Inhibition of phenytoin metabolism by sulthiame in epileptic patients.

Abstract:

:1 Measurements have been made of steady state serum phenytoin concentration, serum half-life of (14)C-labelled phenytoin, and the urinary ratio of the major metabolite of phenytoin to the unchanged drug (p-HPPH: DPH ratio) in epileptic patients on and off sulthiame therapy. 2 Starting sulthiame treatment produced an increase in serum phenytoin concentration, a prolongation of the half-life and an increase in the p-HPPH: DPH ratio. The total urinary output of phenytoin plus p-HPPH was unaltered by sulthiame. 3 The results indicate that sulthiame or one of its metabolites inhibits the parahydroxylation of phenytoin by hepatic enzymes.

journal_name

Br J Clin Pharmacol

authors

Houghton GW,Richens A

doi

10.1111/j.1365-2125.1974.tb00207.x

subject

Has Abstract

pub_date

1974-02-01 00:00:00

pages

59-66

issue

1

eissn

0306-5251

issn

1365-2125

journal_volume

1

pub_type

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