Mania associated with excessive green tea consumption: a case report

Year 2022, Volume: 27 Issue: 2, 221 - 226, 24.05.2022

Doğancan Sönmez , Cicek Hocaoglu

https://doi.org/10.21673/anadoluklin.1039944

Abstract

Today, the tendency to return to nature and natural products is increasing in order to avoid the health problems brought about by advancing technology. Recently, many people around
the world think that herbal products are natural and safe, so they use such products for healthy nutrition, weight loss, and cosmetic purposes. However, these herbal products can cause some serious side effects as well as being natural and safe. These side effects may be nausea, insomnia, diarrhea, skin rash, anaphylactic reactions, and serious psychiatric symptoms. Simultaneously with the growth of the herbal product market, case reports reporting the side effects resulting from the unconscious and widespread use of these products are also increasing. In this study, a 41-year-old female patient who didn’t have a history of mental illness before and who applied to the psychiatry outpatient clinic with psychotic manic symptoms after consuming excessive green tea for weight loss is presented in the light of literature findings. It is important for clinicians to be sensitive about the relationship between sudden onset psychiatric symptoms and excessive consumption of herbal products.

Keywords

green tea, mania;, psychiatric symptoms, tea

Aşırı yeşil çay tüketimi ile ilişkili mani: bir olgu sunumu

Abstract

Günümüzde ilerleyen teknolojinin beraberinde getirdiği sağlık sorunlarından kaçınmak için doğaya ve doğal ürünlere dönüş eğilimi gittikçe artmaktadır. Dünya genelinde son zamanlarda
birçok insan bitkisel ürünlerin doğal ve güvenli olduğunu düşünerek bu tarz ürünleri sağlıklı beslenmek, kilo vermek ve kozmetik amacıyla kullanmaktadır. Fakat bu bitkisel ürünler doğal
ve güvenilir olduğu kadar bazı ciddi yan etkilere de neden olabilmektedir. Bu tür yan etkiler arasında mide bulantısı, uykusuzluk, ishal, deri döküntüsü, anaflaktik reaksiyonlar ve ciddi ruhsal belirtiler yer almaktadır. Bitkisel ürün pazarının büyümesine paralel olarak bu ürünlerin bilinçsizce ve yaygın kullanımına bağlı ortaya çıkan istenmeyen etkileri bildiren olgu raporları da artmaktadır. Bu çalışmada öncesinde herhangi bir ruhsal hastalık öyküsü bulunmayan ve kilo vermek amacıyla aşırı yeşil çay tüketmesi sonrası psikotik özellikli mani dönemi belirtileri ile psikiyatri polikliniğine başvuran 41 yaşındaki bir kadın olgu literatür bulguları ışığında sunulmuştur. Klinisyenlerin âni başlangıçlı psikiyatrik belirtiler ile aşırı tüketilen bitkisel ürünler arasındaki ilişki konusunda duyarlı olması önemlidir.

Keywords

çay, mani, psikiyatrik belirtiler, yeşil çay

References

• Singh M, Tyagi V, Aggarwal S. Remedial effects of tea and its phytoconstituents on central nervous system. In: Tea - Chemistry and Pharmacology [Working Title]. IntechOpen; 2019.
• Chan EWC, Soh EY, Tie PP, Law YP. Antioxidant and antibacterial properties of green, black, and herbal teas of Camellia sinensis. Pharmacognosy Res. 2011;3(4):266–72.
• Chacko SM, Thambi PT, Kuttan R, Nishigaki I. Beneficial effects of green tea: A literature review. Chin Med. 2010;5(1):1-9.
• Lardner AL. Neurobiological effects of the green tea constituent theanine and its potential role in the treatment of psychiatric and neurodegenerative disorders. Nutr Neurosci. 2014;17(4):145–55.
• Dereci S, Akçam M. Çocukluk çağında ilaçlara ve bitkisel ürünlere bağlı gelişen hepatotoksisite. SDÜ Tıp Fakültesi Derg. 2016;0(0):34–41.
• Wierzejska R. Tea and healtha review of the current state of knowledge. Przegla̧d Epidemiol. 2014;68(3):501–6.
• Kakuda T, Nozawa A, Sugimoto A, Niino H. Inhibition by theanine of binding of [3H] AMPA, [3H] Kainate, and [3H] MDL 105,519 to glutamate receptors. BiosciBiotechnol Biochem. 2002;66(12):2683–6.
• Özdemir O, Özdemir PG. Glutamat sistemi ve şizofreni. Psikiyatride Güncel Yaklaşımlar - Curr Approaches Psychiatry. 2016;8(4):394–405.
• Krankl JT, Gitlin M. Caffeine-induced mania in a patient with caffeine use disorder: A case report. Am J Addict. 2015;24(4):289–91.
• Hearn JK, Reiff T, McBride AB, Kelly MB. Caffeine-induced psychosis and a review of statutory approaches to involuntary intoxication. J Am Acad Psychiatry Law. 2020;48(3):376–783.
• Wang HR, Woo YS, Bahk WM. Caffeine-induced psychiatric manifestations: A review. Int Clin Psychopharmacol. 2015;30(4):179–82.
• Hedges DW, Woon FL, Hoopes SP. Caffeine-induced psychosis. CNS Spectr. 2009;14(3):127–9.
• Ogawa N, Ueki H. Secondary mania caused by caffeine. Gen Hosp Psychiatry. 2003;25(2):138–9.
• Rizkallah É, Bélanger M, Stavro K, Dussault M, Pampoulova T, Chiasson JP, et al. Could the use of energy drinks induce manic or depressive relapse among abstinent substance use disorder patients with comorbid bipolar spectrum disorder? Bipolar Disord. 2011;13(5-6):578–80.
• Dratcu L, Grandison A, McKay G, Bamidele A, Vasudevan V. Clozapine-resistant psychosis, smoking, and caffeine: Managing the neglected effects of substances that our patients consume every day. Am J Ther. 2007;14(3):314–8.