Country: Singapore
Language: English
Source: HSA (Health Sciences Authority)
Phenytoin Sodium
VIATRIS PRIVATE LIMITED
N03AB02
100 mg
CAPSULE
Phenytoin Sodium 100 mg
ORAL
Prescription Only
Viatris Pharmaceuticals LLC
ACTIVE
1997-02-25
Page 1 of 15 DILANTIN PHENYTOIN SODIUM 1. NAME(S) OF MEDICINAL PRODUCT Dilantin 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Phenytoin sodium is an anticonvulsant drug, related to the barbiturates in chemical structure, but has a five-membered ring. The chemical name is sodium 5,5-diphenyl-2, 4-imidazolidinedione. Each phenytoin sodium capsule, for oral administration, contains 30 or 100 mg phenytoin sodium. 3. PHARMACEUTICAL FORM Capsules 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Clinical evidence indicates phenytoin is effective in controlling epilepsy, particularly of the generalised tonic-clonic type (grand mal) and psychomotor seizures. It will prevent or greatly decrease the incidence and severity of convulsive seizures in a substantial percentage of cases, and patients exhibit little tendency to become resistant to treatment. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION General Phenytoin capsules and solution for injection are formulated with the sodium salt of phenytoin. The free acid form of phenytoin is used in the phenytoin suspensions (30 mg/5 mL (pediatric) and 125 mg/5 mL) and in the phenytoin tablets. Because there is approximately an 8% increase in drug content with the free acid form over that of the sodium salt, dosage adjustments and serum level monitoring may be necessary when switching from a product formulated with the free acid to a product formulated with the sodium salt and vice versa. Dosage should be individualized to provide maximum benefit. In some cases serum drug level determinations may be necessary for optimal dosage adjustments. Optimum control without clinical signs of toxicity occurs more often with serum levels between 10-20 mcg/mL, although some mild cases of tonic-clonic (grand mal) epilepsy may be controlled with lo Read the complete document
DILANTIN PHENYTOIN SODIUM 1. NAME(S) OF MEDICINAL PRODUCT Dilantin 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Phenytoin sodium is an anticonvulsant drug, related to the barbiturates in chemical structure, but has a five-membered ring. The chemical name is sodium 5,5-diphenyl-2,4-imidazolidinedione. Each phenytoin sodium capsule for oral administration contains 30 mg or 100 mg phenytoin sodium. 3. PHARMACEUTICAL FORM Capsules 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Clinical evidence indicates phenytoin is effective in controlling epilepsy, particularly of the generalized tonic-clonic type (grand mal) and psychomotor seizures. It will prevent or greatly decrease the incidence and severity of convulsive seizures in a substantial percentage of cases, and patients exhibit little tendency to become resistant to treatment. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION GENERAL Phenytoin capsules and solution for injection are formulated with the sodium salt of phenytoin. The free acid form of phenytoin is used in the phenytoin suspensions (30 mg/5 mL [pediatric] and 125 mg/5 mL) and in the phenytoin tablets. Because there is approximately an 8% increase in drug content with the free acid form over that of the sodium salt, dosage adjustments and serum level monitoring may be necessary when switching from a product formulated with the free acid to a product formulated with the sodium salt and _vice versa._ Dosage should be individualized to provide maximum benefit. In some cases, serum drug level determinations may be necessary for optimal dosage adjustments. Optimum control without clinical signs of toxicity occurs more often with serum levels between 10 mcg/mL and 20 mcg/mL, although some mild cases of tonic-clonic (grand mal) epilepsy may be controlled with lower serum levels of phenytoin. With recommended dosage, a period of 7 to 10 days may be required to achieve steady-state serum levels with phenytoin, and changes in dosage (increase or decrease) should not be carried out at intervals shorter than 7 to Read the complete document