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Theophylline Concentration (Serum/Plasma)

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.

Quick summary

["Helps ensure your medication dose is safe and effective."]

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

Key facts at a glance

LOINC
32116-6
Short code
Theophylline Trough SerPl-sCnc
Synonyms
Theophylline Trough SerPl-sCnc
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 (a medication like Theophylline, Theo-Dur, or Slo-Bid) to manage conditions like asthma, chronic obstructive pulmonary disease (COPD), or certain heart rhythms. It helps monitor your drug levels to avoid side effects like rapid heart rate or nausea while ensuring the medication works properly.

What to Expect Before the Test

No special preparation is needed. You may have a small needle inserted into a vein (usually in your arm) to draw a blood sample. The process is quick and usually painless. If you’re on a blood thinner, let your provider know before the test.

What the Test Results Mean

Results show your current theophylline concentration in your blood. While reference ranges vary by lab and patient factors, your provider will compare your result to your usual therapeutic range to guide dosing adjustments. High levels may indicate too much medication, while low levels may mean you need more.

Possible Side Effects and Risks

Theophylline can cause side effects like nausea, headache, or an increased heart rate. Very high levels may lead to serious issues like seizures or irregular heartbeat. Your provider will adjust your dose based on these results to keep you safe.

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.

Maintaining proper theophylline levels is critical because this medication can be toxic at high concentrations. Regular monitoring helps prevent complications, especially in patients with liver or kidney issues, who may metabolize the drug differently. It also ensures the medication remains effective against your condition.

Short name

Theophylline Level

Frequently asked questions

What does a ‘trough’ level mean?
A ‘trough’ level refers to the lowest concentration of theophylline in your blood just before your next dose. This is measured to check if your medication is working at its lowest point, helping avoid dangerous spikes in drug levels.
Why is this test done at a specific time?
The test is timed to capture your blood just before your next dose (usually 12–24 hours after taking it) to assess the lowest concentration. This timing helps your provider determine if your dose is too high or too low for your body.
Can I eat or drink before this test?
Yes, you can eat and drink normally before the test. Only avoid smoking or caffeine if your provider instructed you to, as they can affect theophylline levels temporarily.
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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