Official documents, adverse reaction reporting, and safety monitoring
Report a side effect
Submit a Yellow Card report to the MHRA
Official medicine documents
Safety monitoring data
Yellow Card reports
The MHRA Yellow Card scheme collects reports of suspected side effects from healthcare professionals and patients. View the Drug Analysis Profile (iDAP) for real-world adverse reaction data.
View Drug Analysis Profile
Browse all Drug Analysis Profiles A–Z
Browse all iDAP reports
Interactive Drug Analysis Profiles for all medicines
Report a side effect
Submit a Yellow Card report to the MHRA
Data from the MHRA Yellow Card scheme. A reported reaction does not necessarily mean the medicine caused it. Contains public sector information licensed under the Open Government Licence v3.0.
EudraVigilance
The European Medicines Agency (EMA) collects suspected adverse reaction reports from across the EU/EEA through the EudraVigilance system. Search for safety data on this medicine.
Search EudraVigilance database
Browse substances A–Z in the European adverse reaction database
About EudraVigilance
Learn about EU pharmacovigilance and safety monitoring
EudraVigilance data is published by the European Medicines Agency (EMA). A suspected adverse reaction is not necessarily caused by the medicine.
2 branded products available
Therapeutically similar medicines
Similarity is based on WHO Anatomical Therapeutic Chemical (ATC) classification and on a factual NHS dm+d therapeutic-grouping code prefix. Source data: NHS dm+d via TRUD (OGL v3.0), WHO ATC/DDD Index.
NHS prescribing volume and spending trends
Guidelines from the National Institute for Health and Care Excellence
NICE clinical guidance(3)
Eating disorders: recognition and treatment (NG69)
Antenatal and postnatal mental health: clinical management and service guidance (CG192)
Urinary incontinence and pelvic organ prolapse in women: management (NG123)
Source: National Institute for Health and Care Excellence (NICE). Contains public sector information licensed under the Open Government Licence v3.0.
Check stock at pharmacies and supply information
Pharmacy stock checkers
Search for this medicine at major UK pharmacy chains. These links open the retailer's own website — results depend on their current online catalogue.
Supply & safety information
Official UK regulator monitoring and safety alerts
Pharmacy links redirect to the retailer's own search and do not represent real-time stock levels. Shortage and safety information sourced from MHRA drug safety updates (gov.uk, Crown Copyright under OGL v3.0).
Codes for healthcare professionals and prescribing systems
These codes are used by healthcare IT systems and prescribers to identify this medicine.
NHS UK identifiers
SNOMED CT and dm+d codes from NHS TRUD (Technology Reference data Update Distribution), licensed under the Open Government Licence v3.0. BNF code shown is the factual mapping value distributed by NHS Business Services Authority (NHSBSA) in the dm+d supplementary file under OGL v3.0; it is not affiliated with, nor licensed from, the publishers of the British National Formulary.
Active and completed clinical studies from ClinicalTrials.gov
Source: ClinicalTrials.gov, a database of the U.S. National Library of Medicine (NLM), National Institutes of Health (NIH). Data accessed via ClinicalTrials.gov API v2. Trial information is provided for research purposes and does not constitute medical advice.
Academic studies and reviews for this medicine's active substance
Showing the 50 most relevant studies.
Reviews & meta-analyses: 15 · Randomised trials: 9 · 1979–2026
Showing the 50 most relevant studies, sorted by most relevant.
Xinxin Zheng, Yan-Lu Xu, Shaohua Li, et al.
American Journal of Clinical Nutrition, 2013
- Blood Glucose
- Caffeine
- Catechin
M. Glaister, C. Gissane
International journal of sports physiology and performance, 2017
Jessica Virgili, Petros Motitis, Gabrielle Julal, et al.
Nutrition bulletin, 2023
da Silva Neves L, de Mattos GVRM, Oliveira-Nazareth Y, et al.
2025
- Caffeine
- Depression
- Anxiety
Anxiety and depression are the most prevalent mental illnesses in the contemporary world. Several animal models have been developed to understand the cellular and molecular mechanisms underlying these disorders and the effect of drugs in modulating the associated behavioral responses. Neuroinflammation has been related to mood disorders. Caffeine is a psychoactive substance that acts as a nonspecific blocker of adenosine receptors. Adenosine receptors are present in neurons and glial cells in different brain areas that are involved in controlling anxiety and depression. However, depending on the context, caffeine can exacerbate or inhibit neuroinflammation and behavioral responses associated with these conditions. This systematic review aimed to evaluate the effects of caffeine and related xanthines on neuroinflammation observed in rodent models of anxiety and depression. A systematic database search (PROSPERO CRD42024517989) returned 17 eligible studies, separated based on the animal model. Most of the analyzed studies revealed that caffeine led to a beneficial effect, mitigating anxiety and depressive-like behaviors and possible cognitive impairments induced by stress. In addition, it also reversed oxidative damage and neuroinflammation by reducing levels of pro-inflammatory cytokines such as IL-1ß, TNF-alpha, and IL-6 and inhibiting glial cell activation. Together, these data reveal a robust effect of caffeine in alleviating symptoms for individuals with these disorders, even though the doses and routes of caffeine administration were highly variable among eligible studies. In addition, they advance the identification of cellular and molecular mechanisms underlying these effects.
Abstract licence: CC BY-NC-ND
Nascimento AOD, Silva CECD, Silva MLD, et al.
2026
- Caffeine
- Central Nervous System Stimulants
- Anxiety
To assess available evidence on the association between anxiety and caffeine consumption in healthy individuals. A high-sensitivity electronic search was performed, as recommended by the Cochrane Handbook, which underwent peer review according to the PRESS Guide, in March 2021 in the following databases: Cochrane Library, MEDLINE via PUBMED, LILACS via VHL, APA PsycNet, EMBASE, Scielo, Scopus, Web Of Science and Cinahl. There were no idiomatic or temporal restrictions regarding the studies obtained. After applying the inclusion and exclusion criteria, the articles were evaluated in a paired manner by two review authors for risk of bias and quality of evidence using the ROB-II tool. Statistical analysis was conducted using R version 1.4.1106 with a fixed-effect model, but the specific statistical tests applied were not detailed. 6999 studies were located, of which 6972 were excluded following the PRISMA protocol, leaving 27 articles at the end. The findings indicate a dose-dependent anxiogenic effect of caffeine. However, variations were observed between individuals with low and high habitual caffeine consumption prior to the intervention. Additionally, evidence suggests that caffeine-induced insomnia may have contributed to increased anxiety in the study population. In general, the findings of the present study were predominantly in favor of caffeine associated with increased anxiety symptoms.
Abstract licence: CC BY
Xue R, Huang J, Chen B, et al.
2025
- Caffeine
- Athletic Performance
- Performance-Enhancing Substances
Background/Objectives: Caffeine is a well-established ergogenic aid for endurance performance. However, the optimal intake strategy, specifically the administration method and dosage, remains uncertain. This systematic review and network meta-analysis compared the effectiveness of different caffeine administration methods and dosages on time-trial performance. Methods: A systematic review and network meta-analysis were conducted following PRISMA guidelines. A systematic search of PubMed, Embase, Web of Science, Scopus, and SPORTDiscus was conducted up to July 2025. Eligible studies were independently screened and quality-assessed by two reviewers. Pairwise and network meta-analyses were conducted to examine the effects of caffeine administration methods (e.g., capsules/tablets, gum, mouth rinse) and dosages (low: ≤3 mg/kg; moderate: 4-6 mg/kg) on time-trial performance. Results: Forty-eight studies with 612 participants were included. Low-dose capsules most effectively reduced completion time (standardized mean differences [SMD] = -0.34; 95% confidence interval [CI] -0.62, -0.06), followed by moderate-dose capsules (SMD = -0.31; 95% CI: -0.45, -0.17) and moderate-dose gum (SMD = -0.30; 95% CI: -0.57, -0.02). Low-dose capsules also had the highest probability of improving mean power output (SMD = 0.38; 95% CI: 0.09, 0.67), with moderate-dose capsules ranking second (SMD = 0.30; 95% CI: 0.12, 0.48). Conclusions: This systematic review and network meta-analysis identified low-dose caffeine capsules (≈3 mg/kg) as the most effective strategy for improving time-trial performance, with moderate-dose capsules and gum serving as viable alternatives. While these findings provide robust, actionable evidence for practitioners, meaningful inter-individual variability persists. Accordingly, future studies should integrate deeper mechanistic profiling (e.g., genetics and body composition) to advance personalized, evidence-based caffeine supplementation for athletes.
Abstract licence: CC BY
Peng Y, He L, Du W, et al.
2026
ObjectiveThis systematic review and meta-analysis evaluated the effects of caffeine (CAF) on high-intensity interval exercise (HIIE) performance and examined potential moderators.MethodsSeveral databases were searched for studies of CAF on HIIE performance. Pooled effects were calculated using Hedge's g (g) via a three-level random-effects meta-analysis. Subgroup analyses were performed based on sex, training status, CAF dose, CAF form, and interval type. A meta-regression analysis was conducted to investigate the potential moderating effect of the rest/work ratio on HIIE performance.ResultsTwenty studies were included (n = 320; 57 females). CAF significantly improved HIIE performance (g = 0.28, 95% CI = 0.14 to 0.43), concurrently elevating blood lactate (g = 0.50, 95% CI = 0.22 to 0.79) and glucose (g = 0.56, 95% CI = 0.17 to 0.96). Subgroup analyses demonstrated significant improvements across all sexes (g = 0.30-0.34), trained athletes (g = 0.44), CAF dose (low and moderate) (g = 0.28-0.33), CAF form (capsule and beverage) (g = 0.32-0.33), and HIIE protocol (repeated short sprints and short intervals) (g = 0.16-0.36), with no subgroup differences (all p > 0.05). The rest/work ratio was a significant moderator of HIIE performance (β2 = 0.003, p = 0.017).ConclusionCAF ingestion significantly enhances HIIE performance, with ergogenic benefits observed across both sexes and trained athletes. Effective ergogenic benefits can be achieved with a low dose (~3 mg/kg), administered as a capsule or beverage. Notably, meta-regression indicates that the rest/work ratio is a critical moderator of HIIE performance, with evidence of a nonlinear association.
Abstract licence: CC BY
Makhlouf HA, Khelifa H, Batarseh SF, et al.
2026
- Caffeine
- Central Nervous System Stimulants
- Migraine Disorders
Awwad SH, Nasereddin LM, Al-Tamimi O, et al.
2026
- Chlorogenic Acid
- Caffeine
- Green Chemistry Technology
Shengxi Meng, Jianmei Cao, Qin Feng, et al.
Evidence-based Complementary and Alternative Medicine, 2013
Sources: aggregated from Europe PMC (EMBL-EBI), OpenAlex, Crossref, PubMed and other open scholarly databases. Retracted articles are excluded. Study information is provided for research purposes and does not constitute medical advice.
Scientific data (pharmacology, interactions, ADME) is not yet available for this medicine. Clinical sections are sourced from the NHS dm+d database.