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Drug interactions

Phytoestrogens + Theophylline

Severity: Minor

Phytoestrogens and Theophylline: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Isoflavones such as daidzein have been shown to inhibit CYP1A2 and raise theophylline levels in some studies. Higher levels could cause toxicity, mainly with high-dose supplements.

What this interaction means in plain words

Phytoestrogens and Theophylline have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Phytoestrogen isoflavones inhibit CYP1A2, reducing theophylline metabolism.

What to do

Monitor theophylline levels and toxicity signs if high-dose isoflavone supplements are started or stopped.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Phytoestrogens with Theophylline?

MediHelp rates the interaction as minor. Phytoestrogens and Theophylline have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Isoflavones such as daidzein have been shown to inhibit CYP1A2 and raise theophylline levels in some studies. Higher levels could cause toxicity, mainly with high-dose supplements.

How serious is the interaction between Phytoestrogens and Theophylline?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor theophylline levels and toxicity signs if high-dose isoflavone supplements are started or stopped.

What other medicines interact with Theophylline?

MediHelp also lists interactions of Theophylline with, for example, Riociguat, Adenosine, Apalutamide. The full list is on the Theophylline page.

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