Why is this medication prescribed?

Accurbron, a generic form of Theophylline, is prescribed for its bronchodilator effects to treat respiratory conditions. It is mainly used for:

• Asthma: Helps to prevent and control symptoms like wheezing, shortness of breath, and chest tightness.
• Chronic Obstructive Pulmonary Disease (COPD): Manages symptoms of COPD, including chronic bronchitis and emphysema, by relaxing the muscles around the airways.
• Apnea in Premature Infants: Occasionally used to treat breathing pauses in premature infants.

How should this medicine be used?

Here’s how Accurbron is generally used:

• Dosage: It’s important to follow the dosage prescribed by your doctor, as it can vary depending on your specific condition and response to the medication.
• Administration: Typically, theophylline is taken orally in the form of tablets or extended-release capsules. It should be taken with a full glass of water and can be taken with or without food.
• Consistency: It’s important to take it at the same time each day to maintain an even level of the medication in your blood.
• Monitoring: Regular blood tests may be required to ensure that the drug levels in your blood remain within the therapeutic range and to monitor for side effects.
• Avoiding Interactions: Be cautious about drug interactions. Inform your doctor about all other medications or supplements you are taking, as certain drugs can affect theophylline levels in your blood.
• Side Effects: Watch for side effects like nausea, vomiting, insomnia, or palpitations. Contact your healthcare provider if you experience severe side effects or symptoms of an overdose (such as severe nausea, vomiting, restlessness, or seizures).

Always follow your doctor’s instructions carefully and consult them if you have any questions or concerns about your medication.

Other uses for this medicine

Accurbron (theophylline) is primarily used to treat chronic bronchitis, emphysema, and asthma. Occasionally, it may also be used for other conditions as determined by your healthcare provider, such as:

• Acute Asthma: To help relieve symptoms of acute asthma attacks.
• Respiratory Conditions: In certain cases, it might be used off-label for other respiratory conditions as directed by a physician.

What special precautions should I follow?

When taking Accurbron, it’s important to observe the following precautions:

• Medical History: Inform your healthcare provider if you have a history of heart disease, high blood pressure, liver or kidney disease, thyroid problems, seizures, or ulcers. These conditions can influence how your body responds to Theophylline.
• Drug Interactions: Theophylline interacts with various medications, such as antibiotics (e.g., ciprofloxacin), anti-seizure drugs, beta-blockers, and certain herbal supplements (e.g., St. John’s Wort). Always inform your healthcare provider of all medications, supplements, and herbs you are taking. Smoking and changes in your diet can affect Theophylline levels in your blood.
• Regular Monitoring: Regular blood tests may be necessary to monitor Theophylline levels and ensure they remain within the therapeutic range. This is especially important when starting treatment, adjusting dosage, or adding new medications.
• Pregnancy and Breastfeeding: Discuss with your doctor if you are pregnant, planning to become pregnant, or breastfeeding, as Theophylline can cross the placenta and is present in breast milk.
• Use in Specific Populations: Children and elderly patients may require lower doses and more frequent monitoring, as they metabolize Theophylline differently.
• Alcohol and Smoking: Avoid alcohol, as it can increase the risk of Theophylline side effects. Smoking can decrease the drug’s effectiveness, so quitting is advisable.
• Driving and Machinery: Theophylline can cause dizziness or lightheadedness. Be cautious when driving or operating machinery until you know how the medication affects you.

By adhering to these precautions, you can help minimize risks and optimize the therapeutic benefits of Accurbron.

What special dietary instructions should I follow?

• Consistent Diet: Maintain a consistent diet, especially regarding protein and carbohydrate intake. Sudden changes in your diet can affect how your body metabolizes Theophylline, potentially leading to fluctuations in drug levels.
• Avoiding Large Meals High in Fat: Large, high-fat meals can delay the absorption of Theophylline and affect its levels in the blood. Try to eat balanced meals and avoid overeating.
• Hydration: Stay well-hydrated, as dehydration can increase the risk of side effects.

What should I do if I forget a dose?

• Take It As Soon As You Remember: If you forget to take a dose, take it as soon as you remember unless it is almost time for your next dose.
• Skip the Missed Dose: If it’s nearly time for your next dose, skip the missed dose. Do not double up on the dose to make up for the one you missed, as this could increase the risk of side effects.
• Set Reminders: To help remember your doses, consider setting an alarm or using a pill organizer.

What side effects can this medication cause?

Accurbron (Generic Theophylline) can cause a range of side effects, some of which may be mild, while others can be more serious. It’s important to be aware of these potential side effects and to seek medical attention if you experience any severe or unusual symptoms.

Common Side Effects: These side effects are generally mild and may go away as your body adjusts to the medication:

• Nausea or Vomiting
• Headache
• Diarrhea
• Insomnia or difficulty sleeping
• Irritability
• Restlessness or nervousness
• Tremors (shakiness)
• Increased Urination

Less Common but Serious Side Effects: These side effects are more serious and require immediate medical attention:

• Rapid or Irregular Heartbeat (Tachycardia/Arrhythmias): Can indicate a dangerous change in heart rhythm.
• Seizures: A rare but serious side effect, especially if Theophylline levels are too high.
• Severe Dizziness or Fainting: May indicate an issue with your heart or blood pressure.
• Persistent Vomiting: Could be a sign of Theophylline toxicity.
• Confusion or Mood Changes: Such as agitation or hallucinations.
• Severe Allergic Reactions: Symptoms like rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing require emergency medical attention.
• Abdominal Pain or Cramping: Severe stomach pain can be a sign of an underlying issue or a side effect of toxicity.
• Bloody or Black, Tarry Stools: Could indicate gastrointestinal bleeding.

Rare Side Effects:  Some rare side effects may occur, though they are not common:

• Muscle Weakness
• Unusual Weight Loss
• Increased Blood Sugar Levels

If you suspect toxicity, seek medical attention immediately, as it can be life-threatening.

If you experience mild side effects, talk to your healthcare provider. They may adjust your dose or suggest ways to manage the symptoms. Seek immediate medical attention if you experience severe side effects or signs of an allergic reaction.

Always report any side effects to your healthcare provider, especially if they persist or worsen. They can determine whether Accurbron is safe and appropriate for you or if adjustments need to be made.

What should I know about storage and disposal of this medication?

Storage and Disposal of Accurbron:

Storage:

• Room Temperature: Store Accurbron at room temperature, generally between 68°F and 77°F (20°C and 25°C). Avoid storing it in places with high humidity or extreme temperatures, such as bathrooms or near heat sources.
• Original Container: Keep the medication in its original container, tightly closed, and out of reach of children and pets.
• Away from Light and Moisture: Store the medication away from direct light and moisture, which can degrade the drug.
• Check Expiration Date: Regularly check the expiration date on the packaging, and do not use the medication if it has expired.

Disposal:

• Do Not Flush: Do not flush Accurbron down the toilet or pour it down the drain unless instructed to do so by a healthcare provider.
• Proper Disposal: If no take-back program is available, mix the medication with an unappealing substance (like dirt, cat litter, or coffee grounds) and place it in a sealed plastic bag. Throw the bag in your household trash.
• Medication Take-Back Programs: If possible, use a drug take-back program or return the medication to a pharmacy that accepts unused medications for safe disposal.

In case of emergency/overdose

• Mild Overdose: Symptoms may include nausea, vomiting, restlessness, insomnia, or headache.
• Severe Overdose: Symptoms can include severe nausea, vomiting, agitation, rapid heartbeat, seizures, or even loss of consciousness.
• Seek Immediate Medical Attention: If you suspect an overdose or experience severe symptoms, contact emergency services or go to the nearest emergency room immediately.
• Provide Information: Be ready to provide information about the amount of medication taken, when it was taken, and any other relevant details.

What other information should I know?

• Regular Check-ups: Regular follow-ups with your healthcare provider are important to monitor your response to the medication and adjust the dose if necessary.
• Stay Informed: Keep updated on any new information related to the medication, including changes in usage recommendations or new side effects.
• Patient Information Leaflet: Always read the patient information leaflet that comes with your medication. It contains detailed information about the drug, including potential side effects and interactions.
• Emergency Contacts: Have emergency contact numbers readily available, including your healthcare provider’s office and local poison control.
• Medication List: Maintain an updated list of all your medications and share it with your healthcare provider to avoid potential drug interactions.

By following these guidelines, you can ensure that you use Accurbron safely and effectively. If you have any further questions or concerns, don’t hesitate to consult your healthcare provider.