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What is Phenytoin?

Phenytoin is an antiarrhythmic and anticonvulsant agent that is used for the management of generalized tonic-clonic (grand mal), complex partial seizures; and for the prevention of seizures following head trauma/neurosurgery. Off label it is used for neuropathic pain.

Reported Purpose & Efficacy

Reasons and Efficacy
Purpose # of patients
# of patients with evaluations Efficacy
Major
Moderate
Slight
None
Can’t tell
Epilepsy 311 107 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
Seizures (grand mal or tonic-clonic) 33 14 Efficacy_major Efficacy_moderate Efficacy_none Efficacy_cant_tell
Seizures 19 8 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_cant_tell
Other 11 2 Efficacy_major
Seizures (complex partial) 4 0
Stiffness/Spasticity 3 0

See all 253 patients currently taking Phenytoin

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Reported Side Effects

Side effects as an overall problem

Severe
37
Moderate
35
Mild
31
None
28

Commonly reported side effects, conditions, and hospitalizations associated with Phenytoin

Drowsiness 10
Depressed mood 7
Bleeding gums 7
Sleepiness 7
Gingivitis (gum disease) 7
Dizziness 6
See all 113 reported side effects See top 6 reported side effects

Reported Dosages

Frequently reported dosages based on patients currently taking Phenytoin. See all 32 dosages

  50 mg daily 100 mg daily 200 mg daily 300 mg daily 400 mg daily 500 mg daily 600 mg daily 700 mg daily 800 mg daily 900 mg daily
  3 Number of Patients: 3 13 Number of Patients: 13 26 Number of Patients: 26 72 Number of Patients: 72 71 Number of Patients: 71 33 Number of Patients: 33 21 Number of Patients: 21 5 Number of Patients: 5 6 Number of Patients: 6 3 Number of Patients: 3  

Reported Stop Reasons

Why Patients Stopped Taking Phenytoin (multiple reasons could be selected)
Reason # Patients Percentage of patients
Doctor's advice 77   Doctor's advice: 41%
Side effects too severe 73   Side effects too severe: 38%
Did not seem to work 60   Did not seem to work: 32%
Other 30   Other: 16%
Course of treatment ended 10   Course of treatment ended: 5%
Not indicated 5   Not indicated: 3%
Personal research 4   Personal research: 2%
Change in health plan coverage 3   Change in health plan coverage: 2%
Expense 2   Expense: 1%

See all 182 patients who’ve stopped taking Phenytoin

Currently Taking Phenytoin

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0

Stopped Taking Phenytoin

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Phenytoin

Always
109 83%
Usually
19 15%
Sometimes
1 1%
Never
2 2%

Burden

Difficulty being on treatment

Burden of Phenytoin

Very
14 11%
Somewhat
16 12%
A little
25 19%
Not at all
76 58%

Cost

Paid out of pocket

Cost of Phenytoin

$200+
0 0%
$100-199
1 1%
$50-99
7 8%
$25-49
26 29%
< $25
55 62%

See more information, including instructions, precautions, side effects, and interactions.

Report created on February 11, 2012.