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theophylline Side Effects

Also known as: Theo-24, Elixophyllin

Analysis of 11,723 adverse event reports submitted to the FDA from 1995 to 2025.

Total Reports

11,723

Death-Related

1,708

14.6% of reports

Hospitalizations

5,109

43.6% of reports

Top Indication

Asthma

Most Reported Adverse Reactions

DYSPNOEA
2,273
ASTHMA
1,942
PNEUMONIA
1,318
WHEEZING
1,306
VOMITING
1,101
COUGH
1,058
DRUG HYPERSENSITIVITY
824
DRUG INEFFECTIVE
756
MALAISE
751
PAIN
699
OEDEMA
667
CHEST PAIN
633
NAUSEA
630
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
626
FATIGUE
480
DIZZINESS
474
PRODUCTIVE COUGH
451
PYREXIA
444
CONDITION AGGRAVATED
443
THERAPEUTIC PRODUCT EFFECT INCOMPLETE
427

Who Reports Side Effects

Gender Distribution

Female 6,422 (59%)
Male 4,405 (40%)
Unknown 55

Age Distribution

0-17 334 (4%)
18-44 895 (11%)
45-64 2,683 (32%)
65-74 2,662 (31%)
75+ 1,909 (23%)

Reporting Trend by Year

1995 2025

Reactions in Death Reports

Top reactions reported in 1,708 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 351
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 200
DYSPNOEA 185
TOXICITY TO VARIOUS AGENTS 152
PNEUMONIA 141
RESPIRATORY FAILURE 124
COMPLETED SUICIDE 105
VOMITING 105
CONDITION AGGRAVATED 104
ANAEMIA 103
NAUSEA 102
SEPSIS 100
DRUG INEFFECTIVE 90
SOMNOLENCE 88
CARDIAC ARREST 85
DRUG INTERACTION 83
OFF LABEL USE 83
ABDOMINAL DISTENSION 79
GENERAL PHYSICAL HEALTH DETERIORATION 78
ABDOMINAL PAIN 76

Reactions in Hospitalization Reports

Top reactions in 5,109 reports where hospitalization was an outcome.

Reaction Reports
DYSPNOEA 1,026
ASTHMA 850
PNEUMONIA 595
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 497
WHEEZING 477
COUGH 407
VOMITING 383
NAUSEA 379
DRUG INEFFECTIVE 323
THERAPEUTIC PRODUCT EFFECT INCOMPLETE 316
CONDITION AGGRAVATED 302
HYPERTENSION 289
FATIGUE 276
ANXIETY 271
PRODUCTIVE COUGH 268
ATRIAL FIBRILLATION 261
OFF LABEL USE 257
PYREXIA 257
DIZZINESS 255
DRUG INTERACTION 237

Nearby — Related Medications

Compare theophylline vs aclidinium →

What the FAERS Data Reveals About theophylline Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 11,723 voluntary reports linked to theophylline and its brand equivalents (Theo-24, Elixophyllin), spanning 1995 through 2025. Of those, 1,708 (14.6%) listed death as an outcome and 5,109 (43.6%) involved hospitalization. The most common indication reported alongside adverse events was Asthma.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 59% were female and 40% male; age distribution skews toward 45-64, with 2,683 reports in that bracket. The single most reported reaction is dyspnoea with 2,273 submissions, followed by asthma and pneumonia.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.