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Phenytoin Sodium and Sunmark Ibuprofen Cold and Sinus

Determining the interaction of Phenytoin Sodium and Sunmark Ibuprofen Cold and Sinus and the possibility of their joint administration.

Check result:
Phenytoin Sodium <> Sunmark Ibuprofen Cold and Sinus
Relevance: 26.07.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Consumer information for this minor interaction is not currently available. Some minor drug interactions may not be clinically relevant in all patients. Minor drug interactions do not usually cause harm or require a change in therapy. However, your healthcare provider can determine if adjustments to your medications are needed.

Professional:

One case report has suggested that ibuprofen may cause phenytoin toxicity. However, data have been conflicting: one pharmacokinetic study did not demonstrate an effect and another study demonstrated that ibuprofen displaces phenytoin from protein binding sites in vitro. The clinical significance is unknown. Clinical and laboratory monitoring for altered phenytoin effect is recommended.

References
  • Bachmann KA, Schwartz JI, Forney RB Jr, et al "Inability of ibuprofen to alter single dose phenytoin disposition." Br J Clin Pharmacol 21 (1986): 165-9
  • Sandyk R "Phenytoin toxicity induced by interaction with ibuprofen." S Afr Med J 62 (1982): 592
  • Dasgupta A, Timmerman TG "In vitro displacement of phenytoin from protein binding by nonsteroidal antiinflammatory drugs tolmetin, ibuprofen, and naproxen in normal and uremic sera." Ther Drug Monit 18 (1996): 97-9
Phenytoin Sodium

Generic Name: phenytoin

Brand name: Dilantin, Dilantin Infatabs, Phenytek, Phenytoin Sodium, Prompt

Synonyms: n.a.

Sunmark Ibuprofen Cold and Sinus

Generic Name: ibuprofen / pseudoephedrine

Brand name: Advil Cold & Sinus, Advil Cold and Sinus Liqui-Gel, Dimetapp Sinus, Dristan Sinus, Motrin IB Sinus, Sine-Aid IB, Dayquil Pressure and Pain Caplet, Motrin Cold and Flu, Motrin Childrens Cold, Motrin Sinus Headache, Dimetapp Childrens Cold & Fever, Children's Ibuprofen Cold Relief

Synonyms: Ibuprofen and pseudoephedrine

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.