Dilor-400 (Oral)

Dyphylline is used to treat and/or prevent the symptoms of bronchial asthma, chronic bronchitis, and emphysema. It helps by opening up the bronchial tubes (air passages of the lungs) and increasing the air flow through them.

This medicine is available only with your doctor's prescription.

Your doctor will monitor your progress during regular visits, especially in the first few weeks of your treatment with this medicine.

Before having any surgery that needs general anesthesia, inform the medical doctor in charge that you are taking this medicine.

In deciding to use a medicine, you and your doctor need to consider the risks and benefits. Here are some important points to think about for this medicine:

Allergies

Inform your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also, let your healthcare professional know if you have any other allergies, like to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Other bronchodilator medicines are preferred for children.

Geriatric

Just like younger patients, other bronchodilator medicines are preferred for older patients. Additionally, older patients with kidney disease may need a lower dose of dyphylline than older adults without kidney disease.

Breast Feeding

There are no adequate studies in women to determine the risk to infants when using this medicine during breastfeeding. Consider the potential benefits and risks before taking this medication while breastfeeding.

Interactions with Medicines

Some medicines should never be used together, while others may be used together despite potential interactions. If you are taking this medicine, it is very important for your healthcare professional to know if you are taking any of the medicines listed below. The following interactions are significant but not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may choose not to treat you with this medication or change some of your other medications.

• Riociguat

Using this medicine with any of the following medicines is usually not recommended, but may be necessary in some cases. If both medicines are prescribed together, your doctor may adjust the dose or the frequency of use for one or both medicines.

• Adenosine
• Regadenoson

Interactions with Food/Tobacco/Alcohol

Some medicines should not be used around the time of eating food or certain types of food due to possible interactions. Using alcohol or tobacco with certain medicines may also lead to interactions. Talk to your healthcare professional about using your medicine with food, alcohol, or tobacco.

Other Medical Problems

Other medical problems may affect how you can use this medicine. Make sure to inform your doctor if you have any other medical conditions, especially:

• Heart or blood vessel disease or
• Stomach ulcer (or history of) or other stomach issues—These may worsen with this medicine.

• Heart failure or
• Kidney disease—The effects of the medicine may be stronger.

Along with its necessary effects, a medicine may cause some unwanted effects. Not all of these side effects may happen, but if they do, they may require medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

Less common

• Heartburn
• vomiting

Symptoms of overdose

• Abdominal pain (continuing or severe)
• confusion or change in behavior
• convulsions (seizures)
• dark or bloody vomit
• diarrhea
• fast or irregular heartbeat
• nervousness or restlessness (continuing)
• trembling (continuing)

Some side effects may happen that usually do not require medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you how to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome, or if you have any questions about them:

Less common

• Fast heartbeat
• headache
• increased urination
• nausea
• nervousness
• trembling
• trouble with sleeping

Other side effects not listed may also happen in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

In the U.S.

• Dilor-200
• Dilor-400
• Dylix
• Lufyllin
• Lufyllin-400

In Canada

• Protophylline Alcohol And Sugar Free

Chemical Class: Methylxanthine

This medicine works best when there is a constant amount in the blood. To help keep the amount constant, dyphylline must be taken at regularly spaced times, as ordered by your doctor. Do not miss any doses.

This medicine also works best when taken with a glass of water on an empty stomach (either 30 minutes to 1 hour before meals or 2 hours after meals). However, in some cases your doctor may want you to take this medicine with meals or right after meals to lessen stomach upset.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For oral dosage forms (elixir or tablets): For asthma, bronchitis, or emphysema: Adults—Dose is based on body weight. The usual dose is 15 milligrams (mg) per kilogram (kg) of body weight up to four times per day. Children—Dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Do not refrigerate. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.