Abstract
The effects of 4 constituents of gastrointestinal medications and calcium citrate on the absorption of phenytoin were examined in vitro using an experimental model based on the everted segment of rat intestine. Bismuth carbonate increased phenytoin absorption by 28.2%; magnesium trisilicate reduced absorption (−6.2%) as also did light kaolin (−60.2%), activated dimethicone (−71.3%) and calcium citrate (−77.2%). The latter 3 values were significantly different from control absorption values ( P < 0.05). Agents which decrease phenytoin absorption markedly in vitro may be implicated in poor phenytoin bioavailability in vivo.
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