Can Taking Theophylline and Implanon increase the side effects?
The doctors are trying to put me on Theophylline for my asthma even though im already on many other medications i also have an Implanon surround and wonderedif this could be ddangerous
Answers: Theophyllines have almost dropped of the radar in asthmatics, thought they were used deeply many years ago. The problem lies with their risk benefit ratio and their narrow cathartic window. They just creep in to the bottom of the current BTS Asthma guideline.
Rhianna forwarded your email to me.
Firstly although I be brought up using theophyllines in a very cavalier way, as everyone did at that time, they are as I said used smaller amount and less and I suspect may disappear from the guidelines altogether in the fullness of time. It is of a lot of concern that you have an adverse reaction to them in the past.
Basically you are down to 4:
1)Short acting B2 agonist relievers (Ventolin Bricanyl)
3)Long acting B2 agonists, the best of which is probably formoterol ( Oxis)
4) If you are a responder Antileukotrienes, the best of which is montelukast (Singulair).
ppears you are already on adjectives of these, Symbicort being budesonide+formoterol. You are also using a turbo probably the best of the delivery systems as well!
There is indeed little margin for manoeuvre. Formoterol (Oxis) has a fairly big dose range and comes surrounded by a turbo of its own. Its response is dose dependant and there might be some scope there.
If a respiratory physician, to some extent than a GP is looking at maintenance oral prednisolone it does suggest that there are very few option.
It is important not to overestimate the side effects of modest doses of prednisolone, even as maintainance. Anything up to 7.5 mgs a day can be acceptable. Adrenal supression is as you would expect almost inevitable and you would need to carry a steroid warning card. Your joint per se would not be at risk, but your bones might be from osteoporosis. Dexa scan initiallly would be a good idea to look at your current bone density. Also you could be put on a calcium and vitamin D supplement + a bisphosphonate.
sorry I cannot be more positive, but your options are to be frank, comparatively limited. Source(s): http://www.brit-thoracic.org.uk/Portals/…
GP for more years than I care to remember
I don't know what country you and in but surrounded by the UK, Theophylline is a very unusual drug choice in Asthma management at present. I would seriously ask your Dr to justify why he wants to prescribe it to you. Frankly, there are newer and better drugs available and as Dr Frank correctly points out, it have a narrow therapeutic window (too little and it's ineffective, too much and it cause toxicity) and there is also a risk benefit issue too. If your Doctor is having problems managing your Asthma, then ask to be referred to an Asthma clinic or respiratory consultant.
Edit
Thanks for email. Have asked Dr Frank to hold a look at your email as he has far more knowledge regarding Asthma and respiratory prescription than I.
Best Wishes. Source(s): Registered Nurse
Related Questions:
Answers: Theophyllines have almost dropped of the radar in asthmatics, thought they were used deeply many years ago. The problem lies with their risk benefit ratio and their narrow cathartic window. They just creep in to the bottom of the current BTS Asthma guideline.
Rhianna forwarded your email to me.
Firstly although I be brought up using theophyllines in a very cavalier way, as everyone did at that time, they are as I said used smaller amount and less and I suspect may disappear from the guidelines altogether in the fullness of time. It is of a lot of concern that you have an adverse reaction to them in the past.
Basically you are down to 4:
1)Short acting B2 agonist relievers (Ventolin Bricanyl)
3)Long acting B2 agonists, the best of which is probably formoterol ( Oxis)
4) If you are a responder Antileukotrienes, the best of which is montelukast (Singulair).
ppears you are already on adjectives of these, Symbicort being budesonide+formoterol. You are also using a turbo probably the best of the delivery systems as well!
There is indeed little margin for manoeuvre. Formoterol (Oxis) has a fairly big dose range and comes surrounded by a turbo of its own. Its response is dose dependant and there might be some scope there.
If a respiratory physician, to some extent than a GP is looking at maintenance oral prednisolone it does suggest that there are very few option.
It is important not to overestimate the side effects of modest doses of prednisolone, even as maintainance. Anything up to 7.5 mgs a day can be acceptable. Adrenal supression is as you would expect almost inevitable and you would need to carry a steroid warning card. Your joint per se would not be at risk, but your bones might be from osteoporosis. Dexa scan initiallly would be a good idea to look at your current bone density. Also you could be put on a calcium and vitamin D supplement + a bisphosphonate.
sorry I cannot be more positive, but your options are to be frank, comparatively limited. Source(s): http://www.brit-thoracic.org.uk/Portals/…
GP for more years than I care to remember
I don't know what country you and in but surrounded by the UK, Theophylline is a very unusual drug choice in Asthma management at present. I would seriously ask your Dr to justify why he wants to prescribe it to you. Frankly, there are newer and better drugs available and as Dr Frank correctly points out, it have a narrow therapeutic window (too little and it's ineffective, too much and it cause toxicity) and there is also a risk benefit issue too. If your Doctor is having problems managing your Asthma, then ask to be referred to an Asthma clinic or respiratory consultant.
Edit
Thanks for email. Have asked Dr Frank to hold a look at your email as he has far more knowledge regarding Asthma and respiratory prescription than I.
Best Wishes. Source(s): Registered Nurse
Related Questions: