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% |
Dose given intravenous over 30 minutes every 6 hours
Range in which 90% of concentrations from 1000 simulated children fell
TroughSS, trough serum concentration at steady-state
CSS, serum concentration at steady-state