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Related to Trental: pentoxifylline


Apo-Pentoxiphylline, Neotren (UK), Pentoxil, Pentoxiphylline (CA), Pentoxiphylline SR (CA), Trental

Pharmacologic class: Hemorrheologic, xanthine derivative

Therapeutic class: Hematologic agent

Pregnancy risk category C


Unknown. Thought to enhance blood flow to the circulatory system by increasing vasoconstriction and oxygen concentrations.


Tablets (controlled-release, extended-release): 400 mg

Indications and dosages

Intermittent claudication

Adults: 400 mg t.i.d. If adverse reactions occur, decrease to 400 mg b.i.d.

Dosage adjustment

• Renal impairment

Off-label uses

• Diabetic angiopathies and neuropathies

• Transient ischemic attacks

• Severe idiopathic recurrent aphthous stomatitis

• Raynaud's phenomenon


• Hypersensitivity to drug or methylxanthines (such as caffeine, theophylline, theobromine)

• Recent cerebral or retinal hemorrhage


Use cautiously in:

• patients at risk for bleeding

• pregnant or breastfeeding patients

• children (safety not established).


• Give with meals to minimize GI distress.

• Make sure patient swallows tablets whole without crushing, breaking, or chewing.

Adverse reactions

CNS: agitation, dizziness, drowsiness, headache, insomnia, nervousness, tremor, anxiety, confusion, malaise

CV: angina, edema, hypotension, arrhythmias

EENT: blurred vision, epistaxis, laryngitis, nasal congestion, sore throat

GI: nausea, vomiting, constipation, diarrhea, abdominal discomfort, belching, bloating, dyspepsia, flatus, cholecystitis, dry mouth, excessive salivation, anorexia

Hematologic: leukopenia

Respiratory: dyspnea

Skin: rash, urticaria, pruritus, brittle fingernails, flushing, angioedema

Other: bad taste, weight changes, thirst, flulike symptoms, lymphadenopathy


Drug-drug. Anticoagulants, nonsteroidal anti-inflammatory drugs (NSAIDs): increased risk of bleeding Antihypertensives: additive hypotension

Theobromide, theophylline: increased risk of theophylline toxicity

Drug-herbs. Anise, arnica, asafetida, chamomile, clove, dong quai, fenugreek, feverfew, garlic, ginger, ginkgo, ginseng, licorice: increased risk of bleeding

Drug-behaviors. Smoking: decreased pentoxifylline efficacy

Patient monitoring

• Monitor vital signs and cardiovascular status. Watch for arrhythmias, angina, edema, and hypotension.

• Frequently monitor prothrombin time and International Normalized Ratio in patients receiving warfarin concurrently.

• Assess theophylline level in patients receiving theophylline-containing drugs concurrently.

Patient teaching

• Instruct patient to take with meals and to swallow tablets whole without crushing, breaking, or chewing.

Inform patient that drug can cause serious adverse effects. Instruct him to immediately report chest pain, swelling, and flulike symptoms.

• Tell patient smoking may make drug less effective and that many over-the-counter preparations (including aspirin, NSAIDs, and herbs) increase risk of bleeding.

• As appropriate, review all other significant and life-threatening adverse reactions and interactions, especially those related to the drugs, herbs, and behaviors mentioned above.


A trademark for the drug pentoxifylline.


a trademark for an oral hemorrheological drug (pentoxifylline).


Pentoxifylline, see there.


A brand name for OXPENTIFYLLINE (pentoxifylline).
References in periodicals archive ?
To the four luminaires and confreres of the church of St Jacques (Notre Dame, St Jehan, St Quentin and St Nicholas), she gives 5 sous, in payment for two trentals of requiem masses to be said for the soul of Jehane Gounione;
The Trental ads ran in April, Aleve ran on June 24, and Mevacor broke July 24.
Pentoxifylline, a cardiovascular medication that is the generic version of Hoechst Marion Roussel's Trental.
John Foxe makes the axis of dispute particularly clear when he explains that the "Church of Rome" does not understand the meaning of the Crucifixion, "as may sensibly appeare by their doctrine and institutes, by their auricular confession and satisfaction for sinnes, by their dayly sacrifices, propitiatory Masses, trentals, and Purgatory, by merites of supererogation, inuocation of Saintes, the popes pardon, & dispensations.
These included money to pay the stipend of a chaplain or priest to celebrate divine service for the souls of the members, to provide torches (large candles) at obsequies, for trentals (the singing of thirty masses) and for a banner cloth, as well as a brass pot of seven gallons, six pewter plates, twelve pieces of pewter, a tablecloth, a silver salt and money for the repair of the gild's hall and barn.