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Theophylline (Mass Concentration in Serum/Plasma)

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

This test measures the amount of theophylline, a medication derived from tea leaves, in your blood. Theophylline is used to treat breathing problems like asthma or chronic obstructive pulmonary disease (COPD).

Quick summary

["This test helps monitor your medication levels to ensure they’re safe and effective."]

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

Key facts at a glance

LOINC
4049-3
Short code
Theophylline SerPl-mCnc
Synonyms
Theophylline SerPl-mCnc
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 breathing issues. Regular testing helps prevent side effects, such as rapid heart rate or nausea, by ensuring your medication stays within a safe range.

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted into your arm or vein to draw blood. It usually takes a few minutes. If you’re on a long-term medication like theophylline, your provider may schedule tests at regular intervals to check your levels.

What the Results Mean

Results are typically reported in micrograms per milliliter (mcg/mL). Your provider will interpret the results based on your medical history, symptoms, and other medications you’re taking. Too much or too little theophylline can affect how your body works.

Possible Side Effects and Risks

The test itself is generally safe, but you might feel slight discomfort or bruising at the injection site. Rarely, blood tests can cause allergic reactions or infections. If you have a history of bleeding disorders, let your provider know before the test.

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.

Theophylline is a medication that can have a narrow therapeutic window. High levels may cause side effects like heart rhythm changes, seizures, or vomiting, while low levels may mean the medication isn’t working properly. Regular monitoring helps balance safety and effectiveness, especially in people with kidney issues or those taking other medications that interact with theophylline.

Short name

Theophylline Level

Frequently asked questions

How often should I get this test?
Your provider will determine the frequency based on your specific situation, such as how long you’ve been on theophylline, your kidney function, and other medications you’re taking. Typically, tests may be done every few weeks or months, but this can vary.
What does a ‘high’ or ‘low’ theophylline level mean?
A ‘high’ level may indicate too much medication in your system, which could lead to side effects like rapid heartbeat or nausea. A ‘low’ level might mean your body isn’t absorbing the medication well or you need a dose adjustment. Your provider will discuss these results with you.
Can I eat or drink before this test?
You can eat and drink normally before the test unless your provider gives specific instructions. No fasting is required for this blood test.
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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