Phenytoin

Pronounced FEN-i-toin

Brand names: Dilantin

Type: Antiseizure medicine · All Neurology Medicines

What Phenytoin is used for

  • Seizure disorders
  • Prolonged seizures in hospital (related form, fosphenytoin)

◆ Kidney note

In kidney failure and low albumin states, standard blood levels mislead — free (unbound) levels are measured instead, a classic kidney-medicine nuance.

Common side effects

  • Gum overgrowth
  • Drowsiness
  • Unsteadiness
  • Coarse facial features with long use
  • Slurred speech

Important cautions

  • The safe range is narrow and blood levels are checked; small dose changes can cause large level changes, especially in older adults
  • Long-term use can weaken bones and lower vitamin D and folate
  • Interacts with very many medicines, including warfarin and contraceptives

How it comes

Capsules, tablets, liquid, injection (hospital). This guide lists forms only — it never lists strengths or doses.

Toxicity lists: Phenytoin also appears on Medicines That Can Harm the Liver.

Please note: This page is a patient-education summary, not medical advice, and it deliberately contains no doses. Medicines affect everyone differently — always follow your own prescription and talk to your doctor or pharmacist before starting, stopping or changing any medicine.