Abstract

ISSN

2249-7633

e ISSN

2249-7625

Publisher

Pharmacy Practice & Drug Research

REQUIREMENT OF THERAPEUTIC DRUG MONITORING FOR PATIENTS ON PHENYTOIN THERAPY-WHEN SHOULD I DO TDM
Author / Afflication
Ranakishor Pelluri

Department of Pharmacy Practice, Vignan Pharmacy College, Vadlamudi, Guntur-522213.Andhra Pradesh, India
Arumalla Mereena

Department of Pharmacy Practice, Vignan Pharmacy College, Vadlamudi, Guntur-522213.Andhra Pradesh, India
Gulipalli Sowjanya

Department of Pharmacy Practice, Vignan Pharmacy College, Vadlamudi, Guntur-522213.Andhra Pradesh, India
Chandu Madhuri

Department of Pharmacy Practice, Vignan Pharmacy College, Vadlamudi, Guntur-522213.Andhra Pradesh, India
Rebba Saisusmitha

Department of Pharmacy Practice, Vignan Pharmacy College, Vadlamudi, Guntur-522213.Andhra Pradesh, India
Kamma Sri Pandu Mukharjee

Department of Pharmacy Practice, Vignan Pharmacy College, Vadlamudi, Guntur-522213.Andhra Pradesh, India
P.Srinivasababu

Department of Pharmacy Practice, Vignan Pharmacy College, Vadlamudi, Guntur-522213.Andhra Pradesh, India
Keywords
Pharmacokinetics ,Phenytoin ,Therapeutic drug monitoring ,Adverse drug reactions ,
Abstract

Therapeutic drug monitoring of phenytoin was carried out to make sure effective and safe levels. Some of the factors complicating phenytoin dosing include a narrow therapeutic window, high degree of protein binding, and nonlinear pharmacokinetics. However, serum drug levels should only be taken when there is a clear indication to guide patient management. A situation where monitoring levels may be clinically useful in establishing an individual therapeutic concentration, aiding in the diagnosis of clinical toxicity, assessing patient compliance, and guiding dosage adjustments in patients likely to have greater pharmacokinetic variability. This paper aims to provide an overview on of the correct timing and interpretation of phenytoin levels. It will also address phenytoin dosing, other monitoring parameters, and management of phenytoin adverse effects.

Volume / Issue / Year

7 , 2 , 2017

Starting Page No / Endling Page No

73 - 75