Abstract:
Routine clinical pharmacok inetic data collected from epileptic out-patients whoreceived phenytoin(PHT)were analysed to estimate population pharmacokinetic parameters.Therewere 258 steady-state serum phenytoin concentrations and associated dosage (mg·d
-1)from 161out-patients.The data were analysed using NONMEM program.The influence of body weight,drugcombinations and sex on the maximum elimination rate(V
m)and age on the Michaelis-Mentenconstant(K
m)were investigated. The V
m and K
m of phenytoin in a 60 kg adult out- patient ,without combination with other drugs(phenobarbital,clonazepam or diazepam) were estimated to be 439 mg·d
-1 and 6.21μg· ml
-1,respectively. The best function adjusts V
m to the 0.57 power in proportion to body weight.The K
m forpatients less than 15 years old was 7%less than that for adults. The V
m of patients treated withphenytoin combined with phenobarbital ,clonazepam or diazepam will increase 8.4 mg·d
-1.