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. Author manuscript; available in PMC: 2017 Sep 1.
Published in final edited form as: J Clin Pharmacol. 2016 Feb 18;56(9):1084–1093. doi: 10.1002/jcph.697

Table 3.

Optimized Aminophylline Maintenance Dosing Regimens based on Monte Carlo Simulations

Age
1 month 6 month 1 year 2 year 6 year 10 year

Intermittent Dosing every 6 h
    Intermittent Dose a 1.0 mg/kg 1.4 mg/kg 1.6 mg/kg 1.6 mg/kg 1.8 mg/kg 1.8 mg/kg
    TroughSS, mg/L
        Median 6.9 7.4 7.4 6.8 6.6 6.6
        90% Rangeb 3.7 – 12.9 3.7 – 13.6 3.8 – 13.9 3.5 – 12.9 3.3 – 12.6 3.3 – 12.6
    % TroughSS 5-10 mg/L 65% 61% 63% 61% 61% 61%
    % TroughSS >20 mg/L 0.1% 0.5% 0.5% 0.4% 0.4% 0.4%

Continuous Infusion
    Infusion Rate 0.16 mg/kg/h 0.20 mg/kg/h 0.22 mg/kg/h 0.22 mg/kg/h 0.26 mg/kg/h 0.26 mg/kg/h
    CSS, mg/L
        Median 7.2 7.1 7.2 6.7 6.8 6.8
        90% Rangec 4.0 – 13.1 4.0 – 13.6 3.7 – 12.8 3.5 – 11.9 3.6 – 11.9 3.6 – 11.9
    % CSS 5-10 mg/L 65% 68% 65% 61% 64% 64%
    % CSS >20 mg/L 0.3% 0.3% <0.1% <0.1% <0.1% <0.1%
a

Dose given intravenous over 30 minutes every 6 hours

b

Range in which 90% of concentrations from 1000 simulated children fell

TroughSS, trough serum concentration at steady-state

CSS, serum concentration at steady-state