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Theophylline Concentration (Serum)

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

This test measures the amount of theophylline, a medication used to treat asthma and other breathing disorders, in your blood.

Quick summary

["Theophylline levels help ensure you’re taking the right dose for your condition."]

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

Key facts at a glance

LOINC
108522-4
Short code
Theophylline Msmt Ur
Synonyms
Theophylline Msmt Ur
Category
chemistry
Sample
urine
Container
Sterile urine container
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
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may order this test if you’re taking theophylline (such as Theophylline, Theo-Dur, or Slo-Bid) to check if your blood levels are within the safe range. It’s also used to monitor long-term treatment or adjust your dose if needed.

What Does This Test Tell You?

High levels of theophylline can cause side effects like nausea, rapid heartbeat, or even serious health risks. Low levels might mean your medication isn’t working as intended. This test helps balance your dose to avoid these issues.

How Is the Test Done?

A blood sample is taken from a vein in your arm. The sample is sent to a lab where it’s analyzed using a sensitive method to measure theophylline concentration.

What to Expect Before the Test

No special preparation is needed, but tell your doctor about any other medications you’re taking, as some can affect theophylline levels.

Reference range

Therapeutic: 10-20 mcg/mLN/A

Specimen: urine

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.

Theophylline is a bronchodilator used primarily for managing chronic obstructive pulmonary disease (COPD) and asthma. Optimal levels help prevent symptoms like wheezing or shortness of breath while minimizing side effects. Regular monitoring is critical because the medication can build up in the body over time, especially in people with kidney issues or who take other medications that interact with it.

Short name

Theophylline Level

Frequently asked questions

What Are Common Side Effects of High Theophylline Levels?
High levels may cause symptoms like headache, dizziness, rapid heartbeat, nausea, vomiting, or insomnia. Severe cases can lead to more serious complications, so it’s important to follow your doctor’s instructions for dosing.
How Often Should I Have This Test?
Your doctor will determine the frequency based on your treatment plan, medication dose, and overall health. Typically, tests may be done every few weeks or months to adjust your dose if needed.
Can I Drink Coffee or Eat Before the Test?
No special diet is required, but avoid caffeine-rich foods or drinks (like coffee, tea, or energy drinks) for at least 12 hours before testing, as they can affect theophylline levels.
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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