modelPhenytoin

Diagram of Phenytoin

Extends from Pharmacolibrary.Drugs.ATC.N.N03AB02.

Information

name:Phenytoin
ATC code:N03AB02
route:oral
compartments:1
dosage:300mg
volume of distribution:0.65L
clearance:0.015L/kg/h
other parameters in model implementation

Phenytoin is an antiepileptic drug widely used for the treatment and prevention of seizures, particularly in the management of tonic-clonic (grand mal) and partial seizures. It stabilizes neuronal membranes and decreases seizure activity by increasing efflux or decreasing influx of sodium ions across cell membranes in the motor cortex during generation of nerve impulses. Phenytoin is approved for use in many countries and is still actively used today.

Pharmacokinetics

Pharmacokinetic parameters reported in adult healthy volunteers and patients with epilepsy. Sex: both male and female, age range: adults (18-65 years), without significant renal or hepatic impairment.

References

  1. Li, Z, et al., & Song, G (2019). The Evolution of Population Pharmacokinetic Model of Oral Phenytoin for Early Seizure Prophylaxis Post-Craniotomy. Current drug metabolism 20(9) 756–764. DOI:10.2174/1389200220666190913115837 PUBMED:https://pubmed.ncbi.nlm.nih.gov/31518217

  2. Li, ZD, et al., & Huang, YA (2016). Population Pharmacokinetics of Phenytoin Based on NONMEM in Patients with Intracranial Tumor During the First Week of Post-Craniotomy. Current drug metabolism 17(7) 721–728. DOI:10.2174/1389200217666160513132716 PUBMED:https://pubmed.ncbi.nlm.nih.gov/27174459

  3. Chan, V, et al., & Tett, SE (2001). Population pharmacokinetics of lamotrigine. Therapeutic drug monitoring 23(6) 630–635. DOI:10.1097/00007691-200112000-00006 PUBMED:https://pubmed.ncbi.nlm.nih.gov/11802095

Parameters

TypeNameDefaultDescription
Modelica.Units.SI.Massweight (from PK_1C)75patient weight (kg)
Modelica.Units.SI.SpecificVolumeVdPerKg (from PK_1C)0.9Volume of distribution (L/kg)
Modelica.Units.SI.MassFractionF (from PK_1C)0.8bioavailiability (0-1)
Pharmacolibrary.Types.ClearanceCl (from PK_1C)20clearance
Modelica.Units.SI.TimeadminTime (from PK_1C)60first administration time (s)
Modelica.Units.SI.TimeadminDuration (from PK_1C)600administration duration (s)
Modelica.Units.SI.TimeadminPeriod (from PK_1C)8*60*60period of administration (default 8 hours)(s)
Pharmacolibrary.Types.MassadminMass (from PK_1C)1000administration mass (mg)
IntegeradminCount (from PK_1C)8number of dose administered (1)
Pharmacolibrary.Types.VolumeVd (from PK_1C)VdPerKg*weightVolume of distribution (m3)
Pharmacolibrary.Types.MassConcentrationCmin (from PK_1C)0.004minimal therapeutic range
Pharmacolibrary.Types.MassConcentrationCmax (from PK_1C)0.008minimal therapeutic range
Pharmacolibrary.Types.MassConcentrationCtox_peak (from PK_1C)0.012toxicity peak level
Pharmacolibrary.Types.MassConcentrationCtox_trough (from PK_1C)0.006toxicity trough level
Pharmacolibrary.Types.TransferRateka (from PK_1C_enteral)0.016666666666666666first order absorption rate
Modelica.Units.SI.TimeTlag (from PK_1C_enteral)600delay between oral administration and absorption (default 10min)

Connectors

TypeNameDefaultDescription
Types.ConcentrationOutputC_central (from PK_1C)
Interfaces.ConcentrationPort_bcentralCPort (from PK_1C)

Components

TypeNameDefaultDescription
Pharmacokinetic.NoPerfusedTissueCompartmentcentral (from PK_1C)
Pharmacokinetic.ClearanceDrivenEliminationelim (from PK_1C)
Sources.PeriodicDoseperiodicDose (from PK_1C)
Modelica.Units.SI.Timet1_2 (from PK_1C)elimination half-life

Revisions

  • 06/2025 Tomas Kulhanek, generated model from data extracted from PUBMED, DrugBank and LLM(GPT4.1)