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Formulas

Theophylline 30 mg Slow Release (MEM4) Oral Capsules

Theophylline 30 mg Slow Release (MEM4) Oral Capsules are a meticulously crafted medication designed to manage symptoms of chronic lung diseases such as asthma, chronic bronchitis, and emphysema. Each capsule contains 30 mg of theophylline, an effective bronchodilator, embedded within Methocel E4M, a sophisticated controlled-release polymer. This innovative formulation ensures a gradual and consistent release of theophylline into the bloodstream, extending its therapeutic effects over a prolonged period. The slow-release mechanism not only enhances patient convenience by reducing the frequency of dosing but also helps maintain steady drug levels, potentially minimizing side effects and improving overall treatment outcomes for patients with respiratory conditions requiring long-term management.

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Theophylline
Slow Release Capsules
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Formula Information

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Theophylline 30 mg Slow Release (MEM4) Oral Capsules are a specialized formulation designed to manage symptoms associated with respiratory diseases such as asthma, chronic bronchitis, and emphysema. Theophylline, the active ingredient, is a bronchodilator that works by relaxing the muscles in the lungs and chest, making it easier to breathe. By incorporating Methocel E4M, a hydrophilic methylcellulose polymer, these capsules ensure a controlled and sustained release of theophylline into the bloodstream. This slow-release mechanism allows for a consistent therapeutic effect, which is crucial for maintaining open airways over an extended period, thereby reducing the frequency of doses needed throughout the day.

For patients, this means improved convenience and adherence to their medication regimen, as the need for multiple doses is minimized. Additionally, the steady release of medication can help in reducing the incidence of side effects commonly associated with peak concentrations of theophylline in the blood. For prescribers, the formulation offers a reliable means of maintaining therapeutic drug levels, which is essential for the effective long-term management of chronic respiratory conditions. The use of Methocel E4M also aids in minimizing the risk of dose dumping, which can occur with some controlled-release systems if they are compromised.

It is important to note that while the slow-release formulation provides numerous benefits, it is essential to tailor the dosage to the individual needs of the patient, taking into account factors such as age, weight, renal and hepatic function, and concomitant medications. Monitoring of theophylline serum levels may be necessary to ensure optimal dosing. If you have any questions or require further information about Theophylline 30 mg Slow Release (MEM4) Oral Capsules, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing support and guidance to both patients and healthcare providers to ensure the safe and effective use of this medication.

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. Theophylline 30 mg Slow Release (MEM4) Oral Capsules are designed to maintain steady therapeutic levels of the drug in the bloodstream, which is particularly important for managing chronic respiratory conditions. However, theophylline has a narrow therapeutic index, meaning that the range between an effective dose and a toxic dose is small. Therefore, it is crucial to be aware of potential drug interactions that could 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 or nervous systems. Drugs that can increase theophylline levels include cimetidine, erythromycin, fluoroquinolone antibiotics (like ciprofloxacin), certain antiarrhythmics (such as propafenone), and oral contraceptives. Increased theophylline levels can lead to toxicity, with symptoms such as nausea, vomiting, insomnia, tremors, and, in severe cases, seizures or arrhythmias. It is essential to monitor theophylline serum levels when initiating or discontinuing these medications.

Conversely, some drugs can decrease theophylline levels, potentially reducing its effectiveness. These include rifampin, phenobarbital, phenytoin, and smoking tobacco. Patients should be advised against smoking and may require dosage adjustments if they are taking any of these medications. Additionally, high-protein, low-carbohydrate diets, as well as charcoal-broiled foods, can increase theophylline clearance, while high-carbohydrate, low-protein diets can decrease it.

Other drugs, such as beta-blockers, can blunt the bronchodilatory effects of theophylline and should be used with caution. Theophylline also has the potential to interact with adenosine and dipyridamole, which are used in cardiac stress testing, and can increase the risk of adverse cardiac events.

It is also important to consider the additive effects of other CNS stimulants, diuretics, or sympathomimetics when taken with theophylline, as these can increase the risk of side effects such as nervousness, irritability, or palpitations. Patients with cardiac conditions, hypertension, or hyperthyroidism should be closely monitored when taking theophylline.

Lastly, dietary supplements and herbal products can also affect theophylline levels. For example, St. John's Wort can decrease theophylline levels, while echinacea and other herbal products can either increase or decrease its levels. Patients should be advised to consult their healthcare provider before starting any new over-the-counter medications, supplements, or herbal products.

Given the complexity of theophylline pharmacokinetics and its interactions, therapeutic drug monitoring is recommended to ensure that serum theophylline concentrations remain within the therapeutic range. Adjustments to theophylline dosing may be necessary when starting or stopping concomitant medications. If you have any questions or require further information regarding theophylline drug interactions, please reach out to us at Bayview Pharmacy for assistance.

How Does it Work

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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 the muscles in the lungs and chest, making it easier to breathe. Theophylline 30 mg Slow Release (MEM4) Oral Capsules are specially formulated to release theophylline slowly and steadily into the bloodstream over an extended period. This slow-release mechanism is achieved through the use of Methocel E4M, a type of hydrophilic polymer that swells and forms a gel when it comes into contact with gastric fluids. As the gel slowly hydrates, it creates a viscous barrier that controls the rate at which theophylline is released from the capsule.

Methocel E4M, also known as hypromellose, is a cellulose derivative that is commonly used in oral drug formulations to modulate drug release profiles. In the case of Theophylline 30 mg Slow Release (MEM4) Oral Capsules, Methocel E4M forms a matrix within the capsule. The theophylline is dispersed throughout this matrix. As the matrix comes into contact with digestive fluids, it begins to swell and dissolve, allowing theophylline to be released at a controlled rate. This controlled release reduces fluctuations in drug levels, maintaining a more consistent therapeutic effect and minimizing the risk of side effects associated with peak drug concentrations.

By using a controlled-release formulation, patients benefit from a reduced dosing frequency, which can improve adherence to the medication regimen. Instead of taking multiple doses throughout the day, patients can take their medication once or twice daily, depending on the specific product and individual patient requirements. This is particularly beneficial for chronic conditions like asthma and COPD, where long-term medication management is crucial for maintaining an open airway and preventing exacerbations.

For prescribers, it is important to note that the pharmacokinetic profile of slow-release formulations differs from immediate-release forms. Therefore, dosing regimens should be carefully considered and adjusted based on the patient's response to therapy. Monitoring of theophylline serum levels may be necessary to ensure that therapeutic, but not toxic, levels are maintained, especially in patients with factors that can alter theophylline clearance such as age, smoking status, and concomitant medications.

If you have any questions about Theophylline 30 mg Slow Release (MEM4) Oral Capsules or would like more information on how this formulation can benefit your patients, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and guidance on the use of controlled-release medications and to assist with any specific patient needs.

Other Uses

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Theophylline is a bronchodilator commonly used for the treatment of asthma, chronic bronchitis, and emphysema as it helps in opening the airways, easing breathing, and reducing wheezing. However, beyond these primary indications, theophylline has shown potential in several other therapeutic areas due to its pharmacological properties. The slow release formulation of Theophylline 30 mg in MEM4 oral capsules, leveraging Methocel E4M, not only enhances adherence in respiratory conditions but also shows promise in alternate applications.

For example, there's evidence suggesting that theophylline may exert a mild diuretic effect, which could benefit patients with certain kinds of fluid retention or cardiac-related edema, although this is not a common use and should be approached with caution. Additionally, its ability to enhance diaphragmatic contractility can be useful in conditions like diaphragmatic dysfunction, though this is off-label and should be supported by clinical judgment and evidence.

Some literature also points to the potential of theophylline in the treatment of apnea of prematurity in neonates, as well as in certain cases of sleep apnea, owing to its stimulatory effect on the respiratory drive. Moreover, its adenosine antagonist activity has raised interest in the potential benefits of theophylline for neuroprotective effects in disorders such as Parkinson's disease, though this remains an area of investigation and is not yet a standard treatment.

Considering its various potential uses, the slow release Theophylline 30 mg MEM4 capsules are particularly suitable for conditions that require steady plasma concentrations over time to maintain therapeutic effect and minimize side effects. The dosing convenience provided by the controlled release mechanism can also make it an attractive option for conditions that may benefit from theophylline’s pharmacodynamics but where patient compliance is a particular concern.

It is significant to note that while theophylline has various possible applications, it should only be used in these other capacities under the guidance of a healthcare provider, due to its narrow therapeutic window and the risk of adverse effects at higher concentrations. In all cases, appropriate monitoring of serum theophylline levels is recommended to ensure safety and efficacy.

If you have any questions regarding the potential uses of Theophylline 30 mg Slow Release MEM4 Oral Capsules or their suitability for specific conditions, reach out to us at Bayview Pharmacy. We are a team of compounding pharmacists dedicated to providing personalized support and information on compounded medications.

Frequently Asked Questions

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What are Theophylline 30 mg Slow Release (MEM4) Oral Capsules?

Theophylline 30 mg Slow Release (MEM4) Oral Capsules are a dosage form that contains the active ingredient theophylline in a 30 mg amount, encapsulated with Methocel E4M. This is a controlled-release polymer designed to release the medication gradually, ensuring sustained therapeutic effects over an extended period.

How does the Methocel E4M in these capsules work?

Methocel E4M is a type of controlled-release polymer that forms a gel barrier when it comes into contact with gastrointestinal fluids. This barrier controls the rate at which theophylline is released from the capsules, ensuring a prolonged and steady absorption of the medication into your system.

When should I take Theophylline Slow Release Capsules?

You should follow the dosing schedule as prescribed by your healthcare provider. Due to their extended-release properties, these capsules are typically taken less frequently than immediate-release formulations, often once or twice daily.

Can I open the capsule and take the powder inside if I have difficulty swallowing?

No, you should not open the capsules, as this would interfere with the slow-release mechanism of Methocel E4M. If you have trouble swallowing capsules, please consult your doctor for alternative treatments or forms of medication.

What are the benefits of taking a slow-release formulation of Theophylline?

The slow-release formulation provides several benefits, including more consistent levels of theophylline in the blood, reduced side effects due to steadier absorption, less frequent dosing which can improve patient compliance, and possibly better overall management of respiratory conditions.

Will I feel the effects of Theophylline immediately after taking the slow-release capsules?

No, because the Theophylline 30 mg Slow Release (MEM4) Oral Capsules are designed to release the medication gradually over time, the onset of effects will not be immediate. It is designed to maintain consistent therapeutic levels rather than provide rapid relief.

How long do the effects of the Theophylline Slow Release Capsules last?

The duration of the effects will depend on individual factors and the specific design of the slow-release formulation, but generally, the effects are intended to last for an extended period, potentially 12 to 24 hours, which allows for once or twice daily dosing.

Are there any special storage instructions for Theophylline Slow Release Capsules?

The capsules should be stored at room temperature, away from direct sunlight, moisture, and heat. Keep the bottle tightly closed when not in use to protect the medication from environmental factors that could affect its effectiveness.

Can I consume alcohol while taking these slow-release capsules?

It's best to avoid alcohol while taking Theophylline Slow Release Capsules, as alcohol can affect the way theophylline is metabolized and increase the risk of side effects. Discuss any alcohol consumption with your healthcare provider.

What should I do if I miss a dose of Theophylline Slow Release Capsules?

If you miss a dose, take it as soon as you remember. However, if it's close to the time for your next dose, skip the missed dose and return to your regular dosing schedule. Do not double up doses to make up for the missed one.

Can I take Theophylline Slow Release Capsules with other medications?

Theophylline can interact with other medications, potentially altering its effectiveness or increasing the likelihood of side effects. Always inform your healthcare provider of all medications you are taking to ensure safe and coordinated care.

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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.