*Danny Rose *
*
February 20, 2011*

*Caffeinated energy drinks may trigger a psychotic episode in people with
mental illness, an expert has warned after documenting the case of a young
man with schizophrenia.*

The 27-year-old Maori man had two separate psychotic events a week apart
linked to his intake of the drink "Demon Shot".

Professor David Menkes said these events occurred at a time when the man,
who was prone to persecutory thought and hallucinations, was otherwise
responding well to anti-psychotic medication.

In the first instance, the man drank two 60ml bottles of Demon Shot and
later reported experiencing recurrent thoughts, over several hours, of
"people wanting to harm him".

"One week later, he drank three Demon Shots over 15 minutes," said Prof
Menkes, who is Associate Professor of Psychiatry at Auckland University.

"He was observed to be emotionally labile (moving from one point to another)
- initially laughing and talkative, later becoming restless, withdrawn and
argumentative."

Other symptoms included a rapid pulse and insomnia, which took 24 hours to
subside.

The man described again having had paranoid thoughts over several hours and
an experience "consistent with a psychotic episode".

"The fact that our patient had the same reaction on two distinct occasions
is important," Prof Menkes said.

He said there were known cases where a high intake of caffeine may
exacerbate a psychotic condition although this appeared to be the first
linked to consuming energy drinks.

The man's case was "evidence that some patients with treated schizophrenia
may be vulnerable to exacerbation of their illness by caffeine-containing
energy drinks", he said.

Demon Shot drinks are widely available in Australia and New Zealand and they
contain 200mg of caffeine plus taurine, B vitamins and guarana which may
have other stimulant properties.

According to its website, each Demon Shot provides a "massive energy hit
that delivers up to 6 hours of concentrated mental and physical
responsiveness".

The drinks also carry a warning which includes it should not be consumed by
people sensitive to caffeine, and no more than two drinks a day.

The case is detailed in a letter published in the latest edition of the
Medical Journal of Australia.

http://www.smh.com.au/national/energy-drink-linked-to-psychotic-episodes-20110220-1b0qn.html

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