Eptoin 300 mg ER

Phenytoin

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Eptoin 300 mg ER
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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


🎥 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.”


Additional Information

Active

Phenytoin

Tablets

30, 60, 90

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