Theophylline and Caffeine as Alternatives During an Aminophylline Shortage

Abstract

The latest aminophylline shortage has prompted a need for alternative reversal agents for pharmacological stress testing. Cardiac stress testing is common for diagnosis and prognosis in patients with coronary heart disease. Options for pharmacological stress test agents include adenosine, regadenoson, dipyridamole, and dobutamine, whereas aminophylline is the recommended reversal agent. Adenosine and dobutamine can be used as alternatives to regadenoson and dipyridamole to decrease or eliminate the use of aminophylline. Alternatives to aminophylline include theophylline and caffeine. It is important to efficiently identify alternatives during a drug shortage to maintain optimal patient outcomes.

Natural Anti-Inflammatory Compounds as Drug Candidates for Inflammatory Bowel Disease

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“…This has been reinforced by recurrent shortages of aminophylline. 7,8 Intravenous (IV) caffeine is safe and reliable but not completely straightforward in its use. Caffeinated beverages are easier to use but may lead to the inconsistent dosing of caffeine.…”