-Dimethylxanthine: Theobromine". Hazardous Substances Data Bank, Toxnet, US National Library of Medicine. 1 December 2017. Archived from the original on 4 December 2017. Retrieved 7 November 2018.
  5. Parasramka, S; Dufresne, A (September 2012). "Supraventricular tachycardia induced by chocolate: is chocolate too sweet for the heart?". The American Journal of Emergency Medicine. 30 (7): 1325.e5–7. doi:10.1016/j.ajem.2011.06.032. PMID   21871761.
  6. Chambers, Michael. "ChemIDplus - Theobromine (natural) - YAPQBXQYLJRXSA-UHFFFAOYSA-N - Theobromine [INN:BAN:NF] - Similar structures search, synonyms, formulas, resource links, and other chemical information". chem.nlm.nih.gov.
  7. Finlay, Fiona; Guiton, Simon (2005-09-17). "Chocolate poisoning". BMJ: British Medical Journal. 331 (7517): 633. doi:10.1136/bmj.331.7517.633. ISSN   0959-8138. PMC   1215566 .
  8. "Dog owners get chocolate warning". BBC. December 30, 2008. Archived from the original on January 1, 2009. Retrieved July 28, 2009.
  9. "Greedy dog cheats chocolate death". BBC. April 3, 2009. Archived from the original on April 6, 2009. Retrieved July 28, 2009.
  10. "The Poisonous Chemistry of Chocolate". Wired. 14 February 2013. Archived from the original on 8 February 2017. Retrieved 12 March 2017.
  11. Biello, David (August 16, 2007). "Strange but True: Cats Cannot Taste Sweets". Scientific American. Archived from the original on January 14, 2014. Retrieved July 28, 2009.
  12. Gwaltney-Brant, Sharon (February 2001). "Chocolate Intoxication" (PDF). Veterinary Medicine Publishing Group. Archived from the original (PDF) on February 22, 2016. Retrieved April 5, 2016.
  13. H. Gans, Joseph (1980). "Effects of short-term and long-term theobromine administration to male dogs". Toxicology and Applied Pharmacology. 53 (3): 481–96. doi:10.1016/0041-008X(80)90360-9. PMID   6446176.
  14. 1 2 "Merck Veterinary Manual". Archived from the original on 2014-07-12. Retrieved 2014-06-17.
  15. "PetMD". Archived from the original on 2014-07-03. Retrieved 2014-06-17.
  16. "4 bears die of chocolate overdoses; expert proposes ban". Msn.com. Archived from the original on 24 June 2019. Retrieved 23 December 2017.
  17. Johnston, John J. (2005). "Evaluation of Cocoa- and Coffee-Derived Methylxanthines as Toxicants for the Control of Pest Coyotes". Journal of Agricultural and Food Chemistry . 53 (10): 4069–75. doi:10.1021/jf050166p. PMID   15884841. Archived from the original on February 26, 2011. Retrieved July 28, 2009.

Related Research Articles

<span class="mw-page-title-main">Chocolate</span> Food produced from cacao seeds

Chocolate or cocoa is a food made from roasted and ground cacao seed kernels that is available as a liquid, solid, or paste, either on its own or as a flavoring agent in other foods. Cacao has been consumed in some form since at least the Olmec civilization, and later Mesoamerican civilizations also consumed chocolate beverages before being introduced to Europe in the 16th century.

<span class="mw-page-title-main">Theobromine</span> Bitter alkaloid of the cacao plant

Theobromine, also known as xantheose, is the principal alkaloid of Theobroma cacao. Theobromine is slightly water-soluble (330 mg/L) with a bitter taste. In industry, theobromine is used as an additive and precursor to some cosmetics. It is found in chocolate, as well as in a number of other foods, including the leaves of the tea plant, and the kola nut. It is a white or colourless solid, but commercial samples can appear yellowish.

<span class="mw-page-title-main">Theophylline</span> Drug used to treat respiratory diseases

Theophylline, also known as 1,3-dimethylxanthine, is a drug that inhibits phosphodiesterase and blocks adenosine receptors. It is used to treat chronic obstructive pulmonary disease (COPD) and asthma. Its pharmacology is similar to other methylxanthine drugs. Trace amounts of theophylline are naturally present in tea, coffee, chocolate, yerba maté, guarana, and kola nut.

<span class="mw-page-title-main">Chlorfenvinphos</span> Chemical compound

Chlorfenvinphos is an organophosphorus compound that was widely used as an insecticide and an acaricide. The molecule itself can be described as an enol ester derived from dichloroacetophenone and diethylphosphonic acid. Chlorfenvinphos has been included in many products since its first use in 1963. However, because of its toxic effect as a cholinesterase inhibitor it has been banned in several countries, including the United States and the European Union. Its use in the United States was cancelled in 1991.

<span class="mw-page-title-main">Rodenticide</span> Chemical used to kill rodents

Rodenticides are chemicals made and sold for the purpose of killing rodents. While commonly referred to as "rat poison", rodenticides are also used to kill mice, squirrels, woodchucks, chipmunks, porcupines, nutria, beavers, and voles. Despite the crucial roles that rodents play in nature, there are times when they need to be controlled.

<span class="mw-page-title-main">Solanine</span> Glycoalkaloid poison found in the nightshade family of plants

Solanine is a glycoalkaloid poison found in species of the nightshade family within the genus Solanum, such as the potato, the tomato, and the eggplant. It can occur naturally in any part of the plant, including the leaves, fruit, and tubers. Solanine has pesticidal properties, and it is one of the plant's natural defenses. Solanine was first isolated in 1820 from the berries of the European black nightshade, after which it was named. It belongs to the chemical family of saponins.

<span class="mw-page-title-main">Nicotine poisoning</span> Medical condition

Nicotine poisoning describes the symptoms of the toxic effects of nicotine following ingestion, inhalation, or skin contact. Nicotine poisoning can potentially be deadly, though serious or fatal overdoses are rare. Historically, most cases of nicotine poisoning have been the result of use of nicotine as an insecticide. More recent cases of poisoning typically appear to be in the form of Green Tobacco Sickness, or due to unintended ingestion of tobacco or tobacco products or consumption of nicotine-containing plants.

<i>Taxus cuspidata</i> Species of plant

Taxus cuspidata, the Japanese yew or spreading yew, is a member of the genus Taxus, native to Japan, Korea, northeast China and the extreme southeast of Russia.

<span class="mw-page-title-main">Dog health</span> Health of dogs

The health of dogs is a well studied area in veterinary medicine.

<span class="mw-page-title-main">Paraxanthine</span> Chemical compound

Paraxanthine, also known as 1,7-dimethylxanthine, is a metabolite of theophylline and theobromine, two well-known stimulants found in coffee, tea, and chocolate. It is a member of the xanthine family of alkaloids, which includes theophylline, theobromine and caffeine.

Persin is a fungicidal toxin present in the avocado. Persin is an oil-soluble compound structurally similar to a fatty acid, a colourless oil, and it leaches into the body of the fruit from the seeds.

The consumption of grapes and raisins presents a potential health threat to dogs. Their toxicity to dogs can cause the animal to develop acute kidney injury with anuria. The phenomenon was first identified by the Animal Poison Control Center (APCC), run by the American Society for the Prevention of Cruelty to Animals (ASPCA). Approximately 140 cases were seen by the APCC in the one year from April 2003 to April 2004, with 50 developing symptoms and seven dying.

<span class="mw-page-title-main">Hydramethylnon</span> Chemical compound

Hydramethylnon is an organofluorine compound. It is also known as AC 217,300. It is in a chemical class called trifluoromethyl aminohydrazone, which is a metabolic inhibitor. It is classified as a pesticide designed to control insects that are harmful to humans. It works by inhibiting complex III in the mitochondrial inner membrane and leads to a halting of oxidative phosphorylation. It is used primarily as an insecticide in the form of baits for cockroaches and ants. Some brands of insecticides that include hydramethylnon are Amdro, Blatex, Combat, Cyaforce, Cyclon, Faslane, Grant's, Impact, Matox, Maxforce, Pyramdron, Siege, Scuttle and Wipeout. Hydramethylnon is a slow-acting poison with delayed toxicity that needs to be eaten to be effective.

Ethylene glycol poisoning is poisoning caused by drinking ethylene glycol. Early symptoms include intoxication, vomiting and abdominal pain. Later symptoms may include a decreased level of consciousness, headache, and seizures. Long term outcomes may include kidney failure and brain damage. Toxicity and death may occur after drinking even in a small amount as ethylene glycol is more toxic than other diols.

<span class="mw-page-title-main">Paracetamol poisoning</span> Toxicity due to paracetamol overdose

Paracetamol poisoning, also known as acetaminophen poisoning, is caused by excessive use of the medication paracetamol (acetaminophen). Most people have few or non-specific symptoms in the first 24 hours following overdose. These symptoms include feeling tired, abdominal pain, or nausea. This is typically followed by absence of symptoms for a couple of days, after which yellowish skin, blood clotting problems, and confusion occurs as a result of liver failure. Additional complications may include kidney failure, pancreatitis, low blood sugar, and lactic acidosis. If death does not occur, people tend to recover fully over a couple of weeks. Without treatment, death from toxicity occurs 4 to 18 days later.

α-Naphthylthiourea Chemical compound

α-Naphthylthiourea (ANTU) is an organosulfur compound with the formula C10H7NHC(S)NH2. This a white, crystalline powder although commercial samples may be off-white. It is used as a rodenticide and as such is fairly toxic. Naphthylthiourea is available as 10% active baits in suitable protein- or carbohydrate-rich materials and as a 20% tracking powder.

<span class="mw-page-title-main">Triazofos</span> Chemical compound

Triazofos is a chemical compound used in acaricides, insecticides, and nematicides.

<span class="mw-page-title-main">Taxine alkaloids</span> Chemical compound

Taxine alkaloids, which are often named under the collective title of taxines, are the toxic chemicals that can be isolated from the yew tree. The amount of taxine alkaloids depends on the species of yew, with Taxus baccata and Taxus cuspidata containing the most. The major taxine alkaloids are taxine A and taxine B although there are at least 10 different alkaloids. Until 1956, it was believed that all the taxine alkaloids were one single compound named taxine.

<span class="mw-page-title-main">Methyl fluoroacetate</span> Chemical compound

Methyl fluoroacetate (MFA) is an extremely toxic methyl ester of fluoroacetic acid. It is a colorless, odorless liquid at room temperature. It is used as a laboratory chemical and as a rodenticide. Because of its extreme toxicity, MFA was studied for potential use as a chemical weapon.

<span class="mw-page-title-main">Substances poisonous to dogs</span> Harmful substances

Food products and household items commonly handled by humans can be toxic to dogs. The symptoms can range from simple irritation to digestion issues, behavioral changes, and even death. The categories of common items ingested by dogs include food products, human medication, household detergents, indoor and outdoor toxic plants, and rat poison.

References