Phenobarbital does not alter phenytoin steady-state serum concentration or pharmacokinetics.


Journal Article

Phenytoin pharmacokinetics and biotransformation were studied with stable isotope tracer techniques in six patients before and after addition of phenobarbital. No significant (p less than 0.05) changes in phenytoin serum concentration, clearance, elimination half-life, volume of distribution, or clearance via production of p-hydroxyphenyl-phenylhydantoin or phenytoin dihydrodiol occurred after addition of phenobarbital. Thus, frequent phenytoin serum concentration determinations or a change in phenytoin dosing rate are probably not necessary after adding phenobarbital.

Full Text

Duke Authors

Cited Authors

  • Browne, TR; Szabo, GK; Evans, J; Evans, BA; Greenblatt, DJ; Mikati, MA

Published Date

  • April 1, 1988

Published In

Volume / Issue

  • 38 / 4

Start / End Page

  • 639 - 642

PubMed ID

  • 3352926

Pubmed Central ID

  • 3352926

International Standard Serial Number (ISSN)

  • 0028-3878

Digital Object Identifier (DOI)

  • 10.1212/wnl.38.4.639


  • eng

Conference Location

  • United States