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Link to original content: http://www.ncbi.nlm.nih.gov/pubmed/934239
Pharmacokinetic aspects of theophylline in premature newborns - PubMed Skip to main page content
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. 1976 Aug 19;295(8):413-6.
doi: 10.1056/NEJM197608192950803.

Pharmacokinetic aspects of theophylline in premature newborns

Pharmacokinetic aspects of theophylline in premature newborns

J V Aranda et al. N Engl J Med. .

Abstract

To characterize further the pharmacokinetics of theophylline in premature infants, its concentraion in blood was measured by high-pressure liquid chromatography after intravenous infusion given to six apneic premature newborns three to 15 days of age. Theophylline's apparent volume of distribution was 0.690 +/- 0.095 liters per kilogram (mean +/- S.E.), a value similar to that of children, but the half-life (30.2 +/- 6.5 hours) was nine times longer. Blood clearance rate (17.6 +/- 2.3 ml per kilogram per hour) was lower than plasma clearance rate (100 ml per kilogram per hour) of young children. At a total plasma concentration of 17 mg per liter, 56.4 +/- 3.8 and 36.4 +/- 3.8 per cent of the theophylline was bound to adult or full-term cord plasma proteins, respectively. Bilirubin and theophylline did not compete for plasma protein. Calculations suggest that a loading doses of 5.5 mg per kilogram and a maintenance dose rate of 1.1 mg per kilogram per eight hours would achieve and maintain a mean blood concentration of 8 mg per liter (about 10 mg per liter in plasma).

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