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(R)-Mephenytoin is the (R) enantiomer of the anticonvulsant mephenytoin.1 (R)-Mephenytoin can be demethylated by the cytochrome P450 (CYP) isoform CYP2C9 to form the active metabolite 5-ethyl-5-phenylhydantoin (nirvanol).2,3 The ratio of (S)-mephenytoin (Item No. 11913) to (R)-mephenytoin in urine following administration of the racemic mixture has been used to detect polymorphisms in drug metabolism by CYP2C19, as only (S)-mephenytoin is a substrate of CYP2C19.4,5,2
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1. Assay of mephenytoin metabolism in human liver microsomes by high-
2. Molecular modelling of human CYP2C subfamily enzymes CYP2C9 and CYP2C19: Rationalization of substrate specificity and site-
3. N-
4. A new genetic defect in human CYP2C19: Mutation of the initiation codon is responsible for poor metabolism of S-
5. Rapid screening for polymorphisms in dextromethorphan and mephenytoin metabolism. Br. J. Clin. Pharmacol. 29(4), 373-380 (1990).