Theophylline and Zileuton interaction

Theophylline and Zileuton: the Zileuton prescribing label describes an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Zileuton label · effective 2024-05-15

Moderate

Zileuton increases theophylline levels.

Drug interactionsnames TheophyllineView label on DailyMed
Moderate

Reduce theophylline dose and monitor levels.

Drug interactionsnames TheophyllineView label on DailyMed
Moderate

Theophylline In a drug-interaction study in 16 healthy subjects, co-administration of multiple doses of zileuton immediate-release tablets (800 mg every 12 hours) and theophylline (200 mg every 6 hours) for 5 days resulted in a significant decrease (approximately 50%) in steady-state clearance of theophylline, an approximate doubling of theophylline AUC, and…

Drug interactionsnames TheophyllineView label on DailyMed
Moderate

The elimination half-life of theophylline was increased by 24%.

Drug interactionsnames TheophyllineView label on DailyMed
Moderate

Upon initiation of Zileuton Extended-Release Tablets in patients receiving theophylline, the theophylline dosage should be reduced by approximately one-half and plasma theophylline concentrations monitored.

Drug interactionsnames TheophyllineView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.