Health Centres - Uniphyllin continus
How does it work?
Uniphyllin continus prolonged release tablets contain the active ingredient theophylline. Theophylline is a type of medicine called a xanthine bronchodilator. It is used to open the airways.
Theophylline causes the muscles surrounding the airways to relax, by a mechanism that is not fully understood. This allows the airways in the lungs to open.
In conditions where the airways tighten, such as asthma or chronic obstructive pulmonary disease (COPD, eg emphysema and chronic bronchitis) , it is difficult for air to get in and out of the lungs. By opening the airways, theophylline makes it easier to breathe.
Uniphyllin continus tablets are designed to release the theophylline slowly over 12 hours. They are taken as a regular twice daily treatment to help keep the airways relaxed and open all the time. The tablets should be swallowed whole, as crushing or chewing them will stop the prolonged release action from working.
Theophylline also stimulates the heart muscle, and Uniphyllin continus tablets are also licensed for treating heart failure.
What is it used for?
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Asthma
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Chronic obstructive pulmonary disease
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Heart failure
Warning!
- Different brands of prolonged release theophylline are not interchangeable, as they provide different blood levels of the medicine. You should make sure you know which brand of theophylline you normally take, and that you receive the correct brand each time your prescription is dispensed.
- Theophylline has a narrow margin between the blood level needed for the medicine to be effective and the blood level that is high enough to cause side effects. Your doctor may need to take a blood test to monitor your theophylline level from time to time, to make sure that you taking the right dose to put you within the correct range.
- Smoking tobacco or cannabis, chewing tobacco or taking snuff can increase the removal of theophylline from the body and so decrease your theophylline blood level. You should tell your doctor if you are a smoker, as you may need a higher than normal dose of theophylline. You should also tell your doctor if you are giving up smoking, as this may mean your dose will need reducing. Acute viral infections can increase your theophylline blood level. You should consult your doctor if you get a feverish infection, so that if necessary your
theophylline blood level can be checked.
- If this medicine doesn't seem to work as well, or for as long as usual, or you need to use your reliever inhaler (eg salbutamol or terbutaline) more often than usual to relieve wheezing or chest tightness, you should consult your doctor as soon as possible. It may be that your asthma or COPD is getting worse and your doctor might need to give you another medicine.
- People with severe asthma should have regular blood tests to monitor the amount of potassium in their blood.

