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Formulas

Theophylline 11 mg/0.1 mL Transdermal Gel

The Theophylline 11 mg/0.1 mL Transdermal Gel is a specialized semisolid formulation designed for targeted application on the skin. This gel is dispensed through a user-friendly pump mechanism, which ensures easy and precise dosing. The gel's consistency allows for the theophylline to be absorbed directly through the skin, providing an alternative route of administration for patients who may have difficulties with oral dosing. Theophylline is a bronchodilator commonly used in the treatment of respiratory diseases such as chronic obstructive pulmonary disease (COPD) and asthma. This transdermal delivery system is particularly beneficial for patients requiring consistent blood levels of theophylline, offering a convenient and non-invasive treatment option.

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Theophylline
Topical Gel
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Formula Information

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Theophylline 11 mg/0.1 mL Transdermal Gel is a specialized medication formulated by the compounding pharmacists at Bayview Pharmacy to deliver a precise dose of theophylline through the skin. Theophylline is a bronchodilator that is traditionally used to treat lung diseases such as asthma and chronic obstructive pulmonary disease (COPD). By relaxing the muscles in the lungs and chest, it helps to open airways and improve breathing. The transdermal route offers an alternative for patients who may have difficulty swallowing oral medications or for those who require a steady release of medication over time.

This semisolid formulation is designed to be dispensed through a pump mechanism, which ensures that each application delivers an accurate dose of 11 mg of theophylline per 0.1 mL of gel. The gel base is chosen for its ability to facilitate the penetration of theophylline through the skin, allowing for direct absorption into the bloodstream. This method of delivery can be particularly beneficial for patients who require maintenance therapy and for whom steady-state serum levels of theophylline are desired.

For patients, it is important to understand that the transdermal application of theophylline may differ in onset and duration of action compared to oral forms. The skin application site should be rotated to prevent skin irritation, and the area should be clean and free from cuts or abrasions to ensure proper absorption. For prescribers, it is crucial to consider the patient's overall medication regimen and potential interactions, as well as the patient's specific condition and how transdermal theophylline may fit into their treatment plan.

Bayview Pharmacy's team of compounding pharmacists is committed to providing high-quality, customized medications to meet the unique needs of each patient. We are available to answer any questions and provide guidance on the use of Theophylline 11 mg/0.1 mL Transdermal Gel. If you have any questions or require further information, 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, and emphysema by relaxing muscles in the lungs and chest, making it easier to breathe. When formulated as an 11 mg/0.1 mL transdermal gel, it is intended for systemic absorption through the skin. It is important to consider potential drug interactions when using this formulation, as they can affect the efficacy and safety of theophylline treatment.

One major interaction is with other medications that affect the cytochrome P450 enzyme system, particularly CYP1A2, CYP3A4, and CYP2E1. Drugs that induce these enzymes, such as rifampin, phenobarbital, and carbamazepine, can decrease theophylline levels and reduce its effectiveness. Conversely, inhibitors of these enzymes, like ciprofloxacin, fluvoxamine, and erythromycin, can increase theophylline levels, potentially leading to toxicity. It is crucial to monitor theophylline serum levels when starting or stopping such medications.

Adenosine is another drug that interacts with theophylline. Theophylline can block the effects of adenosine, which is sometimes used in diagnostic tests for heart conditions. Patients should inform their healthcare provider if they are using theophylline before undergoing such tests.

Concomitant use of theophylline with beta-blockers, such as propranolol, can lead to reduced bronchodilation and increased airway resistance. This is particularly important for patients with respiratory conditions. However, cardioselective beta-blockers may have fewer effects on lung function.

Stimulants, including ephedrine and other sympathomimetics, can increase the side effects of theophylline, such as nervousness, insomnia, and tremors. Caution is advised when using these medications together.

Patients should also be aware of the interaction between theophylline and certain dietary substances. For example, consuming large amounts of caffeine, which is found in coffee, tea, and some soft drinks, can increase the side effects of theophylline. Additionally, a high-protein, low-carbohydrate diet can increase theophylline metabolism, whereas a high-carbohydrate, low-protein diet can decrease it.

It is important for patients to inform their healthcare providers of all medications, supplements, and herbal products they are taking, as well as any changes in diet, as these can all affect theophylline levels and its therapeutic effects. Regular monitoring of theophylline serum levels and adjustment of dosage may be necessary to ensure optimal treatment outcomes and minimize the risk of adverse effects.

If you have any questions or require further information regarding theophylline transdermal gel and potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support for both patients and prescribers.

How Does it Work

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Theophylline is a bronchodilator that is commonly used to treat lung diseases such as asthma and chronic obstructive pulmonary disease (COPD). It works by relaxing the muscles in the lungs and chest, making it easier to breathe. In its traditional oral form, theophylline is absorbed into the bloodstream and distributed throughout the body. However, the transdermal gel formulation of theophylline at Bayview Pharmacy offers a different approach to administration.

Our Theophylline 11 mg/0.1 mL Transdermal Gel is designed to deliver the medication directly through the skin, a method known as transdermal delivery. This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise application. The gel base is specially formulated to enhance the penetration of theophylline through the skin barrier, ensuring that the medication reaches the systemic circulation and exerts its therapeutic effects.

The transdermal route has several advantages. It can provide a more consistent level of drug in the bloodstream, reduce gastrointestinal side effects, and may be preferable for patients who have difficulty swallowing pills or maintaining consistent oral dosing. The gel formulation is also designed to minimize skin irritation and is suitable for patients who require long-term medication management.

Upon application, the theophylline in the gel is absorbed through the skin and enters the small blood vessels located just beneath the skin's surface. From there, it enters the systemic circulation and is carried to the lungs, where it works to relax the bronchial muscles. This relaxation reduces airway resistance and improves airflow, thereby alleviating symptoms such as wheezing, coughing, and shortness of breath associated with respiratory conditions.

It is important for patients and prescribers to understand that the efficacy of the transdermal gel depends on proper application and adherence to the dosing regimen. The area of skin where the gel is applied should be clean, intact, and free from any cuts or irritations to ensure optimal absorption. Additionally, the unique dosing of 11 mg/0.1 mL allows for precise titration of theophylline to meet individual patient needs.

For those interested in using Theophylline 11 mg/0.1 mL Transdermal Gel, it is essential to consult with a healthcare provider to determine if this formulation is appropriate for your specific condition and to receive guidance on proper use. If you have any questions or require further information about this product, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to support you with expert advice and personalized care.

Other Uses

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Theophylline is primarily known for its bronchodilator properties, traditionally used in the management of the symptoms of asthma, chronic bronchitis, and chronic obstructive pulmonary disease (COPD). However, the transdermal delivery of theophylline has opened avenues for other potential uses that might be beneficial, owing to the systemic absorption provided by this route. It is important to note that these uses are not the primary indication for theophylline and should be pursued with caution, under the guidance of a healthcare professional.

In the context of transdermal application, there is some evidence suggesting that theophylline may improve microvascular blood flow. This could potentially assist in conditions where peripheral blood flow is compromised, such as diabetic peripheral neuropathy or Raynaud's phenomenon. However, these applications are off-label and should be based on clinical judgment and individual patient need.

Additionally, due to theophylline’s pharmacological actions as a phosphodiesterase inhibitor with some anti-inflammatory effects, there could be theoretical benefits in using theophylline transdermally for localized inflammatory conditions. The transdermal route could reduce some of the systemic side effects typically associated with oral theophylline. However, the efficacy and safety of such uses would require further investigation before it could be routinely recommended.

Furthermore, there may be research into the use of transdermal theophylline for its minor diuretic effects, although this is not a common or extensively supported use. Consideration should be given to the precise dosing requirements for conditions other than asthma, COPD, and chronic bronchitis, and the potential interactions with other medications.

It is also worth recognizing that different patients may have varying responses to transdermal theophylline, and some may experience irritation at the application site or other adverse effects. Patient monitoring is essential to ensure therapeutic efficacy and safety. Documentation of any off-label applications and patient outcomes is crucial to build evidence for any non-traditional uses of theophylline transdermal gel.

Our team at Bayview Pharmacy is continuously investigating and compiling data on the versatile applications of compounded medications such as theophylline transdermal gel. We encourage healthcare providers and patients to reach out to us with any questions regarding potential off-label uses, dosing regimens, side effects, or other concerns. Our goal is to ensure that every patient receives the most appropriate and effective treatment tailored to their specific needs.

Frequently Asked Questions

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What is Theophylline 11 mg/0.1 mL Transdermal Gel used for?

Theophylline Transdermal Gel is used for the treatment of respiratory diseases such as chronic obstructive pulmonary disease (COPD) and asthma. This medication works by relaxing muscles in the lungs and chest, improving breathing.

How do I use Theophylline Transdermal Gel?

Apply the gel as directed by your health care provider. The usual method involves pressing the pump to dispense the medication and applying a thin layer of the gel onto a clean, intact area of skin. It’s important to avoid areas with cuts, sores, or irritation. Rub the gel in gently and thoroughly.

Where should I apply Theophylline Transdermal Gel?

Apply the gel to an area of the skin with good circulation, typically on the chest, upper arms, or thighs, unless otherwise directed by your healthcare provider. Do not apply to the face or near mucous membranes.

How often should I use Theophylline Transdermal Gel?

The frequency of application will depend on your individual treatment plan prescribed by your healthcare provider. Do not exceed the recommended dose or frequency.

Can I cover the area where Theophylline Transdermal Gel has been applied?

Generally, it is best to leave the area uncovered to ensure proper absorption of the medication. If you must cover the area, use a breathable, non-occlusive bandage or clothing. Always confirm with your healthcare provider.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on applications to make up for a missed dose.

Are there any side effects associated with Theophylline Transdermal Gel?

Some potential side effects include skin irritation at the application site, headache, nausea, or insomnia. If you experience any severe side effects or signs of allergic reaction, seek medical attention immediately.

How should I store Theophylline Transdermal Gel?

Store the gel at room temperature, away from heat and direct sunlight, and keep the container tightly closed. Make sure to keep the medication out of reach of children and pets.

Can I use Theophylline Transdermal Gel if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using this medication to ensure it is safe for you and your baby.

What should I avoid while using Theophylline Transdermal Gel?

Avoid applying other topical medications or products to the same area unless your healthcare provider has told you it is safe. Also, it is best to avoid activities that can cause heavy sweating in the area of application to prevent the gel from washing off prematurely.

Is Theophylline Transdermal Gel suitable for children?

This medication may not be suitable for children or may require a different dosing regimen. Consult a healthcare provider for the appropriate use and dose for pediatric patients.

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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.