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24小时服用茶碱的利弊。

Advantages and disadvantages of 24-hour theophylline.

作者信息

Spector S L

出版信息

J Allergy Clin Immunol. 1985 Aug;76(2 Pt 2):302-11. doi: 10.1016/0091-6749(85)90646-3.

DOI:10.1016/0091-6749(85)90646-3
PMID:2862173
Abstract

The general trend in medical therapy toward once-daily administration has not escaped theophylline preparations. Rapid metabolizers, as are found especially among children and smoking adults, may require a more frequent interval than once-a-day dosing, and greater fluctuations in theophylline levels should be expected. An interaction with food has been seen with once- and twice-daily theophylline preparations. Some products release their contents more rapidly while others do so more slowly in association with a high-fat diet. The food effect is of little concern if the theophylline is taken 1 hour before the meal. The greatest anticipated value of once-daily theophylline medications would be improved patient compliance.

摘要

每日一次给药的医学治疗总体趋势也适用于茶碱制剂。快速代谢者,尤其在儿童和吸烟成年人中较为常见,可能需要比每日一次给药更频繁的间隔时间,并且茶碱水平的波动会更大。每日一次和每日两次的茶碱制剂都存在与食物的相互作用。一些产品在高脂饮食的情况下,其内容物释放更快,而另一些则更慢。如果在饭前1小时服用茶碱,则食物效应几乎无需担忧。每日一次的茶碱药物最大的预期价值在于提高患者的依从性。

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引用本文的文献

1
Optimum management of asthma in pregnancy.
Drugs. 1986 Aug;32(2):178-87. doi: 10.2165/00003495-198632020-00005.
2
Food interactions with sustained-release theophylline preparations. A review.食物与缓释茶碱制剂的相互作用。综述。
Clin Pharmacokinet. 1989 Mar;16(3):162-79. doi: 10.2165/00003088-198916030-00003.