The paracetamol and theophylline co-administration – an avoiding to interaction


The paracetamol and theophylline co-administration – an avoiding to interaction

This is an automatically generated default intro template – please do not edit.


General information


Title: The paracetamol and theophylline co-administration – an avoiding to interaction
Meta keywords:
Meta description:

Images information


Images path absolute: /storage/sites/www.studiauniversitatis.ro/images/stories/com_form2content/p3/f391
Images path relative: com_form2content/p3/f391
Thumbs path absolute:
Thumbs path relative:

Fields information


Article_Title: The paracetamol and theophylline co-administration – an avoiding to interaction
Authors: Răzvan Gligor, Şerban Gligor
Affiliation: ”Vasile Goldis” Western University, Faculty of Medicine, Pharmacy and Dental Medicine, Medicine Department, Arad
West University, Faculty of Physical Education and Sports, Kinesytherapy Department, Timisoara
Abstract: This paper presents the consequences of Paracetamol and Theophylline co-administration in experimental conditions. For this purpose we used laboratory animals (rats) to whom a single intraperitonealy dose of theophylline (15 mg/kg body weight) has been administered 2 hours after receiving an overdose of paracetamol (1500 mg/kg body weight). Comparatively another xantine base, namely caffeine have been administered intraperitonealy (100 mg/kg body weight). Theophylline showed a high degree of toxicity, increased paracetamol hepatotoxicity, and mortality, perhaps because of generalized convulsions caused by theophylline free, active, in excess. Instead, caffeine significantly reduced the toxicity of paracetamol.
Keywords: theophylline, paracetamol, co-administration, hepatotoxicity, caffeine
References: Bourdi M., Masabuchi Y., Reilly TR, Protection against acetaminophen-induced liver injury and lethality by interleukin-10, Hepatology, 35, 289-298, 2002
Gunawan B., Kaplowitz N., Clinical perspective on xenobiotic – induced hepatotoxicity, Drug Metab. Rev., 36, 301-312, 2004
Holt MP, Ju C., Mechanisms of drug induced liver injury, AAPS Journal, 8(1), E48 – E54, 2006
Kaplowitz N., Drug-induced hepatocellular injury and cholestasis in mechanisms of acute and chronic liver diseases: implications for diagnosis, pathogenesis and treatment, American Association for the study of Liver Diseases, Posgraduate Course, November 1-5, Boston, Massachusetts, 2002
Lee GA, Lillibridge JH, Effects of caffeine and theophylline on acetaminophen pharmacokinetics; P450 inhibition and activation., J. Pharmacol. Exp. Ther., 277 (1), 287-291,1996
Lee WM, Drug induced hepatotoxicity, NEJM, 349, 5, 474-485, 2003
Mitenko PA, Ogilvie RJ, Pharmacokinetics of intravenous theophylline, Clin. Pharmacol. Ther., 14, 509, 1973
Parmar DV, Ahmed G., et al., Mittochondrial ATP-ase: a target for paracetamol – induced hepatotoxicity, Eur. J. Pharmacol., 293(3), 225-229, 1995
Rainska – Gieze GT, Influence of caffeine on toxicity and pharmacokinetics of paracetamol, Ann. Acad. Med. Stetin, 41, 69-85, 1995
Thames G., Drug – induced liver injury, Gastroenterol. Nurs., 27, 31-33, 2004
Walker AM, Quantitative studies of the risk of serious hepatic injury in persons using NSAID’S, Arthritis Rheum., 40, 204-208, 1999
Read_full_article: pdf/23-2013/23-3-2013/SU23-3-2013-Gligor.pdf
Correspondence: Serban Gligor, MD, PhD, Lecturer, West University, Faculty of Physical Education and Sport, Kinesytherapy Department, Tel.+40256592.129, Fax.+40256592129, e-mail: gligor_serban@yahoo.com

Read full article
Article Title: The paracetamol and theophylline co-administration – an avoiding to interaction
Authors: Răzvan Gligor, Şerban Gligor
Affiliation: ”Vasile Goldis” Western University, Faculty of Medicine, Pharmacy and Dental Medicine, Medicine Department, Arad
West University, Faculty of Physical Education and Sports, Kinesytherapy Department, Timisoara
Abstract: This paper presents the consequences of Paracetamol and Theophylline co-administration in experimental conditions. For this purpose we used laboratory animals (rats) to whom a single intraperitonealy dose of theophylline (15 mg/kg body weight) has been administered 2 hours after receiving an overdose of paracetamol (1500 mg/kg body weight). Comparatively another xantine base, namely caffeine have been administered intraperitonealy (100 mg/kg body weight). Theophylline showed a high degree of toxicity, increased paracetamol hepatotoxicity, and mortality, perhaps because of generalized convulsions caused by theophylline free, active, in excess. Instead, caffeine significantly reduced the toxicity of paracetamol.
Keywords: theophylline, paracetamol, co-administration, hepatotoxicity, caffeine
References: Bourdi M., Masabuchi Y., Reilly TR, Protection against acetaminophen-induced liver injury and lethality by interleukin-10, Hepatology, 35, 289-298, 2002
Gunawan B., Kaplowitz N., Clinical perspective on xenobiotic – induced hepatotoxicity, Drug Metab. Rev., 36, 301-312, 2004
Holt MP, Ju C., Mechanisms of drug induced liver injury, AAPS Journal, 8(1), E48 – E54, 2006
Kaplowitz N., Drug-induced hepatocellular injury and cholestasis in mechanisms of acute and chronic liver diseases: implications for diagnosis, pathogenesis and treatment, American Association for the study of Liver Diseases, Posgraduate Course, November 1-5, Boston, Massachusetts, 2002
Lee GA, Lillibridge JH, Effects of caffeine and theophylline on acetaminophen pharmacokinetics; P450 inhibition and activation., J. Pharmacol. Exp. Ther., 277 (1), 287-291,1996
Lee WM, Drug induced hepatotoxicity, NEJM, 349, 5, 474-485, 2003
Mitenko PA, Ogilvie RJ, Pharmacokinetics of intravenous theophylline, Clin. Pharmacol. Ther., 14, 509, 1973
Parmar DV, Ahmed G., et al., Mittochondrial ATP-ase: a target for paracetamol – induced hepatotoxicity, Eur. J. Pharmacol., 293(3), 225-229, 1995
Rainska – Gieze GT, Influence of caffeine on toxicity and pharmacokinetics of paracetamol, Ann. Acad. Med. Stetin, 41, 69-85, 1995
Thames G., Drug – induced liver injury, Gastroenterol. Nurs., 27, 31-33, 2004
Walker AM, Quantitative studies of the risk of serious hepatic injury in persons using NSAID’S, Arthritis Rheum., 40, 204-208, 1999
*Correspondence: Serban Gligor, MD, PhD, Lecturer, West University, Faculty of Physical Education and Sport, Kinesytherapy Department, Tel.+40256592.129, Fax.+40256592129, e-mail: gligor_serban@yahoo.com