Phenytoin Sodium

Neurosurgery, Epilepsy, Seizures + 9 more
Treatment
5 FDA approvals
20 Active Studies for Phenytoin Sodium

What is Phenytoin Sodium

PhenytoinThe Generic name of this drug
Treatment SummaryPhenytoin is a medication used to treat epilepsy and other seizure disorders. It has been used for around 80 years and is one of the most commonly prescribed anticonvulsants. Additionally, it has been investigated for other uses such as bipolar disorder, retina protection and wound healing. When taking phenytoin, it is important to monitor the levels in the body to ensure they are within the recommended range, as even small deviations can lead to suboptimal treatment or side effects. It is available in both injectable and oral forms.
Dilantin-125is the brand name
image of different drug pills on a surface
Phenytoin Sodium Overview & Background
Brand Name
Generic Name
First FDA Approval
How many FDA approvals?
Dilantin-125
Phenytoin
1953
163

Approved as Treatment by the FDA

Phenytoin, otherwise known as Dilantin-125, is approved by the FDA for 5 uses which include Seizures and Status; Epilepticus, Tonic-clonic .
Seizures
Status; Epilepticus, Tonic-clonic
Seizures
Neurosurgery
Epilepsy

Effectiveness

How Phenytoin Sodium Affects PatientsPhenytoin is a medication used to control seizures. The therapeutic range for this drug is usually between 10-20 mg/L, however factors like genetics and body composition can make it difficult to find the right dose. Factors like certain genetic characteristics and other drugs taken at the same time can affect how much of the drug is actually able to work, since only the unbound portion is able to have an effect.
How Phenytoin Sodium works in the bodyPhenytoin was discovered in the 1940s, but it took many years to understand how it works. Scientists now believe that phenytoin blocks sodium channels in the body, which prevents the neurons from sending out too many electrical signals. This helps to reduce the frequency and intensity of seizures.

When to interrupt dosage

The proposed dose of Phenytoin Sodium is contingent upon the diagnosed situation, such as Seizure Disorder, Post Traumatic Seizures and Status; Epilepticus, Tonic-clonic. The measure of dosage differs per the method of delivery (e.g. Tablet - Oral or Parenteral) featured in the table beneath.
Condition
Dosage
Administration
Epilepsy
, 30.0 mg, 100.0 mg, 200.0 mg, 300.0 mg, 50.0 mg, 50.0 mg/mL, 125.0 mg/mL, 100.0 mg/mL, 250.0 mg/mL, 30.0 mg/mL
Oral, , Capsule, extended release - Oral, Capsule, extended release, Tablet, chewable, Tablet, chewable - Oral, Intramuscular; Intravenous, Injection, solution - Intramuscular; Intravenous, Injection, solution, Capsule, Capsule - Oral, Suspension, Suspension - Oral, Intravenous, Injection, Injection - Intravenous, Tablet, Tablet - Oral, Solution, Solution - Intramuscular; Intravenous, Liquid - Intramuscular; Intravenous, Liquid, Injection - Intramuscular; Intravenous, Parenteral, Injection - Parenteral
Neurosurgery
, 30.0 mg, 100.0 mg, 200.0 mg, 300.0 mg, 50.0 mg, 50.0 mg/mL, 125.0 mg/mL, 100.0 mg/mL, 250.0 mg/mL, 30.0 mg/mL
Oral, , Capsule, extended release - Oral, Capsule, extended release, Tablet, chewable, Tablet, chewable - Oral, Intramuscular; Intravenous, Injection, solution - Intramuscular; Intravenous, Injection, solution, Capsule, Capsule - Oral, Suspension, Suspension - Oral, Intravenous, Injection, Injection - Intravenous, Tablet, Tablet - Oral, Solution, Solution - Intramuscular; Intravenous, Liquid - Intramuscular; Intravenous, Liquid, Injection - Intramuscular; Intravenous, Parenteral, Injection - Parenteral
Seizures
, 30.0 mg, 100.0 mg, 200.0 mg, 300.0 mg, 50.0 mg, 50.0 mg/mL, 125.0 mg/mL, 100.0 mg/mL, 250.0 mg/mL, 30.0 mg/mL
Oral, , Capsule, extended release - Oral, Capsule, extended release, Tablet, chewable, Tablet, chewable - Oral, Intramuscular; Intravenous, Injection, solution - Intramuscular; Intravenous, Injection, solution, Capsule, Capsule - Oral, Suspension, Suspension - Oral, Intravenous, Injection, Injection - Intravenous, Tablet, Tablet - Oral, Solution, Solution - Intramuscular; Intravenous, Liquid - Intramuscular; Intravenous, Liquid, Injection - Intramuscular; Intravenous, Parenteral, Injection - Parenteral
Epilepsy, Absence
, 30.0 mg, 100.0 mg, 200.0 mg, 300.0 mg, 50.0 mg, 50.0 mg/mL, 125.0 mg/mL, 100.0 mg/mL, 250.0 mg/mL, 30.0 mg/mL
Oral, , Capsule, extended release - Oral, Capsule, extended release, Tablet, chewable, Tablet, chewable - Oral, Intramuscular; Intravenous, Injection, solution - Intramuscular; Intravenous, Injection, solution, Capsule, Capsule - Oral, Suspension, Suspension - Oral, Intravenous, Injection, Injection - Intravenous, Tablet, Tablet - Oral, Solution, Solution - Intramuscular; Intravenous, Liquid - Intramuscular; Intravenous, Liquid, Injection - Intramuscular; Intravenous, Parenteral, Injection - Parenteral
Seizures
, 30.0 mg, 100.0 mg, 200.0 mg, 300.0 mg, 50.0 mg, 50.0 mg/mL, 125.0 mg/mL, 100.0 mg/mL, 250.0 mg/mL, 30.0 mg/mL
Oral, , Capsule, extended release - Oral, Capsule, extended release, Tablet, chewable, Tablet, chewable - Oral, Intramuscular; Intravenous, Injection, solution - Intramuscular; Intravenous, Injection, solution, Capsule, Capsule - Oral, Suspension, Suspension - Oral, Intravenous, Injection, Injection - Intravenous, Tablet, Tablet - Oral, Solution, Solution - Intramuscular; Intravenous, Liquid - Intramuscular; Intravenous, Liquid, Injection - Intramuscular; Intravenous, Parenteral, Injection - Parenteral
Seizures
, 30.0 mg, 100.0 mg, 200.0 mg, 300.0 mg, 50.0 mg, 50.0 mg/mL, 125.0 mg/mL, 100.0 mg/mL, 250.0 mg/mL, 30.0 mg/mL
Oral, , Capsule, extended release - Oral, Capsule, extended release, Tablet, chewable, Tablet, chewable - Oral, Intramuscular; Intravenous, Injection, solution - Intramuscular; Intravenous, Injection, solution, Capsule, Capsule - Oral, Suspension, Suspension - Oral, Intravenous, Injection, Injection - Intravenous, Tablet, Tablet - Oral, Solution, Solution - Intramuscular; Intravenous, Liquid - Intramuscular; Intravenous, Liquid, Injection - Intramuscular; Intravenous, Parenteral, Injection - Parenteral
Status Epilepticus
, 30.0 mg, 100.0 mg, 200.0 mg, 300.0 mg, 50.0 mg, 50.0 mg/mL, 125.0 mg/mL, 100.0 mg/mL, 250.0 mg/mL, 30.0 mg/mL
Oral, , Capsule, extended release - Oral, Capsule, extended release, Tablet, chewable, Tablet, chewable - Oral, Intramuscular; Intravenous, Injection, solution - Intramuscular; Intravenous, Injection, solution, Capsule, Capsule - Oral, Suspension, Suspension - Oral, Intravenous, Injection, Injection - Intravenous, Tablet, Tablet - Oral, Solution, Solution - Intramuscular; Intravenous, Liquid - Intramuscular; Intravenous, Liquid, Injection - Intramuscular; Intravenous, Parenteral, Injection - Parenteral
inadequate control with monotherapy
, 30.0 mg, 100.0 mg, 200.0 mg, 300.0 mg, 50.0 mg, 50.0 mg/mL, 125.0 mg/mL, 100.0 mg/mL, 250.0 mg/mL, 30.0 mg/mL
Oral, , Capsule, extended release - Oral, Capsule, extended release, Tablet, chewable, Tablet, chewable - Oral, Intramuscular; Intravenous, Injection, solution - Intramuscular; Intravenous, Injection, solution, Capsule, Capsule - Oral, Suspension, Suspension - Oral, Intravenous, Injection, Injection - Intravenous, Tablet, Tablet - Oral, Solution, Solution - Intramuscular; Intravenous, Liquid - Intramuscular; Intravenous, Liquid, Injection - Intramuscular; Intravenous, Parenteral, Injection - Parenteral
Epilepsy, Post-Traumatic
, 30.0 mg, 100.0 mg, 200.0 mg, 300.0 mg, 50.0 mg, 50.0 mg/mL, 125.0 mg/mL, 100.0 mg/mL, 250.0 mg/mL, 30.0 mg/mL
Oral, , Capsule, extended release - Oral, Capsule, extended release, Tablet, chewable, Tablet, chewable - Oral, Intramuscular; Intravenous, Injection, solution - Intramuscular; Intravenous, Injection, solution, Capsule, Capsule - Oral, Suspension, Suspension - Oral, Intravenous, Injection, Injection - Intravenous, Tablet, Tablet - Oral, Solution, Solution - Intramuscular; Intravenous, Liquid - Intramuscular; Intravenous, Liquid, Injection - Intramuscular; Intravenous, Parenteral, Injection - Parenteral
Epilepsy
, 30.0 mg, 100.0 mg, 200.0 mg, 300.0 mg, 50.0 mg, 50.0 mg/mL, 125.0 mg/mL, 100.0 mg/mL, 250.0 mg/mL, 30.0 mg/mL
Oral, , Capsule, extended release - Oral, Capsule, extended release, Tablet, chewable, Tablet, chewable - Oral, Intramuscular; Intravenous, Injection, solution - Intramuscular; Intravenous, Injection, solution, Capsule, Capsule - Oral, Suspension, Suspension - Oral, Intravenous, Injection, Injection - Intravenous, Tablet, Tablet - Oral, Solution, Solution - Intramuscular; Intravenous, Liquid - Intramuscular; Intravenous, Liquid, Injection - Intramuscular; Intravenous, Parenteral, Injection - Parenteral
Seizures
, 30.0 mg, 100.0 mg, 200.0 mg, 300.0 mg, 50.0 mg, 50.0 mg/mL, 125.0 mg/mL, 100.0 mg/mL, 250.0 mg/mL, 30.0 mg/mL
Oral, , Capsule, extended release - Oral, Capsule, extended release, Tablet, chewable, Tablet, chewable - Oral, Intramuscular; Intravenous, Injection, solution - Intramuscular; Intravenous, Injection, solution, Capsule, Capsule - Oral, Suspension, Suspension - Oral, Intravenous, Injection, Injection - Intravenous, Tablet, Tablet - Oral, Solution, Solution - Intramuscular; Intravenous, Liquid - Intramuscular; Intravenous, Liquid, Injection - Intramuscular; Intravenous, Parenteral, Injection - Parenteral
Epilepsy, Temporal Lobe
, 30.0 mg, 100.0 mg, 200.0 mg, 300.0 mg, 50.0 mg, 50.0 mg/mL, 125.0 mg/mL, 100.0 mg/mL, 250.0 mg/mL, 30.0 mg/mL
Oral, , Capsule, extended release - Oral, Capsule, extended release, Tablet, chewable, Tablet, chewable - Oral, Intramuscular; Intravenous, Injection, solution - Intramuscular; Intravenous, Injection, solution, Capsule, Capsule - Oral, Suspension, Suspension - Oral, Intravenous, Injection, Injection - Intravenous, Tablet, Tablet - Oral, Solution, Solution - Intramuscular; Intravenous, Liquid - Intramuscular; Intravenous, Liquid, Injection - Intramuscular; Intravenous, Parenteral, Injection - Parenteral

Warnings

Phenytoin Sodium has eight known contraindications, and its use should not be merged with the conditions stated in the following table.Phenytoin Sodium Contraindications
Condition
Risk Level
Notes
Adams-Stokes Syndrome
Do Not Combine
Atrioventricular Block
Do Not Combine
Pulse Frequency
Do Not Combine
Sinus Bradycardia
Do Not Combine
phenytoin
Do Not Combine
Sinoatrial Block
Do Not Combine
Severe Hypersensitivity Reactions
Do Not Combine
Phenytoin may interact with Pulse Frequency
Severe Hypersensitivity Reactions
Do Not Combine
Phenytoin may interact with Pulse Frequency
There are 20 known major drug interactions with Phenytoin Sodium.
Common Phenytoin Sodium Drug Interactions
Drug Name
Risk Level
Description
1,2-Benzodiazepine
Major
The metabolism of 1,2-Benzodiazepine can be increased when combined with Phenytoin.
3,5-diiodothyropropionic acid
Major
The metabolism of 3,5-diiodothyropropionic acid can be increased when combined with Phenytoin.
5-androstenedione
Major
The metabolism of 5-androstenedione can be increased when combined with Phenytoin.
6-O-benzylguanine
Major
The metabolism of 6-O-benzylguanine can be increased when combined with Phenytoin.
7-ethyl-10-hydroxycamptothecin
Major
The metabolism of 7-ethyl-10-hydroxycamptothecin can be increased when combined with Phenytoin.
Phenytoin Sodium Toxicity & Overdose RiskPhenytoin toxicity can be caused by drug interactions or changes in serum albumin levels, such as those caused by kidney disease, pregnancy, malnutrition, or cancer. The symptoms of phenytoin toxicity depend on the route of administration and the concentration of the drug in the blood. Symptoms of low concentrations include dizziness, nausea, and mild eye movements, while more severe concentrations can cause confusion, seizures, and coma. Phenytoin is also known to cause heart rhythm disturbances due to its effect on voltage-gated sodium channels. Treatment for phenytoin toxicity is usually limited to supportive care, with the exception of
image of a doctor in a lab doing drug, clinical research

Phenytoin Sodium Novel Uses: Which Conditions Have a Clinical Trial Featuring Phenytoin Sodium?

57 active clinical trials are being conducted to assess the effectiveness of Phenytoin Sodium for Complex Partial Seizures, Petit Mal Epilepsy, and other Convulsive Disorders.
Condition
Clinical Trials
Trial Phases
Seizures
5 Actively Recruiting
Phase 3, Phase 2, Phase 1
Epilepsy, Absence
0 Actively Recruiting
Status Epilepticus
0 Actively Recruiting
Epilepsy
19 Actively Recruiting
Not Applicable, Phase 2, Phase 3, Early Phase 1, Phase 4, Phase 1
Epilepsy, Post-Traumatic
0 Actively Recruiting
Seizures
0 Actively Recruiting
Seizures
0 Actively Recruiting
Neurosurgery
1 Actively Recruiting
Early Phase 1
Epilepsy, Temporal Lobe
4 Actively Recruiting
Not Applicable, Early Phase 1, Phase 1, Phase 2
Epilepsy
0 Actively Recruiting
inadequate control with monotherapy
0 Actively Recruiting
Seizures
0 Actively Recruiting

Phenytoin Sodium Reviews: What are patients saying about Phenytoin Sodium?

5Patient Review
8/19/2013
Phenytoin Sodium for Epileptic Seizure
This drug has been effective in preventing seizures, but I have noticed that it makes me very confused all the time. Today, I was telling my husband something and forgot what I was saying right in the middle of it. I would change drugs if I could, but at the moment have no insurance to do so. I took this med when I was younger without this happening.
5Patient Review
12/31/2008
Phenytoin Sodium for Epileptic Seizure
5Patient Review
2/28/2009
Phenytoin Sodium for Epileptic Seizure
5Patient Review
6/15/2009
Phenytoin Sodium for Epileptic Seizure
5Patient Review
10/30/2009
Phenytoin Sodium for Convulsive Seizures
5Patient Review
12/4/2009
Phenytoin Sodium for Epileptic Seizure
4.3Patient Review
5/15/2013
Phenytoin Sodium for Simple Partial Seizures
I've been taking Dilantin for over 17 years without any issues. However, I recently lost drug coverage and had to switch to the generic version. The pharmacy only has TARO brand, which I'm not familiar with. Has this specific brand been rated/reviewed before? I need help...
4.3Patient Review
12/19/2013
Phenytoin Sodium for Epileptic Seizure
I'm on 200mg/day and I've had great results. My daughter was born without any problems while I was taking this medication. However, since being switched to the generic brand, I have developed tinnitus in both ears.
4.3Patient Review
9/19/2013
Phenytoin Sodium for Convulsive Seizures
So far this medication has been effective in reducing my seizures.
4Patient Review
1/20/2013
Phenytoin Sodium for Convulsive Seizures
I've been on Dilantin for over 35 years. In that time, I've only had 10 seizures--and those were only when I made a mistake with my medication, or changed it at the suggestion of a doctor. 350 MG is my daily dose with almost no side effects. The only downside is that sometimes I have memory problems, but that could just be because I'm 59.
4Patient Review
8/7/2016
Phenytoin Sodium for Simple Partial Seizures
I didn't find this to be effective. I constantly felt like I was going to have a seizure.
3.7Patient Review
2/21/2009
Phenytoin Sodium for Convulsive Seizures
3Patient Review
4/21/2019
Phenytoin Sodium for Convulsive Seizures
I've been taking this medication for my trigeminal neuralgia and so far it's going well. I'm on 100mg, twice a day.
3Patient Review
7/9/2010
Phenytoin Sodium for Convulsive Seizures
3Patient Review
11/25/2017
Phenytoin Sodium for Facial Nerve Pain
This was a good treatment.
1.3Patient Review
3/30/2013
Phenytoin Sodium for Epileptic Seizure
I've been taking this for over thirteen years. I was originally prescribed Dilantin, but had to switch to the generic phenytoin because it became too expensive. I now take Phenytoin Sodium Extended Caps at a rate of 800mg per day, and have noticed a significant decline in my health since making the switch. Not sure who manufactures this stuff, but it's certainly not helping me.
1Patient Review
5/25/2009
Phenytoin Sodium for Epileptic Seizure
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about phenytoin sodium

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Why is phenytoin given at night?

"Phenytoin is given at night to reduce the risk of morning epileptic seizures."

Answered by AI

What is phenytoin sodium side effects?

"Brushing and flossing your teeth and seeing a dentist regularly may help to prevent this.

The following are some potential side effects of phenytoin: headaches, nausea, vomiting, constipation, dizziness, feeling of spinning, drowsiness, difficulty sleeping, or nervousness. If any of these effects last or worsen, tell your doctor or pharmacist promptly. Phenytoin may also cause swelling and bleeding of the gums. To help prevent this, brush and floss your teeth regularly and see a dentist regularly."

Answered by AI

What is the difference between phenytoin and phenytoin sodium?

"Phenytoin is an anti-seizure medication that is sold under several brand names, including Dilantin. It is also sold as the generic drug phenytoin or phenytoin sodium."

Answered by AI

What is a phenytoin sodium used for?

"Phenytoin is a medication used to control certain types of seizures, as well as to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Phenytoin is classified as an anticonvulsant, and works by decreasing abnormal electrical activity in the brain."

Answered by AI

Clinical Trials for Phenytoin Sodium

Image of University of Texas Southwestern Medical Center in Dallas, United States.

Cobenfy KarXT for Memory Loss

18 - 75
All Sexes
Dallas, TX
The goal of this study is to learn about the effects of Cobenfy KarXT (xanomeline and trospium chloride) on episodic memory processing, including specific effects on areas of the brain involved in memory and changes it may have on brain activity. The investigators will do this by testing epileptic patients who are already undergoing intracranial surgery for seizure monitoring, and measuring the activity from the brain areas being assessed. The main questions it aims to answer are 1) whether Cobenfy KarXT changes memory activity based on its agonist effect on muscarinic receptors and acetylcholine, and 2) what the nature of these brain activity changes are. This work builds on previous experiments evaluating cholinergic antagonists. Participants will complete two treatment arms. One of these will be with the drug, and the other will be with a placebo pill, so that the participants are unaware which session the actual drug has been received. Patients will complete a verbal serial recall and/or associative recognition task each of the two days. An anesthesiologist or patient nurse will administer either the drug or the placebo at a critical point which addresses both of the research questions. Researchers will compare the brain activity between the two treatment arms to determine what brain activity changes, and whether there is an additional behavioral effect on memory.
Phase < 1
Waitlist Available
University of Texas Southwestern Medical CenterBradley C Lega, MD
Have you considered Phenytoin Sodium clinical trials? We made a collection of clinical trials featuring Phenytoin Sodium, we think they might fit your search criteria.Go to Trials
Image of Hamilton Health Sciences - General Hospital in Hamilton, Canada.

Tranexamic Acid Timing for Postoperative Bleeding

18 - 100
All Sexes
Hamilton, Canada
The goal of this clinical trial is to establish the feasibility of conducting a large trial to determine the optimal timing of intravenous tranexamic acid administration in cardiac surgery. The main questions it aims to answer are: * Is it feasible to conduct a larger definitive trial? * Can we measure the systemic tranexamic acid concentration and fibrinolytic potential in the blood samples? Researchers will compare intravenous tranexamic acid administered before cardiopulmonary bypass versus after cardiopulmonary bypass to see if the systemic tranexamic acid concentration and fibrinolytic potential are similar or better. Participants will: * Provide written informed consent * Receive tranexamic acid during surgery * Provide blood samples at 5 time points: before surgery, on arrival in intensive care unit, 3 hours after arrival, 6 hours after arrival, and on the next morning.
Phase 3
Waitlist Available
Hamilton Health Sciences - General HospitalAndre Lamy, MD
Have you considered Phenytoin Sodium clinical trials? We made a collection of clinical trials featuring Phenytoin Sodium, we think they might fit your search criteria.Go to Trials
Have you considered Phenytoin Sodium clinical trials? We made a collection of clinical trials featuring Phenytoin Sodium, we think they might fit your search criteria.Go to Trials
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