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Theophylline 50 mg/ml Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Theophylline

Theophylline 50 mg/ml Oral Liquid is a specially compounded medication designed for oral use, offering a precise and consistent dose of theophylline in each milliliter of the solution. This liquid formulation is particularly beneficial for patients who experience difficulty swallowing pills, such as children and the elderly. Theophylline is a bronchodilator used to treat and manage symptoms of lung diseases such as asthma, chronic bronchitis, and emphysema. By relaxing muscles in the lungs and chest, it helps to open airways and improve breathing. The liquid form ensures that patients with these respiratory conditions can accurately measure and ingest their medication with ease.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Theophylline
Oral Liquid
65d7a8a33d3dcaad5b11fd60
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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Theophylline 50 mg/ml Oral Liquid is a specially compounded medication designed for oral use, providing a precise 50 milligrams of theophylline per milliliter of liquid. This formulation is particularly beneficial for patients who have difficulty swallowing pills, such as children and the elderly, or for those who require a dosage that is not readily available in standard tablet or capsule forms. Theophylline is a bronchodilator that works by relaxing muscles in the lungs and chest, making it easier to breathe. It is primarily used in the treatment of respiratory diseases such as asthma, chronic bronchitis, and emphysema. By improving airflow, theophylline helps to relieve symptoms like wheezing, shortness of breath, and chest tightness.

For patients and prescribers considering the use of Theophylline 50 mg/ml Oral Liquid, it is important to note that theophylline requires careful dosing and monitoring due to its narrow therapeutic index. Blood levels of theophylline should be monitored to ensure they remain within the therapeutic range, as both subtherapeutic and toxic levels can be harmful. This liquid formulation allows for flexible dosing adjustments and can be particularly useful when initiating therapy or when titrating doses to achieve optimal therapeutic levels. Additionally, the liquid form ensures that the medication can be administered to patients with feeding tubes, ensuring continuity of care for those unable to take oral medications by mouth.

It is also essential to consider potential drug interactions and contraindications when prescribing theophylline. Patients should be advised to inform their healthcare provider of all medications they are taking, including over-the-counter drugs and herbal supplements. Side effects of theophylline can include nausea, headache, insomnia, and increased heart rate, among others. Prescribers should provide comprehensive counseling on potential side effects and when to seek medical attention. As with any medication, adherence to prescribed dosing schedules and proper storage of the medication are crucial for ensuring its effectiveness and safety.

Bayview Pharmacy's team of compounding pharmacists is dedicated to providing high-quality, customized medications to meet the unique needs of each patient. We are available to answer any questions and provide additional information to both patients and healthcare providers interested in using Theophylline 50 mg/ml Oral Liquid. Our goal is to ensure that each patient receives the most appropriate treatment for their condition, with the support and guidance necessary to achieve the best possible outcomes. If you have any questions or require further assistance, please do not hesitate to reach out to us.

Drug Interactions

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Theophylline is a bronchodilator used to treat symptoms of asthma, chronic bronchitis, emphysema, and other lung diseases. It works by relaxing muscles in the lungs and chest, making it easier to breathe. Therefore, it is crucial to be aware of potential drug interactions that can affect theophylline levels in the body.

Several classes of drugs can interact with theophylline, either by affecting its metabolism or by having additive effects on the cardiovascular system. Drugs that can increase theophylline levels include cimetidine, erythromycin, fluoroquinolone antibiotics (such as ciprofloxacin), certain antiarrhythmics (like amiodarone), and oral contraceptives. Increased theophylline levels can lead to toxicity, with symptoms such as nausea, vomiting, insomnia, seizures, and arrhythmias. It is essential to monitor theophylline serum levels and adjust the dose accordingly when these drugs are co-administered.

Conversely, some drugs can decrease theophylline levels, potentially reducing its effectiveness. These include rifampin, phenobarbital, phenytoin, and smoking tobacco. Patients may require a higher dose of theophylline when taking these substances to maintain therapeutic levels. However, dose adjustments should be made cautiously and based on serum theophylline levels to avoid toxicity.

Additionally, theophylline can interact with beta-blockers, which are often used for heart conditions. Non-selective beta-blockers, in particular, can negate the bronchodilatory effects of theophylline and may worsen breathing in patients with lung diseases. If a beta-blocker is necessary, a cardioselective beta-blocker may be a better option, but this should be decided by the healthcare provider.

It is also important to note that theophylline can increase the risk of side effects from other stimulant medications and can add to the side effects of other bronchodilators. Patients should avoid over-the-counter products that contain stimulants or other bronchodilators unless advised by a healthcare provider.

Patients should be advised to inform their healthcare providers of all medications they are taking, including over-the-counter drugs, herbal supplements, and vitamins, to avoid potential interactions with theophylline. Regular monitoring of theophylline serum levels, as well as observation for signs of toxicity or subtherapeutic response, is essential for safe and appropriate use of this medication.

If you have any questions or concerns about theophylline interactions with other drugs, or if you need further information on how to manage these interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and appropriate use of theophylline oral liquid formulation.

How Does it Work

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Theophylline is a bronchodilator that is used to treat symptoms of asthma, chronic bronchitis, and emphysema. The medication works by relaxing muscles in the lungs and chest, making it easier to breathe. Theophylline achieves this by inhibiting phosphodiesterase, an enzyme that breaks down cyclic AMP (cAMP) in the body. Increased levels of cAMP lead to relaxation of bronchial smooth muscle and inhibition of the release of pro-inflammatory cell mediators. This helps to reduce inflammation, airway constriction, and the hypersensitivity of the airways which are characteristic of asthma and other obstructive pulmonary diseases.

In this specifically compounded formulation, theophylline is presented as a 50 mg/ml oral liquid. This liquid form is particularly beneficial for patients who have difficulty swallowing pills, such as young children or elderly patients. The liquid formulation allows for flexible dosing, which is essential for theophylline, as the dose must be carefully adjusted according to the patient's response and blood levels of the drug to avoid toxicity. The liquid form also allows for rapid absorption and onset of action, which can be crucial during an asthma attack or other acute episodes of bronchoconstriction.

When using theophylline oral liquid, it is important to shake the bottle well before each use to ensure the medication is evenly distributed throughout the solution. Patients should use the provided measuring device to ensure they take the correct dose. It is also important to monitor theophylline blood levels during treatment to maintain therapeutic levels and avoid side effects, which can include nausea, vomiting, headache, and insomnia. Theophylline has a narrow therapeutic index, meaning that the therapeutic dose is close to the dose that can cause toxicity, so careful monitoring is essential.

For prescribers, it is important to consider theophylline's interactions with other medications and its metabolism, which is primarily hepatic through the cytochrome P450 system. Factors such as age, smoking status, liver function, and concomitant use of other drugs can affect theophylline levels and dosing requirements. Prescribers should adjust the dose based on these factors and the patient's clinical response.

Patients and prescribers should be aware that theophylline requires consistent monitoring and dose adjustments to ensure efficacy and safety. If you have any questions about theophylline 50 mg/ml oral liquid or its use in treating asthma, chronic bronchitis, or emphysema, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure optimal treatment outcomes.

Other Uses

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Theophylline, typically known for its application in respiratory diseases such as chronic obstructive pulmonary disease (COPD) and asthma due to its bronchodilator properties, can have additional uses beyond these common indications. Though less frequently, theophylline has been studied for its potential benefits in other conditions that also involve the respiratory system. It may be prescribed off-label for the treatment of apnea of prematurity in neonates, where it acts to stimulate the respiratory drive. Additionally, theophylline has been noted to have mild diuretic effects and has been used in cases of heart failure to help reduce fluid accumulation in the lungs, although it is not the primary treatment for this condition.

Furthermore, there is some evidence that theophylline may improve breathing in people who have pulmonary hypertension by relaxing the muscles in the lungs and decreasing the pulmonary artery's pressure. Theophylline has also shown anti-inflammatory effects in chronic respiratory diseases and may be used as an adjunct therapy to reduce inflammation in the airways. In some instances, it has been considered for its potential immunomodulatory effects and its ability to improve the contraction of the diaphragm muscle, therefore enhancing respiratory muscle function in certain patient groups.

While these additional uses may offer benefits to certain patients, it is crucial to use theophylline under strict medical supervision, due to its narrow therapeutic index and potential for serious side effects. Healthcare providers considering theophylline for alternative uses should take into account the patient's complete medical history, other medications, and current health status. The formulation of theophylline as a 50 mg/ml oral liquid is particularly suitable for individualized dosing where precision is key, or when alternative dosage forms are not feasible.

It's important to note that while research continues to explore further therapeutic uses of theophylline, it should only be used for non-traditional indications under the guidance of a healthcare provider who can evaluate the risks and benefits in the context of each patient's unique situation. If you have any questions about the use of theophylline in this or other dosage forms, or its potential applications beyond those stated here, please reach out to us at Bayview Pharmacy for more information.

Frequently Asked Questions

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What is Theophylline 50 mg/ml Oral Liquid used for?

Theophylline 50 mg/ml Oral Liquid is a medication commonly used to treat and manage the symptoms of asthma and other lung diseases such as chronic bronchitis and emphysema. It helps to relax and open air passages in the lungs, making it easier to breathe.

How should Theophylline Oral Liquid be stored?

This medication should be stored at room temperature, away from heat and direct light. Do not freeze the liquid, and keep the bottle tightly closed when not in use. Make sure to keep this and all other medications out of the reach of children and pets.

Can this liquid formulation be taken with food?

Yes, Theophylline Oral Liquid can be taken with or without food. Follow your healthcare provider’s instructions on how to take this medication. If you experience stomach upset, it might be helpful to take it with food.

How is Theophylline Oral Liquid measured for dosing?

Theophylline Oral Liquid should be measured with a pharmaceutical-grade measuring device such as an oral syringe, dropper, or medicine cup. Do not use household teaspoons or tablespoons as they are not accurate measuring devices.

What should I do if I miss a dose of Theophylline Oral Liquid?

If you miss a dose of Theophylline Oral Liquid, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

Is Theophylline Oral Liquid suitable for children?

Yes, Theophylline Oral Liquid is often prescribed for children, as it is easier for them to ingest than solid dosage forms. The dosage will depend on the child’s weight and medical condition. Always use the exact dose prescribed by the healthcare provider.

Can I drive or operate machinery after taking Theophylline Oral Liquid?

Theophylline typically does not cause drowsiness, but it can cause other side effects that might affect your ability to drive or operate machinery. It is best to know how you react to the medication before you engage in activities that require alertness.

What are the possible side effects of taking Theophylline Oral Liquid?

Theophylline Oral Liquid can cause side effects such as nausea, vomiting, headache, insomnia, and restlessness. Contact your healthcare provider if you experience severe or persistent symptoms, or if you have any signs of an allergic reaction.

Can Theophylline Oral Liquid be taken with other medications?

Theophylline can interact with a variety of medications, so it is important to inform your healthcare provider about all the medications you are taking, including prescription, over-the-counter, vitamins, and herbal supplements. They will advise you on any necessary adjustments to your medication regimen.

How should I take Theophylline Oral Liquid for the best results?

To achieve the best results with Theophylline Oral Liquid, take it exactly as directed by your healthcare provider. Maintain a consistent schedule for taking your medication, and do not adjust your dose without first consulting with your healthcare provider.

Is there any need for monitoring while using Theophylline Oral Liquid?

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Theophylline 50 mg/ml Oral Liquid
Oral Liquid
controlled

Take orally

Every 8 hours