Skip to main content
British Journal of Clinical Pharmacology logoLink to British Journal of Clinical Pharmacology
. 1993 Jun;35(6):657–660. doi: 10.1111/j.1365-2125.1993.tb04198.x

Individual theophylline dosing based on bioelectrical impedance analysis.

J S Sidhu 1, E J Triggs 1, B G Charles 1, B A Smithurst 1
PMCID: PMC1381612  PMID: 8329295

Abstract

The role of bioelectrical impedance (BI) analysis in determining slow-release theophylline dosage was evaluated in fifteen healthy subjects given a standard 200 mg dose. Reactance and l/resistance were identified as the most significant predictors of pre-dose, steady-state theophylline concentrations (Css,pre). Compared with doses based on body weight (8.8 mg kg-1 day-1), theophylline doses determined by BI analysis (9.6 +/- 2.4 mg kg-1 day-1) resulted in less biased (mean prediction error = 0.6 vs 1.4) though slightly less precise (mean squared error = 7.1 vs 6.3) Css,pre values. These differences were statistically insignificant (P > 0.05).

Full text

PDF
657

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Boel J., Andersen L. B., Rasmussen B., Hansen S. H., Døssing M. Hepatic drug metabolism and physical fitness. Clin Pharmacol Ther. 1984 Jul;36(1):121–126. doi: 10.1038/clpt.1984.149. [DOI] [PubMed] [Google Scholar]
  2. Gikalov I., Bircher J. Dose dependence of the 14C-aminopyrine breath test. Intrasubject comparison of tracer and pharmacological doses. Eur J Clin Pharmacol. 1977 Nov 14;12(3):229–233. doi: 10.1007/BF00609866. [DOI] [PubMed] [Google Scholar]
  3. Hendeles L., Iafrate R. P., Weinberger M. A clinical and pharmacokinetic basis for the selection and use of slow release theophylline products. Clin Pharmacokinet. 1984 Mar-Apr;9(2):95–135. doi: 10.2165/00003088-198409020-00001. [DOI] [PubMed] [Google Scholar]
  4. Kushner R. F., Schoeller D. A. Estimation of total body water by bioelectrical impedance analysis. Am J Clin Nutr. 1986 Sep;44(3):417–424. doi: 10.1093/ajcn/44.3.417. [DOI] [PubMed] [Google Scholar]
  5. Lukaski H. C. Applications of bioelectrical impedance analysis: a critical review. Basic Life Sci. 1990;55:365–374. doi: 10.1007/978-1-4613-1473-8_51. [DOI] [PubMed] [Google Scholar]
  6. Lukaski H. C., Bolonchuk W. W., Hall C. B., Siders W. A. Validation of tetrapolar bioelectrical impedance method to assess human body composition. J Appl Physiol (1985) 1986 Apr;60(4):1327–1332. doi: 10.1152/jappl.1986.60.4.1327. [DOI] [PubMed] [Google Scholar]
  7. Lukaski H. C., Johnson P. E., Bolonchuk W. W., Lykken G. I. Assessment of fat-free mass using bioelectrical impedance measurements of the human body. Am J Clin Nutr. 1985 Apr;41(4):810–817. doi: 10.1093/ajcn/41.4.810. [DOI] [PubMed] [Google Scholar]
  8. Malina R. M. Bioelectric methods for estimating body composition: an overview and discussion. Hum Biol. 1987 Apr;59(2):329–335. [PubMed] [Google Scholar]
  9. Miksic J. R., Hodes B. Eliminating 1,7-dimethylxanthine interference from reversed-phase liquid-chromatographic analysis for theophylline. Clin Chem. 1979 Oct;25(10):1866–1867. [PubMed] [Google Scholar]
  10. Pilla A. M., Zarowitz B. J., Svensson C. K., Peterson E. L., Popovich J., Jr Bioimpedance assessment of antipyrine pharmacokinetics before and after enzyme induction. DICP. 1990 Jun;24(6):575–580. doi: 10.1177/106002809002400602. [DOI] [PubMed] [Google Scholar]
  11. Sheiner L. B., Beal S. L. Some suggestions for measuring predictive performance. J Pharmacokinet Biopharm. 1981 Aug;9(4):503–512. doi: 10.1007/BF01060893. [DOI] [PubMed] [Google Scholar]
  12. Zarowitz B. J., Peterson E., Popovich J., Jr Relationship of bioelectrical impedance to pharmacokinetic parameters of theophylline in healthy males. Clin Pharmacokinet. 1989 Sep;17(3):200–207. doi: 10.2165/00003088-198917030-00005. [DOI] [PubMed] [Google Scholar]
  13. Zarowitz B. J., Pilla A. M. Bioelectrical impedance in clinical practice. DICP. 1989 Jul-Aug;23(7-8):548–555. doi: 10.1177/1060028089023007-803. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Clinical Pharmacology are provided here courtesy of British Pharmacological Society

RESOURCES