The pharmacokinetics of theophylline, following oral administration of aminophylline, were studied in ambulatory bronchial asthmatic children by a simplified monitoring plan. Plasma and salivary theophylline were measured simultaneously to determine whether saliva values might be substituted for plasma values. Prior to designing the simplified monitoring plan to be used on children, normal adults were studied. In asthmatic children, the theophylline concentration and peak flow rate were measured at 1, 2 and 4 hours after the administration of aminophylline. There was a large interindividual variation in the half-life(t1/2)and clearance(CI)of theophylline. In children, the mean t1/2 was shorter and CI higher than on adults. Theophylline absorption in children with, tended to be more rapid than in children without, asthmatic attacks. On the otherhand, patients with, tended to manifest a shorter time to peak plasma concentration than patients without, past adverse reactions to theophylline. There was a correlation between theophylline concentration in plasma and saliva and the salivary-plasma theophylline concentration ratio(S/P ratio)was equivalent at 2 and 4 hours post administration. The simplified monitoring plan applied to children was practical and made it possible to determine the individual pharmacokinetics quickly. Our results suggest that at only 2 and 4 hours after oral administration, the saliva theophylline concentration indirectly reflects the plasma concentration.
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