FormWeb • theophylline

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Brand name products with an equivalent generic may not be available to order at Henry Ford Health. For questions, contact inpatient pharmacy.

Henry Ford Health

Approved Hospital Formulary

FormWeb QuickStart Questions or Suggestions? Pharmacy Intranet

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theophylline

theophylline

Drug Name	Form	Strength	Clinic Use Only	Inpatient Restrictions	Outpatient Restrictions	Non-Formulary
Theo-24	CAPSULE, EXTENDED RELEASE, ORAL	100 mg/24 hours; 200 mg/24 hours; 300 mg/24 hours
Theophylline ER	TABLET, EXTENDED RELEASE, ORAL	300 mg; 400 mg/24 hours

VIEW MORE respiratory agents, bronchodilators, methylxanthines
CLASS

Last updated: Oct. 25, 2018

Do Not Crush Extended‐release Capsule - Note: contains beads that dissolve throughout the GI tract
Do Not Crush Extended‐release Tablet
Do Not Crush Slow‐release Tablet

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