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Aim of the study: Theophylline, a methylxanthine derivative which was widely used in the treatment of asthma and bronchopulmonary
obstructive diseases, is known to produce seizures which might be due to non-selective antagonistic effect on central adenosine
receptors. This study provides an insight on the importance of how modulation of adenosine receptors might affect the neurological
actions of theophylline and consequently might clarify a possible mechanistic approach to theophylline.
Methods: This was carried out by studying the effect of pretreatment of rats with adenosine and its analogs on theophylline-induced
seizures. Acute toxicity of theophylline in rats was studied by determination of median convulsive dose (CD50) of theophylline alone
and after pretreatment of rats with adenosine and its analogs. The marginal dose of theophylline that elicits convulsions (i.e the least
convulsive dose) and the serum level of theophylline at this dose were determined.
Results: Pretreatment of rats with adenosine, 2-CADO, CPA and CPCA did not significantly offer protection against convulsions
induced by acute challenge with theophylline in a dose of 200 mg/kg.
Conclusion: Significant elevation of CD50 of theophylline after pretreatment of rats with adenosine and CPA is not conforming with
the observation that adenosine and its analogs didn�t significantly offer protection against theophylline-induced seizures and this
indicates that further investigations are needed to study role of adenosinergic system in theophylline-induced seizures.