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September 20, 1973New England Journal of Medicine

Rational Intravenous Doses of Theophylline

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Authors

PMPaul A. MitenkoUniversity of ManitobaRORichard I. OgilvieGeneral / Preventive / Lipids

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Implication

Clinical trial demonstrates log-linear lung function gains from intravenous theophylline in hospitalized asthmatics, suggesting an optimal loading and maintenance dosing regimen.

Key Points

  • To evaluate physiologic responses to incremental plasma concentrations of intravenous theophylline in order to establish a safe and effective dosage regimen.
  • Administered intravenous theophylline to hospitalized asthmatic subjects (N=9) to achieve incremental plasma concentration plateaus.
  • Measured changes in pulmonary function, including vital capacity and forced expiratory volume in one second (FEV1), across the plasma concentration range of 5 to 20 mg per liter.
  • Pulmonary function continuously improved across plasma theophylline concentrations of 5 to 20 mg per liter, varying directly with the logarithm of the plasma concentration.
  • An intravenous aminophylline loading dose of 5.6 mg per kilogram followed by a maintenance infusion of 0.9 mg per kilogram per hour produces a plasma concentration of approximately 10 mg per liter in 95% of patients.
  • The recommended dosing regimen produces recovery from approximately 30 to 40% of reversible pulmonary airway obstruction.

Cite This Study

Mitenko et al. (1973) studied this question.

synapsesocial.com/papers/6a763de059770ea2c0bcb3bbhttps://doi.org/10.1056/nejm197309202891202
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1SEVERE TOXIC EFFECTS FROM AMINOPHYLLINE AND THEOPHYLLINE SUPPOSITORIES IN CHILDREN1956 · 47 citations
  2. 2Study of Theophylline Plasma Levels after Oral Administration of New Theophylline Compounds1957 · 120 citations
  3. 3Pharmacokinetics of intravenous theophylline1973 · 180 citations
  4. 4Aminophylli Oral vs rectal administration1968 · 7 citations