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The Contribution of cocoa additive to cigarette smoking addiction

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Page 42 <strong>of</strong> 207 RIVM report 650270002<br />

Caffeine<br />

It can be concluded that caffeine exerts various pharmacological and <strong>to</strong>xicological<br />

effects in the body. <strong>The</strong>re are no data available on the pharmacodynamics,<br />

pharmacokinetics and <strong>to</strong>xicology after inhalation exposure.<br />

Assuming similar systemic effects after oral and inhalation exposure, the additional<br />

risk for systemic effects <strong>of</strong> caffeine by <strong>cigarette</strong> <strong>smoking</strong> (estimated <strong>to</strong> be 0.5<br />

mg/day) will be low compared with the oral intake via c<strong>of</strong>fee, tea, chocolate and<br />

<strong>cocoa</strong> drinks (estimated 12 – 405 mg/day).<br />

Since no data on the <strong>to</strong>xicological effects <strong>of</strong> caffeine exposure through inhalation are<br />

available, the influence <strong>of</strong> exposure <strong>to</strong> caffeine through <strong>smoking</strong> on the respira<strong>to</strong>ry<br />

system cannot be established.<br />

For <strong>smoking</strong> the bronchodila<strong>to</strong>ry effect seems <strong>to</strong> be relevant, but the doses occurring<br />

in <strong>cigarette</strong>s seem not sufficient <strong>to</strong> evoke such an effect, and therefore it is unlikely<br />

that caffeine plays a role in taboaccoa addition via this mechanism.<br />

Of importance is the potential mutagenic effect <strong>of</strong> caffeine; the question is whether<br />

the low caffeine dose is able <strong>to</strong> display local mutagenic effects in the pulmonary<br />

system. Since no data on the local <strong>to</strong>xicological effects <strong>of</strong> caffeine exposure through<br />

inhalation are available, the shortterm and longterm effects <strong>of</strong> exposure <strong>to</strong> caffeine<br />

through <strong>smoking</strong> on the respira<strong>to</strong>ry system cannot be established. Furthermore, its<br />

<strong>additive</strong> effects on other methylxanthines present in <strong>cigarette</strong> smoke are also not<br />

known and have <strong>to</strong> be studied.<br />

More studies are needed on:<br />

the determination <strong>of</strong> pyrolysis and combustion products <strong>of</strong> caffeine in <strong>cigarette</strong><br />

smoke;<br />

the local (respira<strong>to</strong>ry system) and the systemic effects <strong>of</strong> long-term use <strong>of</strong> caffeine<br />

alone and in combination with other xanthines via inhalation.<br />

Date this sheet was generated<br />

Based on literature available in May 2001.<br />

REFERENCES<br />

(1) Caffeine. C<strong>of</strong>fe, tea, mate, methylxanthines and methylglyoxal. Lyon: World<br />

Health Organization, International Agency for Research on Cancer, 1991:<br />

291-390.<br />

(2) <strong>The</strong> Merck Index. Electronic version 12:1., 1996. Chapman & Hall EPD.<br />

(3) Brandweerinformatiecentrum voor gevaarlijke st<strong>of</strong>fen (BIG). Electronic<br />

version 9.0., 2001. Belgium.<br />

(4) Roemer E, Hackenberg U. Mouse skin bioassay <strong>of</strong> smoke condensates from<br />

<strong>cigarette</strong>s containing different levels <strong>of</strong> <strong>cocoa</strong>. Food Addit Contam, 1990;<br />

7(4):563-569.<br />

(5) Tarka-SM J. <strong>The</strong> <strong>to</strong>xicology <strong>of</strong> <strong>cocoa</strong> and methylxanthines: a review <strong>of</strong> the<br />

literature. Crit Rev Toxicol, 1982; 9(4):275-312.

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