Diet-induced changes in trough theophylline concentrations in an elderly asthmatic patient.
A 66-year old obese man with asthma was given a hypocaloric (1100 Kcal) and low protein (35 g) diet for nine days. While receiving theophylline (Theodur), 200 mg bid, his morning trough theophylline concentrations rose from 3.40 micrograms/ml to 12.7 micrograms/ml by day 9 of this diet. Following discontinuation, his theophylline concentration fell to 5.95 micrograms/ml by day 6 on home diet. The patient lost 3.67 kg during the nine-day study. Thus, a brief exposure to a hypocaloric, low protein diet in this elderly patient with asthma caused a dramatic rise in trough theophylline concentrations.
Juan
D
D
Clinical Research Center, Northwestern Memorial Hospital, Chicago.
Shin
S G
SG
Holmes
T
T
Hughes
R L
RL
D000368:Aged; D001249:Asthma / Q000150:complications / Q000188:drug therapy*; D004038:Diet, Reducing; D006801:Humans; D008297:Male; D009765:Obesity / Q000150:complications / Q000178:diet therapy*; D013806:Theophylline / Q000493:pharmacokinetics* / Q000627:therapeutic use
D013806:Theophylline