Journals / Journal of Clinical and Analytical Medicine / 2011 / Cilt: 2 - Sayı: 3

Theophyllıne: adverse effects, poisoning and treatment approaches

Teofilin: ters etkiler, zehirlenme ve tedavi yaklaşımları

Pages
157–163
Publication Date
2022-10-18
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In the present review article, in addition to pharmacokinetic/ dynamic properties of theophylline, its adverse effects, poisoning with over dose of theophylline and approaches of its treatment have been given.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Theophylline, which is a methylxanthine derivative, has been commonly used in all over the world for many years due to its cheapness and effectiveness in treatment of asthma and chronic obstructive pulmonary disease (COPD).
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Key Findings & Data:Maintenance of its blood level between 10-20 μg/ml is important to obtain a maximum bronchodilator effect.
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Conclusion & Impact:In the present review article, in addition to pharmacokinetic/ dynamic properties of theophylline, its adverse effects, poisoning with over dose of theophylline and approaches of its treatment have been given.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Theophylline, which is a methylxanthine derivative, has been commonly used in all over the world for many years due to its cheapness and effectiveness in treatment of asthma and chronic obstructive pulmonary disease (COPD). There is a close relationship between its bronchodilator effect and blood levels of theophylline. Maintenance of its blood level between 10-20 μg/ml is important to obtain a maximum bronchodilator effect. Besides having a narrow therapeutic range, its alteration of pharmacokinetic characteristics due to individually factors, drugs, diet, and habits such as smoking and alcohol has led to requirement of more carefully use of theophylline for patients at every age. In the present review article, in addition to pharmacokinetic/ dynamic properties of theophylline, its adverse effects, poisoning with over dose of theophylline and approaches of its treatment have been given.

Özet

Metilksantin türevi bir bileşik olan teofilin, tüm dünyada ucuz ve etkili olması nedeniyle astım ve kronik obstrüktif akciğer hastalığı (KOAH) tedavisinde yıllardan bu yana yaygın kullanılan bir ilaçtır. Teofilinin kan düzeyleri ile bronkodilatör etkisi arasında yakın bir ilişki vardır. Maksimum bronkodilatör etki elde etmek için kan düzeylerinin 10-20 μg/ml arasında bulunması önemlidir. Dar terapötik aralığa sahip olmasının yanı sıra birçok ilaç, diyet ve sigara, alkol gibi alışkanlıklar ile bireysel faktörlere bağlı olarak farmakokinetik özelliklerinin değişimi, her yaş grubu için çok daha dikkatli kullanımının gerekliliğine yol açmıştır. Sunulan bu derleme yazıda, teofilinin farmakokinetik/dinamik özelliklerine ilaveten zıt etkileri ve aşırı doz teofilin ile zehirlenmeler ve tedavi yaklaşımları verilmiştir.

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Cite This Article

GÜRBAY, A., ŞAHİN, G., CHAREHSAZ, M., KARAKILIÇ, M. E. (2022). Theophyllıne: adverse effects, poisoning and treatment approaches. Journal of Clinical and Analytical Medicine, Cilt: 2 - Sayı: 3, 157–163. https://ajindex.com/articles/561521

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References (19)

  1. Baumann TW. Some thoughts on the physiology of caffeine in coffee- and a glimpse of metabolite profiling. Braz. J. Plant Physiol 2006; 18(1): 243-251
  2. Scheindlin S. A new look at the xanthine alkaloids. Mol Interv 2007; 7(5): 236-242
  3. Brunton LL, Lazo JS, Parker KL, editors. Goodman & Gilman’s The Pharmacological Basis of Therapeutics. McGraw-Hill; 2006
  4. Barnes PJ. Theophylline in chronic obstructive pulmonary disease: new horizons. Proc Am Thorac Soc 2005; 2(4): 334-339; discussion 340-331
  5. Sweetman SC, editor. Martindale the Complete Drug Reference. 35th ed. London: Pharmaceutical Press; 2007
  6. Sifton DJ, editor. Physicians Desk Reference. 57th ed. Montvale: Thomson PDR; 2003
  7. Abernethy DR, Arnold GJ, Azarnoff D, editors. Mosby’s Drug Consult. St. Louis: Mosby Inc, 2002
  8. Susan B, editor. The Merck Index. 12nd ed. USA: Merck Research Laboratories, 1996
  9. Kayaalp SO, editor. Rasyonel Tedavi Yönünden Tıbbi Farmakoloji. 11th ed. Ankara: Hacettepe-Taş Kitapçılık, 2005
  10. Killion KH, Kastrup EK, Burnham TH, editors. Drug Facts and Comparisons. 57 th ed. St. Louis: A Wolters Kluwer Company, 2003
  11. Bertram G. Katzung editor. Basic & Clinical Pharmacology. McGraw-Hill; 2003
  12. Pesce AJ, Rashkin M, Kotagal U. Standards of laboratory practice: theophylline and caffeine monitoring. National Academy of Clinical Biochemistry. Clin Chem 1998; 44(5): 1124-1128
  13. Smith RV, Stewart JT, editors. Textbook of Biopharmaceutic Analysis. Philadelphia: Lea & Febiger; 1981
  14. Igarashi T, Iwakawa S. Effect of gender on theophylline clearance in the asthmatic acute phase in Japanese pediatric patients. Biol Pharm Bull 2009; 32(2): 304-307
  15. Atkinson AJ, Abernethy DR, Daniels CE, Dedrick RL, Markey S P, editors. Principles of Clinical Pharmacology. London: Elsevier; 2007
  16. Zhou SF, Yang LP, Zhou ZW, Liu YH, Chan E. Insights into the substrate specificity, inhibitors, regulation, and polymorphisms and the clinical impact of human cytochrome P450 1A2. AAPS J. 2009 Sep;11(3):481-494
  17. Jonkman JH, Nicholson KG, Farrow PR, Eckert M, Grasmeijer G, Oosterhuis B, et al. Effects of alpha-interferon on theophylline pharmacokinetics and metabolism. Br J Clin Pharmacol 1989; 27(6): 795-802
  18. Ohnishi A, Kato M, Kojima J, Ushiama H, Yoneko M, Kawai H. Differential pharmacokinetics of theophylline in elderly patients. Drugs Aging 2003; 20(1): 71-84
  19. Abrams AC, editor. The Clinical Drug Therapy: Rationales for Nursing Practice. Lippincott William