Short answer: Pentoxifylline has a half-life of about 0.4 to 0.8 hours (metabolites 1 to 1.6 hours). Levels peak 2 to 4 hours (extended-release tablet) after a dose. People vary, so treat these as estimates.
Pentoxifylline is a methylxanthine, from the same family as caffeine and theophylline. The label says it makes blood flow more easily by lowering its thickness (viscosity). It is sold as Trental and as generic 400 mg extended-release tablets for intermittent claudication, the leg pain on walking caused by narrowed leg arteries.
Also known as: Trental.
Trental and generic pentoxifylline come as 400 mg extended-release tablets.
The FDA Trental label approves pentoxifylline for intermittent claudication from chronic blocked arteries in the limbs; it can improve function and symptoms but does not replace surgery or other procedures to open the arteries. The label dose is one 400 mg tablet three times a day with meals. Effects may show within 2 to 4 weeks, and the label recommends at least 8 weeks of treatment. If stomach or nervous system side effects appear, the dose can drop to twice a day; with severe kidney impairment (creatinine clearance below 30 mL/min) it is 400 mg once a day.
It is not used after a recent bleed in the brain or the retina, or by people who could not tolerate it or other methylxanthines such as caffeine, theophylline or theobromine. The label notes bleeding reports with or without blood thinners, anti-platelet drugs or NSAIDs, and says to stop it at the first sign of a severe allergic reaction.
The FDA Trental label gives pentoxifylline an apparent plasma half-life of 0.4 to 0.8 hours, and its metabolites 1 to 1.6 hours, after an oral solution. The 400 mg extended-release tablet reaches peak levels in 2 to 4 hours and keeps them steady for an extended time, which is why it is taken three times a day. It does not build up with repeated doses.
Numbers shown are taken from the source above. Half-life varies from person to person.
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