THEOPHYLLINE - serum Specimen: 5 mL blood in plain
tube.
Method: Immunoassay, HPLC.
Therapeutic Interval:
Neonate:
33-66 µmol/L (6-12 mg/L)
Child, adult:
55-110 µmol/L (10-20 mg/L)
Application: Monitoring theophylline therapy.
Interpretation: During acute illness, the half-life may be prolonged beyond the
usual range of 3-9 hours; toxicity may develop if the dosage is not reduced. Toxicity
may occur within the therapeutic interval in some patients. Cigarette smoking reduces
the half-life and therefore decreases levels significantly.
Reference: Glynn-Barnhart A et al. Drugs 1988; 35: 711-726.