Trisha Shetty (Editor)

Mephenytoin

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MedlinePlus
  
a611020

ATC code
  
N03AB04 (WHO)

Molar mass
  
218.252 g/mol

Routes of administration
  
Oral

Metabolism
  
CYP2C19

CAS ID
  
50-12-4

Mephenytoin

AHFS/Drugs.com
  
Micromedex Detailed Consumer Information

Pregnancy category
  
US: C (Risk not ruled out)

Medical vocabulary what does mephenytoin mean


Mephenytoin (marketed as Mesantoin by Novartis) is a hydantoin, used as an anticonvulsant. It was introduced approximately 10 years after phenytoin, in the late 1940s. The significant metabolite of mephenytoin is nirvanol (5-ethyl-5-phenylhydantoin), which was the first hydantoin (briefly used as a hypnotic). However, nirvanol is quite toxic and mephenytoin was only considered after other less toxic anticonvulsants had failed. It can cause potentially fatal blood dyscrasia in 1% of patients.

Mephenytoin is no longer available in the US or the UK. It is still studied largely because of its interesting hydroxylation polymorphism.

References

Mephenytoin Wikipedia


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