Safety information is for reference only and does not replace the supplier’s Safety Data Sheet (SDS), applicable regulations, or professional assessment.
GHS classification
GHS Classification · 4 items
Danger
H301 (18.6%): Toxic if swallowed [Danger Acute toxicity, oral]
P203, P260, P261, P264, P270, P272, P280, P301+P316, P301+P317, P302+P352, P318, P319, P321, P330, P333+P317, P362+P364, P405, and P501 (click each P-code to see the statement)
Aggregated GHS information provided per 194 reports by companies from 11 notifications to the ECHA C&L Inventory. Each notification may be associated with multiple companies.
Phenytoin sodium: Does not have an individual approval but may be used under an appropriate group standard
Other Safety InformationIMAP assessments - 2,4-Imidazolidinedione, 5,5-diphenyl-, monosodium salt: Human health tier I assessment
Hazard Classes and CategoriesAcute Tox. 3 (18.6%)
Toxicology
Treatment · 1 item
Treatment is nonspecific since there is no known antidote. The adequacy of the respiratory and circulatory systems should be carefully observed and appropriate supportive measures employed. Hemodialysis can be considered since phenytoin is not completely bound to plasma proteins. Total exchange transfusion has been used in the treatment of severe intoxication in pediatric patients. (L1712)
Health EffectsMay cause a potentially dangerous rash that may develop into Stevens Johnson syndrome, an extremely rare but potentially fatal skin disease.
Chemistry & industry
Pharmacology
Metabolism/Metabolites · 1 item
Primarily hepatic. The majority of the dose (up to 90%) is metabolized to 5-(4'-hydroxyphenyl)-5-phenylhydantoin (p-HPPH). This metabolite undergoes further glucuronidation and is excreted into the urine. CYP2C19 and CYP2C9 catalyze the aforementioned reaction.
Route of Elimination: Most of the drug is excreted in the bile as inactive metabolites which are then reabsorbed from the intestinal tract and excreted in the urine. Urinary excretion of phenytoin and its metabolites occurs partly with glomerular filtration but, more importantly, by tubular secretion.
Half Life: 22 hours (range of 7 to 42 hours)
Drugs used to prevent SEIZURES or reduce their severity.
A class of drugs that inhibit the activation of VOLTAGE-GATED SODIUM CHANNELS.
Drugs and compounds that induce the synthesis of CYTOCHROME P-450 CYP1A2.
Uses & manufacturing
UsesFor 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.
Exposure RoutesIntravenous, Oral, Intramuscular.
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.
Toxicity Summary · 1 item
Phenytoin acts on sodium channels on the neuronal cell membrane, limiting the spread of seizure activity and reducing seizure propagation. By promoting sodium efflux from neurons, phenytoin tends to stabilize the threshold against hyperexcitability caused by excessive stimulation or environmental changes capable of reducing membrane sodium gradient. This includes the reduction of post-tetanic potentiation at synapses. Loss of post-tetanic potentiation prevents cortical seizure foci from detonating adjacent cortical areas.
Signs and SymptomsSymptoms 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.
Carcinogen Classification2B, possibly carcinogenic to humans. (L135)
Eyeshields, Faceshields, Gloves, type P3 (EN 143) respirator cartridges
wgk
3
tsca
TSCA listed
rtecs
MU1400000
ridadr
UN 2811 6.1/PG 3
hs_code
29332100
Toxicity
LD50 orally in mice: 490 mg/kg (Fink, Swinyard)
risk_code
22-43-62-63
Signal word
Warning
Symbol(GHS)
GHS07,GHS08
hazard_code
Xn
safety_code
22-36/37/39-45
hazard_class
6.1(b)
Storage Class
11 - Combustible Solids
packing_group
III
Hazard statements
H302-H317-H361
REACH Registrations
Active
Hazard Classifications
Acute Tox. 4 OralRepr. 2Skin Sens. 1
Precautionary statements
P201-P202-P280-P301+P312-P302+P352-P308+P313
General Manufacturing Information
2,4-Imidazolidinedione, 5,5-diphenyl-, sodium salt (1:1): ACTIVE
Applications · 4 items
Usesantibacterial
UsesAntiepileptic
Uses5,5-Diphenylhydantoin sodium salt has been used:in the cream preparation for treating burn woundsin seizure behavior testing as an anticonvulsant in Drosophilain in vivo embryo toxicity test in mouse embryonic stem cells
General DescriptionPhenytoin sodium, 5,5-diphenyl-2,4-imidazolidinedione, 5,5-diphenylhydantoin,diphenyl-hydantoin sodium (Dilantin), has been used fordecades in the control of grand mal types of epilepticseizure. It is structurally analogous to the barbiturates butdoes not possess their extensive sedative properties. Thecompound is available as the sodium salt. Solutions for parenteraladministration contain 40% propylene glycol and10% alcohol to dissolve the sodium salt.