Is phenytoin metabolism dose-dependent by enzyme saturation or by feedback inhibition?

Emilio Perucca, Khalil Makki, Alan Richens

Research output: Contribution to journalArticlepeer-review

Abstract

The suggestion from animal experiments that phenytoin metabolism may be dose-dependent in man due to feedback inhibition by the major metabolite, 5-(p-hydroxyphenyl)-5- phenylhydantoin, was examined in 3 normal subjects by measuring phenytoin clearance during an intravenous infusion of the metabolite and during a control infusion of solvent. Clearance was measured using both carbon-labeled and unlabeled phenytoin. The infusion of metabolite did not produce any consistent change of phenytoin clearance, suggesting that feedback inhibition does not occur in man.

Original languageEnglish
Pages (from-to)46-51
Number of pages6
JournalClinical Pharmacology and Therapeutics
Volume24
Issue number1
Publication statusPublished - Jul 1978

ASJC Scopus subject areas

  • Pharmacology
  • Pharmacology (medical)

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