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Phenytoin Sodium 60 mg/ml Oral Liquid

The Phenytoin Sodium 60 mg/ml Oral Liquid is a specially compounded medication designed for oral use. This liquid formulation ensures precise dosing and ease of administration, particularly beneficial for patients who experience difficulty swallowing tablets or capsules, such as those in pediatric and geriatric groups. Phenytoin Sodium is an anticonvulsant drug, and this oral liquid is primarily used to manage and treat various forms of epilepsy and to prevent seizures following neurosurgery. The liquid form allows for flexible dosing adjustments and is ideal for maintaining therapeutic drug levels in patients requiring long-term seizure management.

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Oral Liquid
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Formula Information

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Phenytoin Sodium 60 mg/ml Oral Liquid is a specially compounded medication designed for oral use, providing a precise concentration of phenytoin sodium for the management of seizure disorders. This liquid formulation is particularly beneficial for patients who have difficulty swallowing pills, such as children, the elderly, or those with neurological impairments that affect swallowing. The liquid form allows for flexible dosing, which can be adjusted according to the specific needs of the patient, ensuring optimal therapeutic outcomes.

Phenytoin is an anticonvulsant medication that works by slowing down impulses in the brain that cause seizures. By stabilizing neuronal membranes and reducing electrical conductance among brain cells, phenytoin helps to control the abnormal electrical activity that can lead to seizures. This medication is commonly used in the treatment of epilepsy, and it may be prescribed for various types of seizures, including tonic-clonic (grand mal) seizures, complex partial seizures, and seizures occurring during or after neurosurgery.

It is important for patients and prescribers to understand that phenytoin requires careful dosing and monitoring. Blood levels of the drug must be checked regularly to ensure therapeutic levels are maintained and to avoid potential toxicity. Side effects can include dizziness, drowsiness, and coordination difficulties, among others. Long-term use of phenytoin may also lead to additional considerations, such as effects on bone health, which should be monitored by healthcare professionals.

Our team at Bayview Pharmacy is committed to providing high-quality, customized medications to meet the unique needs of each patient. We are available to answer any questions regarding the formulation, administration, and potential side effects of Phenytoin Sodium 60 mg/ml Oral Liquid. If you have any concerns or require further information, please do not hesitate to reach out to us for professional advice and support.

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. While it is effective in managing seizures, phenytoin has a narrow therapeutic index and is known to interact with a wide range of medications, which can affect its efficacy and safety. It is important for both patients and prescribers to be aware of these potential interactions.

One major interaction is with other medications that can affect the metabolism of phenytoin. Drugs such as cimetidine, isoniazid, and some antidepressants can inhibit the metabolism of phenytoin, leading to increased levels in the blood and potential toxicity. Conversely, medications like carbamazepine, phenobarbital, and rifampin can induce the metabolism of phenytoin, potentially reducing its effectiveness. It is crucial to monitor phenytoin serum levels when initiating or discontinuing such medications.

Phenytoin can also affect the metabolism of other drugs, particularly those that are also metabolized by the liver enzyme CYP450. This includes a wide range of drugs such as warfarin, oral contraceptives, and other anticonvulsants. When used concurrently with phenytoin, the effectiveness of these medications may be reduced, and alternative or additional contraceptive methods should be considered.

Additionally, phenytoin can interact with certain types of food and nutritional supplements. For example, excessive consumption of alcohol can alter phenytoin levels and its metabolism. Supplements such as folic acid, calcium, and vitamin D may also interact with phenytoin, and their use should be discussed with a healthcare provider.

It is also important to note that phenytoin can interact with antacids and enteral feeding solutions, which can reduce its absorption and effectiveness. To minimize this interaction, phenytoin should be administered at least 2 hours before or after these products.

Given the complexity of phenytoin's interactions, it is essential for patients to inform their healthcare provider of all medications, supplements, and over-the-counter drugs they are taking. Regular monitoring of phenytoin serum levels, as well as observation for signs of toxicity or seizure control, is recommended. If you have any questions or concerns about the use of Phenytoin Sodium 60 mg/ml Oral Liquid or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Phenytoin Sodium is an antiepileptic drug that works by slowing down impulses in the brain that cause seizures. Phenytoin does this by stabilizing the inactive state of voltage-gated sodium channels, which reduces the repetitive firing of action potentials. This action helps to prevent the spread of electrical discharges that can lead to seizures. As a result, Phenytoin Sodium is primarily used to control certain types of seizures in the treatment of epilepsy. It is also used to prevent seizures following neurosurgery.

The Phenytoin Sodium 60 mg/ml Oral Liquid formulation is specifically designed to provide a consistent and precise dose of medication in a form that is easier to swallow than solid dosage forms. This is particularly beneficial for patients who have difficulties swallowing tablets or capsules, such as young children, the elderly, or those with certain medical conditions that affect swallowing. The liquid form allows for flexible dosing, which is essential for tailoring the amount of medication to the specific needs of the patient, ensuring therapeutic effectiveness while minimizing potential side effects.

When using Phenytoin Sodium Oral Liquid, it is important for both patients and prescribers to understand that maintaining a consistent blood level of the medication is crucial for effective seizure control. Therefore, it should be taken at evenly spaced intervals, and adherence to the prescribed regimen is essential. Blood level monitoring may be necessary to adjust the dose appropriately. It is also important to shake the bottle well before each use to ensure that the medication is evenly distributed throughout the liquid.

Patients should be aware that Phenytoin Sodium can interact with a wide range of other medications and may affect their blood levels, which could either potentiate their effects or render them less effective. Therefore, it is important to inform the healthcare provider of all medications currently being taken, including over-the-counter drugs and herbal supplements. Additionally, abrupt discontinuation of Phenytoin Sodium should be avoided as it may lead to an increased risk of seizures. Any changes to the medication regimen should be done under the guidance of a healthcare professional.

For prescribers, it is essential to consider the individual patient's pharmacokinetic profile, as factors such as age, liver function, and concurrent medications can affect Phenytoin Sodium metabolism and clearance. Dose adjustments may be necessary to achieve optimal therapeutic outcomes while minimizing adverse effects.

If you have any questions about Phenytoin Sodium 60 mg/ml Oral Liquid or its use in treating epilepsy and seizure prevention, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure safe and effective treatment.

Other Uses

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Phenytoin Sodium is primarily prescribed for controlling certain types of seizures in patients with epilepsy and for preventing seizures following neurosurgery. However, there are additional off-label uses for Phenytoin Sodium oral liquid that medical practitioners may consider based on individual patient needs.

In certain cases, Phenytoin has been used to manage neuropathic pain, such as the pain associated with diabetic neuropathy and trigeminal neuralgia, due to its effects on sodium channels in the nervous system. Moreover, there is some evidence suggesting that Phenytoin could be beneficial in treating arrhythmias, particularly when other treatments have proven ineffective, although this is not a common use and requires careful monitoring due to potential cardiotoxicity at higher blood levels.

Additionally, Phenytoin has been used in the treatment of certain psychiatric disorders, including bipolar disorder, as it may have mood-stabilizing properties. However, this is typically not a first-line treatment and is used when other medications have failed or are contraindicated. Phenytoin Sodium oral liquid formulation could be preferred in these instances for patients experiencing difficulties swallowing pills or requiring precise dosage adjustments. It's important to note that these off-label uses require careful patient selection and monitoring for efficacy and potential adverse effects.

The topical use of Phenytoin for wound healing has been explored as well, with some studies suggesting a beneficial effect on the regeneration of skin and tissues. However, the oral liquid form is not intended for topical application, and its use in wound therapy would be considered experimental and off-label.

Before using Phenytoin Sodium oral liquid for any off-label indications, healthcare professionals should ensure that they are in compliance with the current standards of care and that patients are made fully aware of the potential risks and benefits. Due to the narrow therapeutic index of Phenytoin and potential drug interactions, monitoring levels, renal and liver function, and potential side effects is critical when prescribing this medication.

If you have any questions regarding the use of Phenytoin Sodium 60 mg/ml Oral Liquid or other possible applications for this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is ready to provide the necessary guidance and support to ensure safe and effective use of this medication.

Frequently Asked Questions

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What is Phenytoin Sodium Oral Liquid and what is it used for?

Phenytoin Sodium Oral Liquid is an antiepileptic medication used to manage and prevent seizures. It's especially formulated as a 60 mg/ml liquid for oral administration for patients who find it difficult to swallow pills or capsules, such as children, elderly persons, or individuals with swallowing disorders.

How should I take Phenytoin Sodium 60 mg/ml Oral Liquid?

The medication should be measured using a proper measuring device, such as a medicine syringe or a special dose-measuring spoon, to ensure you take the correct dose as prescribed by your healthcare provider. The liquid can be taken with or without food, but it's important to maintain consistent practice to ensure steady medication levels in your body.

Can I mix Phenytoin Sodium Oral Liquid with food or beverages?

It is not recommended to mix Phenytoin Sodium Oral Liquid with food or other beverages unless your healthcare provider approves. Some mixtures can affect the medication's absorption or taste. Always consult with a healthcare provider for advice specific to your treatment and condition.

What should I do if I miss a dose of Phenytoin Sodium Oral Liquid?

If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and take your next dose at the regular time. Do not take two doses at one time or extra doses. Contact your healthcare provider if you are not sure what to do.

Are there any potential side effects of taking Phenytoin Sodium Oral Liquid?

Yes, as with any medication, taking Phenytoin Sodium Oral Liquid carries the risk of side effects. Common side effects include dizziness, drowsiness, headache, and nausea. If side effects are persistent or become severe, it is important to contact your healthcare provider immediately.

How should I store Phenytoin Sodium Oral Liquid?

Store Phenytoin Sodium Oral Liquid at room temperature, away from light and moisture. Do not freeze the medication, and keep it out of reach of children and pets. Ensure the bottle is tightly closed when not in use.

Can I stop taking Phenytoin Sodium Oral Liquid on my own?

No, you should not stop taking Phenytoin Sodium Oral Liquid without consulting your healthcare provider, even if you feel better. Abrupt discontinuation can lead to an increased risk of seizures or worsening of your condition.

Does Phenytoin Sodium Oral Liquid interact with other medications?

Yes, Phenytoin Sodium Oral Liquid can interact with other medications, including prescription drugs, over-the-counter medicines, vitamins, and herbal products. Inform your healthcare provider about all the medications you are taking to prevent potential drug interactions.

Is Phenytoin Sodium Oral Liquid suitable for children?

Yes, due to its liquid form, Phenytoin Sodium Oral Liquid is often used for pediatric patients who require medication for seizure control but may have difficulties swallowing pills. The dosage should be carefully adjusted by a healthcare provider according to the child's weight and needs.

Can I consume alcohol while taking Phenytoin Sodium Oral Liquid?

It is generally advised to avoid consuming alcohol while taking Phenytoin Sodium Oral Liquid, as alcohol can interfere with the medication's effectiveness and may increase the risk of side effects, such as drowsiness and dizziness.

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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.