This sections deals with various medications that have not been covered elsewhere. You may list further medications in the notes box below.
838.
Blood Thinners: Are you currently using either Coumadin or Warfarin?
No / don't know
Yes
839.
Caffeine in powder, tablet or injection form (used to restore mental alertness or overcome drowsiness/weakness).
Never / don't know
Some use (under 1000mg per day) in the past only
Heavy use (over 1000mg per day) in the past only
Currently using some (under 1000mg per day)
Currently using high doses (over 1000mg per day)
Add any additional information here for the questions above:
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GLOSSARY
Caffeine A member of the family of chemicals that are called methyl xanthines. It is variously classified as a stimulant, an addictive substance, a performance-enhancing drug and a slimming aid. Sources of caffeine include drinks, foods and medications. Examples include coffee, tea, cola drinks, the new generation 'energy' drinks, chocolate, and many over-the-counter and prescription medications.
