# How long does caffeine stay in your system?

> Perhaps it's the middle of the afternoon and the cup is already warm in your hand, or perhaps it's midnight and you're lying there wondering whether it was the four o'clock coffee. Either way, the question's the same: how long does that cup stay with you, and is it why you're sleeping badly?

**In short:** Your body typically takes about five hours[^1][^2] to clear half the caffeine in a cup, and people vary a great deal. The size of the cup matters as well as the hour, and late pregnancy or some medicines[^3][^1] can stretch the time a long way. Caffeine takes more from your whole night than from falling asleep[^4]. You can find your own cut-off by trying one for a week or two.

If you're reading this in bed with the afternoon coffee on your mind, it may help to know that it's leaving you even now. The body clears caffeine steadily, about half of it every three to six hours[^5] in most healthy adults, so there's a little less of it with every hour you lie here. Worry about sleep can stir up a wakefulness of its own[^6], just when your body is ready to drop off. There's nothing you need to work out tonight. The coffee question can wait for tomorrow afternoon, when you can do something with it.

## What does caffeine do to make me feel awake?

From the moment you wake, a substance called adenosine gathers in the brain[^5][^7], and the more of it there is, the sleepier you get. This slow build through the day is what researchers call sleep pressure, and a night's sleep clears it away again. Caffeine blocks the places where adenosine would act[^7][^5], so the brain stops hearing how tired it is.

That's why the first cup can feel like getting yourself back more than gaining something extra. In people sleeping their usual amount, caffeine mostly restores the alertness that sleepiness had taken away[^8], and does little to lift anyone above their ordinary best. The adenosine is still there all the while, so when the caffeine fades, the tiredness it was covering is waiting to be felt.

## How long does caffeine stay in my system?

Caffeine leaves the body by halves, a little at a time. Its half-life is the time it takes to clear half of what you had. In healthy adults that is typically three to six hours[^5]. Small studies of healthy volunteers have measured averages of about five hours[^1][^2][^9]. Worked out from that average, a coffee at 4pm still has a little more than a third of its caffeine in you at 11pm. A coffee at 8am is down to about an eighth by then.

Around those averages, people vary so widely that published advice on when to stop has ranged from four to eleven hours before bed[^10]. The measured figures come from small groups of healthy volunteers, eight or ten at a time, and your own body may clear caffeine a good deal faster or slower than theirs did.

## Why does coffee keep some people up and not others?

Perhaps you know someone who can drink an espresso after dinner and sleep soundly, while a cup at three keeps you awake. Part of the difference is that bodies clear caffeine at very different speeds. The liver's main caffeine enzyme works five to six times harder in some people than in others[^11], and much of that difference is inherited. Which genes matter is still uncertain[^12][^5], and a gene test doesn't yet predict your sleep. Paying attention to how you wake will tell you more.

The birth control pill slows caffeine down too. In one small study, women on the pill took about eight hours to clear half their caffeine, against five and a half[^9] in women not taking it. Fifty years of studies find the same slowing[^11], so if you take the pill, an afternoon cup is likely to stay with you longer.

Pregnancy stretches it further still, and the slowing begins early[^11][^3]. In the last four weeks, one study measured a half-life of about ten and a half hours[^3]. If you're pregnant, the NHS advises no more than 200 milligrams a day[^13], about two cups of instant coffee, because more has been linked to a higher chance of miscarriage and stillbirth. Liver disease slows caffeine as well, most of all cirrhosis[^11], so if you live with it, your cups will last longer too.

Smoking works the other way, speeding caffeine through the body[^11], which is why stopping can bring a surprise. Researchers followed twelve people who smoked twenty or more cigarettes a day as they stopped all at once. Their clearance of caffeine fell by about a third[^14]. Most of that change came in the first few days, and from then on the same coffee stayed in them longer. If you've recently quit and your usual cup seems stronger, this may be part of the reason.

A new prescription can change what your afternoon cup does, because a few medicines keep caffeine in the body far longer. The clearest case is the antidepressant fluvoxamine. Researchers gave it to eight healthy volunteers for twelve days and watched caffeine's half-life stretch from five hours to thirty-one[^1]. That was long enough for them to warn of caffeine intoxication. Fluvoxamine was the only antidepressant they tested, so the finding says nothing either way about others.

Three antibiotics are worth checking your medicine against too. A review of many medicines singled out pipemidic acid and norfloxacin[^11] alongside fluvoxamine. Ciprofloxacin slows caffeine by less: in ten healthy men it took the half-life from about five hours to about eight[^2]. If you take any of these, a pharmacist can help you judge how much caffeine is sensible alongside it.

**How much of a 4pm coffee is still there at 11pm**

Each cup is the same 4pm coffee, filled to the share of its caffeine still there at 11pm, worked out from average half-lives measured in small groups: about five hours in healthy volunteers[^1][^2], about eight on the pill[^9] or on ciprofloxacin[^2], about ten and a half in the last weeks of pregnancy[^3] and thirty-one on fluvoxamine[^1]. It assumes steady clearance from the moment of drinking, and real people clear caffeine faster or slower than these averages.

The caffeine in a 4pm coffee

Still there at 11pm

- **Healthy volunteers** Half-life about 5 hours

- **On the pill or ciprofloxacin** About 8 hours

- **Late pregnancy** About 10½ hours

- **On fluvoxamine** About 31 hours

## If I fall asleep fine after coffee, does it still matter?

**Coffee doesn't affect me. I can have an espresso after dinner and fall asleep fine.**

Falling asleep is the only part of the night you're awake to watch. If you drop off easily after an evening espresso, that's the evidence you have. Whatever happens after you've gone under, you don't get to see.

Falling asleep easily is real, and across twenty-four studies[^4] it was the part caffeine changed least, adding only about nine minutes to the time it took to drop off. Across the whole night, the same studies found it took about forty-five minutes of sleep away. The sleep that remained was lighter, with less of it deep[^4][^15]. People in later studies often didn't notice the loss[^10][^5].

In a 2013 study, twelve healthy adults slept in their own beds after swallowing a pill that held either caffeine or nothing, without knowing which. On one of the nights the pill held 400 milligrams, a large dose and more than most coffee-shop coffees hold[^16], and they took it six hours before bed. A headband measured more than an hour less sleep[^10] that night. The sleepers' own diaries didn't register the disruption[^10].

In 2025 a larger trial followed twenty-three young men at home. One ordinary cup's worth, 100 milligrams, made no measurable difference to their sleep even four hours before bed[^5]. The large dose of 400 milligrams was another matter: it thinned deep sleep even when it was taken with breakfast, twelve hours before bed[^5]. The men felt their sleep was worse only when that dose came four hours before bed, so the breakfast dose did its work unfelt. When the researchers asked, fewer than one in four[^5] could say both how much they'd been given and when. It was the same blind spot the 2013 sleepers had. Women, older adults and people with insomnia have scarcely been studied[^15][^10] in trials like these, and older people's sleep may be more sensitive[^15].

So both things can be true at once: you fall asleep easily, and the caffeine is still taking some of the deepest part of your night without your noticing. It can feel as though the tiredness and the coffee feed each other, a thinner night leading to a groggier morning and a stronger urge for the afternoon cup. In one lab study, young men taking caffeine every day woke feeling more tired and found waking harder[^17] than on placebo. A cycle like that is plausible, though it hasn't yet been shown[^5][^17].

**How were the studies done, and what else did they find?**

The 2023 analysis pooled twenty-four studies[^4] with many doses and timings, most of them in laboratories, so its figures are best read as averages across many kinds of night. The 2013 study followed twelve healthy adults aged 19 to 48[^10] who slept normally. They wore a single-channel headband made by Zeo, the company that funded the study, and the researchers treated its results for the separate stages of sleep as exploratory.

The 2025 trial's twenty-three men were about 25 years old[^5] and usually had less than 300 milligrams of caffeine a day. They slept at home with a small device on the forehead, one night for each dose and timing, the caffeine given in capsules. The 400-milligram dose thinned deep sleep by about thirty minutes when taken four hours before bed, fifteen at eight hours and twenty-one at twelve[^5]. At four hours it also cut total sleep by about fifty minutes, and at four and eight hours it added twenty-six to twenty-nine minutes of waking in the night.

Whether daily drinkers grow used to caffeine's effect on sleep isn't agreed. The men in that trial were moderate daily drinkers and still lost deep sleep to the large dose[^5]. A lab study of men used to about 450 milligrams a day found little difference in sleep on its test night[^17], though on their days at home, falling asleep had taken about twenty-five minutes longer[^5] on caffeine.

A survey of about 37,000 US adults pointed the same way in ordinary lives. People having 400 milligrams or more a day had one and a half times the odds of sleeping under six hours[^18], yet once the researchers accounted for other factors, caffeine wasn't linked to saying they had trouble sleeping. A snapshot like this can't tell which came first.

## So how late can I have my last cup?

If there's a cup in your hand in the middle of the afternoon, tonight is probably what you're wondering about. For one ordinary cup, the evidence points to somewhere between about four and nine hours before bed. A large dose needs longer[^10][^5].

What's odd is that the same research group came up with both ends. First they pooled many studies, most of them lab work with doses and timings all over the place, and estimated that a standard coffee of about 107 milligrams would need almost nine hours[^4] to leave sleep untouched. Then they gave twenty-three young men one ordinary cup at home, and at four hours it made no measurable difference[^5]. So which do you believe? The fairest reading is that the real cut-off for one cup is somewhere in that span and moves from person to person, which is why a time tried against your own mornings tells you where yours falls.

The familiar advice to stop about six hours before bed is older. It goes back to the 2013 home study, whose authors suggested finishing substantial caffeine before 5pm at the latest[^10].

You may have seen 400 milligrams a day given as a safe amount. The FDA cites it, about two to three 12-ounce cups of coffee[^19], as an amount not generally linked to harm in healthy adults, while noting how widely people differ. The figure comes from a 2017 review[^20] sponsored by an industry-funded nutrition science body[^21], whose authors weighed effects on the heart, bones, pregnancy and more. Sleep wasn't among them. In the 2025 trial, 400 milligrams taken in one dose with breakfast still thinned deep sleep twelve hours later[^5].

Across your own day, the caffeine adds up from more than the coffee. Tea, cola and chocolate all count. A coffee-shop cup can hold several times what an instant one does: where a cup of instant coffee holds about 100 milligrams[^13], one 16-ounce coffee-shop drink bought on six different days ranged from 259 to 564[^16].

Caffeine is also added to some painkillers, which is easy to miss. Trials of these combinations used about 100 to 130 milligrams a dose[^22], about a cup of coffee, so a headache tablet late in the afternoon is worth counting, and its label will tell you what's in yours. It turns up, too, in gum, energy bars, supplements and pre-workout products[^19][^13].

**How much caffeine is in my usual drinks?**

The FDA and the NHS each give amounts in their own servings, so the two lists are best read separately.

In the FDA's 12-ounce servings, brewed coffee holds 113 to 247 milligrams[^19], black tea 71, green tea 37, a caffeinated soft drink 23 to 83 and an energy drink 41 to 246.

In the NHS's UK servings, a cup of instant coffee holds about 100 milligrams[^13], a cup of tea 75, a can of cola 40 and a 50-gram bar of dark chocolate under 25.

## What if I'd like to have less, or move my cut-off earlier?

You can make this change at your own pace. Two medicines are the exception, and with them it's worth planning with someone first. If you take lithium, please talk to your prescriber before changing how much caffeine you have, because case reports suggest that cutting it sharply may raise lithium levels[^23][^24] and bring on tremor. If you take clozapine, which shares caffeine's enzyme, the same conversation with your prescriber is worth having first: in seven patients, five caffeine-free days lowered clozapine levels by about a third to a half[^25], and they rose again when caffeine came back.

If you've tried stopping before and had a miserable few days, that was real. Caffeine withdrawal brings a headache to about half of people[^26] in experiments, along with tiredness, low energy, poor concentration and low mood, and it can follow stopping as little as 100 milligrams a day. It usually begins twelve to twenty-four hours after the last cup[^26], is at its worst within a day or two and has passed within two to nine days. The FDA suggests cutting back gradually[^19]: withdrawal isn't dangerous, though it can be unpleasant. You might swap one cup at a time for decaf. That way you keep the warm cup and the pause in the afternoon, while the caffeine in it grows smaller.

**If you’d like to try something this week**

You could choose a time for your last caffeine of the day, keep to it for a week or two, then move it if you like, with a light glance each morning at how you feel on waking. It's a way to look for a pattern more than to find an exact hour, and alongside your mornings you might notice how hard the afternoon asks for a cup. If noticing starts to make your nights more watchful, it's fine to let it go.

## Is it different if I'm short on time, or working nights?

- Caffeine is worth testing as one of the things that may be keeping your nights shallow, and an earlier cut-off with a smaller last cup is an easy place to begin. If your sleep doesn't change once caffeine is well out of the picture, the trouble is probably coming from somewhere else, and [CBT for insomnia](https://nitez.com/cbt-for-insomnia) is made for exactly that.

- Perhaps you start early, work long days or are up in the night with a baby, a child or someone you care for, and your nights are already short. Keeping your cups smaller and earlier in the day is likely to protect the sleep you do get. An ordinary morning cup has mostly cleared by bedtime[^1][^2] for most people. It lingers longer if your body clears caffeine slowly. On the day after a bad night, an afternoon coffee is still partly there[^5] at the next bedtime, and there's more on [getting through that day](https://nitez.com/after-a-bad-night).

- Caffeine can get you through the small hours, and the cost comes when you try to sleep in daylight. In a Montreal lab study, people sleeping in the morning after a night awake lost more to 200 milligrams of caffeine than night sleepers did, with shorter sleep and less REM sleep[^27] only in the daytime group. In another small simulation, researchers gave ten people about 200 milligrams, two espressos, in the early hours. It raised their alertness and then disturbed the daytime sleep that came five hours later[^28]. These were volunteers after one night awake rather than seasoned shift workers, and no study yet says exactly when to stop. Still, it may help to have your caffeine early in the shift and let the last several hours before home run without it.

Most sleep studies of caffeine were small and done in healthy young or middle-aged men, so how well their numbers fit women, older adults and people with insomnia is less certain. Gene tests for caffeine don't yet predict how your sleep will respond.

- **Caffeine keeps you alert by blocking adenosine, part of the brain's build-up of sleep pressure.** well-established

- **Caffeine shortens and lightens sleep, taking about forty-five minutes off a night on average, while adding only about nine minutes to falling asleep.** well-established

- **In healthy adults caffeine's half-life is usually about five hours, with a wide spread between people.** good-evidence

- **The birth control pill slows caffeine's clearance.** well-established

- **Late pregnancy and the medicine fluvoxamine slow it a great deal.** good-evidence

- **People often don't notice caffeine's effect on their sleep, especially when they had it earlier in the day.** good-evidence

- **A large dose of caffeine can still thin deep sleep when taken with breakfast, twelve hours before bed.** good-evidence

- **Studies differ on whether regular drinkers become tolerant to caffeine's effects on sleep, and it isn't clear yet.** still-debated

- **In one small lab study, daily caffeine left young men feeling more tired on waking; whether that leads people to drink more hasn't been shown.** early-evidence

- **A handful of case reports suggest that cutting caffeine sharply may raise lithium levels.** early-evidence

- **Is decaf really caffeine-free?** Nearly, though not quite. A cup of decaf typically holds 2 to 15 milligrams[^16][^19], a small fraction of an ordinary coffee. So an evening decaf still gives you a hot drink after dinner, with very little caffeine in it.

- **What about energy drinks and pre-workout?** Quite a lot, sometimes. An energy drink holds anywhere from 41 to 246 milligrams[^19]. For a standard pre-workout serving of about 218 milligrams, the researchers who pooled the sleep studies estimated you'd need just over thirteen hours[^4] before bed to leave sleep untouched. A drink before an evening workout reaches well into the night.

It's worth talking to a doctor or pharmacist if:

- you've started a new medicine and your usual coffee suddenly feels much stronger, since some medicines slow caffeine a great deal[^1][^11]
- you're pregnant and would like help adding up what you have across a day, against the 200-milligram limit[^13]
- your sleep stays poor for a few weeks even after you've cut back on caffeine, because something else is likely keeping you awake, and a doctor can help you find [CBT for insomnia](https://nitez.com/cbt-for-insomnia), the treatment made for insomnia

Pure and highly concentrated caffeine powders and liquids are best avoided altogether, because less than half a teaspoon of pure caffeine[^19] taken quickly can cause seizures.

## Where does that leave this afternoon's cup?

What a cup does tonight comes down to its size, the hour you drank it and your own body. A cup of instant coffee at lunchtime is mostly gone by bedtime. A large coffee-shop cup at four still has a good share left in you at 11pm. The cut-off that suits you is personal, and it can move: a pregnancy, a new prescription or your last cigarette would each call for an earlier one. For today, it's enough to notice the size and the hour of the cup in your hand, and see how you wake tomorrow.

## Related questions

- [What is deep sleep, and am I getting enough?](https://nitez.com/deep-sleep)
- [How do I get through the day after a bad night?](https://nitez.com/after-a-bad-night)
- [How do I sleep well on night shifts?](https://nitez.com/night-shifts)
- [What makes us feel sleepy?](https://nitez.com/sleep-pressure)
- [Does alcohol help you sleep?](https://nitez.com/alcohol-and-sleep)
- [What is CBT for insomnia, and what would it ask of me?](https://nitez.com/cbt-for-insomnia)

## Sources

[^1]: Jeppesen U, Loft S, Poulsen HE, Brøsen K. A fluvoxamine–caffeine interaction study. Pharmacogenetics. 1996;6(3):213–222. [PubMed](https://pubmed.ncbi.nlm.nih.gov/8807660/) · [DOI](https://doi.org/10.1097/00008571-199606000-00003)
[^2]: Healy DP, Polk RE, Kanawati L, Rock DT, Mooney ML. Interaction between oral ciprofloxacin and caffeine in normal volunteers. Antimicrobial Agents and Chemotherapy. 1989;33(4):474–8. [PubMed](https://pubmed.ncbi.nlm.nih.gov/2729942/) · [PMC](https://pmc.ncbi.nlm.nih.gov/articles/PMC172463/) · [DOI](https://doi.org/10.1128/AAC.33.4.474)
[^3]: Knutti R, Rothweiler H, Schlatter C. The effect of pregnancy on the pharmacokinetics of caffeine. Archives of Toxicology Supplement. 1982;5:187–92. [PubMed](https://pubmed.ncbi.nlm.nih.gov/6954898/) · [DOI](https://doi.org/10.1007/978-3-642-68511-8_33)
[^4]: Gardiner C, Weakley J, Burke LM, Roach GD, Sargent C, Maniar N, et al. The effect of caffeine on subsequent sleep: a systematic review and meta-analysis. Sleep Medicine Reviews. 2023;69:101764. [PubMed](https://pubmed.ncbi.nlm.nih.gov/36870101/) · [DOI](https://doi.org/10.1016/j.smrv.2023.101764)
[^5]: Gardiner CL, Weakley J, Burke LM, Fernandez F, Johnston RD, Leota J, et al. Dose and timing effects of caffeine on subsequent sleep: a randomized clinical crossover trial. Sleep. 2025;48(4):zsae230. [PubMed](https://pubmed.ncbi.nlm.nih.gov/39377163/) · [DOI](https://doi.org/10.1093/sleep/zsae230) · [PMC](https://pmc.ncbi.nlm.nih.gov/articles/PMC11985402/)
[^6]: Harvey AG. A cognitive model of insomnia. Behaviour Research and Therapy. 2002;40(8):869–893. [PubMed](https://pubmed.ncbi.nlm.nih.gov/12186352/) · [DOI](https://doi.org/10.1016/s0005-7967(01)00061-4)
[^7]: Reichert CF, Deboer T, Landolt HP. Adenosine, caffeine, and sleep–wake regulation: state of the science and perspectives. Journal of Sleep Research. 2022;31(4):e13597. [PubMed](https://pubmed.ncbi.nlm.nih.gov/35575450/) · [DOI](https://doi.org/10.1111/jsr.13597) · [PMC](https://pmc.ncbi.nlm.nih.gov/articles/PMC9541543/)
[^8]: Roehrs T, Roth T. Caffeine: sleep and daytime sleepiness. Sleep Medicine Reviews. 2008;12(2):153–162. [PubMed](https://pubmed.ncbi.nlm.nih.gov/17950009/) · [DOI](https://doi.org/10.1016/j.smrv.2007.07.004)
[^9]: Abernethy DR, Todd EL. Impairment of caffeine clearance by chronic use of low-dose oestrogen-containing oral contraceptives. European Journal of Clinical Pharmacology. 1985;28(4):425–428. [PubMed](https://pubmed.ncbi.nlm.nih.gov/4029248/) · [DOI](https://doi.org/10.1007/BF00544361)
[^10]: Drake C, Roehrs T, Shambroom J, Roth T. Caffeine effects on sleep taken 0, 3, or 6 hours before going to bed. Journal of Clinical Sleep Medicine. 2013;9(11):1195–1200. [PubMed](https://pubmed.ncbi.nlm.nih.gov/24235903/) · [DOI](https://doi.org/10.5664/jcsm.3170) · [PMC](https://pmc.ncbi.nlm.nih.gov/articles/PMC3805807/)
[^11]: Grzegorzewski J, Bartsch F, Köller A, König M. Pharmacokinetics of caffeine: a systematic analysis of reported data for application in metabolic phenotyping and liver function testing. Frontiers in Pharmacology. 2021;12:752826. [PubMed](https://pubmed.ncbi.nlm.nih.gov/35280254/) · [PMC](https://pmc.ncbi.nlm.nih.gov/articles/PMC8914174/) · [DOI](https://doi.org/10.3389/fphar.2021.752826)
[^12]: Rétey JV, Adam M, Khatami R, Luhmann UF, Jung HH, Berger W, et al. A genetic variation in the adenosine A2A receptor gene (ADORA2A) contributes to individual sensitivity to caffeine effects on sleep. Clinical Pharmacology and Therapeutics. 2007;81(5):692–698. [PubMed](https://pubmed.ncbi.nlm.nih.gov/17329997/) · [DOI](https://doi.org/10.1038/sj.clpt.6100102)
[^13]: NHS. Foods to avoid in pregnancy. nhs.uk. Read 23 October 2026. [www.nhs.uk](https://www.nhs.uk/pregnancy/keeping-well/foods-to-avoid/)
[^14]: Faber MS, Fuhr U. Time response of cytochrome P450 1A2 activity on cessation of heavy smoking. Clinical Pharmacology and Therapeutics. 2004;76(2):178–184. [PubMed](https://pubmed.ncbi.nlm.nih.gov/15289794/) · [DOI](https://doi.org/10.1016/j.clpt.2004.04.003)
[^15]: Clark I, Landolt HP. Coffee, caffeine, and sleep: a systematic review of epidemiological studies and randomized controlled trials. Sleep Medicine Reviews. 2017;31:70–78. [PubMed](https://pubmed.ncbi.nlm.nih.gov/26899133/) · [DOI](https://doi.org/10.1016/j.smrv.2016.01.006)
[^16]: McCusker RR, Goldberger BA, Cone EJ. Caffeine content of specialty coffees. Journal of Analytical Toxicology. 2003;27(7):520–522. [PubMed](https://pubmed.ncbi.nlm.nih.gov/14607010/) · [DOI](https://doi.org/10.1093/jat/27.7.520)
[^17]: Weibel J, Lin YS, Landolt HP, Berthomier C, Brandewinder M, Kistler J, et al. Regular caffeine intake delays REM sleep promotion and attenuates sleep quality in healthy men. Journal of Biological Rhythms. 2021;36(4):384–394. [PubMed](https://pubmed.ncbi.nlm.nih.gov/34024173/) · [DOI](https://doi.org/10.1177/07487304211013995) · [PMC](https://pmc.ncbi.nlm.nih.gov/articles/PMC8276335/)
[^18]: Nguyen PV, Lin Q, Meshkat S, Joseph JT, Janssen R, Lou W, et al. Evaluating the association between caffeine exposure and sleep duration and trouble sleeping in adults. Sleep Advances. 2026;7(3):zpag064. [PubMed](https://pubmed.ncbi.nlm.nih.gov/42444712/) · [DOI](https://doi.org/10.1093/sleepadvances/zpag064) · [PMC](https://pmc.ncbi.nlm.nih.gov/articles/PMC13363248/)
[^19]: US Food and Drug Administration. Spilling the beans: how much caffeine is too much? Consumer update. Content current as of August 28, 2024. [www.fda.gov](https://www.fda.gov/consumers/consumer-updates/spilling-beans-how-much-caffeine-too-much)
[^20]: Wikoff D, Welsh BT, Henderson R, Brorby GP, Britt J, Myers E, et al. Systematic review of the potential adverse effects of caffeine consumption in healthy adults, pregnant women, adolescents, and children. Food and Chemical Toxicology. 2017;109(Pt 1):585–648. [PubMed](https://pubmed.ncbi.nlm.nih.gov/28438661/) · [DOI](https://doi.org/10.1016/j.fct.2017.04.002)
[^21]: Doepker C, Franke K, Myers E, Goldberger JJ, Lieberman HR, O'Brien C, et al. Key findings and implications of a recent systematic review of the potential adverse effects of caffeine consumption in healthy adults, pregnant women, adolescents, and children. Nutrients. 2018;10(10):1536. [PubMed](https://pubmed.ncbi.nlm.nih.gov/30340340/) · [PMC](https://pmc.ncbi.nlm.nih.gov/articles/PMC6212940/) · [DOI](https://doi.org/10.3390/nu10101536)
[^22]: Derry CJ, Derry S, Moore RA. Caffeine as an analgesic adjuvant for acute pain in adults. Cochrane Database of Systematic Reviews. 2014;(12):CD009281. [PubMed](https://pubmed.ncbi.nlm.nih.gov/25502052/) · [DOI](https://doi.org/10.1002/14651858.CD009281.pub3) · [PMC](https://pmc.ncbi.nlm.nih.gov/articles/PMC6485702/)
[^23]: Jefferson JW. Lithium tremor and caffeine intake: two cases of drinking less and shaking more. Journal of Clinical Psychiatry. 1988;49(2):72–73. [PubMed](https://pubmed.ncbi.nlm.nih.gov/3338980/)
[^24]: Frigerio S, Strawbridge R, Young AH. The impact of caffeine consumption on clinical symptoms in patients with bipolar disorder: a systematic review. Bipolar Disorders. 2021;23(3):241–251. [PubMed](https://pubmed.ncbi.nlm.nih.gov/32949106/) · [DOI](https://doi.org/10.1111/bdi.12990)
[^25]: Carrillo JA, Herraiz AG, Ramos SI, Benítez J. Effects of caffeine withdrawal from the diet on the metabolism of clozapine in schizophrenic patients. Journal of Clinical Psychopharmacology. 1998;18(4):311–316. [PubMed](https://pubmed.ncbi.nlm.nih.gov/9690697/) · [DOI](https://doi.org/10.1097/00004714-199808000-00011)
[^26]: Juliano LM, Griffiths RR. A critical review of caffeine withdrawal: empirical validation of symptoms and signs, incidence, severity, and associated features. Psychopharmacology. 2004;176(1):1–29. [PubMed](https://pubmed.ncbi.nlm.nih.gov/15448977/) · [DOI](https://doi.org/10.1007/s00213-004-2000-x)
[^27]: Carrier J, Fernandez-Bolanos M, Robillard R, Dumont M, Paquet J, Selmaoui B, et al. Effects of caffeine are more marked on daytime recovery sleep than on nocturnal sleep. Neuropsychopharmacology. 2007;32(4):964–72. [PubMed](https://pubmed.ncbi.nlm.nih.gov/16936703/) · [DOI](https://doi.org/10.1038/sj.npp.1301198)
[^28]: McHill AW, Smith BJ, Wright KP. Effects of caffeine on skin and core temperatures, alertness, and recovery sleep during circadian misalignment. Journal of Biological Rhythms. 2014;29(2):131–43. [PubMed](https://pubmed.ncbi.nlm.nih.gov/24682207/) · [DOI](https://doi.org/10.1177/0748730414523078)

---
https://nitez.com/caffeine-and-sleep · Remedies and substances · updated 2026-08-05
