Theophylline levels can be increased by 
erythromycin and 
toxicity may develop. The onset may be delayed for 2 to 7 days. 
Erythromycin levels may be reduced by 
theophylline. 
 Monitor 
theophylline levels after 48 hours and adjust the dose accordingly. Monitor the effects of 
erythromycin to ensure that they are adequate.