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David Katz, M.D.

David Katz, M.D.

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Caffeinated Booze: Bad News for Bad Brews

Posted: 11/20/10 11:26 AM ET

The writing would seem to be on the wall for Four Loko and other beverages that combine alcohol and caffeine, as the FDA considers an outright ban of the combination. Anyone who is for sanity and safety in marketing should read it and cheer, not weep.

Combining alcohol and caffeine is -- in one word -- crazy. Don't do it! It has an excellent chance of hurting you, and a fairly good chance of killing you. Recent news reports feature tragic victims of this deadly duo. As the companies and federal authorities decide what to do, you can make up your own mind to steer clear of this bad brew.

As I suspect everyone knows, alcohol is a central nervous system depressant. It is certainly possible to drink enough alcohol for it to be lethal, and people have. But the depressant effect tends to limit the damage, because people fall asleep or pass out before they reach a truly lethal level of intake. Alcohol is more likely to kill by impairing judgment, and responses behind the wheel of a car. But here, too, the intrinsically sedating effects of alcohol help limit these incident, which are horribly too numerous as is.

Caffeine, of course, is a central nervous system stimulant. We use it to help stay awake and alert, and it exerts just this effect even as you drink alcohol. But caffeine does nothing at all to combat the deleterious effects of alcohol on judgment, inhibition, reflexes and coordination. You get just as drunk while getting jazzed on caffeine -- you simply stay awake and stimulated longer, so you wind up drinking more.

This combination would be bad enough if it required alternating booze and java. But the commercial products at the center of the current scandal combine highly concentrated alcohol -- the equivalent of five beers in a single can -- with a full mug of coffee's worth of caffeine. Before the can is set down, you are inebriated, but too wired on caffeine to know it.

It's hard to imagine any argument for such products -- except that selling them makes money for someone. So does selling heroin and cocaine, which are also very bad ideas.

It's also hard to imagine anyone objecting to a ban of such products, although the strong "keep the government out of my business" sentiment that runs through our society suggests that some will find cause to do so. In response to any objections, I can only ask: Where would you draw the line? Should the government stay out of the crack, heroin, and angel dust business as well, and simply let the peddling of such wares take their place in a free market economy? If there is any line at all over which dangerous products that generate unscrupulous profits at the cost of human life should be banned -- caffeinated alcoholic beverages are over it.

Combining caffeine and alcohol is, indeed, crazy. It can be lethally crazy, so it's a mistake you may not get to make twice. So don't make it even once. I recall a poster I had hanging on my dorm room in college that read: "Good judgment comes from experience, and experience comes from poor judgment." We do all need to learn by trying. But unfortunately bad judgment that kills you does not lead to good judgment -- it leads only to whatever final judgment we are destined to face, and the anguish of those left behind.

Please don't go there. No need to wait for the FDA. This stuff is crazy -- ban it yourself.


Dr. David L. Katz
www.davidkatzmd.com
www.turnthetidefoundation.org

 

Follow David Katz, M.D. on Twitter: www.twitter.com/DrDavidKatz

The writing would seem to be on the wall for Four Loko and other beverages that combine alcohol and caffeine, as the FDA considers an outright ban of the combination. Anyone who is for sanity and saf...
The writing would seem to be on the wall for Four Loko and other beverages that combine alcohol and caffeine, as the FDA considers an outright ban of the combination. Anyone who is for sanity and saf...
 
 
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06:21 PM on 11/23/2010
You're really blowing this out of proportion with misinformation... Did you really just compare a caffeinated, alcoholic beverage to crack, PCP and heroin? C'mon "doc."

"the equivalent of five beers in a single can." Not really, and it only highlights your exaggeration:
A 23.5-ounce can has an alcohol content of 12 percent, comparable to four beers.

Note that the nine Washington State college students who were hospitalized after drinking Four Loko were UNDERAGE. I draw the line right at 21.
09:58 AM on 11/23/2010
Should we be worried that Dr. Katz, as head of Yale's Prevention Research Center, has a position of significant influence and is basically advocating a ban on rum and Coke because it's "crazy"?

Actually, I suspect that Dr. Katz would assure us that, no, no, he's not saying that rum and Coke should be banned from your local bar. But it's hard to see a difference. If caffeine + alcohol = crazy, then why only focus on Four Loko as opposed to all of the other drinks that combine the two, such as, oh, any coffee-based alcohol drink, which also will usually contain "a full mug of coffee's worth of caffeine."

In fact, 23.5 fluid ounces of Irish coffee as it is usually made would likely contain five shots of hard alcohol and about THREE cups of coffee. Pour that into a can and now you have a product similar to Four Loko -- except that it is more potent (and probably more drinkable).

There is indeed something crazy going on with this Four Loko controversy. But the craziness is in irrational responses like Dr. Katz's. If we're going to have nannies telling us what to eat and drink, is it to much to ask that they be sane?
01:43 AM on 11/23/2010
Thank God for benevolent bureaucrats attacking our freedom of choice. How would we know what to do without them?
05:36 PM on 11/22/2010
Caffeinated alcoholic drinks have been made and consumed dating all the way back to 1100-1400 BC. Coffee liqueurs such as Kahlua and Tia Maria have been around since the early 20th century and are much stronger, 20% Alcohol By Volume, compared to Four Locko which is 12%ABV. Common mixed drinks, such as a rum and coke, or vodka and red bull, are essentially the same thing as Four Locko, but the FDA is in no rush to put other caffeinated alcohol producers out of business. Caffeine consumption protects the liver and has been associated with less severe liver damage in alcoholics and other people with a high risk for liver disease. So caffeine may actually be healthy to consume with alcohol! Caffeine is also used to treat headaches and may help to prevent headaches from alcohol consumption, as well as decreases some of the depressant effects of alcohol. This is a BS scare campaign, much like the unscientific scare campaign used to ban absinthe in the early 20th century.
04:32 PM on 11/22/2010
"you can make up your own mind to steer clear of this bad brew."

This is the operative sentence of the entire article. Why does the government need to ban everything that the media sensationalizes?
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clearthinker2008
we need to respect each other
06:48 AM on 11/21/2010
I think the big beer companies don't like this product moving in on their base.
08:47 AM on 11/21/2010
Chuck Schumer, the person leading this fight, receives more money from the beer wine and liquor industry than any other senator
http://www.opensecrets.org/politicians/industries.php?cycle=2010&cid=n00001093&type=I
Sandmanj
Tread gently. Mother nature is pregnant.
06:26 AM on 11/21/2010
I'm curious how long this product has been on the market before getting the government's attention.

Does anyone know?
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HUFFPOST SUPER USER
Joe3245
Now thinking outside of THE BOX.
02:56 PM on 11/21/2010
Around two years, possibly a little longer.
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HUFFPOST SUPER USER
Mattjoe3
Once snowmobiled over open water
12:55 AM on 11/21/2010
'It's also hard to imagine anyone objecting to a ban of such products'

Really? Idealism? Attention to the acute as opposed to the chronic?

Caffeine? Alcohol? ...and tobacco gets a pass?
12:32 AM on 11/21/2010
Do the people who go for these "highs" ever consider how long they tend to live? Do they feel getting such "highs' and end up being a terrible drunkard, being delusional, worse off or dying earlier to be thrilling? Who can care, really? Judgment is on their own.
11:51 PM on 11/20/2010
I get nauseous just THINKING about these "drinks." Simply grotesque.

As if this younger generation weren't screwed up enough...we have to market legalized amphetamines to them.
HUFFPOST SUPER USER
futurejd
11:49 PM on 11/20/2010
Yeah...this is going to cut down on drinking...What to do?
1. Get a can of red bull or coke or other beverage that contains cafeine
2. Get alcohol such a vodka, rum, hennesy, etc...
3. Pour them together in a glass and stir with a straw
11:38 PM on 11/20/2010
What's next? No run and coke? Please. You'll never be able to stop it.
10:55 PM on 11/20/2010
Frankly, if the marketing gurus could sell beer-and-pi$$ mixed together to a gullible public, they would find a way to do so.

The Pittsburgh Brewing Company, at one time, tried to market a beverage combining Iron City Beer with Gatorade, calling it "Hop & Gator." Man, talk about Flopsville! .Supposedly, the mixture was supposed to get the alcohol in your bloodstream faster.

Perhaps this "Four-Loko" is a caffeine-based version of Hop & Gator, nicht wahr?
Still, not my idea of a potable beverage.
If I desire BEER? I drink BEER!
If I need a caffeine jolt?
Chilled-and-sweetened coffee or tea fills THAT bill nicely (and with no calories, since I do not use sugar)!

But, that's my style--to each their own.
--RKJ
10:43 PM on 11/20/2010
That's why I prefer cocaine with my vodka.
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Wendy Davis
Banned!
11:55 PM on 11/20/2010
lol - i think the public is just exhausted or maybe it's the corn syrup that has became an ingredient in everything we eat.  Energy drinks are everywhere I look.  Energy is being depleted from the masses, and i imagine that it is to stay up and party. 
 
You should Have fun and socialize.  It's no big thing, catching a buzz. (catch a ride) but -  sitting at the table, yawning and looking borded and signs of  wear and tear, What is up with the kind of day corporate america has told us we should have, I'd rather be wide awake and raisin's hell, with music in the background, if I were young.  Americans are exhausted.
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sb250guy
A Cunning Linguist
09:56 PM on 11/20/2010
I would have probably tried Four Loco when I was younger. I'm glad I'm over that stage now. I would much rather relax at home with a good single malt, red wine or quality micro-brew. I haven't tried any of these new drinks but I'll bet they all taste awful. And that might be a big part of the problem. Too many Americans drink only for the effects of alcohol. They don't actually "like" alcoholic beverages. The puritanical thread that runs deep through our culture prevents children from growing up with an appreciation of quality. When they turn 21, they don't have a sophisticated sense of taste and they just drink to get drunk.
10:17 PM on 11/20/2010
I actually bought one today to try it out. The first half of the can is completely disgusting, almost undrinkable to me.