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Pscychostimulants Caffiene Drug Name: (generic), CDM, PJs, Liptons, 5 Hour Energy, Monster Energy, Starbucks Drug Class: CNS Stimulant, Methylxanthine Mechanism of Action: Adenosine receptor antagonist (leading to an increase in intracellular cAMP) Indications: Getting thru medical pharmacology lectures, sleep retardant, migraine, apnea of prematurity Side Effects: mild delirium insomnia diuresis dehydration tachycardia and fever commonly occur with overdosage more serious overdosage can cause cardiac arrhythmias and clonic-tonic convulsions FDA Adverse Events Report on Energy Drinks

Nausea management strategies include eating smaller meals, avoiding high-fat foods around injection time, staying well-hydrated, and taking the injection at a time that positions peak nausea during sleep hours

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Symptomatic decrease was seen in nausea, emesis, headache, vertigo, and seizure activity