TY - JOUR TT - THE RELATIONSHIP BETWEEN SIDE EFFECTS OF THEOPHYLLINE IN COPD PATIENTS WITH PATIENT AGE AND BLOOD ELECTROLYTES AU - Yılmaz, Ahmet AU - Sezgi, Cengizhan AU - Yılmaz, Hatice AU - Tanrıverdi, Halis PY - 2011 DA - October JF - İzmir Göğüs Hastanesi Dergisi JO - İzmir Göğüs Dergisi PB - İzmir Göğüs Hastalıkları Hastanesi WT - DergiPark SN - 1300-4115 SP - 81 EP - 87 VL - 25 IS - 2 KW - Teofilin KW - Kan elektrolit düzeyleri KW - KOAH N2 - Methylxanthine group drugs are used widely due to become cheap and no patient drug compliance problem such as inhaled medications. The most important limitating reasons their uses are having less branchodilator effects than other bronchodilators, small therapeutic blood levels interval and frequently interacts with other drugs. In this study, we analyzed the kinds and frequency of theophylline-related side effects, due to the many interactions with other drugs in the COPD and asthma patients' recieving intravenous and oral theophylline For this aim, relationship between the serum levels of theophylline and Na, K, Ca, Cl, glucose was investigated Total 44 COPD and asthma patients were subjected to study. The average age of patients was 61±5. Serum theophylline Na, K, Ca, Cl and glucose levels were measured for all patients. ECG's of patients were evaluated. The side effects were recorded during the therapy. Tremor in 6 patients, tachycardia in 4 patients, epigastric burning/pain in the stomach in 3 patients were observed. Serum theophylline values in tremor developed patients was about 16,1µg/ml, in taschicardia developed patients was about 14,5 µg/ml, in epigastric burning/pain developed patients was about 9.25 µg/ml. Theophylline derived side effects was not observed in Cor pulmonale patients. Serum theophylline levels did not affects serum Na, K, Ca, Cl and glucose levels and life-threatening side-effects did not observed in applied dose. As a result, side effects of theophylline can ocur even if used in the recommended therapeutic blood levels. we found that these effects are especially more pronounced in elderly patients. Therefore, theophylline user patients should carefully monitored clinically beside of the monitoring plasma theophylline levels during theophylline administration. CR - Dellen RG. Seizures From Theophylline Use. West J Med 1983; 138: 415. CR - Watson WA, Litovitz TL, Rodgers GC, Jr, et al 2002 annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. Am J Emerg Med 2003; 21: 352-421. CR - Cheng-Yu Chen, MD, Kuang-Yao Yang, MD, Yu-Chin Lee, et al. Effect of Oral Amino- phylline on Pulmonary Function Improvement and Tolerability in Different Age Groups of COPD Patients. Chest 2005; 128: 2088-92. CR - Levine JH, Michael JR, Guarnieri T. Multifocal atrial tachycardia: a toxic effect of theo- phylline. Lancet 1985; 1: 12-4. CR - Bittar G, Friedman HS. The arrhythmogenicity of theophylline. A multivariate analysis of clinical determinants. Chest 1991; 99: 1415-20. CR - Sifton DJ, editor. Physicians Desk Reference. 57th ed. Montvale: Thomson PDR; 2003. CR - Abernethy DR, Arnold GJ, Azarnoff D, editors. Mosby’s Drug Consult. St. Louis: Mosby Inc, 2002. CR - Armijo, JA, Sanchez, BM, Peralta, FG, et al. Pharmacokinetics of an ultralong sustained- release theophylline formulation when given twice daily in elderly patients with chronic obstructive pulmonary disease: monitoring implications. Biopharm Drug Dispos 2003; 24: 165-71. CR - Salem N, Rispal P, Lasseur C, Pellegrin JL, Leng B. [Severe hyponatremia and hypokalemia induced by a moderate overdose of theophylline]. Presse Med 1994; 23(3): 140. CR - Dreiher J, Porath A. Severe hyponatremia induced by theophylline and trimethoprim. Arch Intern Med 2001; 161(2): 291-292. CR - Liberopoulos EN, Alexandridis GH, Christidis DS, Elisaf MS. SIADH and hyponatremia with theophylline. Ann Pharmacother 2002; 36(7- 8): 1180-2. CR - İtoh Y, Tsurumi Y, Kmura T, et al. A case of theophylline induced hypercalcemia. Nippon jinzo Gakkai Shi 2007; 49(4): 446-51. CR - threatening events after chronic theophylline CR - intoxication. Arch Intern Med 1990; 150: 2045-8. CR - Yohannes, AM, Hardy, CC Treatment of chronic obstructive pulmonary disease in older patients: a practical guide. Drugs Aging 2003; 20: 209-28. CR - Cydulka, RK, Rowe, BH, Clark, S, et al. Emer- gency department management of acute exacerbations of chronic obstructive pulmo- nary disease in the elderly: the Multicenter Airway Research Collaboration. J Am Geriatr Soc 2003; 51: 908-91. Yazıflma Adresi: Dr. Hatice YILMAZ CR - Dicle Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları, DİYARBAKIR CR - e-posta: drahmet_007@yahoo.com UR - https://dergipark.org.tr/tr/pub/ighd/issue//522417 L1 - https://dergipark.org.tr/tr/download/article-file/641882 ER -