

Apnicaf 10mg Injection
Caffeine (10mg)
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Apnicaf 10mg Injection is a prescription medicine used in the treatment of apnea (a disorder in which breathing repeatedly stops and starts) of prematurity. It facilitates normal breathing and reduces interrupted breathing in premature newborns.
Written By Dr. Sakshi Jain, MS, BDS,
Reviewed By Dr. Rajeev Sharma, MBA, MBBS,
Last updated on 17 Dec 2025 | 04:35 PM (IST)
Written By Dr. Sakshi Jain, MS, BDS,
Reviewed By Dr. Rajeev Sharma, MBA, MBBS,
Last updated on 17 Dec 2025 | 04:35 PM (IST)
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General Information
The content is shown in English



Product introduction
Apnicaf 10mg Injection is given under the supervision of healthcare professionals. Remember, if you are breastfeeding while your infant is treated with this medicine, then do not drink coffee or take any other high caffeine product as this passes into breast milk.
Some common side effects of this medicine include mild delirium, insomnia, frequent urge to urinate, dehydration, tachycardia, and fever. Consult your doctor if these do not go away or persist for a longer duration. They may be able to suggest ways to prevent or reduce the side effects.
Uses of Apnicaf Injection
- Apnea of prematurity
Benefits of Apnicaf Injection
Apnea of prematurity
In a premature baby, the part of the brain that controls breathing is not mature enough for nonstop breathing. This causes large bursts of breath followed by periods of shallow breathing or stopped breathing. This is called apnea or breathing trouble of prematurity. Apnicaf 10mg Injection helps to stimulate those areas of the brain that control breathing and normalise it. It is given as an injection by a doctor or nurse.
In a premature baby, the part of the brain that controls breathing is not mature enough for nonstop breathing. This causes large bursts of breath followed by periods of shallow breathing or stopped breathing. This is called apnea or breathing trouble of prematurity. Apnicaf 10mg Injection helps to stimulate those areas of the brain that control breathing and normalise it. It is given as an injection by a doctor or nurse.
Side effects of Apnicaf Injection
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Apnicaf
- Delirium (acute confusional state)
- Dehydration
- Fever
- Insomnia (difficulty in sleeping)
- Frequent urge to urinate
How to use Apnicaf Injection
Your doctor or nurse will give you this medicine. Kindly do not self administer.
How Apnicaf Injection works
Apnicaf 10mg Injection is a stimulant. It works by blocking the action of certain natural substances (adenosine and phosphodiesterase) leading to stimulation of the brain and respiratory system in premature newborns. This reduces the number of episodes of interrupted breathing and helps the newborns breathe on their own.
Quick tips
- Apnicaf 10mg Injection helps in the treatment of interrupted breathing in premature babies.
- It is given as an injection (drip) by your doctor or nurse.
- If you are breast-feeding while your infant is treated with Apnicaf 10mg Injection, do not drink coffee or take any other high caffeine product as caffeine passes into breast milk.
Safety advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Apnicaf 10mg Injection

Pregnancy
CONSULT YOUR DOCTOR
The safety of Apnicaf 10mg Injection during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.

Breast feeding
CAUTION
Apnicaf 10mg Injection should be used with caution during breastfeeding. Breastfeeding should be held until the treatment of the mother is completed and the drug is eliminated from the body.

Driving
UNSAFE
Apnicaf 10mg Injection may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney
CONSULT YOUR DOCTOR
There is limited data available on the use of Apnicaf 10mg Injection in patients with kidney disease. Please consult your doctor.

Liver
CONSULT YOUR DOCTOR
There is limited data available on the use of Apnicaf 10mg Injection in patients with liver disease.
Interaction with drugs
Taking Apnicaf with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Moderate
Phenobarbitone (Oral Route)
It is recommended to avoid Caffeine after taking Phenobarbitone, especially at bedtime. Caffeine may reduce the efficacy of Phenobarbitone.
Moderate
Leflunomide (Oral Route)
Your doctor may monitor the effects of Leflunomide when taken concurrently with Caffeine. Caffeine may reduce blood levels of Leflunomide.
Moderate
Adenosine (Oral Route)
It is recommended to avoid Caffeine for at least 24 hours before taking Adenosine. Please consult your doctor accordingly. Caffeine may reduce the efficacy of Adenosine.
Moderate
Axitinib (Oral Route)
If concurrent use is essential, watch out for symptoms such as acute confusional state, difficulty in sleeping, frequent urge to urinate or fever and consult your doctor if you experience them. They may adjust the doses as per the observations. Axitinib may raise blood levels of Caffeine.
Moderate
Amoxapine (Oral Route)
Talk to your doctor if you notice any unusual symptoms. Your doctor may adjust the dose if required.
Frequently asked questions
Apnicaf 10mg Injection is a medicine given to premature babies who have apnea of prematurity. This condition causes infants to stop breathing for short periods because their breathing system is not fully developed. Apnicaf 10mg Injection helps stimulate the baby’s brain and lungs to improve breathing.
Apnicaf 10mg Injection works by stimulating the central nervous system and the baby’s breathing center. It makes the brain more responsive to carbon dioxide and helps reduce episodes where the baby stops breathing. It also improves muscle tone and decreases fatigue of the diaphragm, the muscle that controls breathing.
Apnicaf 10mg Injection should not be given to infants who are allergic or hypersensitive to caffeine, or any of the ingredients in the medicine. If a baby has shown any allergic reaction to caffeine in the past, this medicine should be avoided.
One of the most serious risks linked to Apnicaf 10mg Injection is necrotizing enterocolitis (a life-threatening bowel condition) that has been reported in premature babies during clinical studies. Because of this, babies receiving this medicine must be closely monitored for abdominal bloating, vomiting, bloody stools, or sudden changes in energy levels.
No, Apnicaf 10mg Injection is meant only for short-term treatment of apnea of prematurity, typically for ten to twelve days. Its safety and effectiveness for long-term use, or for other conditions such as sudden infant death syndrome (SIDS), have not been proven.
Before starting Apnicaf 10mg Injection treatment, doctors should rule out other possible causes of apnea, such as infections, anemia, or lung disease. They may also need to check caffeine levels in babies who were previously given theophylline, or whose mothers consumed caffeine before delivery, since these can affect blood caffeine levels.
While the baby is on Apnicaf 10mg Injection treatment, parents or caregivers should immediately contact the doctor if the baby develops a swollen belly, vomiting, bloody stools, unusual sleepiness, or seems unwell. These may be signs of serious complications such as necrotizing enterocolitis.
Fact Box
Chemical Class
Xanthine derivative
Habit Forming
No
Therapeutic Class
CARDIAC
Action Class
Adenosine receptor (A1 & A2) antagonist
References
- O’Brien CP. Drug Addiction. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 663.
- Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 179-83.
- Tulane University: School of Medicine. Caffeine. [Accessed 29 Jan. 2019] (online) Available from:
- Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Caffeine. [Updated 2019 Jun 30]. [Accessed 20 Feb. 2020] (online) Available from:

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
Marketer details
Name: Abbott
Address: 16th Floor, Godrej BKC, Plot – C, “G” Block, Bandra-Kurla Complex, Bandra (East), Mumbai – 400 051, India
Address: 16th Floor, Godrej BKC, Plot – C, “G” Block, Bandra-Kurla Complex, Bandra (East), Mumbai – 400 051, India
Vendor Details
Country of origin: India
A licensed vendor partner from your nearest location will deliver Apnicaf 10mg Injection. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
A licensed vendor partner from your nearest location will deliver Apnicaf 10mg Injection. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
In case of any issues, contact us
Email ID: [email protected]Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
Lab tests offered by us
- CBC (Complete Blood Count)
- FBS (Fasting Blood Sugar)
- Thyroid Profile Total (T3, T4 & TSH)
- HbA1c (Glycosylated Hemoglobin)
- PPBS (Postprandial Blood Sugar)
- Lipid Profile
- Vitamin D (25-Hydroxy)
- Urine R/M (Urine Routine & Microscopy)
- Coronavirus Covid -19 test- RT PCR
- LFT (Liver Function Test)
- KFT (Kidney Function Test)
- TSH (Thyroid Stimulating Hormone) Ultrasensitive
- ESR (Erythrocyte Sedimentation Rate)
- Uric Acid, Serum
- Vitamin B12
- CRP (C-Reactive Protein), Quantitative
- Urine C/S (Urine Culture and Sensitivity)
- Serum Electrolytes
- Serum Calcium
- Serum Creatinine
- Diabetes Screening (HbA1C & Fasting Sugar)
- KFT with Electrolytes (Kidney Function Test with Electrolytes)
- Cholesterol - Total
- Hb (Hemoglobin)
- Complete Hemogram (CBC & ESR)
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