Theophylline steady-state pharmacokinetics: recent concepts and their application in chronotherapy of reactive airway diseases

Chronobiol Int. 1987;4(3):331-47. doi: 10.3109/07420528709083523.

Abstract

With the introduction of sustained-release theophylline formulations for once-daily dosing or for unequally divided twice-daily dosing, comparison with conventional equally divided twice-daily dosing has been focused on nocturnal serum theophylline concentrations (STCs), plateau properties and peak-trough fluctuation. The merits of various steady-state characteristics such as nocturnal excess, plateau time, residual concentration, peak-trough fluctuation, swing and AUC fluctuation are illustrated by 15 data sets from 7 multiple-dose studies, each including either 10-12 healthy volunteers or 12-20 COPD-patients. In all of the studies, STCs were determined at least every 2 hr over a 24-hr period in steady-state. Included in the studies were 7 sustained-release theophylline formulations which were administered either once daily (in the morning or in the evening), or twice daily (either equally divided, or unequally divided with one-third of the dose being given in the morning and two-thirds in the evening.

Publication types

  • Review

MeSH terms

  • Circadian Rhythm*
  • Delayed-Action Preparations
  • Drug Administration Schedule
  • Humans
  • Kinetics
  • Lung Diseases, Obstructive / blood
  • Lung Diseases, Obstructive / drug therapy*
  • Theophylline / administration & dosage
  • Theophylline / blood
  • Theophylline / pharmacokinetics*

Substances

  • Delayed-Action Preparations
  • Theophylline