Medications To Avoid With Coffee :
For many people, a day begins with a cup of coffee. It is energizing and comforting, but coffee can interact with certain medicines, reducing their effectiveness or causing side effects. While tea also contains caffeine, coffee has stronger effects that can affect how your body responds to some medications.
Many cold and flu remedies contain pseudoephedrine, a stimulant similar to caffeine. Taking these together can lead to restlessness, headaches, fast heart rate, and difficulty sleeping. Some cold medicines also already include caffeine, increasing the risk of side effects. People with diabetes should be especially careful, as combining caffeine and pseudoephedrine may raise blood sugar and body temperature.
Levothyroxine, commonly prescribed for an underactive thyroid, can be affected by coffee. Drinking coffee immediately after taking this medicine can reduce its absorption by up to 50%, as caffeine speeds up digestion and prevents the drug from entering the bloodstream properly. This may cause hypothyroid symptoms like fatigue or weight gain to return. The same rule applies to osteoporosis medications like alendronate and risedronate.
Caffeine can interfere with antidepressants such as SSRIs and tricyclic antidepressants (TCAs). It can reduce absorption or increase side effects, such as feeling jittery or restless. For antipsychotic medications like clozapine, coffee can increase blood levels, leading to drowsiness or confusion.
Some painkillers already contain caffeine. Drinking coffee with them may speed up absorption, which can help relief act faster but may increase stomach irritation or bleeding.
Caffeine can temporarily raise blood pressure and heart rate. This may counteract the effects of blood pressure or arrhythmia medications. People with heart conditions should monitor how coffee affects them and consider reducing intake if needed.
Take medications like levothyroxine or bisphosphonates on an empty stomach with water and wait 30–60 minutes before drinking coffee. Always check with a pharmacist or doctor if you’re unsure about interactions between your medicines and caffeine. Listening to your body and moderating coffee intake can help you enjoy your brew safely without reducing medication effectiveness.
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