Home LiteratureArticle Details
PMID: 1233256 Published · ppublish English Comparative Study Journal Article

Brain concentrations of phenytoin, phenobarbitone and primidone in epileptic patients.

European journal of clinical pharmacology ·Vol. 9 ·No. 1 ·1975-10-10 ·Pages 73-8

Houghton GW, Richens A, Toseland PA, Davidson S, Falconer

Abstract

Plasma, brain, lumbar CSF, skeletal muscle, skin and bone concentrations of phenytoin, phenobarbitone and primidone have been measured in specimens from patients undergoing temporal lobectomy for chronic epilepsy. A good correlation was found between the plasma and brain concentrations of each drug. Similarly, a good correlation was found between the plasma and CSF concentrations of each drug. Assuming that CSF is an ultrafiltrate of plasma, the percentage of phenytoin, phenobarbitone and primidone which was unbound in plasma was 10-14%, 43% and 81% respectively. Skeletal muscle concentrations of phenytoin and phenobarbitone and the skin concentration of phenytoin, also correlated with the plasma concentrations, but the remaining tissues did not give significant correlations.

MeSH Terms
Adolescent Adult Brain Chemistry Child Child, Preschool Chromatography, Gas Epilepsy, Temporal Lobe/metabolism Humans Phenobarbital/analysis,blood,cerebrospinal fluid Phenytoin/analysis,blood,cerebrospinal fluid Primidone/analysis,blood,cerebrospinal fluid
Chemicals
Primidone Phenytoin Phenobarbital
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Houghton G W
Richens A
Toseland P A
Davidson S
Falconer
References (12)
12 references, click to expand
  1. Kinetics of diphenylhydantoin in uraemic patients: consequences of decreased plasma protein binding.
    Eur J Clin Pharmacol. 1974;7(1):31-7 PMID: 4852619
  2. Clinical and electroencephalographic correlations with serum levels of diphenylhydanotin.
    Arch Neurol. 1960 Jun;2:624-30 PMID: 13805571
  3. Plasma protein binding of diphenylhydantoin in patients with epilepsy. Agreement between the unbound fraction in plasma and the concentration in the cerebrospinal fluid.
    Clin Pharmacol Ther. 1972 Mar-Apr;13(2):196-200 PMID: 5017373
  4. Human brain, cerebrospinal fluid, and plasma concentrations of diphenylhydantoin and phenobarbital.
    Clin Pharmacol Ther. 1974 Jun;15(6):597-603 PMID: 4841972
  5. Urinary excretion of phenobarbitone after a single large dose.
    Lancet. 1950 Jan 14;1(6594):70 PMID: 15399805
  6. Surgical treatment of drug-resistant epilepsy due to mesial temporal sclerosis. Etiology and significance.
    Arch Neurol. 1968 Oct;19(4):353-61 PMID: 5677186
  7. Anticonvulsant drugs in human epileptogenic brain. Correlation of phenobarbital and diphenylhydantoin levels with plasma.
    Arch Neurol. 1973 Aug;29(2):73-7 PMID: 4197955
  8. Plasma protein binding of diphenylhydantoin in man. Interaction with other drugs and the effect of temperature and plasma dilution.
    Clin Pharmacol Ther. 1970 Nov-Dec;11(6):846-55 PMID: 4394754
  9. Anticonvulsant effect of diphenylhydantoin relative to plasma levels. A prospective three-year study in ambulant patients with generalized epileptic seizures.
    Arch Neurol. 1974 Nov;31(5):289-94 PMID: 4212949
  10. The distribution of barbiturates in the human body.
    Analyst. 1947 Jan;72(850):21 PMID: 20341657
  11. Organic nitrogen-selective detector used in gas-chromatographic determination of some anticonvulsant and barbiturate drugs in plasma and tissues.
    Clin Chem. 1975 Jan;21(1):98-103 PMID: 234816
  12. Relationships between serum and cerebrospinal fluid anticonvulsant drug and folic acid concentrations in epileptic patients.
    Neurology. 1972 Aug;22(8):841-4 PMID: 4673411
Article Info
Journal
European journal of clinical pharmacology
Abbr.
Eur J Clin Pharmacol
ISSN
0031-6970
Published
1975-10-10
Pages
73-8
Language
English
Region
Germany
NLM ID
1256165
Subset
IM
Analysis Services
Analysis Services

Contact

No. 2 Wenbo Road, Zhangqiu District, Jinan, Shandong

Qilu Normal University · Genelibs Bioinformatics Lab

750 Shunhua Rd, Jinan

2F, Bldg F, University Science Park

Tel: 0531-88819269

WeChat Official Account

Follow our WeChat subscription account for real-time updates and the latest in medical and biological research.


Business Email

E-mail: product@genelibs.com