NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

Theophylline and Vitamin B6: what the published research says

PubMed indexes 8 records that name Theophylline and Vitamin B6 together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Theophylline and Vitamin B6. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

8 studies naming Theophylline and Vitamin B6.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Theophylline increases pyridoxal kinase activity independently from vitamin B6 nutritional status.

Research communications in chemical pathology and pharmacology · 1993 · PMID 8480077

Clinical TrialComparative StudyRandomized Controlled Trial

“When theophylline therapy was commenced, erythrocyte pyridoxal kinase activities increased significantly (p < 0.001) irrespective of whether vitamin B6 or placebo was supplemented. It is concluded that a depressed vitamin B6 status is not responsible for higher erythrocyte pyridoxal kinase activities encountered during theophylline therapy, but that the drug is directly responsible for elevated enzyme levels.”

Delport et al. · From the abstract

Names both Theophylline and Vitamin B6 in its title.

Evidence of a theophylline-induced vitamin B6 deficiency caused by noncompetitive inhibition of pyridoxal kinase.

The Journal of laboratory and clinical medicine · 1989 · PMID 2535870

Clinical TrialControlled Clinical Trial

“The oral tryptophan load test resulted in significantly (p = 0.007) increased urinary xanthurenic acid excretion after 4 weeks of theophylline therapy. Both plasma pyridoxal-5'-phosphate levels and the tryptophan load test results normalized after 1 week of pyridoxine supplementation, indicating that 10 mg pyridoxine per day was effective to counteract the antagonistic effect of short-term theophylline therapy on vitamin B6 metabolism.”

Ubbink et al. · From the abstract

Names both Theophylline and Vitamin B6 in its title.

Subnormal vitamin B6 levels in theophylline users

Nederlands tijdschrift voor geneeskunde · 1997 · PMID 9550799

Human subjects141 participants

“In patients who used theophylline a higher prevalence of subnormal vitamin B-6 status was found than in patients who did not.”

Martinez de Haas et al. · Authors' conclusion

Names both Theophylline and Vitamin B6 in its title.

Serum concentrations of the pyridoxal and pyridoxal-5'-phosphate in children during sustained-release theophylline therapy

Arerugi = [Allergy] · 1996 · PMID 8958656

Human subjects

“These findings suggest that long-term theophylline therapy or serum theophylline concentration within the therapeutic ranges (5-15 micrograms/ml) can depress serum vitamin B6 concentration in children with asthma. Theophylline-induced seizure may be caused by decrease in gamma-aminobutyric acid concentration in the brain result from decrease in vitamin B6 concentration, even if the serum theophylline concentration is within the therapeutic ranges.”

Tanaka et al. · From the abstract

Names both Theophylline and Vitamin B6 in its title.

Pyridoxine as therapy in theophylline-induced seizures.

Veterinary and human toxicology · 1995 · PMID 8540225

Animal study

“All 6 rabbits developed abnormal EEGs during theophylline infusion and all 6 rabbit EEG patterns returned to baseline during treatment with pyridoxine. These findings suggest that pyridoxine may partially reverse theophylline-induced central nervous system toxicity.”

Glenn et al. · From the abstract

Names both Theophylline and Vitamin B6 in its title.

Theophylline attenuates circulating vitamin B6 levels in children with asthma.

Pharmacology · 1994 · PMID 7878077

Human subjects

“Oral administration of 200 mg of theophylline (TheoDur) to 5 children with asthma significantly depressed serum PLP levels 4 h after the drug intake (p < 0.05), whereas theophylline did not affect serum PL levels. From these results, we conclude that theophylline induces a depression of circulating PLP levels in asthmatic children.”

Shimizu et al. · From the abstract

Names both Theophylline and Vitamin B6 in its title.

Depression of vitamin B6 levels due to theophylline.

Annals of allergy · 1990 · PMID 2368933

Animal study

“If these data apply to humans, B6 deficiency may contribute to chronic theophylline toxicity; however, pyridoxine administration in the dosage used may not prevent toxicity. Larger doses may prove beneficial after further investigation.”

Weir et al. · From the abstract

Names both Theophylline and Vitamin B6 in its title.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Theophylline, Vitamin B6, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.