ELIXOPHYLLIN (THEOPHYLLINE ANHYDROUS)

Moderate

• Actidose-aqua

• Actidose/sorbitol

• activated charcoal

• activated charcoal-calcium car

• activated charcoal-sorbitol

• Alagesic Lq

• Altavera (28)

• Alyacen 1/35 (28)

• Alyacen 7/7/7 (28)

• Amethia

• Amethia Lo

• Amethyst

• amobarbital

• amoxicil-clarithromy-lansopraz

• Amytal

• Aplenzin

• Apri

• Aranelle (28)

• Ascomp With Codeine

• Aubra

• Aviane

• Azurette (28)

• Balziva (28)

• Belladonna-phenobarbital

• Betimol

• Beyaz

• Biaxin

• Biaxin Xl

• Biaxin Xl Pak

• Brevicon (28)

• Briellyn

• brimonidine-timolol

• Bupap

• Buproban

• bupropion HBr

• bupropion HCl

• butabarbital

• Butalbital Compound W/codeine

• Butalbital Compound-codeine

• butalbital-acetaminop-caf-cod

• butalbital-acetaminophen

• butalbital-acetaminophen-caff

• butalbital-aspirin-caffeine

• Butisol

• Camila

• Camrese

• Camrese Lo

• Capacet

• carvedilol

• carvedilol phosphate

• Caziant (28)

• Cerebyx

• Chateal

• clarithromycin

• codeine-butalbital-ASA-caff

• Combigan

• Coreg

• Coreg Cr

• Corgard

• Corzide

• Cosopt

• Cosopt Pf

• Cryselle (28)

• Cyclafem 1/35 (28)

• Cyclafem 7/7/7 (28)

• Cyclessa (28)

• Dasetta 1/35 (28)

• Dasetta 7/7/7 (28)

• Daysee

• Depo-provera

• Depo-subq Provera 104

• desog-e.estradiol/e.estradiol

• Desogen

• desogestrel-ethinyl estradiol

• Dilantin

• Dilantin Extended

• Dilantin Infatabs

• Dilantin Kapseal

• Dilantin-125

• Donnatal

• dorzolamide-timolol

• dorzolamide-timolol (PF)

• drospirenone-e.estradiol-lm.FA

• drospirenone-ethinyl estradiol

• Elinest

• Emoquette

• Enpresse

• Enskyce

• Errin

• Erythrocin

• erythromycin

• erythromycin-sulfisoxazole

• Esgic

• Estarylla

• estradiol valerate-dienogest

• Estrostep Fe-28

• ethotoin

• ethynodiol diac-eth estradiol

• etonogestrel

• etonogestrel-ethinyl estradiol

• Ez Char

• Falmina (28)

• febuxostat

• Femcon Fe

• Fioricet

• Fioricet With Codeine

• Fiorinal

• Fiorinal-codeine #3

• fluvoxamine

• Forfivo Xl

• fosphenytoin

• Generess Fe

• Gianvi (28)

• Gildagia

• Gildess

• Gildess Fe

• Heather

• Inderal La

• Inderal Xl

• Innopran Xl

• Insta-char

• Insta-char-sorbitol

• Introvale

• Istalol

• Jencycla

• Jolessa

• Jolivette

• Junel 1.5/30 (21)

• Junel 1/20 (21)

• Junel Fe 1.5/30 (28)

• Junel Fe 1/20 (28)

• Kariva (28)

• Kelnor 1/35 (28)

• Kurvelo

• L norgest&E estradiol-E estrad

• Larin 1/20 (21)

• Larin Fe

• Leena 28

• Lessina

• Levatol

• Levonest (28)

• levonorg-eth estrad triphasic

• levonorgestrel

• levonorgestrel-ethinyl estrad

• Levora 0.15/30 (28)

• Levora-28

• lithium carbonate

• lithium citrate

• Lithobid

• Lo Loestrin Fe

• Loestrin 1.5/30 (21)

• Loestrin 1/20 (21)

• Loestrin Fe 1.5/30 (28)

• Loestrin Fe 1/20 (28)

• Lomedia 24 Fe

• Loryna (28)

• Loseasonique

• Low-ogestrel (28)

• Luminal

• Lutera (28)

• Luvox Cr

• Lyza

• Margesic

• Marlissa

• Marten-tab

• medroxyprogesterone

• Microgestin 1.5/30 (21)

• Microgestin 1/20 (21)

• Microgestin Fe 1.5/30 (28)

• Microgestin Fe 1/20 (28)

• Minastrin 24 Fe

• Mircette (28)

• Mirena

• Modicon (28)

• Mono-linyah

• Mononessa (28)

• My Way

• Mysoline

• Myzilra

• nadolol

• nadolol-bendroflumethiazide

• Natazia

• Necon 0.5/35 (28)

• Necon 1/35 (28)

• Necon 1/50 (28)

• Necon 10/11 (28)

• Necon 7/7/7 (28)

• Nembutal Sodium

• Nexplanon

• Next Choice One Dose

• Nor-qd

• Nora-be

• norelgestrom-ethinyl estradiol

• noreth-ethinyl estradiol-iron

• norethin-e.estradiol triphasic

• norethin-eth estrad biphasic

• norethindrone (contraceptive)

• norethindrone ac-eth estradiol

• norethindrone-e.estradiol-iron

• norethindrone-ethin estradiol

• norethindrone-mestranol

• norgestimate-ethinyl estradiol

• norgestrel-ethinyl estradiol

• Norinyl 1+35 (28)

• Norinyl 1+50 (28)

• Nortrel 0.5/35 (28)

• Nortrel 1/35 (21)

• Nortrel 1/35 (28)

• Nortrel 7/7/7 (28)

• Nuvaring

• Ocella

• Ogestrel (28)

• Omeclamox-pak

• omeprazole-clarith-amoxicillin

• Orsythia

• Ortho Evra

• Ortho Micronor

• Ortho Tri-cyclen (28)

• Ortho Tri-cyclen Lo (28)

• Ortho-cept (28)

• Ortho-cyclen (28)

• Ortho-novum 1/35 (28)

• Ortho-novum 7/7/7 (28)

• Ovcon-35 (28)

• Peganone

• penbutolol

• pentobarbital sodium

• phenobarb-hyoscy-atropine-scop

• phenobarbital

• phenobarbital sodium

• Phenytek

• phenytoin

• phenytoin sodium

• phenytoin sodium extended

• Philith

• Pimtrea (28)

• pindolol

• Pirmella

• Plan B One-step

• Portia

• Previfem

• Prevpac

• primidone

• propranolol

• propranolol-hydrochlorothiazid

• Quartette

• Quasense

• Reclipsen (28)

• Safyral

• Seasonique

• secobarbital sodium

• Seconal Sodium

• Sprintec (28)

• Sronyx

• Syeda

• Tencon

• Tilia Fe

• timolol

• timolol maleate

• timolol maleate (PF)

• Timoptic

• Timoptic Ocudose (pf)

• Timoptic-xe

• Toxin Control

• Tri-estarylla

• Tri-legest Fe

• Tri-linyah

• Tri-norinyl (28)

• Tri-previfem (28)

• Tri-sprintec (28)

• Trinessa (28)

• Trivora (28)

• Uloric

• Velivet Triphasic Regimen (28)

• Vestura (28)

• Viorele (28)

• Vyfemla (28)

• Wellbutrin

• Wellbutrin Sr

• Wellbutrin Xl

• Wera (28)

• Wymzya Fe

• Yasmin (28)

• Yaz 28

• Zarah

• Zebutal

• Zenchent (28)

• Zenchent Fe

• Zeosa

• zileuton

• Zovia 1/35E (28)

• Zovia 1/50E (28)

• Zyban

• Zyflo

• Zyflo Cr

Moderate

• Acute hepatitis

• Alcoholism

• Chronic cannabis smoker

• Chronic heart failure

• Continuous fever

• Cor pulmonale

• Cystic fibrosis

• Diabetes mellitus

• Disease of liver

• Hypertension

• Hyperthyroidism

• Hypothyroidism

• Multiple organ failure

• Pregnancy- third trimester

• Pulmonary edema

• Sepsis

• Shock

• Smoking cessation

• Tobacco smoker

Theophylline

• Severity Level:

  C

• Additional Notes:

Contraindicated

None

General	Excretion Potential	Effect on Infant	Notes
			None

Precaution Exists

Theophylline

Limited data report infant irritability after maternal oral doses

General	Excretion Potential	Effect on Infant	Notes
Evaluate use carefully	Excreted	Drug shown to have adverse effect	Limited data report infant irritability after maternal oral doses

No Known Risk

None

General	Excretion Potential	Effect on Infant	Notes
			None

Contraindicated

None

Precaution Exists

Theophylline

General-Decreased clearance in elderly. Cardiovascular-Use caution in patients with coronary insufficiency, cardiac arrhythmia. Gastrointestinal- Caution with active peptic ulcer disease. Hepatic- Caution with hepatic disease or impairment; adjust dose and monitor drug level,

Organ / System	HEP	REN	CARD	ENDO	NEURO / PSYCH	PULM
Increased Risk / Adverse Effects	N	Y	Y	N	N	N

BEERS: Y     HEDIS: N     STOPP: Y

No Known Risk

None

0-9	A-Z
J44.1	Chronic obstructive pulmonary disease with (acute) exacerbation
J44.9	Chronic obstructive pulmonary disease, unspecified
J45	Asthma
J45.2	Mild intermittent asthma
J45.20	Mild intermittent asthma, uncomplicated
J45.21	Mild intermittent asthma with (acute) exacerbation
J45.3	Mild persistent asthma
J45.30	Mild persistent asthma, uncomplicated
J45.31	Mild persistent asthma with (acute) exacerbation
J45.4	Moderate persistent asthma
J45.40	Moderate persistent asthma, uncomplicated
J45.41	Moderate persistent asthma with (acute) exacerbation
J45.5	Severe persistent asthma
J45.50	Severe persistent asthma, uncomplicated
J45.51	Severe persistent asthma with (acute) exacerbation
J45.9	Other and unspecified asthma
J45.90	Unspecified asthma
J45.901	Unspecified asthma with (acute) exacerbation
J45.909	Unspecified asthma, uncomplicated
J45.99	Other asthma
J45.990	Exercise induced bronchospasm
J45.991	Cough variant asthma
J45.998	Other asthma