IV fosphenytoin in obese patients: Dosing strategies, safety, and efficacy

Previous studies evaluated the disposition of IV phenytoin loading doses and found that obese patients had increased drug distribution into excess body weight, larger volumes of distribution, and longer half-lives when compared to their nonobese counterparts. We assess the safety and efficacy of fos...

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Veröffentlicht in:Neurology. Clinical practice 2017-02, Vol.7 (1), p.45-52
Hauptverfasser: Clark, Sarah L, Leloux, Megan R, Dierkhising, Ross A, Cascino, Gregory D, Hocker, Sara E
Format: Artikel
Sprache:eng
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Zusammenfassung:Previous studies evaluated the disposition of IV phenytoin loading doses and found that obese patients had increased drug distribution into excess body weight, larger volumes of distribution, and longer half-lives when compared to their nonobese counterparts. We assess the safety and efficacy of fosphenytoin loading doses in patients with different body mass indices (BMIs). A retrospective chart review was conducted in 410 patients who received fosphenytoin. Patients were divided into 2 groups: BMI
ISSN:2163-0402
2163-0933
DOI:10.1212/CPJ.0000000000000322