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Phenytoin Sodium 100 mg Oral Capsules (Gluten Free)

Phenytoin Sodium 100 mg Oral Capsules are a solid dosage form designed for the management of seizure disorders, including epilepsy. Each capsule is composed of two halves, either gelatin-based or made from vegetarian alternatives, which encapsulate a precise 100 mg dose of the active ingredient, phenytoin sodium. This formulation is specifically crafted to be gluten-free, catering to patients with gluten sensitivities or celiac disease. The capsule design ensures ease of swallowing and aids in consistent medication delivery. Phenytoin Sodium 100 mg Oral Capsules are indicated for the prevention and control of seizures, providing a critical therapeutic option for individuals with epilepsy and other related seizure conditions.

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Formula Information

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Phenytoin Sodium 100 mg Oral Capsules are a specialized formulation designed to provide a precise dose of the anticonvulsant medication, phenytoin sodium, which is used primarily in the management of epilepsy. These solid dosage forms are particularly beneficial for patients who require a gluten-free medication option. The capsules are made from either gelatin or vegetarian-friendly materials, ensuring suitability for a wide range of dietary preferences and restrictions. The encapsulation of the medication allows for ease of swallowing and ensures that the active ingredient is delivered in a consistent and controlled manner.

Phenytoin sodium, the active ingredient in these capsules, works by stabilizing the neuronal membrane and reducing the excitability of the central nervous system. This action helps to prevent the abnormal electrical activity in the brain that can lead to seizures. As such, phenytoin sodium is effective in the treatment of various seizure types, including tonic-clonic (grand mal) seizures and complex partial seizures. It is important to note that while phenytoin can significantly reduce the frequency and severity of seizures, it is not a cure for epilepsy and must be taken regularly to maintain its therapeutic effects.

For prescribers, it is crucial to individualize the dosage of phenytoin sodium capsules based on the patient's needs and to monitor serum levels to avoid potential toxicity. Phenytoin has a narrow therapeutic index, and its pharmacokinetics can be affected by multiple factors, including drug interactions and individual metabolic variations. Regular monitoring and dose adjustments may be necessary to ensure optimal treatment outcomes. Patients should be counseled on the importance of adherence to the prescribed regimen and should be made aware of potential side effects, such as dizziness, ataxia, and gingival hyperplasia, among others.

Bayview Pharmacy is committed to providing high-quality, patient-specific formulations like Phenytoin Sodium 100 mg Oral Capsules. Our team of compounding pharmacists is available to answer any questions and provide additional information to both patients and healthcare providers. We strive to ensure that each patient receives the most appropriate and effective medication for their condition. If you have any questions or require further assistance, please do not hesitate to reach out to us.

Drug Interactions

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Phenytoin Sodium is an anticonvulsant medication used to treat and manage seizures. It works by slowing down impulses in the brain that cause seizures. Phenytoin is also used to prevent seizures following neurosurgery. When taking Phenytoin Sodium 100 mg Oral Capsules, it is crucial to be aware of potential drug interactions that can affect the drug's efficacy and safety.

Phenytoin has a narrow therapeutic index, meaning that the concentration of the drug in the blood must be maintained within a narrow range. Drugs that can increase phenytoin levels include acute alcohol intake, amiodarone, chloramphenicol, chlordiazepoxide, cimetidine, diazepam, disulfiram, fluconazole, isoniazid, methylphenidate, phenothiazines, phenylbutazone, salicylates, sertraline, sulfonamides, and trazodone. Increased levels of phenytoin may lead to toxicity, which can manifest as ataxia, nystagmus, slurred speech, decreased coordination, and mental confusion.

Conversely, drugs that can decrease phenytoin levels include chronic alcohol use, antacids, carbamazepine, cisplatin, doxycycline, folic acid, rifampin, St. John's Wort, and sucralfate. Decreased levels of phenytoin may lead to a loss of seizure control. Additionally, phenytoin can decrease the levels of certain drugs, such as anticoagulants (e.g., warfarin), corticosteroids, doxycycline, oral contraceptives, quinidine, and vitamin D, potentially reducing their effectiveness.

Phenytoin may also interact with other seizure medications, altering their levels or effects. It is important to monitor for side effects and therapeutic efficacy when phenytoin is used in combination with other antiepileptic drugs. Furthermore, phenytoin can affect blood glucose levels, so caution is advised when used in diabetic patients.

Patients should avoid consuming grapefruit or grapefruit juice while taking phenytoin, as it can affect the metabolism of the drug. Additionally, alcohol should be consumed with caution, as it can alter the metabolism and effect of phenytoin. Patients should also be aware that phenytoin can interfere with certain laboratory tests, potentially leading to inaccurate results.

It is essential for patients to inform their healthcare provider of all medications, supplements, and herbal products they are currently taking before starting treatment with Phenytoin Sodium 100 mg Oral Capsules. This includes over-the-counter drugs and any other substances that could interact with phenytoin. Adjustments to therapy or additional monitoring may be necessary to safely use this medication.

For any questions or concerns regarding drug interactions with Phenytoin Sodium 100 mg Oral Capsules, or to discuss individual patient cases, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to ensuring the safe and effective use of this medication.

How Does it Work

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Phenytoin Sodium 100 mg Oral Capsules are a solid dosage form designed to deliver a precise amount of the active ingredient, phenytoin sodium, which is used primarily in the treatment of epilepsy. The capsules are composed of two halves, either made from gelatin or a vegetarian substitute, which are filled with the medication and then sealed together. This form of encapsulation ensures that the medication is protected from the environment until it is ingested, and it also allows for the medication to be released in a controlled manner once inside the body.

Phenytoin sodium, the active ingredient in these capsules, is an anticonvulsant medication that works by slowing down impulses in the brain that cause seizures. By doing so, it helps to maintain the normal balance of nerve activity. Phenytoin achieves this by targeting sodium channels in the neuronal cell membrane, stabilizing the threshold against hyperexcitability caused by excessive stimulation or environmental changes capable of reducing the membrane sodium gradient. This action helps to prevent the spread of seizure activity in the brain and reduces the risk of seizure occurrence.

These gluten-free capsules are specifically formulated for patients with celiac disease or gluten sensitivity to ensure that they can take the medication without concern for gluten-induced reactions. It is important for patients to adhere to the prescribed dosage and schedule to maintain therapeutic levels of phenytoin in the blood, as fluctuations can lead to a loss of seizure control or an increased risk of side effects.

Phenytoin Sodium 100 mg Oral Capsules are indicated for the control of generalized tonic-clonic (grand mal) and complex partial (psychomotor, temporal lobe) seizures and prevention and treatment of seizures occurring during or following neurosurgery. Phenytoin's efficacy for these indications is well-established, making it a cornerstone in the management of epilepsy and seizure disorders.

It is crucial for both patients and prescribers to be aware that phenytoin has a narrow therapeutic index, meaning that the dose must be carefully adjusted to the individual patient to avoid subtherapeutic or toxic levels. Regular monitoring of phenytoin blood levels may be necessary to ensure optimal treatment outcomes. Additionally, phenytoin may interact with other medications, and its use requires careful consideration of the patient's overall medication regimen.

If you have any questions about Phenytoin Sodium 100 mg Oral Capsules or their use in treating epilepsy and seizure disorders, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide you with the information and support you need to effectively manage your condition.

Other Uses

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Phenytoin sodium is primarily known for its anticonvulsant properties and is most commonly prescribed for the management of various types of seizures, including tonic-clonic (grand mal) seizures, complex partial seizures, and seizures occurring during or after neurosurgery. Its use is also indicated in the prevention and treatment of seizures that occur during or following neurosurgery. However, beyond its primary indication for the control of epilepsy, phenytoin sodium has been observed to have a range of other therapeutic applications.

One notable off-label use of phenytoin is in the treatment of neuropathic pain. Individuals with conditions such as diabetic neuropathy, trigeminal neuralgia, and certain types of neuralgias may benefit from the drug's ability to stabilize neuronal membranes and decrease neuronal firing, which can help alleviate pain. Moreover, phenytoin has been used in the management of cardiac arrhythmias, particularly ventricular arrhythmias, though it is not the first-line treatment for these conditions. Its role in cardiac care is attributed to its Class 1B antiarrhythmic properties.

Another area of phenytoin application includes its use in the treatment of certain psychiatric disorders. Cases of manic-depressive illness (bipolar disorder) and major depression that are resistant to standard treatments may potentially respond to phenytoin therapy. It's important to note that while these uses are based on past clinical experiences and some research, they are not medically approved indications, and further study is needed to establish the efficacy and safety of phenytoin in these contexts. As such, patients should always consult their healthcare provider before using phenytoin for these alternate purposes. Moreover, the gluten-free formulation of the phenytoin sodium 100 mg oral capsules ensures that patients with celiac disease or gluten sensitivities can also safely use the medication without concern for gluten-induced adverse reactions.

In addition to the therapeutic uses mentioned, there is ongoing research into the potential utility of phenytoin in various other medical conditions. For example, some studies suggest phenytoin may have a role in promoting wound healing due to its effect on fibroblast proliferation. However, such uses are experimental, and phenytoin should not be used for these purposes outside of a controlled clinical setting.

If you have any questions about these other uses of phenytoin sodium or its suitability for a specific condition, please reach out to us at Bayview Pharmacy. As compounding pharmacists, we can provide personalized information and guidance regarding the medication and its potential applications. Always ensure that any off-label use of phenytoin is thoroughly discussed with and monitored by a qualified healthcare provider.

Frequently Asked Questions

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What is Phenytoin Sodium 100 mg Oral Capsule used for?

Phenytoin Sodium 100 mg Oral Capsules are commonly prescribed to control seizures in patients with epilepsy. The medication helps to prevent and control seizures by slowing down the impulses in the brain that cause the seizures.

How should Phenytoin Sodium 100 mg Oral Capsules be taken?

These capsules should be taken exactly as prescribed by your healthcare provider. It's important not to take more or less than directed, and the capsules should be swallowed whole, not chewed or crushed, to ensure proper delivery of the medication.

Are Phenytoin Sodium 100 mg Oral Capsules gluten-free?

Yes, these capsules are formulated to be gluten-free, making them a suitable option for patients with celiac disease or gluten sensitivity.

Can the capsules be opened and mixed with food?

No, the capsules should not be opened and mixed with food. They are designed to be swallowed whole in their capsule form to ensure the medication is released properly in the body.

Are there any dietary restrictions while taking Phenytoin Sodium 100 mg Oral Capsules?

You should discuss your diet with your healthcare provider, as certain foods and beverages can interact with phenytoin. For example, alcohol consumption should be limited or avoided, as it can increase the risk of side effects and affect how the medication works.

What should I do if I miss a dose of Phenytoin Sodium 100 mg Oral Capsules?

If you miss a dose, take it as soon as you remember. However, if it's close to the time of your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for the missed one.

Are there any possible side effects with Phenytoin Sodium 100 mg Oral Capsules?

Like any medication, phenytoin can cause side effects. Common ones include dizziness, drowsiness, nausea, and vomiting. If you experience more severe side effects or signs of an allergic reaction, such as difficulty breathing or swelling of the face, mouth, or throat, seek medical attention immediately.

Can Phenytoin Sodium 100 mg Oral Capsules affect my oral health?

Long-term use of phenytoin can sometimes lead to gum enlargement, so it's important to maintain good oral hygiene and see your dentist regularly for check-ups.

How should I store Phenytoin Sodium 100 mg Oral Capsules?

Store the capsules at room temperature, away from direct sunlight, moisture, and heat. Keep the bottle tightly closed when not in use and keep out of reach of children and pets.

Can Phenytoin Sodium 100 mg Oral Capsules be taken during pregnancy?

Phenytoin may cause harm to an unborn baby, so it's important to discuss with your healthcare provider if you are pregnant or planning to become pregnant while on this medication. Your doctor will weigh the benefits and risks and may suggest alternative treatments if necessary.

Is it safe to drive or operate heavy machinery while taking Phenytoin Sodium 100 mg Oral Capsules?

Since phenytoin can cause dizziness and drowsiness, it's important to know how this medication affects you before driving or operating heavy machinery. If you experience these side effects, it would be best to avoid engaging in such activities.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.