PMID- 7031111 OWN - NLM STAT- MEDLINE DCOM- 19820212 LR - 20190723 IS - 0091-6749 (Print) IS - 0091-6749 (Linking) VI - 68 IP - 6 DP - 1981 Dec TI - Effect of erythromycin on theophylline kinetics. PG - 427-31 AB - The effect of erythromycin base on theophylline kinetics was studied in eight informed, nonsmoking, adult males who received a 15-min infusion of theophylline (aminophylline) 5 mg/kg, prior to (control) and after (experimental) a 7-day course of 1 gm daily erythromycin base (E-Mycin). Each subject acted as his own control. Multiple serum samples were collected for 24 hr after each dose and were analyzed for theophylline by high-pressure liquid chromatography. The mean +/- SD pharmacokinetic parameters for each phase of study were as follows: apparent volume of distribution (L/kg) 0.45 +/- 0.05 (control), 0.41 +/- 0.05 (experimental); clearance (ml . min/kg) 0.83 +/- 0.17 (control), 0.60 +/- 0.11 (experimental); elimination half-life (hr) 6.65 +/- 1.88 (control), 8.10 +/- 1.58 (experimental). Erythromycin significantly affected the elimination half-life and clearance of theophylline (p less than 0.05). The apparent volume of distribution was unaffected (p greater than 0.05). Therefore patients being administered theophylline appear to be at added risk for the development of toxicity when erythromycin is added to the therapeutic regimen. FAU - Prince, R A AU - Prince RA FAU - Wing, D S AU - Wing DS FAU - Weinberger, M M AU - Weinberger MM FAU - Hendeles, L S AU - Hendeles LS FAU - Riegelman, S AU - Riegelman S LA - eng GR - AI 16151-01/AI/NIAID NIH HHS/United States GR - RR59/RR/NCRR NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Allergy Clin Immunol JT - The Journal of allergy and clinical immunology JID - 1275002 RN - 63937KV33D (Erythromycin) RN - C137DTR5RG (Theophylline) SB - IM MH - Adult MH - Clinical Trials as Topic MH - Drug Interactions MH - Erythromycin/blood/*pharmacology MH - Half-Life MH - Humans MH - Kinetics MH - Male MH - Theophylline/adverse effects/blood/*metabolism MH - Urine/analysis EDAT- 1981/12/01 00:00 MHDA- 1981/12/01 00:01 CRDT- 1981/12/01 00:00 PHST- 1981/12/01 00:00 [pubmed] PHST- 1981/12/01 00:01 [medline] PHST- 1981/12/01 00:00 [entrez] AID - 0091-6749(81)90196-2 [pii] AID - 10.1016/0091-6749(81)90196-2 [doi] PST - ppublish SO - J Allergy Clin Immunol. 1981 Dec;68(6):427-31. doi: 10.1016/0091-6749(81)90196-2.