Presentation
When theophylline is not present, RNA probes are stable and their conformations remain unchanged. [ncbi.nlm.nih.gov]
Entire Body System
- Fever
In infants with idiopathic low seizure threshold and fever, theophylline administration might possibly trigger a seizure. [ncbi.nlm.nih.gov]
Acetylsalicylic acid Pain, fever, and inflammation Acetylsalicylic acid (ASA), in the regular tablet form (immediate-release), is indicated to relieve pain, fever, and inflammation associated with many conditions, including the flu, the common... [drugbank.ca]
PRECAUTIONS: Tell your doctor your medical history, especially of: heart disease, stomach/intestinal ulcers, liver disease, recent fever, thyroid problems, seizures, drug or food allergies. [web.archive.org]
Notify your doctor if you have a fever of 100 degrees F or more for 24 hours. May need a blood test to monitor levels in the blood. This information has been approved by Ronina Covar, MD and Ann Mullen, RN, MSN, CNS, AE-C (December, 2012). [nationaljewish.org]
Fever Acute illnesses associated with fever have been reported to prolong theophylline half-life. If fever is high and sustained, e.g., >102 for >24 hours, dosage should be reduced. [rxkinetics.com]
- Sepsis
The aim of our study was to determine the effect of theophylline on COPD patients presenting with sepsis. [ncbi.nlm.nih.gov]
- Weight Loss
Studies of AIDS-related weight loss included 157 patients receiving dronabinol at a dose of 2.5 mg twice daily and 67 receiving placebo. [web.archive.org]
Lactation Advise HIV infected women with anorexia associated with weight loss, not to breastfeed. [rxlist.com]
- Malaise
Body as a whole: Chills, headache, malaise. Digestive: Anorexia, hepatic enzyme elevation. Respiratory: Cough, rhinitis, sinusitis. Skin and Appendages: Sweating. [web.archive.org]
System Organ Class Adverse Reactions General Chills, headache, malaise Cardiovascular Hypotension, conjunctival injection [see CLINICAL PHARMACOLOGY ] Gastrointestinal Diarrhea, fecal incontinence, anorexia, hepatic enzyme elevation Musculoskeletal Myalgias [rxlist.com]
- Chills
Body as a whole: Chills, headache, malaise. Digestive: Anorexia, hepatic enzyme elevation. Respiratory: Cough, rhinitis, sinusitis. Skin and Appendages: Sweating. [web.archive.org]
System Organ Class Adverse Reactions General Chills, headache, malaise Cardiovascular Hypotension, conjunctival injection [see CLINICAL PHARMACOLOGY ] Gastrointestinal Diarrhea, fecal incontinence, anorexia, hepatic enzyme elevation Musculoskeletal Myalgias [rxlist.com]
Respiratoric
- Asthmatic Bronchitis
Abstract Fifty hospitalized children with asthmatic bronchitis and bronchial asthma were treated with a continuous intravenous drip infusion of aminophylline. [ncbi.nlm.nih.gov]
Gastrointestinal
- Vomiting
Clinical features common to severe theophylline toxicity include nausea and vomiting, tachydysrhythmias, metabolic disturbances, seizures, and cardiovascular collapse. Several reports have described these manifestations and their treatments. [ncbi.nlm.nih.gov]
Aggressive control of vomiting with antiemetics is needed (e.g. ondansetron 4 mg IV) Enhanced elimination – Haemodialysis is is the definitive life-saving intervention. [lifeinthefastlane.com]
- Nausea
Clinical features common to severe theophylline toxicity include nausea and vomiting, tachydysrhythmias, metabolic disturbances, seizures, and cardiovascular collapse. Several reports have described these manifestations and their treatments. [ncbi.nlm.nih.gov]
Studies of nausea and vomiting related to cancer chemotherapy included 317 patients receiving dronabinol and 68 receiving placebo. [web.archive.org]
Theophylline toxicity can cause nausea, vomiting, insomnia, seizures, agitation and life- threatening heart rhythm abnormalities. St. [medicinenet.com]
- Diarrhea
Elevated theophylline levels can cause extreme headaches, stomach aches, diarrhea, seizures, heart rhythm irregularities, irritability and tremors. At times, you may have a high serum level of theophylline and no adverse symptoms. [theasthmacenter.org]
However, regular ingestion of excess amounts of caffeine can lead to problems such as poor concentration, nervousness, heartburn, constipation and diarrhea. [news-medical.net]
In large amounts, theophylline can cause nausea, diarrhea, arrhythmia, headache, insomnia, irritability and dizziness, according to the “PDR Guide to Drug Interactions, Side Effects and Indications.” [livestrong.com]
Common side effects are: nausea, vomiting, diarrhea, headaches, irritability, flushing and palpitations. Other important and more serious side effects include seizures and heart arrhythmias. [medicinenet.com]
- Abdominal Pain
Abstract A 5-year-old boy presented with abdominal pain, nausea and vomiting of blood. [ncbi.nlm.nih.gov]
Nausea, vomiting, or stomach-area (abdominal) pain. Tell your doctor if you have nausea, vomiting, or abdominal pain or if your nausea, vomiting, or abdominal pain gets worse during treatment with MARINOL. [rxlist.com]
Digestive: Abdominal pain*, nausea*, vomiting*. Nervous system: ( Amnesia ), anxiety/nervousness, ( ataxia ), confusion, depersonalization, dizziness*, euphoria*, ( hallucination ), paranoid reaction*, somnolence*, thinking abnormal*. [web.archive.org]
Check with your doctor as soon as possible if any of the following side effects occur: hives skin rash symptoms of irregular heartbeat (e.g., chest pain, dizziness, rapid, pounding heartbeat, shortness of breath) symptoms of toxicity: abdominal pain [medbroadcast.com]
Across studies comparing aminophylline to placebo there appears to be no difference in outcome between concentrations of 10–20 mg/l and 20 mg/l are associated with in increase in abdominal pain, nausea and vomiting. [journals.plos.org]
Cardiovascular
- Tachycardia
An electrocardiogram showed a sinus tachycardia. Arterial blood gas analysis revealed a mixed metabolic acidosis and respiratory alkalosis. Serum lactate level was 51 mmol/L (normal 0.7-2.1 mmol/L). [ncbi.nlm.nih.gov]
Early features anxiety, vomiting, tremor, tachycardia, tachypnoea Severe toxicity cardiotoxicity: cardiac dysrhythmias, supraventricular tachycardia, atrial fibrillation and flutter, ventricular tachycardia, refractory hypotension. neurotoxicity: seizures [lifeinthefastlane.com]
- Heart Disease
Do not take these medications without talking to your doctor; they can increase the side effects of theophylline. tell your doctor if you have or have ever had seizures, ulcers, heart disease, an overactive or underactive thyroid gland, high blood pressure [web.archive.org]
In a similar vein, treatment of patients with high cholesterol with cholesterol lowering agents is useful in treatment of heart disease, but there are many causes of heart disease besides elevated cholesterol.” [sciencedaily.com]
- Hypotension
In overdose, it causes hypotension, bradycardia and drowsiness. The natriuretic, kaliuretic and vasodilatory effects of indapamide are exaggerated in overdose, resulting in diuresis, hypokalaemia and hypotension. [ncbi.nlm.nih.gov]
The life-threatening multisystem effects – especially cardiac dysrhythmia, hypotension, and seizures – tend to be refractory to other treatment measures and supportive care alone will not prevent death. [lifeinthefastlane.com]
- Orthostatic Hypotension
Its effects on blood pressure are inconsistent, but subjects have experienced orthostatic hypotension and/or syncope upon abrupt standing [see WARNINGS AND PRECAUTIONS ]. [rxlist.com]
Skin
- Sweating
Histologic examination demonstrated subepidermal bullae with eosinophilic necrosis of the eccrine sweat gland coil but no epidermal necrosis, vascular changes, or inflammatory infiltrate. [ncbi.nlm.nih.gov]
Skin and Appendages: Sweating. Postmarketing Experience Seizure and seizure-like activity have been reported in patients receiving MARINOL (dronabinol) Capsules during marketed use of the drug and in clinical trials. [web.archive.org]
[…] excess caffeine use Some examples of the symptoms that may occur in people who consume too much caffeine include: Anxiety Confusion Irritability Suppressed appetite Sleeplessness Dizziness Blurred vision Dry mouth Increased thirst Flushed skin Cold sweats [news-medical.net]
Less serious side effects may include: stomach pain, diarrhea, upset stomach ; headache ; sweating ; sleep problems ( insomnia ); or feeling restless, nervous, or irritable; This is not a complete list of side effects and others may occur. [emedicinehealth.com]
Musculoskeletal
- Muscle Weakness
Determine whether theophylline will improve the dyspnea rating of patients with cancer who are short of breath and have evidence of respiratory muscle weakness. II. [clinicaltrials.gov]
It works by relaxing muscles in the lungs and chest, making the lungs less sensitive to allergens and other causes of bronchospasm. [emedicinehealth.com]
- Myalgia
Musculoskeletal: Myalgias. Nervous system: Depression, nightmares, speech difficulties, tinnitus. Skin and Appendages: Flushing*. Special senses: Vision difficulties. [web.archive.org]
System Organ Class Adverse Reactions General Chills, headache, malaise Cardiovascular Hypotension, conjunctival injection [see CLINICAL PHARMACOLOGY ] Gastrointestinal Diarrhea, fecal incontinence, anorexia, hepatic enzyme elevation Musculoskeletal Myalgias [rxlist.com]
Eyes
- Blurred Vision
Symptoms of excess caffeine use Some examples of the symptoms that may occur in people who consume too much caffeine include: Anxiety Confusion Irritability Suppressed appetite Sleeplessness Dizziness Blurred vision Dry mouth Increased thirst Flushed [news-medical.net]
vision, weight loss ). [emedicinehealth.com]
Psychiatrical
- Euphoria
Nervous system: ( Amnesia ), anxiety/nervousness, ( ataxia ), confusion, depersonalization, dizziness*, euphoria*, ( hallucination ), paranoid reaction*, somnolence*, thinking abnormal*. [web.archive.org]
System Organ Class Adverse Reactions General Asthenia Cardiovascular Palpitations, tachycardia, vasodilation /facial flush Gastrointestinal Abdominal pain*, nausea*, vomiting* Central Nervous System Dizziness*, euphoria *, paranoid reaction*, somnolence [rxlist.com]
Neurologic
- Seizure
The case is presented of a 6-month-old girl with theophylline-induced focal seizures associated with tachycardia, tremor and irritability. [ncbi.nlm.nih.gov]
Among the 54 cases of TAS, 36 experienced generalized tonic–clonic seizures, with the remainder experiencing partial seizures. [oadoi.org]
- Tremor
The case is presented of a 6-month-old girl with theophylline-induced focal seizures associated with tachycardia, tremor and irritability. [ncbi.nlm.nih.gov]
Elevated theophylline levels can cause extreme headaches, stomach aches, diarrhea, seizures, heart rhythm irregularities, irritability and tremors. At times, you may have a high serum level of theophylline and no adverse symptoms. [theasthmacenter.org]
Potential side effects include: Nausea, vomiting Poor appetite Palpitations, tremors, muscle twitching Nervousness, restlessness, difficulty sleeping Note: The side effects listed are the most common. [my.clevelandclinic.org]
- Agitation
All newborns experienced sinus tachycardia and agitation. Sequential theophylline and caffeine serum levels were obtained periodically for 62 to 100 hours. [ncbi.nlm.nih.gov]
Theophylline toxicity can cause nausea, vomiting, insomnia, seizures, agitation and life- threatening heart rhythm abnormalities. St. [medicinenet.com]
- Convulsions
They all had fever, > or =38 degrees C, and six of eight patients had a family history of febrile convulsions and/or idiopathic epilepsy. Thereafter none of them had convulsions after the cessation of theophylline administration. [ncbi.nlm.nih.gov]
[…] experience the following adverse effects even at "normal" serum levels: Gastrointestinal symptoms: stomach ache, nausea, vomiting, diarrhea Nervous system symptoms: headache, irritability, difficulties concentrating at work or in school, insomnia, tremors, convulsions [theasthmacenter.org]
- Excitement
CONCLUSION: A single dose of theophylline is well-tolerated by patients with chronic stroke, but does not alter cortical excitability. [ncbi.nlm.nih.gov]
We’re excited to announce the launch of two new resources on MedicinesComplete: Martindale’s ADR Checker and the Palliative Care Formulary. [about.medicinescomplete.com]
Workup
Serum
- Glucose Increased
Glucose: increased level Drug-food. [medical-dictionary.thefreedictionary.com]
Treatment
Several reports have described these manifestations and their treatments. [ncbi.nlm.nih.gov]
Prognosis
Thomas D Rea and Valentine L Paredes, Quality of life and prognosis among survivors of out-of-hospital cardiac arrest, Current Opinion in Critical Care, 10, 3, (218), (2004). [doi.org]
Dysrhythmias and seizures are late features of severe theophyline toxicity and suggest a very poor prognosis. Q5. Should this man be transferred to another hospital? If so, why and how? This is a life-threatening acute ingestion of theophylline. [lifeinthefastlane.com]
Relation of prognosis in sick sinus syndrome to age, conduction defects and modes of permanent cardiac pacing. Am J Cardiol. 1990 ; 65 :729-735. Crossref Medline Google Scholar 24 Hesselson AB, Parsonnet V, Bernstein AD, Bonavita GJ. [circ.ahajournals.org]
Etiology
Nasal mucus Shh levels were found significantly diminished in untreated hyposmic patients of multiple etiologies. [ncbi.nlm.nih.gov]
This pattern was present for both Alzheimer’s disease–related dementia and cerebrovascular disease etiologies, and persisted in analyses restricted to nonsmokers. [atsjournals.org]
Epidemiology
He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]
Descriptive epidemiology of asthma. Lancet 1997 ; 350 (Suppl 11): 1 -4. ↵ Holgate ST. The cellular and mediator basis of asthma in relation to natural history. Lancet 1997 ; 350 (Suppl 11): 5 -9. ↵ Lipworth BJ. Treatment of acute asthma. [clinchem.aaccjnls.org]
View Article PubMed Google Scholar Myers TR: Pediatric asthma epidemiology: incidence, morbidity, and mortality. Respir Care Clin N Am 2000, 6: 1–14. View Article PubMed Google Scholar O'Byrne PM: Leukotrienes in the pathogenesis of asthma. [respiratory-research.biomedcentral.com]
Pathophysiology
[…] are useful primarily for patients with asthma because bronchospasm is a key component of that disease state. 1 The use of theophylline in patients with chronic obstructive pulmonary disease is more controversial because these diseases have different pathophysiologic [accesspharmacy.mhmedical.com]
Useful For Suggests clinical disorders or settings where the test may be helpful Assessing and adjusting dosage for optimal therapeutic level Assessing toxicity Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, [mayomedicallaboratories.com]
We used a nonspecific phosphodiesterase inhibitor, PTX, in the present study because it has been used clinically in the treatment of a variety of conditions in which inflammation is an important component of the pathophysiology of the disease process. [doi.org]
Prevention
This drug ameliorates kidney dysfunction and prophylaxis given early after birth, preventing vasomotor nephropathy. [ncbi.nlm.nih.gov]
Examples: Theo-dur, Slo-phylline, Theo-24, Quibron and other generics Controller Medications: Prevent asthma symptoms from occurring Can reduce and/or prevent: Inflammation and scarring in the airways Tightening of the muscle bands around the airways [pamf.org]