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Comital Brand names, Comital Analogs

Comital Brand Names Mixture

  • Dilantin W Phenobarbital 15mg (Phenobarbital + Phenytoin Sodium)
  • Dilantin W Phenobarbital 30mg Cap (Phenobarbital + Phenytoin Sodium)

Comital Chemical_Formula

C15H12N2O2

Comital RX_link

http://www.rxlist.com/cgi/generic/phenyt.htm

Comital fda sheet

Comital FDA

Comital msds (material safety sheet)

Comital MSDS

Comital Synthesis Reference

Henze, U.S. Pat. 2,409,754 (1946)

Comital Molecular Weight

252.268 g/mol

Comital Melting Point

286 oC

Comital H2O Solubility

32 mg/L

Comital State

Solid

Comital LogP

2.241

Comital Dosage Forms

Capsule (extended release); Liquid; Solution; Suspension; Tablet

Comital Indication

For the control of generalized tonic-clonic (grand mal) and complex partial (psychomotor, temporal lobe) seizures and prevention and treatment of seizures occurring during or following neurosurgery.

Comital Pharmacology

Phenytoin is an antiepileptic drug which can be useful in the treatment of epilepsy. The primary site of action appears to be the motor cortex where spread of seizure activity is inhibited. Phenytoin reduces the maximal activity of brain stem centers responsible for the tonic phase of tonic-clonic (grand mal) seizures. Phenytoin acts to damp the unwanted, runaway brain activity seen in seizure by reducing electrical conductance among brain cells. It lacks the sedation effects associated with phenobarbital. There are some indications that phenytoin has other effects, including anxiety control and mood stabilization, although it has never been approved for those purposes by the FDA.

Comital Absorption

Bioavailability 70-100% oral, 24.4% for rectal and intravenous administration. Rapid rate of absorption with peak blood concentration expected in 1½ to 3 hours.

Comital side effects and Toxicity

Oral, mouse: LD50 = 150 mg/kg; Oral, rat: LD50 = 1635 mg/kg. Symptoms of overdose include coma, difficulty in pronouncing words correctly, involuntary eye movement, lack of muscle coordination, low blood pressure, nausea, sluggishness, slurred speech, tremors, and vomiting.

Comital Patient Information

Patients taking phenytoin should be advised of the importance of adhering strictly to the prescribed dosage regimen, and of informing the physician of any clinical condition in which it is not possible to take the drug orally as prescribed, eg, surgery, etc.

Patients should also be cautioned on the use of other drugs or alcoholic beverages without first seeking the physician's advice.

Patients should be instructed to call their physician if skin rash develops.

The importance of good dental hygiene should be stressed in order to minimize the development of gingival hyperplasia and its complications.

Do not use capsules which are discolored.

Comital Organisms Affected

Humans and other mammals