How Does Caffeine Affect ADHD (2024)

When caffeine and amphetamine ADHD medications combine, their combined effect is more powerful. Caffeine intensifies the effects of amphetamines, so someone taking Adderall would likely feel a stronger impact, including greater side effects.

Caffeine is found in coffee, tea, and chocolate to name a few, and it’s one of the world’s favorite drugs. But what impact does it have on your brain? The right amount of caffeine can help you focus, but too much might make you jittery, anxious, or irritable.

Because caffeine is so prevalent, it’s important to know how it affects individuals with ADHD.

Caffeine is considered a stimulant. It stimulates the body’s central nervous system, and boosts the brain’s production of a neurochemical known as dopamine, which controls the ability to focus and maintain concentration.

This stimulation can cause a person to feel energized and not to feel the effects of fatigue as strongly.

Sometimes the effect can be negative, however. For example, people who have trouble sleeping can experience further sleep disturbances or insomnia due to caffeine.

Reduced sleep

Sleep deprivation can cause ADHD-like symptoms. These include:

  • irritability
  • increased forgetfulness
  • trouble focusing or sitting still
  • difficulty controlling emotions

Sleep deprivation makes these symptoms worse in people with ADHD.

People with ADHD should only use caffeine in the morning and should avoid consumption of coffee, tea, soda, or chocolate in the evening or late at night.

Reduced blood flow to the brain

Caffeine is also a vasoconstrictor. That means it makes blood vessels smaller and reduces blood flow. This reduced blood flow is why caffeine helps headaches.

Amphetamine medications used to treat ADHD also make blood vessels smaller, while increasing blood flow in others.

Although the exact reason is unknown and data is limited, reduced blood flow may help treat ADHD by reducing the activity of brain regions that are overactive, allowing them to better function and cooperate with the rest of the brain.

Dopamine levels in the brain have to be within a very narrow margin in order for a person to be able to focus on their work. But in ADHD, dopamine levels are too low. Stimulant chemicals such as caffeine or amphetamines tend to increase dopamine levels.

For most people, adding stimulants will push dopamine levels too high, causing agitation and anxiety. But for people with ADHD, adding stimulants can get the levels just right.

Some studies have found that caffeine can boost concentration for people with ADHD. Since it’s a stimulant drug, it mimics some of the effects of stronger stimulants used to treat ADHD, such as amphetamine medications.

However, caffeine alone is less effective than prescription medications. There are no studies that suggest that caffeine can be an effective treatment for ADHD.

When caffeine and amphetamine medications like Adderall (amphetamine and dextroamphetamine) combine, they cause an effect called synergy.

Synergy occurs when two drugs have additive mechanisms of action, making their combined effect more powerful. Caffeine intensifies the effects of amphetamines, so a person taking Adderall, for example, would likely feel a stronger impact, including greater side effects.

The FDA defines the maximum safe amount of caffeine for healthy adults as four or more cups of coffee per day, or 400 mg. Too much caffeine may cause:

  • sleeplessness
  • rapid heartbeat
  • irritability
  • anxiety
  • insomnia
  • muscle shakes or tremors
  • upset stomach

Since medication combinations are very hard to control, a person taking both amphetamines and caffeine will also get a double dose of their side effects. Both drugs can cause anxiety, difficultly sleeping, nausea, and stomach pains.

If you’re experiencing anxiety or difficulty sleeping, you may be ingesting too much caffeine. Make sure to always take both your medication and caffeine with food to control stomach pains. Talk to your doctor if nausea persists.

Although emerging research is finding that ADHD has a genetic component, it’s also finding that ADHD is not just one thing. Rather, people with mutations at any number of points in their genetics might get classified with ADHD.

For developing children, some brain regions might develop at different rates than the other regions that regulate them. Because ADHD has different causes, treatments can affect people differently.

Some people find that caffeine helps their ADHD, while others find that it doesn’t offer any benefit at all, or even makes their focus worse. Pay attention to your body and work with your doctor to find out what is best for you.

How Does Caffeine Affect ADHD (2024)

FAQs

How Does Caffeine Affect ADHD? ›

These characteristics, similar to those of first-choice medication for managing ADHD, raise the hypothesis that caffeine also plays a role in reducing impulsivity, improving sustained attention, and reducing hyperactivity.

Is caffeine a paradoxical effect for ADHD? ›

Caffeine. Caffeine is believed by many to cause paradoxical calmness or sedation in individuals with ADHD. There is insufficient evidence to determine if sedation caused by caffeine is due to a true paradoxical reaction, or rather from dehydration and sleep deprivation caused by the caffeine.

Does caffeine make Adderall less effective? ›

Caffeine, however, can have a major effect on Adderall's efficiency. Plenty of studies have shown that taking caffeine at the same time as Adderall, or within a few hours of taking Adderall, can decrease the effectiveness of Adderall and increase the negative side effects.

Why does caffeine help me focus? ›

When you're studying at home, you're often surrounded by distractions that can make it difficult to check things off your to-do list. Coffee is a central nervous system stimulant that can centre your focus and improve your concentration when combing through academic journals or listening to lectures.

What gives people with ADHD energy? ›

Play and Relax. Often, people with ADHD feel so overwhelmed or without enough time that play, relaxation or pleasurable activities are ignored. People may say, “I don't have time to relax play” or “I don't deserve to do that”. However, play can energize you and help you have a better outlook and be more productive.

Can caffeine make ADHD worse? ›

Because ADHD has different causes, treatments can affect people differently. Some people find that caffeine helps their ADHD, while others find that it doesn't offer any benefit at all, or even makes their focus worse. Pay attention to your body and work with your doctor to find out what is best for you.

Does coffee have a reverse effect on ADHD? ›

Because it has stimulant properties, consuming caffeine could theoretically be a helpful way to manage ADHD symptoms. However, caffeine affects everyone differently. While some with ADHD find that it helps them focus and concentrate, others experience the opposite effect and become increasingly irritable or agitated.

Why do stimulants make me sleepy with ADHD? ›

Adderall is a stimulant that boosts your levels of serotonin, norepinephrine, and dopamine. These are neurotransmitters in your brain that calm and relax you so you can focus better. They also affect sleep in different ways. That may be the reason the drug causes drowsiness in some but not others.

Does dopamine crash with ADHD? ›

6 The neurotransmitter change that is most significant in ADHD is a decrease in dopamine activity. Dopamine levels in these conditions are sometimes described as being too high or too low, but research suggests that the disorders are caused by more complex changes than high or low levels of dopamine.

Does caffeine increase dopamine? ›

Thus, caffeine, by antagonizing the effects of endogenous adenosine, can facilitate dopaminergic neurotransmission by stimulating dopamine release and by potentiating the effects of dopamine receptor stimulation (Ferré et al., 1997).

What is the Starbucks syndrome for ADHD? ›

' Other people get over-stimulated with the wrong dose, and this is called 'Starbucks syndrome. ' If a patient is experiencing personality changes or feels revved up or slowed down, the dose is typically too high and needs to be decreased.

What is an alternative to caffeine for ADHD? ›

Herbal Supplements:

Ginseng tends to have a stimulant effect and may work similarly to caffeine and stimulant medication in individuals with ADHD. Noticeable improvement in attention and distractibility occurred in children and adolescents with ADHD after 4 weeks of using a supplemental Ginkgo/Ginseng combination.

Does caffeine increase attentiveness? ›

Scientists have measured the difference caffeine makes to mental performance by testing regular users and non-users. Here's what they discovered from their study: Frequent caffeine users seem more alert, awake and have better attention after they consumed caffeine.

What does ADHD fatigue feel like? ›

If you have ADHD, the fatigue and stress of your symptoms can lead to a state of mental, physical and emotional exhaustion. Though not a medical term, “ADHD burnout” is a commonly used term to describe this exhausted state.

What stimulates the ADHD mind? ›

Individuals with ADHD tend to seek out intense experiences and find boredom very uncomfortable. They may create stimulation such as fidgeting, laughter, conflict or noise if none is available. People with ADHD may pursue pleasurable rewards as a form of self-medication.

What is the stimulant paradox for ADHD? ›

In the 1990's, it was thought that stimulants worked “paradoxically” in those with ADHD. That is, in people without ADHD, stimulants would cause agitation and over stimulation but in those with ADHD, they would act paradoxically and calm them down.

Why does caffeine make me tired immediately? ›

People drink coffee for its ability to increase alertness. However, for some people, coffee makes them more tired. This is likely due to caffeine blocking the receptors of a chemical found in human cells called adenosine.

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