Theobromine

Also called 3,7-dimethylxanthine.

The short answer

From 17 sources

Theobromine is the caffeine-like compound in cocoa. At 850 mg a day it raised HDL cholesterol in a 152-person trial (grade B), but 500 mg a day did not raise HDL in people with low HDL and worsened after-meal glucose. Food-level doses did not change mood or alertness, and near 1,000 mg it raised blood pressure and heart rate.

Key facts

What it is
3,7-dimethylxanthine (C7H8N4O2), a methylxanthine like caffeine with considerably weaker pharmacological effects, according to a toxicology review12
How much is in chocolate
About 250 mg of theobromine with 19 mg of caffeine in a 50 g chocolate bar, the amount used in one liking experiment; a cocoa drink in another trial provided 150 mg103
Strongest human evidence
HDL cholesterol (B): 850 mg a day of pure theobromine raised HDL by 0.16 mmol/L in 4 weeks in 152 healthy adults, while cocoa itself did not3
Mixed lipid results
In 44 people with low HDL, 500 mg a day lowered LDL by 0.21 mmol/L but did not significantly raise HDL, raised hsCRP and worsened after-meal glucose and insulin4
Blood pressure
A drink with 979 mg theobromine raised 24-hour systolic pressure by 3.2 mm Hg vs placebo in 42 people with high-normal pressure, though central pressure was lower 2 hours after6
Mood and alertness
100 to 400 mg did not change mood or vigilance in 24 men; in 80 adults, 250 mg had limited effects and higher doses worsened mood and raised heart rate98
Cough
In a small placebo-controlled study, theobromine reduced capsaicin-induced cough without adverse effects; it is not an approved cough medicine12

What it is

Theobromine is a methylxanthine found in high levels in cocoa and chocolate, a weaker chemical relative of caffeine.

How it works

Proposed

Theobromine is a methylxanthine that, like caffeine, crosses the blood-brain barrier and binds adenosine receptors, but its pharmacological effects are considerably weaker than those of caffeine or theophylline. In laboratory work it inhibited activation of cough-sensing (vagal) nerves. How it raises HDL cholesterol at high doses is not established; it did not improve HDL-mediated cholesterol efflux in one crossover trial.921211

Forms side by side: cocoa, pure theobromine and blends

3 forms named in our sources. The rest show what our data holds, and say plainly where it holds nothing yet.

Theobromine forms compared

3 forms
Theobromine forms compared: 3 forms by 3 attributes. Empty cells are labelled No data yet, or Not graded in the evidence row.
3 formsCocoa and dark chocolatePure theobromine capsules or powderIn combination products
Absorption in peopleA cocoa drink naturally providing 150 mg theobromine did not raise HDL, and natural-dose cocoa (106 mg) did not change blood pressure.36Raised saliva theobromine dose-dependently from 100 to 400 mg.9No head-to-head human data.13
GI toleranceComes with caffeine (about 19 mg per 50 g chocolate in the cited study) and the food's sugar and fat.10Doses above 250 mg worsened mood and raised heart rate in one trial; 979 mg a day raised 24-hour blood pressure.86No adverse effects reported in the citrate trial abstract.13
Studied forLiking for chocolate; lipid and blood-pressure trials as the cocoa armHDL cholesterol (B at 850 mg); lipids and vessels (C at 450 to 500 mg)Uric acid crystallization (no significant benefit over citrate, D)
  1. Cocoa and dark chocolate
    Absorption in people
    A cocoa drink naturally providing 150 mg theobromine did not raise HDL, and natural-dose cocoa (106 mg) did not change blood pressure.36
    GI tolerance
    Comes with caffeine (about 19 mg per 50 g chocolate in the cited study) and the food's sugar and fat.10
    Studied for
    Liking for chocolate; lipid and blood-pressure trials as the cocoa arm
  2. Pure theobromine capsules or powder
    Absorption in people
    Raised saliva theobromine dose-dependently from 100 to 400 mg.9
    GI tolerance
    Doses above 250 mg worsened mood and raised heart rate in one trial; 979 mg a day raised 24-hour blood pressure.86
    Studied for
    HDL cholesterol (B at 850 mg); lipids and vessels (C at 450 to 500 mg)
  3. Theobromine in combination products
    Absorption in people
    No head-to-head human data.13
    GI tolerance
    No adverse effects reported in the citrate trial abstract.13
    Studied for
    Uric acid crystallization (no significant benefit over citrate, D)
Every cell holds data from a cited page; citation numbers link to the page that holds them.Scroll the table for every column

What the human research says

Human trials only, one row per outcome. The form line shows what each trial actually tested. Grades follow our evidence-grading policy.

Trial map

8 graded outcomes, largest study first

8 graded outcomes: 2 improved, 3 mixed, 3 no effect. The largest, a 2013 randomized trial of 152 people on HDL cholesterol in healthy adults, found an improvement.

1HDL cholesterol in healthy adults

Improved · Grade B · RCT, 152 people, 2013

Healthy men and women aged 40 to 70 at two centres (factorial design)

Dose, result and source
Every graded outcome on this page, largest study first
OutcomeFoundPeopleStudyWho was studied
HDL cholesterol in healthy adultsImproved152Grade B · RCT, 2013Healthy men and women aged 40 to 70 at two centres (factorial design)
Mood, alertness and heart rate across dosesMixed80Grade C · Crossover RCT, 2013Healthy adults (within-subject design)
Waist and cholesterol ratios with a low-calorie dietImproved72Grade C · RCT, 2023Overweight or obese adults aged 40 to 55 with metabolic syndrome (80 randomized)
Uric acid crystallization risk with citrate plus theobromineNo effect47Grade D · Crossover RCT, 2020Patients with uric acid kidney stones
Blood vessel function in overweight and obese adultsNo effect44Grade C · Crossover RCT, 2019Overweight (30) and obese (14) men and women with low HDL cholesterol
Fasting and after-meal lipids and glucose in people with low HDLMixed44Grade C · Crossover RCT, 2018Healthy men and women with low HDL cholesterol
24-hour and central blood pressure (theobromine-enriched cocoa)Mixed42Grade C · Crossover RCT, 2010Healthy adults (mean age 62, 32 men) with office pressure 130 to 159/85 to 99 mm Hg
Mood and vigilance at food-level dosesNo effect24Grade D · Crossover RCT, 2013Young men (mean age 23)
Each circle is one graded outcome on this page, numbered from the largest study down, and placed by how many people it studied (log scale). It shows who was studied and what was found, not advice about your dose.

Every graded row

8 rows

Showing 8 of 8 outcomes. Human trials only.

Grade BHDL cholesterol in healthy adultsCholesterolHDL +0.16 mmol/LRCT
n 152 · 2013

Improved Theobromine raised HDL cholesterol by 0.16 mmol/L (P < 0.0001) and apolipoprotein A-I, and lowered apolipoprotein B and LDL cholesterol; cocoa itself had no significant effect on HDL and there was no interaction.

Design
RCT, n = 152, 2013
Population
Healthy men and women aged 40 to 70 at two centres (factorial design)
Form
Pure theobromine (850 mg) and/or cocoa (150 mg natural theobromine) vs placebo drink
Dose
850 mg/day pure theobromine; 1,000 mg/day with cocoa
Duration
4 weeks
Source
Reference 3 · PubMed 23595874 (opens PubMed)
Grade CMood, alertness and heart rate across dosesMood and alertnessWorse mood above 250 mgCrossover RCT
n 80 · 2013

Mixed Theobromine had limited subjective effects at 250 mg and negative mood effects at higher doses, and raised heart rate dose-dependently; caffeine had its expected alerting effects.

Design
Crossover RCT, n = 80, 2013
Population
Healthy adults (within-subject design)
Form
Theobromine 250, 500 or 1,000 mg vs placebo, with 200 mg caffeine as active control
Dose
Single doses of 250, 500 and 1,000 mg
Duration
Single test sessions
Source
Reference 8 · PubMed 23420115 (opens PubMed)
Grade CWaist and cholesterol ratios with a low-calorie dietCholesterolWaist −0.86 cm; HDL +1.72 mg/dLRCT
n 72 · 2023

Improved Compared with placebo, waist circumference fell 0.86 cm more, HDL rose 1.72 mg/dL and LDL/HDL, TG/HDL and TC/HDL ratios fell. Weight, BMI, blood pressure, total and LDL cholesterol, glucose and insulin did not differ.

Design
RCT, n = 72, 2023
Population
Overweight or obese adults aged 40 to 55 with metabolic syndrome (80 randomized)
Form
Pure theobromine vs placebo, both with a low-calorie diet
Dose
450 mg/day
Duration
12 weeks
Source
Reference 7 · PubMed 37615657 (opens PubMed)
Grade CFasting and after-meal lipids and glucose in people with low HDLCholesterolLDL −0.21 mmol/L; HDL n.s.Crossover RCT
n 44 · 2018

Mixed Theobromine lowered fasting LDL cholesterol (−0.21 mmol/L) and apoB100, did not significantly raise HDL (+0.03 mmol/L, P = 0.088) and raised hsCRP (+1.2 mg/L). After a meal, glucose, insulin and free fatty acids were higher with theobromine.

Design
Crossover RCT, n = 44, 2018
Population
Healthy men and women with low HDL cholesterol
Form
Theobromine vs placebo
Dose
500 mg/day
Duration
4 weeks per period
Source
Reference 4 · PubMed 28645636 (opens PubMed)
Grade CBlood vessel function in overweight and obese adultsBlood vesselsNo FMD changeCrossover RCT
n 44 · 2019

No effect Theobromine did not improve fasting or after-meal flow-mediated dilation or other endothelial measures; it lowered central augmentation index (−1.7 points) and after a meal widened the brachial artery slightly.

Design
Crossover RCT, n = 44, 2019
Population
Overweight (30) and obese (14) men and women with low HDL cholesterol
Form
Theobromine vs placebo
Dose
500 mg/day
Duration
4 weeks per period
Source
Reference 5 · PubMed 29330660 (opens PubMed)
Grade C24-hour and central blood pressure (theobromine-enriched cocoa)Blood pressure+3.2 mm Hg 24-h systolic at 979 mgCrossover RCT
n 42 · 2010

Mixed Theobromine-enriched cocoa raised 24-hour ambulatory systolic pressure by 3.2 mm Hg vs placebo (P < 0.01) but lowered central systolic pressure by 4.3 mm Hg 2 hours after a dose. Natural-dose cocoa changed neither.

Design
Crossover RCT, n = 42, 2010
Population
Healthy adults (mean age 62, 32 men) with office pressure 130 to 159/85 to 99 mm Hg
Form
Flavanol-rich cocoa with 106 mg (natural) or 979 mg theobromine vs placebo dairy drink
Dose
106 mg or 979 mg theobromine daily
Duration
3 weeks per period
Source
Reference 6 · PubMed 20823377 (opens PubMed)
Grade DUric acid crystallization risk with citrate plus theobromineKidney stonesNo significant difference vs citrateCrossover RCT
n 47 · 2020

No effect Both treatments lowered the risk of uric acid crystallization from baseline; it was lower with citrate plus theobromine, but the difference was not significant.

Design
Crossover RCT, n = 47, 2020
Population
Patients with uric acid kidney stones
Form
Citrate plus theobromine vs citrate alone
Dose
As in the trial supplements
Duration
Two treatment periods
Source
Reference 13 · PubMed 32645831 (opens PubMed)
Grade DMood and vigilance at food-level dosesMood and alertnessNo change in mood or vigilanceCrossover RCT
n 24 · 2013

No effect At every dose theobromine failed to consistently affect mood or vigilance, while 100 mg of caffeine reduced fatigue and increased vigour.

Design
Crossover RCT, n = 24, 2013
Population
Young men (mean age 23)
Form
Theobromine 100, 200 or 400 mg in a cocoa drink vs controls, with 100 mg caffeine as positive control
Dose
Single doses of 100, 200 and 400 mg
Duration
Six test sessions with a 2-hour vigilance task
Source
Reference 9 · PubMed 23764688 (opens PubMed)

What the numbers add up to

Each point is worked out from the data and the sources numbered on this page, with the arithmetic shown under it. It adds no new data and is not medical advice.

The HDL dose is several chocolate bars

The 850 mg a day that raised HDL is about 3.4 times the theobromine estimated in a 50 g chocolate bar.310

How we got this: 850 ÷ 250 = 3.4

Two HDL results, two populations

850 mg a day raised HDL by 0.16 mmol/L in healthy adults aged 40 to 70, while 500 mg a day changed HDL by only 0.03 mmol/L (not significant) in people starting with low HDL.34

How we got this: Neufingerl 2013 vs Smolders 2018

Studied doses

Doses used in research, shown against the official limits. They describe the studies, not a recommendation for you.

Studied doses in research, not advice. These are amounts used in research, not personal advice. Your clinician or pharmacist can say what fits you.

Doses studied in human trials

Doses studied in human trials ranged from 100 mg single doses for mood and vigilance to 1,000 mg a day with cocoa for 4 weeks. Lipid and vascular trials used 450 to 500 mg a day for 4 to 12 weeks and 850 mg a day for 4 weeks; the blood-pressure trial used 979 mg a day for 3 weeks. These are research amounts, not product directions.93746

When trials measured an effect

3 outcomes
How long trials ran before effects were measured
OutcomeMeasured atBasis
HDL cholesterolMeasured at 4 weeksTwo-centre randomized trial (850 mg/day)3
Blood pressure24-hour pressure at 3 weeks; central pressure 2 hours after a doseCrossover trial (979 mg/day)6
Mood and heart rateWithin single test sessionsDose-ranging crossover trials89
When each outcome was assessed in the cited trials. It is not a promise of when anyone will notice a change.

Interactions and safety

Published interactions only: each row cites a source. No row means none was found in our sources, not that a combination is safe.

What Theobromine meets

1 cited row

Medicines 0

No medicine rows in our sources.

Theobromine0 medicines · 1 supplement

Supplements and foods 1

  • Reference summary
Rows as our evidence profiles cite them; links stay on this site. Line weight shows what backs a row, not how serious an interaction is. No line means none was found in our sources, not that a combination is safe. Not medical advice: ask your pharmacist.

Interactions

1 agent
Published interactions, grouped by kind
AgentWhat the source saysEvidence
Other supplements1
Caffeine and other stimulantse.g. caffeine, theophylline, caffeinated pre-workoutsA toxicology review of the methylxanthine family found that combined exposure, documented mainly for caffeine with theophylline at large doses, may potentiate toxic effects. No trial has tested theobromine supplements combined with caffeine.2Review

Check with what you take

Kept on this device only

Add what you take. We list every interaction our evidence profiles cite between Theobromine and your picks, and between your picks.

Most cited:

Add a supplement or medicine you take to check it against Theobromine.

Starting from one medicine? The interaction checker rates how serious each pair is, on a curated list of 19 entries for 11 medicines. This cabinet has no severity rating: it lists every interaction row our supplement pages cite.

Not medical advice, and no dosing advice. An empty result means no row we cite names that pair, by name or through a drug class we can link the medicine to, not that a combination is safe. Where our sources name only a group of medicines we cannot match, the cabinet says so. Ask your pharmacist before you combine supplements and medicines.

Who should be careful

7 groups
High blood pressure
About 1,000 mg a day raised 24-hour systolic pressure by 3.2 mm Hg in people with high-normal or mildly raised pressure.6
Heart rhythm concerns
Theobromine raised heart rate in a dose-dependent way in healthy volunteers.8
Blood sugar
500 mg a day for 4 weeks raised after-meal glucose and insulin and hsCRP in people with low HDL.4
Caffeine stacking
A toxicology review notes that combined methylxanthine exposure (such as caffeine with theophylline) can potentiate toxic effects; chocolate itself contains both theobromine and caffeine.210
Pregnancy
No trial has tested theobromine supplements in pregnancy. In 131 pregnant women, 30 g a day of high-theobromine chocolate for 12 weeks did not change uterine artery blood flow compared with low-theobromine chocolate; in rabbits, theobromine at 125 mg/kg a day or more lowered fetal weight and increased malformations. Ask your clinician before taking it while pregnant.1415
Breastfeeding
Theobromine passes into breast milk. When 6 nursing mothers ate milk chocolate containing 240 mg of theobromine, milk levels peaked at about 5.3 mg/L after 2.7 hours. LactMed says low chocolate intake is not a problem but extreme amounts can affect the infant: one newborn whose mother ate about 250 g of cocoa and chocolate a day was jittery and irritable until she cut back. No data exist for theobromine supplements.17
Dogs and other pets
Theobromine is the main toxin in chocolate poisoning of dogs. Of 156 dogs seen after eating chocolate at a Berlin clinic, 44 had signs such as agitation, tremor, vomiting and a racing heart, mostly after dark chocolate; 43 survived with treatment. Keep theobromine capsules and powders where pets cannot reach them.16
Talk to your pharmacist or clinician before starting a supplement, especially if you take prescription medicines.

How to read the label

What to check on the Supplement Facts panel.

How to read the label

2 checks
Milligrams of theobromine

Trials used 100 mg to 1,000 mg. For scale, 50 g of chocolate was estimated at about 250 mg of theobromine.9310

Caffeine in the same product

Check the caffeine amount too: chocolate contains both, about 19 mg of caffeine with 250 mg of theobromine per 50 g in one study.10

Frequently asked questions

Short answers to common questions; the numbers link to the sources below.

Common questions

8 answers
Does theobromine raise HDL cholesterol?

At 850 mg a day it raised HDL by 0.16 mmol/L in 152 healthy adults over 4 weeks (grade B). At 500 mg a day in people with low HDL, HDL did not rise significantly, though LDL fell.34

Does theobromine lower blood pressure?

Not in the trials we found: about 1,000 mg a day raised 24-hour systolic pressure by 3.2 mm Hg, natural cocoa amounts had no effect, and 450 mg a day with a diet did not change pressure.67

Can theobromine improve focus or energy?

Not at food-level doses: 100 to 400 mg did not change mood or vigilance. Above 250 mg, one trial found worse mood and a higher heart rate.98

Does theobromine help a cough?

A small placebo-controlled study found it reduced cough triggered by capsaicin, and lab work showed it calms cough-sensing nerves. It is not an approved cough medicine, and larger trials were not found in our sources.12

Does theobromine help weight loss?

In 72 adults with metabolic syndrome on a low-calorie diet, 450 mg a day trimmed waist size by 0.86 cm more than placebo but did not change body weight.7

Is theobromine safe?

A toxicology review describes its effects as considerably weaker than caffeine's. In trials, higher doses raised heart rate and 24-hour blood pressure and worsened after-meal glucose. It passes into breast milk, and no trial has tested supplements in pregnancy. It is the main toxin in chocolate poisoning of dogs.286171416

How much theobromine is in chocolate?

One study estimated about 250 mg of theobromine and 19 mg of caffeine in a 50 g bar; a cocoa drink in another trial naturally provided 150 mg.103

Is theobromine like caffeine?

It is a close chemical relative and binds the same adenosine receptors, but its effects are considerably weaker. At 100 to 400 mg it did not change mood or vigilance, while 100 mg of caffeine did.92

Sources

17 sources: trial abstracts, NIH fact sheets and reference databases. Numbers in the text link here.

Sources cited on this page

17 sources
  1. 1PubChem compound summary: Theobromine (CID 5429)Database National Library of Medicine, 2026 · pubchem.ncbi.nlm.nih.gov
  2. 2Methylxanthines: toxicity to humans. 3. Theobromine, paraxanthine and the combined effects of methylxanthines.Review Food Chem Toxicol, 1988 · PMID 3058562
  3. 3Effect of cocoa and theobromine consumption on serum HDL-cholesterol concentrations: a randomized controlled trial.RCT Am J Clin Nutr, 2013 · PMID 23595874
  4. 4Theobromine does not affect postprandial lipid metabolism and duodenal gene expression, but has unfavorable effects on postprandial glucose and insulin responses in humans.Crossover RCT Clin Nutr, 2018 · PMID 28645636
  5. 5Theobromine consumption does not improve fasting and postprandial vascular function in overweight and obese subjects.Crossover RCT Eur J Nutr, 2019 · PMID 29330660
  6. 6Effects on peripheral and central blood pressure of cocoa with natural or high-dose theobromine: a randomized, double-blind crossover trial.Crossover RCT Hypertension, 2010 · PMID 20823377
  7. 7Theobromine supplementation in combination with a low-calorie diet improves cardiovascular risk factors in overweight and obese subjects with metabolic syndrome: a randomized controlled trial.RCT Food Funct, 2023 · PMID 37615657
  8. 8Psychopharmacology of theobromine in healthy volunteers.Crossover RCT Psychopharmacology (Berl), 2013 · PMID 23420115
  9. 9Effects of theobromine and caffeine on mood and vigilance.Crossover RCT J Clin Psychopharmacol, 2013 · PMID 23764688
  10. 10Reinforcing effects of caffeine and theobromine as found in chocolate.RCT Psychopharmacology (Berl), 2005 · PMID 15772863
  11. 11Theobromine Does Not Affect Fasting and Postprandial HDL Cholesterol Efflux Capacity, While It Decreases Fasting miR-92a Levels in Humans.Crossover RCT Mol Nutr Food Res, 2018 · PMID 29797695
  12. 12Theobromine inhibits sensory nerve activation and cough.RCT FASEB J, 2005 · PMID 15548587
  13. 13Comparison of Two Dietary Supplements for Treatment of Uric Acid Renal Lithiasis: Citrate vs. Citrate + Theobromine.Crossover RCT Nutrients, 2020 · PMID 32645831
  14. 14High-flavanol and high-theobromine versus low-flavanol and low-theobromine chocolate to improve uterine artery pulsatility index: a double blind randomized clinical trial.RCT J Matern Fetal Neonatal Med, 2017 · PMID 27696933
  15. 15Evaluation of the teratogenic potential of cocoa powder and theobromine in New Zealand White rabbits.Animal study Food Chem Toxicol, 1986 · PMID 3744189
  16. 16Chocolate ingestion in dogs: 156 events (2015-2019).Observational J Small Anim Pract, 2021 · PMID 33788297
  17. 17Chocolate. Drugs and Lactation Database (LactMed)Database National Institute of Child Health and Human Development (NCBI Bookshelf), 2024 · ncbi.nlm.nih.gov

What changed

Every dated change to this page: what changed, who made it and why.

Change log

3 entries
Dated changes to this page
DateChangeWho and why
who should be careful, interactions, FAQ, related linksAdded a breastfeeding note from the LactMed Chocolate record (NBK532500, revised 2024), which reports milk theobromine levels after chocolate. Added a caffeine and stimulant interaction entry from the existing 1988 toxicology review (PMID 3058562). FAQ trimmed from 10 to 8 (blood-vessel and kidney-stone answers stay in the evidence table) and the safety answer now covers pregnancy, breastfeeding and pets. PubMed searched for theobromine meta-analyses and RCTs through 2026: no newer oral trial qualifies (a 2025 cyclist trial tested caffeine, and a 2026 dental trial tested a theobromine gel on teeth).Writer: Kymata Health EditorialTrigger: A–Z page audit
allNew page. Every PMID checked with NCBI E-utilities (esummary title, year and journal) and its abstract read with efetch; PubChem read on the date shown. The cough study is cited but not graded because its abstract gives no participant count; three papers from one 44-person crossover trial (NCT02209025) are listed as two outcome rows.Writer: Kymata Health EditorialTrigger: new page
safetyAdded a pregnancy note (a 2017 randomized trial of high- vs low-theobromine chocolate in 131 pregnant women, PMID 27696933, and a 1986 rabbit teratology study, PMID 3744189) and a pet note (156 dogs after chocolate ingestion, PMID 33788297). Each abstract read with efetch. No evidence row or grade changed.Writer: Kymata Health EditorialTrigger: adversarial review

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