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May 1, 1976Clinical Pharmacology & Therapeutics

Effect of smoking on theophylline disposition

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Authors

SHSusan N. HuntBuffalo General Medical CenterWJWilliam J. JuskoUniversity at Buffalo, State University of New YorkAYAnthony M. YurchakPfizer (United States)

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Implication

Pharmacokinetic study demonstrates increased theophylline clearance in cigarette smokers, indicating persistent metabolic enzyme induction even months after smoking cessation.

Key Points

  • Investigate how cigarette smoking and subsequent 3- to 4-month smoking cessation alter the pharmacokinetics and metabolic clearance of theophylline.
  • Evaluated theophylline disposition in nonsmokers and heavy smokers (1 to 2 packs/day) before and 3 to 4 months after smoking cessation.
  • Tracked smoking status and tobacco exposure using serum thiocyanate concentrations.
  • Smokers demonstrated a shorter theophylline half-life (mean 4.3 ± 1.4 hr vs 7.0 ± 1.7 hr in nonsmokers) and higher clearance (100 ± 44 vs 45 ± 13 ml/min/1.73 m²).
  • Theophylline body clearance correlated positively with serum thiocyanate levels (r = 0.785, p < 0.001).
  • Among the 4 of 8 smokers who maintained abstinence for at least 3 months, theophylline elimination rates showed no significant change.

Cite This Study

Hunt et al. (1976) studied this question.

synapsesocial.com/papers/6a655270f269cd094639df01https://doi.org/10.1002/cpt1976195part1546
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Also Consider

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  5. 5Enhanced drug metabolism in cigarette smokers.1976 · 123 citations