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Abstract
A double-blind, cross-over comparison of morning (8 a.m.) versus evening (10 p.m.) dosing regimens with a new once-daily oral theophylline (Uniphyl, Purdue Frederick)
was performed. The comparison was based upon steady-state theophylline pharmacokinetics,
spirometric measurements over 24 hours, the patients' quantitative reporting of asthmatic
symptoms, and medication side effects. No statistically significant differences were
observed in any theophylline parameter between the dosing regimens. Evening dosing,
but not morning dosing, resulted in a significant attenuation of the early morning
dip in pulmonary function. The morning severity of wheezing, chest tightness, and
shortness of breath was significantly reduced after evening dosing. Overall no difference
in the incidence of symptoms was noted. No significant differences in side effects
were noted. Evening dosing with Uniphyl produced a significant improvement in morning
pulmonary function, and this benefit was subjectively noted by the patients. No decline
in this benefit was noted later in the day. Evening dosing with Uniphyl clearly is
superior to morning dosing.
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Article Info
Footnotes
☆This work was supported by a grant from Purdue Frederick, Toronto, Canada.
Identification
Copyright
© 1985 Published by Elsevier Inc.
