Effects of Caffeine Intake on the Pharmacokinetics of Melatonin, a Probe Drug for CYP1A2 Activity

Br J Clin Pharmacol. 2003 Dec;56(6):679-82. doi: 10.1046/j.1365-2125.2003.01933.x.

Abstract

Aims: The aim of this study was to assess the influence of concomitant caffeine intake on the pharmacokinetics of oral melatonin, a probe drug for CYP1A2 activity.

Methods: Twelve healthy subjects, six smokers and six nonsmokers, were given melatonin (6 mg) either alone or in combination with caffeine (3 x 200 mg). Blood samples for the analysis of melatonin or caffeine and paraxanthine were taken from 1 h before until 6 h after intake of melatonin. Subjects were genotyped with respect to the CYP1A2*1F (C734A) polymorphism.

Results: When caffeine was coadministered the Cmax and AUC of melatonin were increased on average by 142% (P = 0.001, confidence interval on the difference 44, 80%) and 120% (P < 0.001, confidence interval on the difference 63, 178%), respectively. The inhibitory effect of caffeine was more pronounced in nonsmokers and in individuals with the *1F/*1F genotype.

Conclusion: The results of this study revealed a pronounced effect of caffeine on the bioavailability of orally given melatonin, most probably due to inhibition of CYP1A2 activity.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Administration, Oral
  • Adolescent
  • Adult
  • Caffeine / pharmacology*
  • Cross-Over Studies
  • Cytochrome P-450 CYP1A2 / metabolism*
  • Drug Combinations
  • Female
  • Heterozygote
  • Homozygote
  • Humans
  • Male
  • Melatonin / administration & dosage
  • Melatonin / pharmacokinetics*

Substances

  • Drug Combinations
  • Caffeine
  • Cytochrome P-450 CYP1A2
  • Melatonin