Evaluation of Transdermal Theophylline Pharmacokinetics in Neonates

G. Micali, R. H. Bhatt, G. Distefano, L. Caltabiano, B. Cook, J. H. Fischer, L. M. Solomon, D. P. West

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Theophylline may be administered by several routes, but problems are associated with neonatal dosing. The transdermal route may provide a safer and noninvasive method of administration, yet produce therapeutic concentrations in a consistent and reliable manner. To study the feasibility of this in the apnea of prematurity, stable neonates were administered a subtherapeutic transdermal dose for 24 hours in order to assess pharmacokinetics and bioavailability. This was followed with routine intravenous theophylline therapy according to institutional policy. Six of nine neonates had detectable serum theophylline concentrations that increased slowly after patch application. Mean (± SD) maximum serum concentration was 2.4 ± 1.3 μg/ml, mean time to maximum serum concentration was 22 ± 8.2 hours, and mean latency period was 8.0 ± 4.9 hours. Mean total amount of theophylline delivered to the skin was 18.6 ± 4.1 mg. Mean fractional absorption at 30 hours was 0.25 ± 0.12. These data demonstrate that it is possible to produce systemic theophylline concentrations with a transdermal patch in preterm infants sufficient to study pharmacokinetics and bioavailability, and that transdermal delivery of therapeutic doses is technologically feasible. 1993 Pharmacotherapy Publications Inc.

Original languageEnglish (US)
Pages (from-to)386-390
Number of pages5
JournalPharmacotherapy: The Journal of Human Pharmacology and Drug Therapy
Volume13
Issue number4
DOIs
StatePublished - Jan 1 1993

ASJC Scopus subject areas

  • Pharmacology (medical)

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