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Five Halloween Treats That May Interact With Your Medications

KANIKA SINGH RATHORE, 30/10/202530/10/2025

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As Halloween As it approaches, the air is filled with excitement. Costumes have been planned, pumpkins have been carved, and promises of sweet treats are everywhere. But while indulging in chocolate and colorful candies may seem harmless, some ingredients in these festive favorites may cause trouble for people taking certain medications or suffering from specific health conditions.

From artificial sweeteners to liquorice and Chocolate, Halloween Sweeteners may interact with medications or worsen certain conditions in a way that may reduce their effectiveness or even cause harmful side effects. Here’s what the science says, and why you might want to take a look at your medicine cabinet before raiding the treat bowl.

1. Chocolate

Chocolate Treatments are available everywhere this time of year, but for people taking monoamine oxidase inhibitors (MAOIs), one of the older types of antidepressants, they may carry unexpected risks. MAOIs are usually prescribed when first-line antidepressants are not effective. These drugs work by blocking an enzyme in the body called monoamine oxidase, which helps control levels of brain chemicals associated with mood. When this enzyme is blocked, it also prevents the breakdown of a natural substance called tyramine, which is found in some foods such as chocolate, cheese, and cooked meat.

Too much chocolate may interfere with some of your medications

Too much chocolate may interfere with some of your medications ,AP,

When a person on an MAOI eats tyramine-rich foods such as chocolate, tyramine can increase to dangerous levels. This can cause the blood vessels to harden, leading to sudden and severe enlargement blood pressureWhich is a medical emergency that can be fatal if not treated.

Exactly how much chocolate is risky depends on the dose and type of MAOI, as well as the type of chocolate and your personal sensitivity. There’s no universally “safe” amount, but even small portions of dark chocolate, which contains more tyramine, can sometimes cause problems. Milk chocolate usually contains very little tyramine, but doctors usually recommend caution or avoidance, especially during the early stages of treatment or at high doses. If in doubt, it’s safest to check with your pharmacist or prescriber before getting involved.

2. Caffeine

includes chocolate caffeineA stimulant that may interact with medications used to treat attention-deficit hyperactivity disorder (adhd, WorryAnd heart problems.

caffeine and ADHD medications such as methylphenidate (Ritalin) are both nervous system stimulants, although they work in slightly different ways. Together they can intensify each other’s effects, causing nervousness, insomnia, and increased heart palpitations. This can make it difficult to manage ADHD symptoms effectively.

Caffeine may also reduce the calming effects of antidepressants and anti-anxiety medications such as selective serotonin reuptake inhibitors (SSRIs). it can increase blood pressure and heart rate, which can cause problems for people taking beta-blockers for heart disease.

Colors present in sweets can cause allergies in some people

Colors present in sweets can cause allergies in some people ,Getty/iStock,

A 50 gram bar of dark chocolate typically contains less than 25 mg of caffeine, while milk chocolate has less than 10 mg. It may not seem like much, but when mixed with coffee, tea or energy drinks, the caffeine content can add up quickly. The Food Standards Agency advises that up to 400 mg per day is unlikely to cause side effects for most adults.

However, the safe limit during pregnancy is much lower: no more than 200 mg (about two cups of instant coffee) per day. If it exceeds this, the risk of miscarriage and low birth weight increases. Sensitivity to caffeine may also vary depending on health conditions, medications, and individual metabolism, so people taking heart or mental health medications may need to be especially cautious.

3. Mulethi

Liquorice is the ultimate love-or-hate remedy. But if you are fond of it, it would be better if you eat it in small quantities. Black licorice contains glycyrrhizin, a natural compound that acts like the hormone aldosterone. This can lead to sodium accumulation in the body and potassium deficiency, leading to fluid retention, increased blood pressure and electrolyte imbalance.

These effects can be especially dangerous for people taking diuretics, antiarrhythmic medications, or blood pressure medications, and for people with kidney disease. Even a small amount of liquorice can make a difference. A 2024 study found that just 100 mg of glycyrrhizic acid per day could increase blood pressure. This is similar to the upper limit recommended by the World Health Organization. If you have heart or kidney disease, it’s safest to avoid large amounts. Liquorice flavored sweets that do not contain actual licorice are usually fine.

4. Artificial Sweeteners

Sugar-free sweeteners are often marketed as healthful, but they may have their own risks. Many contain artificial sweeteners like aspartame, which can be dangerous for people with phenylketonuria (PKU), a rare genetic disorder. Aspartame breaks down into a chemical called phenylalanine, which people with PKU can’t metabolize properly. Due to this, toxic substances accumulate which can damage brain cells.

About the author

Deepa Kamdar is a Senior Lecturer in Pharmacy Practice at Kingston University.

This article was first published Conversation And it is republished under a Creative Commons license. read the Original article.

Phenylalanine can also be indirectly converted to tyramine, meaning aspartame consumption may contribute to high tyramine levels. Like chocolate, it may interact with MAOI antidepressants and cause dangerous increases in blood pressure, although more research is needed to confirm this link.

5. Food coloring

Halloween sweets are known for their bright colors, but those vibrant colors often come from synthetic dyes like Red 40, Yellow 5 and Blue 1. These dyes have been linked to hypersensitivity reactions including hives, wheezing and itching. One study found that people who are allergic to aspirin may be more likely to react to Yellow 5.

For anyone taking antihistamines, these colors may make things worse. They don’t chemically clash with the drug, but they can cause the body to release histamine – the same substance that antihistamines themselves use to block or provoke allergic reactions. To make matters worse, some antihistamines also contain artificial colors, so the treatment may perpetuate the problem.

Research has also found a link between artificial food colors and increased hyperactivity in some children.

A few sweets won’t ruin your night, but if you take medications or have any medical conditions, it’s worth being careful. Read ingredient labels, limit your intake of chocolate, sugar-free sweets, or licorice, and check with your doctor or pharmacist if you’re unsure.

After all, the scariest part of Halloween should be the costumes, not what’s hidden in your sweets.

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