European Journal of Clinical Pharmacology

, Volume 33, Issue 4, pp 435–436 | Cite as

A clinically significant interaction between ciprofloxacin and theophylline

  • A. H. Thomson
  • G. D. Thomson
  • M. Hepburn
  • B. Whiting
Short Communications

Summary

We report a case of theophylline toxicity following the co-administration of ciprofloxacin. Total theophylline clearance fell from 2.3 l·h−1 to 0.8 l·h−1 when ciprofloxacin was added to the treatment regimen and returned to 2.1 l·h−1 after ciprofloxacin was discontinued.

Key words

theophylline ciprofloxacin drug interaction 

References

  1. 1.
    Wijnands WJA, Vree TB, Van Herwaarden CLA (1986) The influence of quinolone derivatives on theophylline clearance. Br J Clin Pharmacol 22: 677–683Google Scholar
  2. 2.
    Maesen FPV, Teengs JP, Baur C, Davies BI (1984) Quinolones and raised plasma concentrations of theophylline. Lancet II: 530Google Scholar
  3. 3.
    Kelman AW, Whiting B, Bryson SM (1982) OPT: a package of computer programs for parameter optimisation in clinical pharmacokinetics. Br J Clin Pharmacol 14: 247–256Google Scholar
  4. 4.
    Nix DE, DeVito JM, Whitbread MA, Shentag JJ (1987) Effect of multiple dose oral ciprofloxacin on the pharmacokinetics of theophylline and indocyanine green. J Antimicrob Chemother 19: 263–269Google Scholar
  5. 5.
    Raoof S, Wollschlager C, Khan F (1986) Treatment of respiratory tract infections with ciprofloxacin. J Antimicrob Chemother 18 [Suppl. D] 139–145Google Scholar

Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • A. H. Thomson
    • 1
    • 2
  • G. D. Thomson
    • 2
  • M. Hepburn
    • 1
  • B. Whiting
    • 1
  1. 1.Department of Materia MedicaUniversity of GlasgowGlasgowUK
  2. 2.Department of PharmacyStobhill General HospitalGlasgowUK

Personalised recommendations