Caffeine (CAF) impedes insulin-mediated glucose disposal (IMGD) and increases plasma adrenaline concentrations ([ADR]; 0.6 M). While the antagonism of ADR abolishes the CAF effect, infusion of ADR (0.75 M) has no effect on IMGD. We have now examined CAF and ADR in concert to determine whether or not they elicit an additive response on IMGD. We hypothesized that CAF + ADR will elicit a greater effect than either CAF or ADR alone (i.e. that CAF effects would not be solely attributed to ADR). Subjects (n = 8) completed 4 trials in a randomized manner. An isoglycemic-hyperinsulinemic clamp was performed 30 min after the following treatments were administered: 1) placebo capsules and saline infusion ([ADR] = 0.29 M) (PL trial), 2) CAF capsules (dose = 5 mg kg-1) and saline infusion ([ADR] = 0.62 M) (CAF trial), 3) PL capsules and ADR infusion ([ADR] = 1.19 M) (ADR trial), and 4) CAF capsules (dose = 5 mg kg-1) and ADR infusion ([ADR] = 0.93 M) (CAF + ADR trial). As expected, CAF, ADR and CAF + ADR decreased (P 0.05) IMGD compared to PL. CAF + ADR resulted in a more pronounced decrease in IMGD vs PL (42%) compared to CAF (26%) or ADR (24%) alone, however the effect was not fully additive (P = 0.08). Furthermore, CAF decreased IMGD to a similar magnitude as ADR despite a 50% lower [ADR]. In summary, while ADR contributes to the CAF-induced impairment in IMGD, it is not solely responsible for caffeine's effects.