Skip to main content

What the FDA labels say about taking them together

Nicotine and theophylline

Nicotine's FDA label of July 25, 2024 names theophylline in its drug interactions (prescription label) section; the theophylline label PlainMeds reads does not name nicotine. The nicotine label: “May Require a Decrease in Dose at Cessation of Smoking: Acetaminophen, caffeine, imipramine, oxazepam, pentazocine, propranolol, or other beta-blockers, theophylline; …”

Check it at the source: the nicotine FDA label on DailyMed (effective July 25, 2024, Dr. Reddys Laboratories Inc.); the theophylline FDA label on DailyMed (effective March 10, 2026, Strides Pharma Science Limited).

What does the nicotine label say about theophylline?

Nicotine label, drug interactions (prescription label)

May Require a Decrease in Dose at Cessation of Smoking: Acetaminophen, caffeine, imipramine, oxazepam, pentazocine, propranolol, or other beta-blockers, theophylline; Possible Mechanism: Deinduction of hepatic enzymes on smoking cessation.

Source: FDA drug label (Nicotine transdermal system), Dr. Reddys Laboratories Inc., effective July 25, 2024 (SPL set e2391b29-9bac-fc09-f2a5-a3370bc4e2c3), via openFDA; the full label on DailyMed

What does the theophylline label say about nicotine?

Theophylline's label (effective March 10, 2026) does not name nicotine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Theophylline), Strides Pharma Science Limited, effective March 10, 2026 (SPL set b7a90ccf-9c32-40cc-9008-7e55b3da4dfd), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

69Nicotine generic labelers
26Theophylline generic labelers
NicotineTheophylline
Labeled forQuitting smokingAsthma
Boxed warningNoNo
Pharmacy cost (NADAC)$1.87 per patch 21 mg/24hr patch$0.330 per tablet 300 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?