What you need to know about Theophylline Extended-Release (Theophylline) tablets

What you need to know about Theophylline Extended-Release (Theophylline) tablets

Do you also have difficulty breathing, that is, a condition like asthma? Or do you suffer from a long-term lung disease called COPD (Chronic Obstructive Pulmonary Disease)? Then your doctor may have prescribed you a medicine called Theophylline. It comes under various brand names in our country. So, today we will talk exactly, very simply, about what this medicine is, what we should be careful about while using it, and what problems it can cause.

What really happens with this medicine?

Simply put, Theophylline is a medicine that widens the airways in your lungs, making it easier to breathe. Think of it like opening a blocked road to make it easier for cars to pass through. It relaxes the muscles in your airways, allowing more air to pass through. This can help control symptoms like wheezing, chest tightness, and shortness of breath that occur in asthma and COPD.

Things you need to tell your doctor before starting medication

Before giving this medicine to you, it is very important that your doctor knows the complete details of your health condition. Because, this medicine may not be compatible with some medical conditions, or the dosage may need to be changed. Therefore, if you have any of the following, be sure to tell your doctor about it.

  • If you have a heart condition.
  • If your heartbeat is irregular .
  • If you have a liver disease .
  • If you have seizures .
  • If you have stomach ulcers or other digestive system problems.
  • If you have thyroid disease .
  • If you are a smoker .
  • If you have had an allergic reaction to Theophylline, Aminophylline, or any other medicine, food, or dye.
  • If you are pregnant , trying to get pregnant , or breastfeeding .

Don't hide this information from the doctor. It's very important for your safety.

How to use this medicine correctly?

It is very important to use the medicine exactly as prescribed by the doctor.

  • Swallow it whole: This is the most important thing. Never break, crush, or chew this pill/capsule. Swallow it whole with a glass of water. These are designed to be absorbed into the body over several hours. That's why they're called "Extended-Release." If you break it, all the medicine can go into your body at once and cause dangerous side effects.
  • Take it on time: Make it a habit to take your medicine at the same time every day. This will help keep the levels of the medicine in your blood consistent.
  • With or without food: This medicine can be taken before or after meals. However, if you experience stomach upset or heartburn, it is best to take it with food.
  • Don't stop: Do not stop taking the medication suddenly without your doctor's advice.
  • Elderly and children: People over the age of 65 may be more sensitive to the effects of this medicine and may need a lower dose. Also, special care should be taken if this medicine is given to children.

What if you take too much medicine (overdose)?

If you think you have taken more medicine than the prescribed dose, immediately contact the National Poisons Information Centre at the Colombo National Hospital or go to the Emergency Department (ETU) of the nearest hospital without delay .

What to do if you miss a dose of medication?

If you miss a dose, skip it altogether. Don't worry. Take the next dose at the next scheduled time. Never take two doses at once to make up for a missed dose.

Other things that may interact with this medicine (Interactions)

Theophylline can interact with many other medications, foods, and habits. Therefore, it is very important to tell your doctor about all the medications you are taking, not just prescription medications, but also vitamins, herbal remedies, and supplements.

Type Examples and important points
Medicines that should never be taken Taking medications like Riociguat and Viloxazine with Theophylline can be very dangerous.
Other medications to be careful of
  • Some antibiotics - such as Ciprofloxacin, Erythromycin.
  • Medicines for blood pressure and heart disease (Propranolol, Verapamil).
  • Anticonvulsant medications (Carbamazepine, Phenytoin).
  • Allopurinol (a medicine for gout).
  • Cimetidine (a medicine for gastritis).
  • Herbal medicines such as St. John's Wort.
Food and habits
  • Caffeine: Caffeine, found in coffee, tea, chocolate, and some soft drinks, can increase the side effects of this medication.
  • Smoking: Smoking causes theophylline to be eliminated from the body more quickly, making the medicine less effective. If you smoke or are thinking about quitting, tell your doctor . Your dosage may need to be adjusted.
  • Alcohol: Drinking alcohol can also affect the effectiveness of the medication.
  • What are the possible side effects?

    Like any medication, theophylline can cause side effects, but it's important to be aware of them.

    If you experience these symptoms, see a doctor or go to a hospital immediately.
    Allergic Reactions Skin rash, severe itching, swelling of the face, lips, tongue or throat, difficulty breathing.
    Theophylline toxicity Severe nausea, vomiting, stomach cramps, very fast or irregular heartbeat, seizures. This is an emergency.
    If these symptoms persist or become bothersome, tell your doctor.
    Common side effects Restlessness, agitation, headache, mild nausea, tremors, insomnia.

    How do you keep your medicine safe?

    • Keep away from children: Always keep medicines out of the reach of children and pets.
    • Suitable temperature: Store at room temperature (between 20-25 degrees Celsius). Protect from excessive heat and moisture.
    • Expiration: Do not use expired medication.
    • Disposal: When disposing of unwanted medication, take the medication out of the bottle, mix it with something like used coffee grounds or soil, put it in a sealable bag, and throw it in the trash. If you are unsure, ask your doctor to confirm.

    Take-Home Message

    • Theophylline is a medication that widens the airways and is used to treat asthma and COPD.
    • Never break, crush, or chew these tablets/capsules. Swallow them whole.
    • Tell your doctor about all medications you are taking, especially if you smoke.
    • If symptoms such as nausea, vomiting, rapid heartbeat, and seizures occur , go to a hospital's Emergency Department (ETU) immediately, as these may be signs of drug toxicity.
    • Be sure to attend the tests and clinics your doctor prescribes to see if your symptoms are under control and to check your blood medication levels.
    • Do not start, stop, or change the dosage of this medicine without your doctor's advice.

    Theophylline, asthma, COPD, difficulty breathing, aathuru abada

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