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Phenytoin is an anticonvulsant agent and active metabolite of fosphenytoin (Item No. 23889). Phenytoin is formed from fosphenytoin by tissue phosphatases.1 It inhibits neuronal voltage-gated sodium channels in a voltage-dependent manner.2 Phenytoin reduces the neuronal firing frequency and decreases the amplitude of excitatory post-synaptic potentials (EPSPs) in electrically stimulated rat corticostriatal slices (EC50s = 42.8 and 33.5 µM, respectively).3 It protects against seizures induced by maximal electroshock (MES) in mice (ED50 = 10 mg/kg).4 Formulations containing phenytoin have been used in the treatment of tonic-clonic seizures and status epilepticus.
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1. Fosphenytoin: A novel phenytoin prodrug. Pharmacotherapy 16(5), 777-791 (1996).
2. Phenytoin: Mechanisms of its anticonvulsant action. Ann. Neurol. 20(2), 171-184 (1986).
3. An in vitro electrophysiological study on the effects of phenytoin, lamotrigine and gabapentin on striatal neurons. Br. J. Pharmacol. 126(3), 689-696 (1999).
4. Bicyclic hydantoins with a bridgehead nitrogen. Comparison of anticonvulsant activities with binding to the neuronal voltage-