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[Cross-over double-blind study using neophylline oral (proxyphylline and diprophylline) in bronchial asthma].

Abstract
In a double-blind crossover trial 16 asthmatic patients were given placebo or 4 or 8 tablets of Neophyllin (each tablet containing 56 mg proxyphylline and 84 mg diprophylline) on two consecutive days. Very slight bronchodilatation independent of the oral dose and plasma level was observed 90 minutes after taking Neophyllin. However, when a betastimulator was inhaled (0.5 mg salbutamol) prior to taking 8 tablets of Neophyllin, surprisingly marked Neophyllin-induced bronchodilatation was observed after 60 and 90 minutes (p less than 0.05 and p less than 0.025). This bronchodilatation was about half that with 4 slow release coated tablets of Neo-Biphyllin (75 mg teophylline in each tablet). When Neophyllin was taken only proxyphylline caused bronchodilatation (no correlation between plasma diprophylline levels and bronchodilatation). The threshold value of plasma proxyphylline was about 13 microgram/ml plasma. Below this level proxyphylline is ineffective (likewise no correlation between plasma proxyphylline levels and bronchodilatation). An oral dose of about 600 mg proxyphylline (in Neophyllin) is needed to reach an effective plasma level within 90 minutes.
AuthorsE Joos, A Seebach, M Scherrer
JournalSchweizerische medizinische Wochenschrift (Schweiz Med Wochenschr) Vol. 109 Issue 19 Pg. 726-31 (May 12 1979) ISSN: 0036-7672 [Print] Switzerland
Vernacular TitleGekreuzter Doppeltblindversuch mit Neophyllin oral (Proxyphyllin und Diprophyllin) bei Asthma bronchiale.
PMID373108 (Publication Type: Clinical Trial, English Abstract, Journal Article, Randomized Controlled Trial)
Chemical References
  • Drug Combinations
  • Placebos
  • Tablets
  • Theophylline
Topics
  • Administration, Oral
  • Adult
  • Asthma (drug therapy)
  • Clinical Trials as Topic
  • Drug Combinations
  • Female
  • Humans
  • Male
  • Middle Aged
  • Placebos
  • Tablets
  • Theophylline (administration & dosage, analogs & derivatives, therapeutic use)

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