Drug General Information (ID: DDI47FDNW0)
  Drug Name Oxtriphylline Drug Info Drospirenone Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Bronchodilators Contraceptive Agents
  Structure

 Mechanism of Oxtriphylline-Drospirenone Interaction (Severity Level: Moderate)
     Decreased metabolism (Unspecific) Click to Show/Hide Mechanism Graph
      Drug Name Oxtriphylline Drospirenone
      Mechanism Methylxanthine Inhibition metabolism of methylxanthine
      Key Mechanism Factor 1
Factor Name Pharmacokinetics
Factor Description Alters the metabolism of the drug, leading to changes in the plasma concentration of the drug and affecting the pharmacological effects.
      Mechanism Description
  • Decreased metabolism of Oxtriphylline caused by Drospirenone 

Recommended Action
      Management Caution is advised during concomitant therapy with methylxanthines and hormonal contraceptives. Serum theophylline levels and pharmacologic response should be monitored and the dosage adjusted accordingly, particularly following initiation or discontinuation of hormonal contraceptives in patients who are stabilized on their theophylline regimen. Patients should be advised to notify their physician if they experience signs and symptoms of theophylline toxicity such as nausea, vomiting, diarrhea, headache, restlessness, insomnia, and irregular heartbeat.

References
1 Gardner MJ, Tornatore KM, Jusko WJ, Kanarkowski R "Effects of tobacco smoking and oral contraceptive use on theophylline disposition." Br J Clin Pharmacol 16 (1983): 271-80. [PMID: 6626419]
2 Roberts RK, Grice J, McGuffie, Heilbronn L "Oral contraceptive steroids impair the elimination of theophylline." J Lab Clin Med 101 (1983): 821-25. [PMID: 6854122]
3 Tornatore KM, Kanarkowski R, McCarthy TL, et al "Effect of chronic oral contraceptive steroids on theophylline disposition." Eur J Clin Pharmacol 23 (1982): 129-34. [PMID: 7140802]