PMID- 2136036 OWN - NLM STAT- MEDLINE DCOM- 19920820 LR - 20191022 IS - 0890-6238 (Print) IS - 0890-6238 (Linking) VI - 4 IP - 3 DP - 1990 TI - Developmental toxicity and pharmacokinetics of oral and intravenous phenytoin in the rat. PG - 191-202 AB - Correlations between oral and intravenous (i.v.) doses of phenytoin, maternal plasma levels, and subsequent developmental toxicity were examined in the Sprague-Dawley rat. Oral administration of 150 to 1500 mg/kg and i.v. administration of 25 to 100 mg/kg phenytoin from gestational days (GD) 8 to 17 resulted in a dose-dependent increase in maternal death and toxicity [impaired motor function, decreased maternal weight gain (oral dose only)], embryolethality, and intrauterine growth retardation, in addition to significant increases in craniofacial (1125 mg/kg oral; 75 mg/kg i.v.) and urogenital (1125 mg/kg oral) malformations. Pharmacokinetic sampling in oral and i.v. groups on GD 8-9 and 16-17 revealed significant increases in maternal drug exposure over the treatment period, as evidenced by 2- to 3-fold increases in total plasma phenytoin (bound + free) half-life, area under the concentration curve, peak concentration (oral dose only), and decreases in clearance. These findings emphasize the importance of pharmacokinetics in the evaluation of phenytoin-induced developmental toxicity. FAU - Rowland, J R AU - Rowland JR AD - California Primate Research Center, University of California, Davis 95616. FAU - Binkerd, P E AU - Binkerd PE FAU - Hendrickx, A G AU - Hendrickx AG LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Reprod Toxicol JT - Reproductive toxicology (Elmsford, N.Y.) JID - 8803591 RN - 6158TKW0C5 (Phenytoin) SB - IM MH - Abnormalities, Drug-Induced/pathology MH - Administration, Oral MH - Animals MH - Body Weight/drug effects MH - Female MH - Fetal Resorption/chemically induced MH - Half-Life MH - Injections, Intravenous MH - Organ Size/drug effects MH - Phenytoin/pharmacokinetics/*toxicity MH - Pregnancy MH - Rats MH - Rats, Inbred Strains MH - Reproduction/drug effects EDAT- 1990/01/01 00:00 MHDA- 1990/01/01 00:01 CRDT- 1990/01/01 00:00 PHST- 1990/01/01 00:00 [pubmed] PHST- 1990/01/01 00:01 [medline] PHST- 1990/01/01 00:00 [entrez] AID - 10.1016/0890-6238(90)90058-4 [doi] PST - ppublish SO - Reprod Toxicol. 1990;4(3):191-202. doi: 10.1016/0890-6238(90)90058-4.