Skip to main content
Log in

The influence of the 4- quinolones ciprofloxacin, pefloxacin and ofloxacin on the elimination of theophylline

  • Published:
Pharmaceutisch Weekblad Aims and scope Submit manuscript

Abstract

Pharmacokinetic parameters of the bronchodilator theophylline were assessed in eight patients with chronic obstructive lung disease when administered alone and when comedicated with ciprofloxacin 500 mg twice daily, ofloxacin 400 mg twice daily, or pefloxacin 400 mg twice daily.

Compared to the control period, in which only theophylline was administered, the total body clearance of theophylline decreased significantly during ciprofloxacin (30.4%) and pefloxacin (29.4%) coadministration, whereas no change of the renal clearance of theophylline occured. Ofloxacin did not influence the pharmacokinetic parameters of theophylline. From these observations it is concluded that ciprofloxacin and pefloxacin reduce the metabolic clearance of theophylline.

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. Wijnands WJA, van Herwaarden CLA, Vree TB. Enoxacin raises plasma theophylline concentrations, Lancet 1984;II:108–9.

    Google Scholar 

  2. Wijnands WJA, Vree TB, van Herwaarden CLA. Enoxacin decreases the clearance of theophylline in man, Br J Clin Pharmac 1985;20:583–8.

    Google Scholar 

  3. Wijnands WJA, Vree TB, van Herwaarden CLA. The effect of the 4-quinolone enoxacin on plasma theophylline concentrations. Pharm Weekbl [Sci] 1986;8:42–5.

    Google Scholar 

  4. Davies BI, Maesen FPV, Teengs JP, Bauer C. The quinolones in chronic bronchitis. Pharm Weekbl [Sci] 1986;8:53–9.

    Google Scholar 

  5. Wijnands WJA, van Griethuysen AJA, Vree TB, van Klingeren B, van Herwaarden CLA. Enoxacin in lower respiratory tract infections. J Antimicrob Chemother 1986:18:719–27.

    PubMed  Google Scholar 

  6. Gushaw JB, Hu MW., Singh P, Miller JG, Schneider RS. Homogenous enzyme immunoassay for theophylline in serum, Clin Chem 1977 23:1144.

    Google Scholar 

  7. Hendeles L, Weinberger M, Bighley L. Absolute bioavailability of oral theophylline, Am J Hosp Pharm 1977;34:525–7.

    PubMed  Google Scholar 

  8. Logamann C, Ollnhaus EE. Enoxacin, a differential inhibitor of the microsomal liver enzyme system in men (Abstract). 26th ICAAC, New Orleans, 1986.

  9. Staib AH, Stille W, Shah PM, Harder S, Mieke S, Beer Ch. Interaction between quinolones and caffeine (Abstract). First International Hoechst Symposium on Ofloxacin, Mainz, November 1986.

  10. Wijnands WJA, Vree TB, van Herwaarden CLA. The influence of quinolone derivatives on theophylline clearance. Br J Clin Pharmacol 1986;22:677–683.

    PubMed  Google Scholar 

  11. Fourtillan JB, Granier J, Saint-Salvie B, Salmon J, Surjus A, Tremblay D, Vincent du Laurier M, Beck S. Pharmacokinetics of ofloxacin and theophylline alone and in combination. Infection 1986;14:67.

    Google Scholar 

  12. Raoof S, Wollschlager C, Khan F. Serum theophylline levels are increased by ciprofloxacin (Bay 09867), a new quinolone antibiotic. Chest 1985;88:32.

    Google Scholar 

  13. Wijnands WJA, Vree TB, Baars AM, van Herwaarden CLA. Steady-state kinetics of the quinolone derivatives ofloxacin, enoxacin, cipofloxacin, and pefloxacin during maintenance treatment with theophylline. Drugs (in press).

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wijnands, W.J.A., Vree, T.B., Baars, A.M. et al. The influence of the 4- quinolones ciprofloxacin, pefloxacin and ofloxacin on the elimination of theophylline. Pharmaceutisch Weekblad Scientific Edition 9 (Suppl 1), S72–S75 (1987). https://doi.org/10.1007/BF02075266

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02075266

Key words

Navigation