Medication info
Myungin Phenytoin Tablet 100mg

Myungin Phenytoin Tablet 100mg

Prescription medicationTablet
Ingredient · strength
Phenytoin›100mg / 1 tablet
Manufacturer / importer
Myungin Pharmaceutical Co., Ltd.
Appearance
White round tablets
Packaging
1000 tablets/bottle
Approval status
Active

MFDS item code 198500605 · Notified 1985.08.12 · Insurance code 651900910

Summary

Main use
Treatment of epilepsy (including tonic-clonic and partial seizures) and digitalis-induced arrhythmias
Who uses it
Adults · Children
Adult dosage
The dosage should be adjusted according to the severity of seizures and the patient's tolerability. Measure the blood concentration if necessary. This medicine should not be administered once daily; it must be given in divided doses. 1. Adults: Administer 100 mg of phenytoin orally 3 times daily. The maintenance dose is 300 ~ 400 mg of this medicine daily in divided doses. The daily dose may be increased to 600 mg of this medicine. (Injection) 1. Status epilepticus or seizures that are difficult to control with oral administration Adults: Slowly administer 125 ~ 250 mg of phenytoin sodium by intravenous injection at a rate not exceeding 50 mg/min. If seizures cannot be controlled with this dose, administer an additional 100 ~ 150 mg of this medicine after 30 minutes or consider other treatment. When convulsions have ceased and consciousness has recovered following administration of this medicine, switch to oral administration. 2. Digoxin-induced arrhythmia for which first-line treatment is ineffective Adults: Administer an initial dose of 3.5 ~ 5 mg/kg of body weight of phenytoin sodium by intravenous injection. Repeat once if necessary. This medicine must be administered slowly by intravenous injection at a steady rate not exceeding 50 mg/min. Adjust the dose as appropriate according to age and symptoms.
Children's dosage
2. Children: Administer 5 mg/kg of body weight of phenytoin in 2 ~ 3 divided doses. The maintenance dose is 4 ~ 8 mg/kg of body weight of this medicine daily in divided doses. Up to 300 mg of this medicine may be administered daily.

Ingredients

Manufacturer
Myungin Pharmaceutical Co., Ltd.

Efficacy & effects

Treatment of epilepsy (including tonic-clonic and partial seizures) and digitalis-induced arrhythmias

  • Tonic-clonic seizures
  • partial seizures
  • psychomotor seizures
  • status epilepticus
  • altered consciousness
View approved original text

This medication is used to treat various types of seizures in patients with epilepsy, including tonic-clonic seizures (grand mal seizures), partial seizures (focal seizures), and psychomotor seizures. The injectable form is especially effective for managing status epilepticus and for cases where oral suppression of seizures is difficult, such as in patients with altered consciousness or during postoperative recovery. This medication is also used to treat digitalis-induced ventricular arrhythmias when first-line therapy is ineffective. It aids in seizure control and improvement of symptoms of arrhythmia.

Dosage and Administration

Adult dosage

The dosage should be adjusted according to the severity of seizures and the patient's tolerability. Measure the blood concentration if necessary. This medicine should not be administered once daily; it must be given in divided doses. 1. Adults: Administer 100 mg of phenytoin orally 3 times daily. The maintenance dose is 300 ~ 400 mg of this medicine daily in divided doses. The daily dose may be increased to 600 mg of this medicine. (Injection) 1. Status epilepticus or seizures that are difficult to control with oral administration Adults: Slowly administer 125 ~ 250 mg of phenytoin sodium by intravenous injection at a rate not exceeding 50 mg/min. If seizures cannot be controlled with this dose, administer an additional 100 ~ 150 mg of this medicine after 30 minutes or consider other treatment. When convulsions have ceased and consciousness has recovered following administration of this medicine, switch to oral administration. 2. Digoxin-induced arrhythmia for which first-line treatment is ineffective Adults: Administer an initial dose of 3.5 ~ 5 mg/kg of body weight of phenytoin sodium by intravenous injection. Repeat once if necessary. This medicine must be administered slowly by intravenous injection at a steady rate not exceeding 50 mg/min. Adjust the dose as appropriate according to age and symptoms.

Children's dosage

2. Children: Administer 5 mg/kg of body weight of phenytoin in 2 ~ 3 divided doses. The maintenance dose is 4 ~ 8 mg/kg of body weight of this medicine daily in divided doses. Up to 300 mg of this medicine may be administered daily.

Precautions

This medication is used for epilepsy treatment, and patients and caregivers should closely monitor for signs of suicidal thoughts, suicidal behavior, or other mental health issues like depression during treatment. When administered as an injection, inflammation or pain at the injection site, skin discoloration, and in severe cases, skin necrosis or tissue damage may occur, necessitating caution. Patients with hypersensitivity to this medication or those with certain heart diseases or blood disorders should not take it, and it is essential to consult healthcare professionals regarding the use of this medication with other drugs, as it may alter drug concentrations or the risk of side effects. Patients with impaired liver or kidney function, the elderly, and those with diabetes must use this medication cautiously, and treatment should be immediately stopped, and a doctor consulted if severe skin reactions occur. During treatment, drowsiness, dizziness, and decreased motor ability may occur, so patients should avoid driving or operating hazardous machinery, and doses should not be abruptly reduced or discontinued as this may exacerbate seizures. Use during pregnancy may increase the risk of congenital anomalies; therefore, women who are pregnant or planning to become pregnant must consult a healthcare professional before taking this medication and should employ effective contraception. Regular liver, kidney, blood tests, and vision checks are necessary, and maintaining appropriate dosing through drug concentration measurements is important. In the event of an overdose, serious symptoms such as coma, lowered blood pressure, and difficulty breathing may occur, requiring immediate emergency care.

Side effects

suicidal ideation, suicidal behavior, depression, abnormal changes in mood and behavior, soft tissue irritation, inflammatory response, vascular leakage, edema, skin discoloration, pain at the remote site of injection, tenderness, necrosis, skin exfoliation, pain at the injection site, abscess, involuntary movements, abnormal movements, chorea, akinesia, neuropathy, dizziness, ataxia, mental confusion, speech disturbance, insomnia, nervousness, decreased attention span, decreased concentration, diminished reflex ability, headache, malaise, dyscoordination, tremor, peripheral sensory polyneuropathy, interstitial pneumonia, mucocutaneous syndrome, toxic epidermal necrolysis, systemic lupus erythematosus-like symptoms, urticaria, multisystem hypersensitivity reaction, fever, rash, lymphadenopathy, facial edema, hepatitis, nephritis, hematological disorders, myocarditis, myositis, eosinophilia, scarlet fever-like rash, measles-like rash, pure red cell aplasia, thrombocytopenia, leukopenia, granulocytopenia, agranulocytosis, pancytopenia, erythrocytosis, relative polycythemia, aplastic anemia, monocytic leukemia, hemolytic anemia, lymph node enlargement, lymphoma, pseudo-lymphoma, Hodgkin's disease, toxic hepatitis, jaundice, proteinuria, diplopia, nystagmus, visual impairment, cataract, gingival hyperplasia, facial dyskinesia, hirsutism, lip swelling, Peyronie's disease, rickets, osteomalacia, dental enamel hypoplasia, nausea, vomiting, constipation, nodular periarteritis, polymyalgia rheumatica, hyperglycemia, fever, abnormal thyroid function test results, thirst, vascular pain, cardiovascular collapse, cardiac arrest, ventricular fibrillation, respiratory arrest, tonic-clonic seizure, reduced bone density, osteopenia, osteoporosis, fracture, nonsensical speech, psychosis, encephalopathy, delirium, bradycardia, rapid hypotension

Not everyone experiences these, and they can vary from person to person.

Storage

This medication is sensitive to light and should be stored in a container that does not allow light to pass through. Additionally, it must be stored at a temperature between 1 and 30 degrees Celsius to maintain potency.

Appearance and packaging

Appearance

White round tablets

Package unit

1000 tablets/bottle

Same-ingredient medicines

Even with the same ingredient, strength, dosage form and how it is taken can differ.

Even with the same ingredient, the dose and directions can differ by strength and dosage form. Talk to a doctor or pharmacist before switching from a medication you are already taking.

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This drug information is based on data provided by the Korea Ministry of Food and Drug Safety.
Consult a doctor or pharmacist for accurate dosage, administration, and usage instructions.