Neurology
Phenytoin
Dose
Status: 20 mg/kg IV (max 50 mg/min); maintenance 4–5 mg/kg
Administration
Cardiac monitoring, large vein (alkaline)
Use
Status epilepticus, focal seizures.
Monitoring
ECG (bradycardia, hypotension), levels (10–20 mg/L), LFTs.
Side effects
- • Gum hyperplasia
- • Hirsutism
- • Ataxia
- • Steven-Johnson
- • Purple-glove syndrome
Always confirm dose against your local formulary / BNF before prescribing.
