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March 1, 1977Clinical Pharmacology & Therapeutics

Theophylline kinetics in acute pulmonary edema

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Why the study?

Does acute cardiogenic pulmonary edema alter the pharmacokinetics of intravenous theophylline compared to normal subjects?

Population

9 patients with acute cardiogenic pulmonary edema and 19 normal subjects (total n=28).

Comparison

Theophylline administered intravenously. vs 19 normal subjects.

Design

Cohort

Follow-up

24 hr

Authors

KPKenneth M. PiafskyUniversity of TorontoDSDaniel SitarUniversity of MinnesotaRRRobert E. RangnoUniversity of British Columbia

Discussion

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Implication

May warrant theophylline dosing caution in pulmonary edema; leaves open need for prospective validation.

Structured PICO

Does acute cardiogenic pulmonary edema alter the pharmacokinetics of intravenous theophylline compared to normal subjects?

P
Population
9 patients with acute cardiogenic pulmonary edema and 19 normal subjects (total n=28).
I
Intervention
Theophylline administered intravenously.
C
Comparator
19 normal subjects.
O
Outcome
Theophylline disposition (plasma half-life, plasma clearance, peak plasma concentrations, and apparent volume of distribution) over 24 hours.surrogate

Acute cardiogenic pulmonary edema significantly prolongs theophylline half-life and decreases clearance, necessitating caution and avoiding repeated doses or constant infusions due to unpredictable toxicity.

Cite This Study

Piafsky et al. (1977) studied this question.

synapsesocial.com/papers/6a819f44ac3bbfe76d60efb4https://doi.org/10.1002/cpt1977213310
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Also Consider

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  5. 5Intravenous Theophylline Therapy: Nomogram Guidelines1977 · 102 citations