Medications not yet evaluated by P&T are considered NON-FORMULARY . . . . . Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step! . . . . . Please be sure to document all clinical activities daily.
Search results for:

theophylline

theophylline
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Theo-24 (24 hour caps) CAPSULE, EXTENDED RELEASE, ORAL 100 mg, 200 mg, 300 mg, 400 mg      
Elixophyllin ELIXIR, ORAL 80 mg/15 mL      
Theochron, Theo-Dur (12 hour tabs) TABLET, EXTENDED RELEASE, ORAL 200 mg, 300 mg, 450 mg      
Uniphyl (24 hour tabs) TABLET, EXTENDED RELEASE, ORAL 400 mg, 600 mg    
Comments:

ORDERED FORMULATION

THERAPEUTIC INTERCHANGE

theophylline (Uniphyl) 24 hour tablet

  • 400 mg
  • 600 mg

theophylline (Theo-24) 24 hour capsule

  • 400 mg capsule at same dosing interval
  • Two 300 mg capsules at same dosing interval

During backorder of theophylline ER, the following interchange is to be used as necessary.

ORDERED FORMULATION THERAPEUTIC INTERCHANGE

theophylline (Theo-Dur)

  • 100 mg Q12 hours
  • 100 mg Q8 hours
  • 200 mg Q12 hours
  • 200 mg Q8 hours

theophylline (Theo-24)

  • 200 mg Q24 hours
  • 300 mg Q24 hours
  • 400 mg Q24 hours
  • 600 mg Q24 hours

Reviewed: 26 May 2015 (Uniphyl), and 25 April 2017

Last updated: May. 22, 2017
  • Formulary, Not Routinely Stocked: Theo-24 --> 400 mg capsule






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