Abstract
15 preterm infants were treated for recurrent apnoea with theophylline. 5 were given oral choline theophyllinate, but this was erratically absorbed. 14 were given IV aminophylline on 23 occasions. Apparent volume of distribution of theophylline in 12 infants was 0.71 +/- 0.18 1/kg (mean +/- SD). Plasma clearance rate measured in 11 infants at steady state was 18.6 +/- 4.8 ml/kg per hour. Calculations show that a loading dose of 6.2 mg/kg aminophylline intravenously and maintenance of 4.4 mg/kg per day would produce serum levels of between 6 and 12 mg/l in all but one of the infants studied, with no infant having toxic levels.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Aranda J. V., Sitar D. S., Parsons W. D., Loughnan P. M., Neims A. H. Pharmacokinetic aspects of theophylline in premature newborns. N Engl J Med. 1976 Aug 19;295(8):413–416. doi: 10.1056/NEJM197608192950803. [DOI] [PubMed] [Google Scholar]
- Giacoia G., Jusko W. J., Menke J., Koup J. R. Theophylline pharmacokinetics in premature infants with apnea. J Pediatr. 1976 Nov;89(5):829–832. doi: 10.1016/s0022-3476(76)80818-9. [DOI] [PubMed] [Google Scholar]
- Kuzemko J. A., Paala J. Apnoeic attacks in the newborn treated with aminophylline. Arch Dis Child. 1973 May;48(5):404–406. doi: 10.1136/adc.48.5.404. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Loughnan P. M., Sitar D. S., Ogilvie R. I., Eisen A., Fox Z., Neims A. H. Pharmacokinetic analysis of the disposition of intravenous theophylline in young children. J Pediatr. 1976 May;88(5):874–879. doi: 10.1016/s0022-3476(76)81136-5. [DOI] [PubMed] [Google Scholar]
- McKenzie S. A., Edmunds A. T., Baillie E., Meek J. H. Clinical applications of serum theophylline measurement by high pressure liquid chromatography. Arch Dis Child. 1978 Apr;53(4):322–325. doi: 10.1136/adc.53.4.322. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shannon D. C., Gotay F., Stein I. M., Rogers M. C., Todres I. D., Moylan F. M. Prevention of apnea and bradycardia in low-birthweight infants. Pediatrics. 1975 May;55(5):589–594. [PubMed] [Google Scholar]
- TRUITT E. B., Jr, McKUSICK V. A., KRANTZ J. C., Jr Theophylline blood levels after oral, rectal and intravenous administration, and correlation with diuretic action. J Pharmacol Exp Ther. 1950 Nov;100(3):309–315. [PubMed] [Google Scholar]
