Theophylline XR Shortage Update: What Patients Need to Know in 2026

Updated:

February 24, 2026

Author:

Peter Daggett

Summarize this blog with AI:

Is Theophylline XR still in shortage in 2026? Get the latest update on availability, costs, and what patients can do to find their medication.

The Theophylline XR Shortage: Where Things Stand in 2026

If you've been trying to fill a prescription for Theophylline XR and hitting dead ends, you're dealing with a problem that's been building for years. Theophylline extended-release products have faced recurring supply disruptions, leaving patients with asthma and COPD scrambling for their medication.

In this update, we'll give you the latest on the Theophylline XR shortage, explain what's driving it, and share practical steps you can take right now.

Is Theophylline XR Still in Shortage?

As of early 2026, Theophylline XR continues to experience intermittent supply disruptions. The situation varies by strength and formulation:

  • 100mg and 200mg extended-release tablets: Generally more available, though spot shortages occur.
  • 300mg extended-release tablets: Moderately available at most pharmacies.
  • 400mg, 450mg, and 600mg extended-release tablets: These higher strengths have been the most consistently affected, with some pharmacies unable to source them for weeks at a time.

The FDA's Drug Shortage database has listed certain theophylline products periodically, though the drug may cycle on and off the list as manufacturers resolve and then re-encounter production issues.

Why Is Theophylline XR Hard to Find?

The shortage comes down to a few key factors:

Brand Discontinuations

Over the past two decades, most brand-name theophylline products have been discontinued — including Theo-24, Uniphyl, Slo-Bid, and Theo-Dur. This means the entire market now depends on a small number of generic manufacturers like Endo Pharmaceuticals, Rhodes Pharmaceuticals, and others.

Limited Manufacturer Base

With only a handful of companies making theophylline extended-release products, any single production disruption — a failed quality inspection, raw material delay, or equipment problem — can create a nationwide shortage.

Narrow Therapeutic Index Challenges

Theophylline's narrow therapeutic index means manufacturing requires tight quality controls. Batches must meet strict specifications for drug release rates, which increases production complexity and the chance of batch failures.

Low Market Incentive

Generic Theophylline XR costs just $10 to $30 per month at retail. The low price means low profit margins, which discourages new manufacturers from investing in production capacity.

How Much Does Theophylline XR Cost in 2026?

Despite the supply challenges, Theophylline XR remains one of the more affordable respiratory medications:

  • Generic Theophylline ER (cash price): $15 to $40 per month for a 30-day supply, depending on strength and pharmacy.
  • With a discount card (GoodRx, SingleCare): As low as $4 to $15 per month at participating pharmacies.
  • With insurance: Typically a Tier 1 generic copay of $0 to $15.

For more ways to reduce your costs, see our guide to saving money on Theophylline XR.

Are There New Options in 2026?

While no new theophylline products have launched recently, patients do have options:

  • Different generic manufacturers: Ask your pharmacist to check availability from different manufacturers. One company's product may be in stock when another's isn't.
  • Compounding pharmacies: Can custom-prepare theophylline if standard products are unavailable (requires a prescription).
  • Alternative medications: Your doctor may recommend switching to Tiotropium (Spiriva), Montelukast (Singulair), or combination inhalers like Advair if theophylline remains consistently unavailable. Read more about alternatives to Theophylline XR.

How to Find Theophylline XR in Stock Right Now

Here's a step-by-step approach:

  1. Check Medfinder: Use Medfinder to see which pharmacies near you currently have Theophylline XR available.
  2. Call independent pharmacies: They often use different wholesalers and may have stock when chain pharmacies don't.
  3. Ask about other strengths: If your usual strength is out, your doctor may be able to prescribe a different strength that's available. (For example, using two 200mg tablets instead of one 400mg tablet — but only with your doctor's approval.)
  4. Try mail-order: Your insurance plan's mail-order pharmacy may have different supply sources.
  5. Plan ahead: Start your refill process 7-10 days early to give yourself time to find stock.

For a deeper dive, read our complete guide to finding Theophylline XR in stock.

Final Thoughts

The Theophylline XR shortage is a frustrating reality for patients who depend on this medication. While the situation continues to evolve, the combination of fewer manufacturers, complex production requirements, and low profitability means supply disruptions may continue to come and go.

Your best defense is to stay proactive: use stock-checking tools like Medfinder, maintain an open line of communication with your doctor and pharmacist, and have a backup plan in case your usual supply runs dry. You're not powerless — you just need the right strategy.

Want to understand the full picture? Read why Theophylline XR is so hard to find in 2026.

How long will the Theophylline XR shortage last?

There's no definitive end date. Theophylline XR supply disruptions have been recurring since 2019, driven by limited manufacturers and ongoing production challenges. The shortage may ease for certain strengths and then return. Checking real-time availability through tools like Medfinder is the best way to stay informed.

Is the FDA doing anything about the Theophylline XR shortage?

The FDA monitors drug shortages and works with manufacturers to resolve supply issues. They may expedite reviews of new manufacturing applications or allow temporary importation of drugs from approved foreign sources. However, for low-cost generics like theophylline, attracting new manufacturers remains a challenge.

Should I stockpile Theophylline XR when I find it?

While it's understandable to want extra supply, stockpiling can worsen shortages for other patients. Instead, refill on schedule and don't let your supply drop below 7-10 days. If your insurance allows 90-day fills through mail-order, that's a reasonable way to keep a buffer without hoarding.

Can my doctor prescribe a different theophylline strength during the shortage?

Yes. If your specific strength is unavailable, your doctor can write a new prescription for a different strength. For example, two 200mg tablets may replace one 400mg tablet. However, since theophylline has a narrow therapeutic index, your doctor should monitor your blood levels after any change to ensure safe and effective dosing.

Why waste time calling, coordinating, and hunting?

You focus on staying healthy. We'll handle the rest.

Try Medfinder Concierge Free

Medfinder's mission is to ensure every patient gets access to the medications they need. We believe this begins with trustworthy information. Our core values guide everything we do, including the standards that shape the accuracy, transparency, and quality of our content. We’re committed to delivering information that’s evidence-based, regularly updated, and easy to understand. For more details on our editorial process, see here.

25,000+ have already found their meds with Medfinder.

Start your search today.
99% success rate
Fast-turnaround time
Never call another pharmacy