In patients with reduced protein binding, measurement of unbound serum theophylline concentration provides more reliable means of dosage adjustment than measurement of total serum theophylline concentration. NOTE: In addition to the factors listed above, Theophylline clearance is increased and half-life decreased by low carbohydrate high protein diets, parenteral nutrition, and daily consumption of charcoal-broiled beef. This is the recognised tool used by doctors to estimate healthy body weight. In animal studies, prophylactic administration of phenobarbital, but not phenytoin, has been shown to delay the onset of Theophylline-induced generalized seizures and to increase the dose of Theophylline required to induce seizures. The clinical characteristics of the seizures reported in patients with serum theophylline concentrations 20 mcg mL have generally been milder than seizures associated with excessive serum theophylline concentrations resulting from an overdose. Careful attention to dose reduction and frequent monitoring of serum theophylline concentrations jotta theophylline online are required in neonates with decreased renal function see WARNINGS. Caffeine-containing herbs such as cola nut, guarana, mat increased theophylline blood level, greater risk of adverse CNS and cardiovascular reactionsEphedra ma huang increased stimulant effectSt.