Dyphylline

Dyphylline Brand Names

Dilor | Dylix | Lufyllin

What is Dyphylline

Dyphylline (also known as dihydroxypropyltheophylline) is a xanthine bronchodilator that is used orally and intramuscularly for the treatment of asthma and bronchospasm.

Dyphylline is a derivative of theophylline, although it is not a theophylline salt and is not metabolized to theophylline in vivo. As a xanthine derivative, dyphylline exhibits similar characteristics to theophylline.

The potency of dyphylline is approximately 1/10th that of theophylline and blood concentrations and activity tend to be lower than theophylline.

According to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines for COPD, xanthines, such as dyphylline, are not recommended for the treatment of COPD and should not be used in acute COPD exacerbations due to the low efficacy at recommended doses and the potential for adverse reactions and toxicity.

Dyphylline was approved by the FDA in 1951 and remains available on the U.S. market in oral dosage forms.

Indications

  1. asthma
  2. chronic bronchitis
  3. chronic obstructive pulmonary disease (COPD)
  4. emphysema

For maintenance therapy of asthma or chronic obstructive pulmonary disease (COPD), including chronic bronchitis or emphysema

Side Effects

  1. agitation
  2. diarrhea
  3. diuresis
  4. flushing
  5. headache
  6. hematemesis
  7. hematuria
  8. hyperglycemia
  9. hypotension
  10. insomnia
  11. irritability
  12. nausea
  13. palpitations
  14. pyrosis (heartburn)
  15. restlessness
  16. seizures
  17. SIADH
  18. sinus tachycardia
  19. tachypnea
  20. vomiting

Monitoring Parameters

  • pulmonary function tests (PFTs)
  • serum creatinine/BUN

Contraindications

  • breast-feeding
  • cardiac arrhythmias
  • cardiac disease
  • children
  • gastroesophageal reflux disease (GERD)
  • geriatric
  • heart failure
  • hypertension
  • hyperthyroidism
  • infants
  • myocardial infarction
  • peptic ulcer disease
  • pregnancy
  • renal failure
  • renal impairment
  • seizure disorder
  • status asthmaticus

Interactions

  • Acetaminophen; Aspirin, ASA; Caffeine
  • Acetaminophen; Butalbital; Caffeine
  • Acetaminophen; Butalbital; Caffeine; Codeine
  • Acetaminophen; Caffeine
  • Acetaminophen; Caffeine; Dihydrocodeine
  • Acetaminophen; Caffeine; Magnesium Salicylate; Phenyltoloxamine
  • Acetaminophen; Caffeine; Phenyltoloxamine; Salicylamide
  • Acetaminophen; Chlorpheniramine; Dextromethorphan; Phenylephrine
  • Acetaminophen; Chlorpheniramine; Dextromethorphan; Pseudoephedrine
  • Acetaminophen; Chlorpheniramine; Phenylephrine; Phenyltoloxamine
  • Acetaminophen; Dextromethorphan; Guaifenesin; Phenylephrine
  • Acetaminophen; Dextromethorphan; Phenylephrine
  • Acetaminophen; Dextromethorphan; Pseudoephedrine
  • Acetaminophen; Dichloralphenazone; Isometheptene
  • Acetaminophen; Guaifenesin; Phenylephrine
  • Acetaminophen; Pseudoephedrine
  • Aclidinium; Formoterol
  • Acrivastine; Pseudoephedrine
  • Adenosine
  • Amphetamine
  • Amphetamine; Dextroamphetamine
  • Articaine; Epinephrine
  • Aspirin, ASA; Butalbital; Caffeine
  • Aspirin, ASA; Butalbital; Caffeine; Codeine
  • Aspirin, ASA; Caffeine; Dihydrocodeine
  • Aspirin, ASA; Caffeine; Orphenadrine
  • Benzphetamine
  • Brompheniramine; Carbetapentane; Phenylephrine
  • Brompheniramine; Dextromethorphan; Phenylephrine
  • Brompheniramine; Hydrocodone; Pseudoephedrine
  • Brompheniramine; Pseudoephedrine
  • Budesonide; Formoterol
  • Caffeine
  • Caffeine; Ergotamine
  • Carbetapentane; Chlorpheniramine; Phenylephrine
  • Carbetapentane; Diphenhydramine; Phenylephrine
  • Carbetapentane; Guaifenesin; Phenylephrine
  • Carbetapentane; Phenylephrine
  • Carbetapentane; Phenylephrine; Pyrilamine
  • Carbetapentane; Pseudoephedrine
  • Carbinoxamine; Dextromethorphan; Pseudoephedrine
  • Carbinoxamine; Hydrocodone; Phenylephrine
  • Carbinoxamine; Hydrocodone; Pseudoephedrine
  • Carbinoxamine; Phenylephrine
  • Carbinoxamine; Pseudoephedrine
  • Cetirizine; Pseudoephedrine
  • Chlophedianol; Dexchlorpheniramine; Pseudoephedrine
  • Chlophedianol; Guaifenesin; Phenylephrine
  • Chlorpheniramine; Dextromethorphan; Phenylephrine
  • Chlorpheniramine; Dihydrocodeine; Phenylephrine
  • Chlorpheniramine; Dihydrocodeine; Pseudoephedrine
  • Chlorpheniramine; Guaifenesin; Hydrocodone; Pseudoephedrine
  • Chlorpheniramine; Hydrocodone; Phenylephrine
  • Chlorpheniramine; Hydrocodone; Pseudoephedrine
  • Chlorpheniramine; Phenylephrine
  • Chlorpheniramine; Pseudoephedrine
  • Codeine; Phenylephrine; Promethazine
  • Colchicine; Probenecid
  • Desloratadine; Pseudoephedrine
  • Dexchlorpheniramine; Dextromethorphan; Pseudoephedrine
  • Dexmethylphenidate
  • Dextroamphetamine
  • Dextromethorphan; Diphenhydramine; Phenylephrine
  • Dextromethorphan; Guaifenesin; Phenylephrine
  • Dextromethorphan; Guaifenesin; Pseudoephedrine
  • Diethylpropion
  • Dihydrocodeine; Guaifenesin; Pseudoephedrine
  • Diphenhydramine; Hydrocodone; Phenylephrine
  • Diphenhydramine; Phenylephrine
  • Disulfiram
  • Dobutamine
  • Dopamine
  • Enflurane
  • Ephedrine
  • Epinephrine
  • Etomidate
  • Fexofenadine; Pseudoephedrine
  • Formoterol
  • Formoterol; Mometasone
  • Fospropofol
  • General anesthetics
  • Glycopyrrolate; Formoterol
  • Green Tea
  • Guaifenesin; Hydrocodone; Pseudoephedrine
  • Guaifenesin; Phenylephrine
  • Guaifenesin; Pseudoephedrine
  • Halothane
  • Hydrocodone; Phenylephrine
  • Hydrocodone; Potassium Guaiacolsulfonate; Pseudoephedrine
  • Hydrocodone; Pseudoephedrine
  • Ibuprofen; Pseudoephedrine
  • Indacaterol
  • Indacaterol; Glycopyrrolate
  • Isoflurane
  • Isoproterenol
  • Ketamine
  • Lisdexamfetamine
  • Loratadine; Pseudoephedrine
  • Mepivacaine; Levonordefrin
  • Methamphetamine
  • Methohexital
  • Methylphenidate
  • Midodrine
  • Naproxen; Pseudoephedrine
  • Norepinephrine
  • Pemoline
  • Phendimetrazine
  • Phentermine
  • Phentermine; Topiramate
  • Phenylephrine
  • Phenylephrine; Promethazine
  • Prilocaine; Epinephrine
  • Probenecid
  • Propofol
  • Pseudoephedrine
  • Racepinephrine
  • Ritodrine
  • Sevoflurane
  • Sympathomimetics
  • Theophylline, Aminophylline
  • Thiabendazole
  • Thiopental
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