✅ Active Ingredient Overview Table:
| 🔬 Active Ingredient (Generic Name): | Phenytoin |
|---|---|
| 💊 Indication: | Epilepsy (Generalized & Partial Seizures), Status Epilepticus Prophylaxis |
| 🇺🇸 US Brand: | Dilantin® Kapseals® (ER) |
| 🏭 Manufacturer: | Abbott India Pvt. Ltd. (Founded: 1944) |
| 📦 Packaging: | 30 Extended-Release Tablets per Bottle |
| 🧪 Strength: | 300 mg |
| 🚚 Delivery Time: | 6–15 days |
🌿 What is Phenytoin 300 mg ER (Eptoin ER)?
Eptoin ER provides 300 mg of Phenytoin in an extended-release formulation, ensuring stable plasma concentrations over 24 hours with once-daily dosing. This is ideal for maintenance therapy, reducing peak–trough fluctuations and improving seizure control and patient adherence.
By modulating voltage-gated sodium channels, Phenytoin decreases neuronal excitability. The ER delivery reduces gastrointestinal irritation and minimizes neurotoxic peaks compared to immediate-release formulations.
Refer to the FDA label for Dilantin® Kapseals® and the Drugs.com monograph for detailed prescribing information.
🧬 Pharmacology & Mechanism of Action
| Attribute | Detail |
|---|---|
| Chemical Formula | C15H12N2O |
| Molecular Weight | 252.27 g/mol |
| Bioavailability | ~90% (ER) |
| Metabolism | Hepatic (CYP2C9, CYP2C19) |
| Half-Life | ~24 hours (dose-dependent) |
Phenytoin in ER form maintains therapeutic levels with reduced risk of toxicity associated with peak concentrations.
💡 Indications & Dosing
| Condition | Dose & Administration |
|---|---|
| Maintenance Therapy for Seizures | 300 mg ER once daily; titrate after at least 7 days based on plasma levels and clinical response |
| Status Epilepticus Prophylaxis | 300 mg ER daily initiated post-event as prescribed by neurologist |
Maintain dosing consistency; do not crush or chew. Monitor plasma levels to maintain 10–20 µg/mL.
⚠️ Warnings & Side Effects
Common:
- Dizziness, ataxia
- Gingival hyperplasia
- Nystagmus
Serious:
- SJS/TEN (HLA-B*1502 risk)
- Blood dyscrasias
- Hepatotoxicity
Screen ethnically at-risk patients for HLA-B*1502. Monitor CBC, LFTs, and levels. Educate on oral hygiene to reduce gingival issues.
🏥 Storage Instructions
Store Eptoin ER 300 mg at 20–25°C in original bottle. Protect from moisture and light. Keep out of reach of children.
🌐 Availability & Purchasing
- USA: Prescription-only (Dilantin® Kapseals®); branded ER available.
- UK & EU: Prescription required; ER phenytoin formulations limited.
- Australia: Prescription and TGA approval required.
Importing from India may reduce cost; ensure compliance with local regulations and maintain valid prescription.
🔗 Related Antiepileptic Regimens
- Eptoin 100 mg – immediate-release formulation.
- Lamotrigine 100 mg – adjunct therapy.
🎥 Educational Video on Extended-Release Phenytoin
👨⚕️ Expert Insight: Dr. Neeta Sharma, Neurologist
“Eptoin ER simplifies seizure management with the convenience of once-daily dosing, improving compliance and reducing the risk of breakthrough seizures due to missed doses.”




