Dosage schedule for intravenous aminophylline in apnoea of prematurity, based on pharmacokinetic studies

Arch Dis Child. 1979 Mar;54(3):190-3. doi: 10.1136/adc.54.3.190.

Abstract

15 preterm infants were treated for recurrent apnoea with theophylline. 5 were given oral choline theophyllinate, but this was erratically absorbed. 14 were given IV aminophylline on 23 occasions. Apparent volume of distribution of theophylline in 12 infants was 0.71 +/- 0.18 1/kg (mean +/- SD). Plasma clearance rate measured in 11 infants at steady state was 18.6 +/- 4.8 ml/kg per hour. Calculations show that a loading dose of 6.2 mg/kg aminophylline intravenously and maintenance of 4.4 mg/kg per day would produce serum levels of between 6 and 12 mg/l in all but one of the infants studied, with no infant having toxic levels.

MeSH terms

  • Aminophylline / administration & dosage*
  • Aminophylline / blood
  • Aminophylline / therapeutic use
  • Apnea / blood
  • Apnea / drug therapy*
  • Drug Administration Schedule
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature, Diseases / blood
  • Infant, Premature, Diseases / drug therapy*
  • Infusions, Parenteral
  • Metabolic Clearance Rate
  • Theophylline / therapeutic use

Substances

  • Aminophylline
  • Theophylline