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Should we do early and frequent charcoal hemoperfusion in phenytoin toxicity? | LitMetric

Should we do early and frequent charcoal hemoperfusion in phenytoin toxicity?

Indian J Crit Care Med

Department of Critical Care Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Published: February 2016

Phenytoin toxicity or adverse drug reaction is common due to its narrow therapeutic window. Mild and moderate toxicity require supportive care and enteral activated charcoal. In severe toxicity, charcoal hemoperfusion (CHP) have been shown to decrease serum phenytoin half-life and early recovery. Here, we report two cases with phenytoin toxicity who showed marked clinical improvement after early and frequent CHP treatment.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4810927PMC
http://dx.doi.org/10.4103/0972-5229.175936DOI Listing

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