What Is Wrong With Drinking Caffeine While Taking Antibiotics?

Certain medications may not mix well with other substances like caffeine. In fact, mixing coffee and antibiotics can lead to side effects or influence how well your medicine works.
So, can you drink coffee with antibiotics? Here's everything you need to know about combining caffeine and antibiotics.
If your doctor prescribes antibiotics, your morning cup of coffee or energy drink could influence its effectiveness. In some cases, it can increase the potency; in others, it may decrease it. Or it may not affect the antibiotic at all. In other cases, the antibiotic may increase the side effects of the caffeine.
Antibiotics Affecting Caffeine
Antibiotics are a type of medicine used to treat bacterial infections, according to MedlinePlus. But some of these medications can influence how caffeine affects your body.
For instance, certain antibiotics can actually stop your body from efficiently breaking down caffeine, which may enhance the potency of caffeine's effects.
According to MedlinePlus, mixing caffeine and antibiotics may lead to symptoms like jitters, racing heart, and trouble sleeping.
When in doubt, talk to your doctor. They'll let you know if you can drink coffee while taking antibiotics, if it would be better to reduce your caffeine intake, or if you should take your meds at a different time than your daily dose of caffeine.
Fluoroquinolones and Caffeine
Fluoroquinolones are antibiotics used to treat a variety of bacterial infections, and they're best taken without caffeine because they can intensify caffeine's side effects, according to the National Health Service.
This includes different types of fluoroquinolones like ciprofloxacin, levofloxacin, and gemifloxacin.
Taking ciprofloxacin puts you at risk for tendon problems and potentially lasting nerve damage, according to MedlinePlus. Only take it if your doctor prescribes it and follow their instructions to the letter — including avoiding caffeine — to minimize your chance of side effects.
Caffeine Affecting Antibiotics
If you drink a lot of coffee, tea, or energy drinks, or take caffeine pills, talk to your doctor about how your intake can affect your antibiotics' effectiveness.
That's because caffeine can potentially mess with the way your medication works. Research shows that caffeine can affect antibiotic potency.
Your best bet? If you're prescribed antibiotics, talk to your doctor about whether or not you should temporarily limit or quit caffeine to make sure you're taking your meds safely.
- MedlinePlus: “Ciprofloxacin”
- MedlinePlus: “Caffeine”
- Acta Biochim Pol: “In Vitro Pharmacological Interaction of Caffeine and First-Line Antibiotics Is Antagonistic Against Clinically Important Bacterial Pathogens”
- MedlinePlus: “Nitrofurantoin”
- MedlinePlus: “Antibiotics”
- National Health Service: “Interactions: Antibiotics”
- Trop J Pharm Res: “In Vitro Interaction Between Caffeine and Some Penicillin Antibiotics Against Staphylococcus aureus”
- PLoS Biology: “Systematic Screen Uncovers Regulator Contributions to Chemical Cues in Escherichia coli”

Stephanie Young Moss, PharmD
Medical Reviewer
Stephanie Young Moss, PharmD, has worked in pharmacy, community outreach, regulatory compliance, managed care, and health economics and outcomes research. Dr. Young Moss is the owner of Integrative Pharmacy Outcomes and Consulting, which focuses on educating underserved communities on ways to reduce and prevent health disparities. She uses her platform to educate families on ways to decrease and eliminate health disparities by incorporating wellness and mental health techniques.
Young Moss is the creator of the websites DrStephanieYoMo.com and MenopauseInColor.com, providing practical health and wellness tips and resources for women experiencing perimenopause and menopause. She has over 100,000 people in her social media communities. She has also contributed to Pharmacy Times and shared her views on international and national podcasts and local television news.
She has served on various boards for organizations that focus on health equity, decreasing implicit bias, addressing social determinants of health, and empowering communities to advocate for their health. She has also been on the boards for the Minority Health Coalition of Marion County and Eskenazi Health Center, for which she was the clinical quality committee chair and board secretary and is currently the board treasurer. She is a board member for Community Action of Greater Indianapolis.

Jenna Fletcher
Author
Jenna Fletcher is a writer with many years of experience in the health and wellness space. She is based in Coopersburg, Pennsylvania, where prior to transitioning to writing, Jenna taught group fitness classes, Pilates mat classes, and dance classes, and was a personal trainer. She is very interested in general health and wellness, but since experiencing a stillborn twin, Jenna has written extensively about women's health issues, including pregnancy complications and mental healthcare. Her work has appeared on a variety of outlets across the web including HuffPost, Insider, Medical News Today, Healthline, and more.