Description

A person taking theophylline may develop toxic symptoms if one or more conditions occur.


 

Dose-related problems:

(1) prescription error (dose calculation, wrong units, misread number, etc)

(2) error in drug administration

(3) intentional (suicide or homicide)

(4) accidental intake (small child)

 

Comorbid condition with impaired elimination:

(1) cirrhosis

(2) congestive heart disease

(3) hypothyroidism

 

Taking a drug that interferes with theophylline elimination:

(1) cimetidine

(2) fluoroquinolone antibiotics

(3) oral contraceptives

(4) beta blocker

(5) macrolide antibiotics

(6) disulfiram

 

Stopping a drug that enhances theophylline elimination without adjusting the dose:

(1) phenobarbital

(2) phenytoin

(3) rifampin

 

Treating a comorbid condition with increased theophylline elimination without adjusting the dose:

(1) treated hyperthyroidism

(2) stopped smoking cigarettes

(3) stopped smoking marijuana

 


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