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Theophylline, Serum Concentration

Published: August 9, 2026Updated: August 17, 2026

This test measures the amount of theophylline, a medication used to treat certain breathing and heart conditions, in your blood serum.

Quick summary

["Your doctor may check this level to ensure you’re taking the right dose of theophylline."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
110253-2
Short code
Theophylline Msmt SerPl
Synonyms
Theophylline Msmt SerPl
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
20
Critical range
— – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may order this test if you’re taking theophylline to manage conditions like asthma, chronic obstructive pulmonary disease (COPD), or certain heart rhythms. They may also check it if you have symptoms like rapid heartbeat, nausea, or trouble sleeping, which could indicate too much or too little medication in your system.

What to Expect Before the Test

No special preparation is needed for this blood test. You may have a small needle inserted into your arm to draw a blood sample. It usually takes a few minutes, and you can resume normal activities afterward.

What the Results Mean

Theophylline levels can vary based on your dose, how you take it, and other health factors. Your doctor will compare your results to guidelines specific to your medication and condition to determine if your dose is appropriate.

Common Reasons for Monitoring

Regular monitoring helps prevent side effects like heart rhythm changes, liver issues, or digestive problems. It also ensures the medication stays effective for managing your breathing or heart condition.

Reference range

Therapeutic: 10-20 mcg/mLN/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test is critical for patients on long-term theophylline therapy because the medication can build up in the body over time, leading to toxicity if levels are too high. Low levels may mean the medication isn’t working as intended. Your doctor will adjust your dose based on these results to balance safety and effectiveness.

Short name

Theophylline Level

Frequently asked questions

Why might my doctor want to check my theophylline level frequently?
If you have certain health conditions (like liver or kidney problems), take other medications, or have a history of theophylline side effects, your doctor may need to check your levels more often to avoid dangerous levels.
How long does it take to get my test results back?
Results are typically available within a few days, depending on your lab and healthcare provider’s schedule. Your doctor will contact you once they’re ready to discuss them.
Can I stop taking theophylline if my levels seem too low?
No, never stop taking your theophylline without consulting your doctor first. Low levels might mean your medication isn’t working as expected, and stopping it abruptly could worsen your condition.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy