Skip to main content
Log in

A comparative trial of choline theophyllinate and controlled release aminophylline in chronic childhood asthma

  • Original Investigations
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

A comparison of pharmacokinetics and therapeutic effects of a standard oral theophylline preparation (Choline Theophyllinate) and controlled release aminophylline (Phyllocontin) was made in two parallel double blind trials in 25 children with chronic asthma. Fourteen children entered a double blind cross-over trial; the remaining 11 were allocated to a parallel trial with no change of theophylline preparation throughout. Sustained plasma theophylline levels were observed with the controlled release preparation in contrast to the low morning levels obtained with Choline Theophyllinate. No significant differences were found for peak theophylline levels, morning or evening peak flow rates or required access to other bronchodilators. However nocturnal symptoms were significantly reduced and daytime activity scores improved (P<0.05) on the controlled release preparation. The sustained plasma theophylline levels found in children taking the controlled release aminophylline may have provided a small but useful therapeutic advantage over the standard preparation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ellis EF, Yaffe SJ, Levy G (1974) Pharmacokinetics of Theophylline in asthmatic children. J Allergy Clin Immunol 53:79–84

    Google Scholar 

  2. Evans PWG, Craven A, Evans N (1981) Nocturnal wheezing in children: Management with controlled release aminophylline. Brit Med J 283:18

    Google Scholar 

  3. Hambleton G, Weimberger M, Taylor J, Cavanagh M, Gichansky E, Godfrey S, Tooley M, Bell T, Greenberg S (1977) Comparison of cromoglycate and theophylline in controlling symptoms of chronic asthma. Lancet 1:381–385

    Google Scholar 

  4. Jones RW (1979) Comparative pharmacokinetics of two theophylline derivatives in asthmatic patients. J Int Med Res 1:16–21

    Google Scholar 

  5. Maselli R, Casal G, Ellis E (1974) Pharmacologic effects of intravenous administered aminophylline in asthmatic children. J Pediatr 84:421–427

    Google Scholar 

  6. McKenzie S, Baillie E (1978) Serum theophylline levels in asthmatic children after oral administration of two slow release theophylline preparations. Arch Dis Child 53:943–946

    Google Scholar 

  7. McKenzie SA, Baillie E, Godfrey S (1978) Effect of practical timing of dosage on theophylline blood levels in asthmatic children treated with choline theophyllinate. Arch Dis Child 53:167–168

    Google Scholar 

  8. Polgar G, Promadhat V (1971) Pulmonary function testing in children. WG Saunders Company, Philadelphia

    Google Scholar 

  9. Sitar DS, Piafsky KM, Rango RE, Ogilvie RI (1975) Plasma theophylline concentrations measured by high pressure liquid chromatography. Clin Chem 21:1774–1776

    Google Scholar 

  10. Warner JO, Price JF, Soothill JF, Hey EN (1978) Controlled trial of hyposensitisation to Dematophagoides Pteronyssinus in children with asthma. Lancet II:912–915

    Google Scholar 

  11. Weimberger M, Bronsky EA (1974) Evaluation of Oral Bronchodilator Therapy in asthmatic children. J Pediatr 84:421–427

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Helms, P., Pearl, K. & Wilson, R. A comparative trial of choline theophyllinate and controlled release aminophylline in chronic childhood asthma. Eur J Pediatr 141, 89–91 (1983). https://doi.org/10.1007/BF00496796

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00496796

Key words

Navigation