MDCalc

Phenytoin (Dilantin) Correction for Albumin/Renal Failure

Corrects serum phenytoin level for renal failure and/or hypoalbuminemia.

Use in patients with albumin ≤3.2 g/dL (32 g/L). The “Sheiner-Tozer Equation” is the official name of this correction. This updated formula uses an albumin coefficient of 0.275, and 0.2 for patients with renal failure (see Evidence for details).

The unit of phenytoin

Creatinine clearance <20 mL/min

Result:

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Advice
  • Adjust phenytoin dosing based on values.

  • If consistently out of range, consider other antiepileptics.

  • Concomitant use of valproic acid and some other drugs displaces phenytoin from plasma proteins and can lead to erratic levels.

  • Whenever possible, a free phenytoin level should be utilized over a corrected level.

Critical Actions

A therapeutic phenytoin level is generally considered to be 10-20 mg/L (40-80 µmol/L). Levels above this may cause nystagmus, ataxia, lethargy, confusion, and coma.