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It involves paranoid delusions, hallucinations (often tactile, such as the sensation of insects crawling under the skin), severe anxiety, agitation, and in some cases violent or erratic behavior

The nicotine buzz also produces notable cognitive effects

You may experience a wide range of reactions from your team members

When caffeine is added to the equation, the likelihood (and severity) of adverse effects is multiplied, due most likely to the fact that PPA can produce dramatic increases in blood caffeine levels.14 Cases have been reported where individuals suffered manic psychosis after ingesting caffeine and PPA.15 The effects of the widely consumed drugs caffeine and phenylpropanolamine are mediated through activation of the central and sympathetic nervous systems