neobookRx
DrugsLevel 4 LocalisationN/AOTHEML

Etofylline

Purine derivativeNot available as a single agent preparation

Cautions

Contraindications

  • Hypersensitivity to the active ingredient or any of its excipients 
  • Seizure disorders 

Cautions

  • Pregnancy 
  • Breastfeeding 
  • Renal impairment
  • Hepatic impairment 
  • Elderly 
  • Peptic ulcer disease 
  • Cardiac disease 

Special populations

Pregnancy

  • Caution; no information available
  • There are limited or no data on the safety of etofylline during pregnancy. Safer alternatives with known safety profiles are recommended

Breastfeeding

  • Caution; not recommended
  • There are limited or no data on the safety of etofylline in breastfeeding mothers. The risk to the breastfeeding infant cannot be excluded, therefore, safer alternatives with known safety profiles are recommended

Renal Impairment

Hepatic Impairment

Elderly

Porphyria Information

Adverse reactions

Central Nervous System Disorders

  • Insomnia 
  • Irritability 

Cardiovascular Disorders

  • Tachycardia 
  • Palpitations 

Gastrointestinal Disorders

  • Abdominal pain 
  • Nausea and vomiting 

Interactions

  • Central nervous system depressants  
  • Warfarin 
  • Sulphonylureas 

Mechanism of action

Etofylline is N-7 substituted theophylline derivative which acts similar to other xanthines. The bronchodilating action of xanthines is thought to result from the competitive inhibition of phosphodiesterase, which is the enzyme responsible for the breakdown cyclic AMP in smooth muscle cells. 

Dosage forms

  • Other

References

1. Pharmacologist: Dr Ahmed Abulfathi 1.1 Nachtigall HB. Journal of Allergy; 1956 1.2 Oleson EB et al. Eur J Pharmacol 2012 1.3 Lappa GB et al. Eur J Pharmacol 2005 1.4 Puhakka H et al. J Int Med Res 1977 1.5 Zuidema J et al. Int J Clin Pharmacol Ther Toxicol 1981 1.6 Afritox 1.7 Drugdex drug evaluations 1.8 Actophlem package insert 2. NAPOS The Drug Database for Acute Porphyria: Etofylline; Accessed online 8 April 2019 [http://www.drugs-porphyria.org/languages/UnitedKingdom/s3.php?l=gbr&atc_code=C04AD04]

Brands & products

8 products · stale NAPPI snapshot · refreshed 5/28/2026 · 159 days old

syrupGeneric· 8 products

from R0.23/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Theophen80 mg/15ml200S2R45.67R0.23R27.68770388019
Dynalex360 mg/15ml200S2R87.15R0.44R42.04715681001
Actophlem720 mg/30ml200S2R164.57R0.82R68.82779784006
Dilinct- mg200S2R166.32R0.83R69.43720003008
Actophlem720 mg/30ml100S2R91.37R0.91R43.50779784007
Solphyllex720 mg/30ml200S2R185.05R0.93R75.91765023008
Solphyllex720 mg/30ml100S2R101.61R1.02R47.04765023009
Solphyllin80 mg/15ml200S2R253.35R1.27R94.91765031019

Medical aid coverage

data not yet integrated
Discovery Health
not yet integrated
  • Comprehensive Series—
  • Executive Plan—
  • KeyCare Series—
  • Priority Series—
  • Saver Series—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

Bonitas Medical Fund
not yet integrated
  • BonClassic—
  • BonComprehensive—
  • BonEssential—
  • BonFit Select—
  • BonSave—
  • BonStart—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

GEMS — Government Employees Medical Scheme
not yet integrated
  • Beryl—
  • Emerald—
  • Onyx—
  • Ruby—
  • Sapphire—
  • Tanzanite One—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

POLMED — Police Medical Aid Scheme
not yet integrated
  • Aquarium Option—
  • Efficiency Option—
  • Marine Option—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

Interacts with 1 known drugs

Check against other drugs →
NeoHealth® ID 16144 · updated 7/12/2022