From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Prescription
Last verified
June 4, 2026
ConflictEmerging evidence
What is happening. Theophylline can worsen insomnia and may counter sleep-promoting strategies such as melatonin.
Mechanism. Adenosine receptor antagonism promotes wakefulness and can oppose circadian sleep support.
Recommendation. Address theophylline timing, serum level, and caffeine intake before escalating sleep supplements.
Stack Score
How it moves the number.
Effect on the composite score
If both Melatonin and Theophylline are in the same stack, this pair applies −10 to your Stack Score (per scored conflict row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
1- 1Shannon M. Theophylline poisoning: clinical features and management. Medical Toxicology and Adverse Drug Experience. 1993.Needs sourceNo link