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phenytoin and probenecid

Jim McAuley · FDA-approved active Small molecule

Phenytoin is an anticonvulsant that stabilizes neuronal membranes and reduces seizure activity, while probenecid is a uricosuric agent that increases uric acid excretion and can inhibit renal tubular secretion of certain drugs.

Phenytoin is an anticonvulsant that stabilizes neuronal membranes and reduces seizure activity, while probenecid is a uricosuric agent that increases uric acid excretion and can inhibit renal tubular secretion of certain drugs. Used for Seizure disorders (phenytoin component), Gout prophylaxis (probenecid component).

At a glance

Generic namephenytoin and probenecid
SponsorJim McAuley
Drug classAnticonvulsant and uricosuric agent combination
TargetVoltage-gated sodium channels (phenytoin); organic acid transporter (probenecid)
ModalitySmall molecule
Therapeutic areaNeurology and Rheumatology
PhaseFDA-approved

Mechanism of action

Phenytoin works by blocking voltage-gated sodium channels and modulating calcium influx, thereby reducing neuronal excitability and preventing seizure propagation. Probenecid inhibits the renal tubular reabsorption of uric acid, promoting its urinary excretion, and also competitively inhibits the secretion of certain organic acids and drugs. When combined, probenecid can increase phenytoin plasma levels by inhibiting its renal clearance.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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