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Theobromine: Difference between revisions

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{{Short description|Bitter alkaloid of the cacao plant}}
{{cs1 config|name-list-style=vanc|display-authors=6}}
{{Distinguish|bromine}}
 
{{Infobox drug
| Watchedfields = changed
| verifiedrevid = 622941253
| IUPAC_name = 3,7-dimethyl-1''H''-purine-2,6-dione
| image = Theobromine.svg
| width = 135
| image2 = Theobromine 3D ball.png
 
<!--Clinical data-->| legal_status = In general: Unscheduled.
| dependency_liability = None
| legal_status = In general: Unscheduled, could be illegal in the UK if is sold for human consumption or synthetized for recreational use under the Psychoactive Substance Act 2016.
| addiction_liability =
| routes_of_administration = [[Mouth|Oral]]
 
<!--Pharmacokinetic data-->| metabolism = [[Liver|Hepatic]] [[demethylation]] and [[redox|oxidation]]
| metabolism = [[Liver|Hepatic]] [[demethylation]] and [[redox|oxidation]]
| elimination_half-life = 6–8 hours<ref name="halflife1">{{cite journal | vauthors = Drouillard DD, Vesell ES, Dvorchik BH | title = Studies on theobromine disposition in normal subjects. Alterations induced by dietary abstention from or exposure to methylxanthines | journal = Clinical Pharmacology and Therapeutics | volume = 23 | issue = 3 | pages = 296–302 | date = March 1978 | pmid = 627135 | doi = 10.1002/cpt1978233296 | s2cid = 10519385 }}</ref><ref name="halflife2">{{cite journal | vauthors = Lelo A, Birkett DJ, Robson RA, Miners JO | title = Comparative pharmacokinetics of caffeine and its primary demethylated metabolites paraxanthine, theobromine and theophylline in man | journal = British Journal of Clinical Pharmacology | volume = 22 | issue = 2 | pages = 177–182 | date = August 1986 | pmid = 3756065 | pmc = 1401099 | doi = 10.1111/j.1365-2125.1986.tb05246.x }}</ref>
| excretion = [[Kidney|Renal]] (10% unchanged, rest as metabolites)
 
<!--Identifiers-->| CAS_number_Ref = {{cascite|correct|CAS}}
| CAS_number = 83-67-0
| CAS_number_Ref = {{cascite|correct|CAS}}
| ATC_prefix = C03
| CAS_number = 83-67-0
| ATC_suffix = BD01
| ATC_prefix = C03
| ATC_supplemental = {{ATC|R03|DA07}}
| ATC_suffix = BD01
| PubChem = 5429
| ATC_supplemental = {{ATC|R03|DA07}}
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| PubChem = 5429
| DrugBank = DB01412
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| DrugBank = DB01412
| ChemSpiderID = 5236
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| UNII_Ref = {{fdacite|correct|FDA}}
| ChemSpiderID = 5236
| UNII = OBD445WZ5P
| UNII_Ref = {{fdacite|correct|FDA}}
| KEGG_Ref = {{keggcite|correct|kegg}}
| UNII = OBD445WZ5P
| KEGG = C07480
| KEGG_Ref = {{keggcite|correct|kegg}}
| ChEBI_Ref = {{ebicite|correct|EBI}}
| KEGG = C07480
| ChEBI = 28946
| ChEBI_Ref = {{ebicite|correct|EBI}}
| ChEMBL_Ref = {{ebicite|correct|EBI}}
| ChEBI = 28946
| ChEMBL = 1114
| ChEMBL_Ref = {{ebicite|correct|EBI}}
| ChEMBL = 1114
 
<!--Chemical data-->| C = 7
| C=7H | H=8 | N=4 | O=2 8
| N = 4
| O = 2
| chemical_formula_ref =
| smiles = Cn1cnc2c1c(=O)[nH]c(=O)n2C
| StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI = 1S/C7H8N4O2/c1-10-3-8-5-4(10)6(12)9-7(13)11(5)2/h3H,1-2H3,(H,9,12,13)
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey = YAPQBXQYLJRXSA-UHFFFAOYSA-N
| synonyms = xantheose<br />diurobromine<br />3,7-dimethylxanthine<br />3,7-dihydro-3,7-dimethyl-1''H''-purine-2,6-dione
}}
 
Line 73 ⟶ 75:
| AutoignitionPt = }}
}}
'''Theobromine''', also known as '''xantheose''', is the principal [[alkaloid]] of ''[[Theobroma cacao]]'' (cacao plant).<ref name="pubchem">{{cite web |title=Theobromine |url=https://pubchem.ncbi.nlm.nih.gov/compound/5429 |publisher=PubChem, US National Library of Medicine |access-date=3 September 2022 |date=27 August 2022}}</ref> Theobromine is slightly water-[[solubility|soluble]] (330&nbsp;mg/L) with a bitter taste.<ref name=Hbk>{{cite book | vauthors = Smit HJ | chapter = Theobromine and the Pharmacology of Cocoa | title = Methylxanthines | series = Handbook of Experimental Pharmacology | volume = 200 | issue = <!-- none --> | pages = 201–234 | year = 2011 | pmid = 20859797 | doi = 10.1007/978-3-642-13443-2_7 | isbn = 978-3-642-13442-5 }}</ref> In industry, theobromine is used as an [[food additive|additive]] and precursor to some [[cosmetics]].<ref name=pubchem/> It is found in [[chocolate]], as well as in a number of other foods, including the[[tea]] leaves(''[[Camellia ofsinensis]]''), thesome American [[teaHolly|hollies]] plant,([[Ilex vomitoria|yaupon]] and [[Ilex guayusa|guayusa]]) and the [[kola nut]]. It is a white or colourless solid, but commercial samples can appear yellowish.<ref name=Hbk/>
 
==Structure==
Theobromine is a flat molecule,<ref name=Acta>{{cite journal |doi=10.1107/S0108270198009469|title=Methylxanthines. II. Anhydrous Theobromine |year=1998 | vauthors = Ford KA, Ebisuzaki Y, Boyle PD |journal=Acta Crystallographica Section C Crystal Structure Communications |volume=54 |issue=12 |pages=1980–1983 |bibcode=1998AcCrC..54.1980F }}</ref> a derivative of [[purine]]. It is also classified as a di[[methyl|dimethyl]] [[xanthine]].<ref name=Hbk/><ref name="envbeh-p200">{{cite book | title=Environment and Behavior | vauthors = Baer DM, Pinkston EM | year=1997 | publisher=Westview Press | page=[https://archive.org/details/environmentbehav0000unse/page/200 200] | isbn=978-0813331591 | url=https://archive.org/details/environmentbehav0000unse/page/200 }}</ref> Related compounds include [[theophylline]], [[caffeine]], [[paraxanthine]], and [[7-methylxanthine]], each of which differ in the number or placement of the methyl groups.<ref name=Hbk/>
 
==History==
Theobromine was first discovered in 1841<ref>{{cite book| vauthors = von Bibra E, Ott J |title=Plant Intoxicants: A Classic Text on the Use of Mind-Altering Plants|url=https://books.google.com/books?id=EWqhC4djXSQC&pg=PA67|date=1995|publisher=Inner Traditions / Bear & Co|isbn=978-0-89281-498-5|pages=67–|access-date=2015-12-12|archive-date=2019-09-18|archive-url=https://web.archive.org/web/20190918203121/https://books.google.com/books?id=EWqhC4djXSQC&pg=PA67|url-status=live}}</ref> in cacao beans by athe chemist [[Aleksandr Voskresensky|A. Woskresensky]].<ref>{{cite journal | vauthors = Woskresensky A | year = 1842 | title = Über das Theobromin | url = https://books.google.com/books?id=ZE09AAAAcAAJ&pg=PA125 | journal = Liebigs Annalen der Chemie und Pharmacie | volume = 41 | pages = 125–127 | doi = 10.1002/jlac.18420410117 | access-date = 2015-12-12 | archive-date = 2016-06-10 | archive-url = https://web.archive.org/web/20160610112332/https://books.google.com/books?id=ZE09AAAAcAAJ&pg=PA125 | url-status = live }}</ref> Synthesis of theobromine from [[xanthine]] was first reported in 1882 by [[Hermann Emil Fischer]].<ref name="historicalchemistry">{{cite book | title=Essays in Historical Chemistry | url=https://archive.org/details/b31350975_0002 | vauthors = Thorpe TE | year=1902 | publisher=The MacMillan Company }}</ref><ref>{{cite journal | vauthors = Fischer, Emil | year = 1882 | title = Umwandlung des Xanthin in Theobromin und Caffein | journal = Berichte der Deutschen Chemischen Gesellschaft | volume = 15 | issue = 1 | pages = 453–456 | doi = 10.1002/cber.18820150194 | url = https://zenodo.org/record/1425264 | access-date = 2019-09-09 | archive-date = 2019-05-05 | archive-url = https://web.archive.org/web/20190505192210/https://zenodo.org/record/1425264/files/article.pdf | url-status = live }}</ref><ref>{{ cite journal | vauthors = Fischer E |year=1882| title = Über Caffein, Theobromin, Xanthin und Guanin | url = https://zenodo.org/record/1427381| journal = Justus Liebigs Annalen der Chemie | volume = 215 | issue = 3| pages = 253–320 | doi = 10.1002/jlac.18822150302 }}</ref>
 
==Etymology==
''Theobromine'' is derived from ''[[Theobroma]]'', the name of the [[genus]] of the cacao tree, with the suffix ''-ine'' given to alkaloids and other [[base (chemistry)|basic]] nitrogen-containing compounds.<ref name="dict-ine">{{cite book | chapter = -ine | title = The American Heritage Dictionary of the English Language, Fourth Edition | publisher = [[Houghton Mifflin Company]] | year = 2004 | chapter-url = http://dictionary.reference.com/browse/-ine | isbn = 978-0-395-71146-0 | access-date = 2007-02-23 | archive-date = 2016-03-03 | archive-url = https://web.archive.org/web/20160303171459/http://dictionary.reference.com/browse/-ine | url-status = live }}</ref> That name in turn is made up of the [[Greek (language)|Greek]] roots ''theo'' ("[[god]]") and ''broma'' ("food"), meaning "food of the gods".<ref name="worldofcaffeine">{{cite book | vauthors = Bennett AW, Bealer BK | title = The World of Caffeine: The Science and Culture of the World's Most Popular Drug | publisher = [[Routledge]], New York | year = 2002 | isbn = 978-0-415-92723-9 | url = https://archive.org/details/worldofcaffeines00benn }} (note: the book incorrectly states that the name "theobroma" is derived from Latin)</ref>
 
Despite its name, the compound contains no [[bromine]], which is based on Greek ''bromos'' ("stench").{{Cn|date=May 2024}}
 
==Sources==
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There are approximately {{Convert|60|mg|abbr = off|0}} of theobromine in {{Convert|1|oz|order = flip}} of milk chocolate,<ref name="USDA db milk chocolate entry">{{cite web |url=http://ndb.nal.usda.gov/ndb/foods/show/5924?qlookup=milk+chocolate&offset=&format=Full#id-1 |title=USDA Nutrient database, entries for milk chocolate |access-date=2012-12-29 |archive-date=2017-07-08 |archive-url=https://web.archive.org/web/20170708121554/https://ndb.nal.usda.gov/ndb/foods/show/5924?qlookup=milk+chocolate&offset=&format=Full#id-1 |url-status=dead }}</ref> while the same amount of dark chocolate contains about {{Convert|200|mg|abbr = off|0}}.<ref name="USDA db dark chocolate entry">{{cite web |url=https://fdc.nal.usda.gov |title=USDA Nutrient database, entries for dark chocolate |access-date=2012-11-07 }}</ref> Cocoa beans naturally contain approximately 1% theobromine.<ref>{{cite journal | vauthors = Kuribara H, Tadokoro S | title = Behavioral effects of cocoa and its main active compound theobromine: evaluation by ambulatory activity and discrete avoidance in mice | journal = Arukoru Kenkyu to Yakubutsu Izon = Japanese Journal of Alcohol Studies & Drug Dependence | volume = 27 | issue = 2 | pages = 168–179 | date = April 1992 | pmid = 1586288 }}</ref>
 
Plant species and components with substantial amounts of theobromine are:<ref name="arsgrin-theobromine">{{cite web| url=https://phytochem.nal.usda.gov/phytochem/chemicals/show/17073?et=| title=Theobromine content in plant sources| publisher=Dr. Duke's Phytochemical and Ethnobotanical Databases, [[United States Department of Agriculture]]| date=6 February 2019| access-date=9 March 2019| archive-date=8 May 2019| archive-url=https://web.archive.org/web/20190508200500/https://phytochem.nal.usda.gov/phytochem/chemicals/show/17073?et=| url-status=dead}}</ref><ref name=":4">{{cite journal |vauthors=Crown PL, Emerson TE, Gu J, Hurst WJ, Pauketat TR, Ward T |date=August 2012 |title=Ritual Black Drink consumption at Cahokia |journal=Proc. Natl. Acad. Sci. U.S.A. |volume=109 |issue=35 |pages=13944–9 |doi=10.1073/pnas.1208404109 |pmc=3435207 |pmid=22869743 |doi-access=free}}</ref>
 
* ''[[Theobroma cacao]]'' &ndash; seed and [[Seed#Seed coat|seed coat]]
* ''[[Theobroma bicolor]]'' &ndash; seed coat
* ''[[Ilex paraguariensis]]'' &ndash; leaf
* ''[[Ilex guayusa]] &ndash; leaf''
* ''[[Ilex vomitoria]] &ndash; leaf''
* ''[[Camellia sinensis]]'' &ndash; leaf
 
Theobromine can also be found in trace amounts in the [[kola nut]], the [[guarana]] berry, [[yerba mate]] ([[Yerba Mate|''Ilex paraguariensis'']]), ''[[Ilex vomitoria]]'', ''[[Ilex guayusa]]'',<ref>{{cite journal | vauthors = Schuster J, Mitchell ES | title = More than just caffeine: psychopharmacology of methylxanthine interactions with plant-derived phytochemicals | journal = Progress in Neuro-Psychopharmacology & Biological Psychiatry | volume = 89 | pages = 263–274 | date = March 2019 | pmid = 30213684 | doi = 10.1016/j.pnpbp.2018.09.005 | s2cid = 52274913 | doi-access = free }}</ref> and the [[Camellia sinensis|tea plant]].<ref name="culthistplants">{{cite book | vauthors = Prance G, Nesbitt M | title=The Cultural History of Plants | publisher=Routledge | year=2004 | location=New York | pages=137, 175, 178–180 | isbn = 978-0-415-92746-8}}</ref>
 
The mean theobromine concentrations in cocoa and [[carob]] products are:<ref>{{cite web |title=FoodData Central |url=https://fdc.nal.usda.gov/fdc-app.html#/food-details/169593/nutrients |website=fdc.nal.usda.gov}}</ref><ref name=Craig1984>{{cite journal| vauthors = Craig WJ, Nguyen TT | year = 1984| title = Caffeine and theobromine levels in cocoa and carob products| journal = [[Journal of Food Science]]| volume = 49| issue = 1| pages = 302–303| doi = 10.1111/j.1365-2621.1984.tb13737.x| quote = Mean theobromine and caffeine levels respectively, were 0.695 mg/g and 0.071 mg/g in cocoa cereals; 1.47 mg/g and 0.152 mg/g in chocolate bakery products; 1.95 mg/g and 0.138 mg/g in chocolate toppings; 2.66 mg/g and 0.208 mg/g in cocoa beverages; 0.621 mg/g and 0.032 mg/g in chocolate ice creams; 0.226 mg/g and 0.011 mg/g in chocolate milks; 74.8 mg/serving and 6.5 mg/serving in chocolate puddings.... Theobromine and caffeine levels in carob products ranged from 0–0.504 mg/g and 0-0.067 mg/g, respectively.}}</ref>
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In the liver, theobromine is metabolized into [[xanthine]] and subsequently into [[methyluric acid]].<ref>{{cite journal | vauthors = Cornish HH, Christman AA | title = A study of the metabolism of theobromine, theophylline, and caffeine in man | journal = The Journal of Biological Chemistry | volume = 228 | issue = 1 | pages = 315–323 | date = September 1957 | doi = 10.1016/S0021-9258(18)70714-X | pmid = 13475320 | doi-access = free }}</ref> Important enzymes include [[CYP1A2]] and [[CYP2E1]].<ref>{{cite journal | vauthors = Gates S, Miners JO | title = Cytochrome P450 isoform selectivity in human hepatic theobromine metabolism | journal = British Journal of Clinical Pharmacology | volume = 47 | issue = 3 | pages = 299–305 | date = March 1999 | pmid = 10215755 | pmc = 2014222 | doi = 10.1046/j.1365-2125.1999.00890.x }}</ref> The elimination half life of theobromine is between 6 and 8 hours.<ref name="halflife1" /><ref name="halflife2" />
 
Unlike caffeine, which is highly water-soluble, theobromine is only slightly water-soluble and is more fat soluble, and thus peaks more slowly in the blood. While caffeine peaks after only 30 minutes, theobromine requires 2–3 hours to peak.<ref>{{cite journal | vauthors = Mumford GK, Benowitz NL, Evans SM, Kaminski BJ, Preston KL, Sannerud CA, Silverman K, Griffiths RR | display-authors = 6 | title = Absorption rate of methylxanthines following capsules, cola and chocolate | journal = European Journal of Clinical Pharmacology | volume = 51 | issue = 3–4 | pages = 319–325 | date = 1 December 1996 | pmid = 9010706 | doi = 10.1007/s002280050205 | s2cid = 8405909 }}</ref>
 
The primary mechanism of action for theobromine inside the body is inhibition of [[adenosine]] receptors.<ref name=Hbk/> Its effect as a [[phosphodiesterase inhibitor]]<ref name="PDEs-Essayan">{{cite journal | vauthors = Essayan DM | title = Cyclic nucleotide phosphodiesterases | journal = The Journal of Allergy and Clinical Immunology | volume = 108 | issue = 5 | pages = 671–680 | date = November 2001 | pmid = 11692087 | doi = 10.1067/mai.2001.119555 | doi-access = free }}</ref> is thought to be small.<ref name=Hbk/>
 
==Effects==
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====Toxicity====
At doses of 0.8–1.5 g/day (50–100 g cocoa), sweating, trembling and severe headaches were noted, with limited mood effects found at 250&nbsp;mg/day.<ref>{{Citecite web|url=https://toxnet.nlm.nih.gov/cgi-bin/sis/search2/r?dbs+hsdb%3A%40term+%40DOCNO+7332#permalink|title=3,7-Dimethylxanthine (Theobromine)|publisher=Toxnet, US National Library of Medicine|date=1 December 2017|access-date=13 November 2018|archive-date=7 October 2018|archive-url=https://web.archive.org/web/20181007145619/https://toxnet.nlm.nih.gov/cgi-bin/sis/search2/r?dbs+hsdb:@term+@DOCNO+7332#permalink|url-status=live}}</ref>
 
Also, chocolate may be a factor for [[heartburn]] in some people because theobromine may affect the [[Lower esophageal sphincter|esophageal sphincter]] muscle in a way that permits stomach acids to enter the [[esophagus]].<ref name="Latif">{{cite journal | vauthors = Latif R | title = Chocolate/cocoa and human health: a review | journal = The Netherlands Journal of Medicine | volume = 71 | issue = 2 | pages = 63–68 | date = March 2013 | pmid = 23462053 | url = http://www.njmonline.nl/getpdf.php?id=1269 }}</ref>
 
===Animals===
Theobromine is the reason chocolate is poisonous to dogs. Dogs and other animals that [[metabolize]] theobromine (found in chocolate) more slowly<ref>{{cite web|url=http://www.merckmanuals.com/vet/toxicology/food_hazards/chocolate.html|title=Chocolate – Toxicology – Merck Veterinary Manual|access-date=23 December 2017|archive-date=12 July 2014|archive-url=https://web.archive.org/web/20140712005049/http://www.merckmanuals.com/vet/toxicology/food_hazards/chocolate.html|url-status=live}}</ref> can succumb to theobromine poisoning from as little as {{convertcvt|50|g|oz}} of [[milk chocolate]] for a smaller dog and {{convertcvt|400|g|oz}}, or around nine {{Convertconvert|1.55|oz|order = flip|adj = on}} small milk chocolate bars, for an average-sized dog. The concentration of theobromine in dark chocolates (approximatelyabout {{Convertcvt|10|g/kg|abbr = on}}) is up to 10 times that of milk chocolate ({{Convertcvt|1|to|5|g/kg|abbr = on}}), meaning dark chocolate is far more toxic to dogs per unit weight or volume than milk chocolate.{{Cn|date=May The lethal dose of theobromine for dogs is 100-500mg/kg, therefore, a 10kg dog would need to consume a minimum of 200g of the most theobromine-rich (5g per kg) milk chocolate, or a maximum of 1kg (of theobromine-rich milk chocolate), to meet the lethal dose.2024}}
 
The [[median lethal dose]] of theobromine for dogs is {{cvt|100|–|200|mg/kg|}}; therefore, a {{cvt|10|kg|}} dog would need to consume a minimum of {{cvt|200|g|}} of the most theobromine-rich ({{cvt|5|g/kg|}}) dark chocolate, or a maximum of {{cvt|1|kg|}} (of theobromine-rich milk chocolate), to have a 50% chance of receiving a lethal dose. However, even {{cvt|40|g|}} of milk chocolate may induce vomiting and diarrhea.<ref>{{cite web |last1=Gwaltney-Brant |first1=Sharon |title=Chocolate Toxicosis in Animals |url=https://www.merckvetmanual.com/toxicology/food-hazards/chocolate-toxicosis-in-animals |website=Merck Veterinary Manual |publisher=Merck & Co., Inc. |access-date=24 December 2023}}</ref>
The same risk is reported for cats as well,<ref>{{cite web|url=http://aspcapro.org/sites/pro/files/m-toxbrief_0201_0.pdf|title=Chocolate intoxication| vauthors = Gwaltney-Brant S |website=Aspcapro.org|access-date=23 December 2017|archive-date=8 February 2017|archive-url=https://web.archive.org/web/20170208145634/http://aspcapro.org/sites/pro/files/m-toxbrief_0201_0.pdf|url-status=dead}}</ref> although cats are less likely to ingest sweet food, as cats lack [[Sweetness#The sweetness receptor|sweet taste receptors]].<ref name=wired>{{cite magazine|url=https://www.wired.com/2013/02/the-poisonous-nature-of-chocolate/|title=The Poisonous Chemistry of Chocolate|date=14 February 2013|magazine=WIRED|access-date=12 March 2017|archive-date=8 February 2017|archive-url=https://web.archive.org/web/20170208145832/https://www.wired.com/2013/02/the-poisonous-nature-of-chocolate/|url-status=live}}</ref> Complications include digestive issues, dehydration, excitability, and a slow heart rate. Later stages of theobromine poisoning include [[epilepsy|epileptic]]-like [[seizure]]s and death. If caught early on, theobromine poisoning is treatable.<ref name="healthwatchcanines">{{Cite news | title=HEALTH WATCH: How to Avoid a Canine Chocolate Catastrophe! | newspaper=The News Letter | location=Belfast, Northern Ireland | date=2005-03-01}}</ref> Although not common, the effects of theobromine poisoning can be fatal.
 
The same risk is reported for cats as well,<ref>{{cite web |url=http://aspcapro.org/sites/pro/files/m-toxbrief_0201_0.pdf |title=Chocolate intoxication | vauthors = Gwaltney-Brant S |publisher=[[American Society for the Prevention of Cruelty to Animals|ASPCA]] |website=Aspcaproaspcapro.org |access-date=23 December 2017 |archive-date=8 February 2017 |archive-url=https://web.archive.org/web/20170208145634/http://aspcapro.org/sites/pro/files/m-toxbrief_0201_0.pdf |url-status=dead}}</ref> although cats are less likely to ingest sweet food, as cats lack [[Sweetness#The sweetness receptor|sweet taste receptors]].<ref name=wired>{{cite magazine |url=https://www.wired.com/2013/02/the-poisonous-nature-of-chocolate/ |title=The Poisonous Chemistry of Chocolate |date=14 February 2013 |magazine=WIRED[[Wired (magazine)|Wired]] |access-date=12 March 2017 |archive-date=8 February 2017 |archive-url=https://web.archive.org/web/20170208145832/https://www.wired.com/2013/02/the-poisonous-nature-of-chocolate/ |url-status=live}}</ref> Complications include digestive issues, dehydration, excitability, and a slow heart rate. Later stages of theobromine poisoning include [[epilepsy|epileptic]]-like [[seizure]]s and death. If caught early on, theobromine poisoning is treatable.<ref name="healthwatchcanines">{{Citecite news | title=HEALTH WATCH: How to Avoid a Canine Chocolate Catastrophe! | newspaper=The News Letter | location=Belfast, Northern Ireland | date=2005-03-01}}</ref> Although not common, the effects of theobromine poisoning can be fatal.<ref name="wired" />
 
== See also ==
Line 187 ⟶ 193:
[[Category:Phosphodiesterase inhibitors]]
[[Category:Xanthines]]
[[Category:Human drug metabolites]]