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Phenytoin - Adverse effects
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Definition of 'Phenytoin'

An anticonvulsant that is used in a wide variety of seizures. It is also an anti-arrhythmic and a muscle relaxant. The mechanism of therapeutic action is not clear, although several cellular actions have been described including effects on ion channels, active transport, and general membrane stabilization. The mechanism of its muscle relaxant effect appears to involve a reduction in the sensitivity of muscle spindles to stretch. Phenytoin has been proposed for several other therapeutic uses, but its use has been limited by its many adverse effects and interactions with other drugs.

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Sunday, November 22, 2009

Phenytoin toxicity and thyroid dysfunction.

23 Sep 2009 A 48-year-old woman with known epilepsy presented to the Emergency Department with a 1-day history of decreasing coordination, impaired speech, and recurrent falls. Phenytoin levels were measured and found to be grossly elevated at 170 mmol/L. A ... Read more...


Skin biopsies to assess response to systemic corticosteroid therapy in early-stage TEN: case report and review of the literature.

30 Aug 2009 Toxic epidermal necrolysis (TEN) is a severe, mucocutaneous, necrolytic reaction to a variety of antigenic stimuli. The use of systemic corticosteroids in the treatment of TEN is controversial because of a lack of randomized, controlled, prospective ... Read more...


The use of antiepileptic drugs in pediatric brain tumor patients.

30 Aug 2009 Antiepileptic drugs are frequently used in children with brain tumors. This retrospective study reviewed chronic use of antiepileptic drugs in children with brain tumors at two children's hospitals between 2000 and 2007. Antiepileptic drugs were ... Read more...

 

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Technical information about 'Phenytoin'

Definition: An anticonvulsant that is used in a wide variety of seizures. It is also an anti-arrhythmic and a muscle relaxant. The mechanism of therapeutic action is not clear, although several cellular actions have been described including effects on ion channels, active transport, and general membrane stabilization. The mechanism of its muscle relaxant effect appears to involve a reduction in the sensitivity of muscle spindles to stretch. Phenytoin has been proposed for several other therapeutic uses, but its use has been limited by its many adverse effects and interactions with other drugs.

Chemical name: 2,4-Imidazolidinedione, 5,5-diphenyl-

Registry Number: 57-41-0

Descriptor UI: D010672

Alternative terms: Phenytoin; Fenitoin; 5,5-Diphenylhydantoin; Diphenylhydantoin; Difenin; Dihydan; Sodium Diphenylhydantoinate; Diphenylhydantoinate, Sodium; Epamin; Epanutin; Hydantol; Antisacer; Dilantin;

Allowable Qualifiers: administration & dosage; adverse effects; analogs & derivatives; analysis; antagonists & inhibitors; blood; cerebrospinal fluid; chemical synthesis; classification; diagnostic use; economics; history; immunology; isolation & purification; metabolism; pharmacokinetics; pharmacology; poisoning; radiation effects; standards; supply & distribution; therapeutic use; toxicity; urine; chemistry; contraindications; agonists;

Pharmacological Action: Anticonvulsants;

Tree Number: D03.383.129.308.432.555.730;

Online Note: use PHENYTOIN to search DIPHENYLHYDANTOIN 1966-77

History Note: 78; was DIPHENYLHYDANTOIN 1963-77

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