Abstract
Routine estimation of serum phenytoin levels in patients newly admitted to a Special Centre for Epilepsy showed that 40% of those receiving sulthiame in addition to phenytoin had levels in the toxic range. Four long-stay patients became drug intoxicated when sulthiame treatment was started. Sulthiame appears to inhibit the hepatic hydroxylation of phenytoin.
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Selected References
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- BUCHTHAL F., SVENSMARK O., SCHILLER P. J. Clinical and electroencephalographic correlations with serum levels of diphenylhydanotin. Arch Neurol. 1960 Jun;2:624–630. doi: 10.1001/archneur.1960.03840120030004. [DOI] [PubMed] [Google Scholar]
- GORDON N. THE USE OF OSPOLOT IN THE TREATMENT OF EPILEPSY. Epilepsia. 1964 Mar;5:68–73. doi: 10.1111/j.1528-1157.1964.tb04347.x. [DOI] [PubMed] [Google Scholar]
- Hansen J. M., Kristensen M., Skovsted L. Sulthiame (Ospolot) as inhibitor of diphenylhydatoin metabolism. Epilepsia. 1968 Mar;9(1):17–22. doi: 10.1111/j.1528-1157.1968.tb04954.x. [DOI] [PubMed] [Google Scholar]
- Houghton G. W., Latham A. N., Richens A. Difference in the central actions of phenytoin and phenobarbitone in man, measured by critical flicker fusion threshold. Eur J Clin Pharmacol. 1973 Jun;6(1):57–60. doi: 10.1007/BF00561802. [DOI] [PubMed] [Google Scholar]
- Kutt H., Winters W., McDowell F. H. Depression of prahydroxylation of diphenylhydantoin by antituberculosis chemotherapy. Neurology. 1966 Jun;16(6):594–602. doi: 10.1212/wnl.16.6.594. [DOI] [PubMed] [Google Scholar]
- Olesen O. V., Jensen O. N. Drug--interaction between sulthiame (Ospolot (R)) and phenytoin in the treatment of epilepsy. Dan Med Bull. 1969 May;16(5):154–158. [PubMed] [Google Scholar]
