Caffeine, theophylline and theobromine are naturally occurring members
of the methylxanthine family; pentoxifylline, dyphylline and enprofyl
line are structurally related synthetic pharmaceuticals. Caffeine has
predominantly central nervous system effects, theophylline, dyphylline
and enprofylline have predominantly bronchodilator effects, while the
obromine is associated with diuretic responses. Pentoxifylline is thou
ght to increase red cell deformability and facilitate bloodflow throug
h capillary beds. The methylxanthines are not highly potent agents; th
ey are typically administered in gram doses and they tend to have rela
tively long plasma half-lives. They remain detectable in plasma and ur
ine for relatively long periods. Similarly, traces of the naturally oc
curring members of this family are not uncommonly identified in forens
ic samples. In this review we report on the defection, actions, uses a
nd regulatory control of this group of agents in performance.