Master Phenytoin with Picmonic for Medicine

With Picmonic, facts become pictures. We've taken what the science shows - image mnemonics work - but we've boosted the effectiveness by building and associating memorable characters, interesting audio stories, and built-in quizzing.

Phenytoin

Phone-tow-truck
Picmonic
Phenytoin is an antiepileptic medication used to treat generalized tonic-clonic (grand mal) seizures and during status epilepticus. This drug works by blocking sodium channel activation in neuronal membranes, leading to an inhibition of glutamate release and resultingly, enhanced GABA release. Phenytoin is categorized as and also has use as a Class IB antiarrhythmic medication. There are numerous side effects related to phenytoin use. It is known to be teratogenic, and can cause fetal hydantoin syndrome. It induces cytochrome p450, and decreases folate levels, leading to megaloblastic anemia. Phenytoin can prompt drug-induced lupus, which is an autoimmune disorder that can sometimes arise from a drug reaction. Neurological symptoms can present in various forms, depending on acute and chronic usage of this medication, and hirsutism is often seen in women who use phenytoin long term. Gingival hyperplasia may also be seen.
12 KEY FACTS
INDICATIONS
Status Epilepticus
Statue-Caesar

This is used as a medication for status epilepticus and is considered a 2nd line agent, used when benzodiazepines fail.

Tonic-Clonic Seizures
Tonic-clown Caesar

Phenytoin is indicated for treating generalized tonic-clonic (grand mal) seizures, and is considered a 1st line agent.

MECHANISM OF ACTION
Blocks Na+ Channel Activation
Block-guy Blocking Salt-shaker Channel

Phenytoin acts to block Na+ channel activation on the neuronal cell membrane. More specifially, it increases sodium channel inactivation, decreasing the flux of sodium ions across the neuronal membrane. This limits the spread of seizure activity and reducing seizure propagation. It tends to stabilize the threshold against hyperexcitability caused by excessive stimulation or environmental changes.

Inhibition of Glutamate Release
Inhibiting-chains on Glue-tomatoes

As a consequence of blocking Na+ channel activation, phenytoin inhibits glutamate release from excitatory presynaptic neurons and enhances GABA release.

Class IB Antiarrhythmic
(1) Wand B-Bee Ant-tie-arrhythmia-drummer

Phenytoin, though an anticonvulsant, is also a class IB antiarrhythmic medication.

SIDE EFFECTS
Teratogenic
Tarantula-gem

Phenytoin is known to be a teratogen and causes fetal hydantoin syndrome, which is characterized by intrauterine growth restriction, microcephaly, craniofacial deformities and developmental delay.

Macrocytic Megaloblastic Anemia
Macaroni Megablast Anemone

Phenytoin decreases folate levels, leading to a macrocytic megaloblastic anemia.

Induce Cytochrome P450
Side-toe-chrome Pea-450-rocket

Phenytoin is an inducer of the P450 enzyme responsible for the hepatic degradation of various drugs.

Drug-induced Lupus
Loopy Pill-butterfly

A side effect tied to phenytoin use is drug-induced lupus. This is an autoimmune disease which can be caused by chronic use of certain drugs, including phenytoin. Patients characteristically display anti-histone antibodies.

Neuropathy
Wavy Neuron-guy

Chronic use can lead to peripheral neuropathy, while ataxia and diplopia can be seen with acute use of phenytoin.

Hirsutism
Bearded-lady

Hirsutism, which is excessive hair growth in women, is seen with long term use of phenytoin.

Gingival Hyperplasia
Gums and Teeth Wind-up Toy

Gingival hyperplasia, or gingival overgrowth, is a side effect plaguing up to 50% of patients taking phenytoin for epilepsy.

Unlock all 12 facts & definitions with Picmonic Free!

JOIN FREE

Take the Phenytoin Quiz

Picmonic's rapid review multiple-choice quiz allows you to assess your knowledge.

START QUIZ NOW

It's worth every penny

Our Story Mnemonics Increase Mastery and Retention

Memorize facts with phonetic mnemonics

Unforgettable characters with concise but impactful videos (2-4 min each)

Ace Your Medical (MD/DO) Classes & Exams with Picmonic:

Over 870,000 students use Picmonic’s picture mnemonics to improve knowledge, retention, and exam performance.

Choose the #1 Medical (MD/DO) student study app.

Picmonic for Medicine (MD/DO) covers information that is relevant to your entire Medical (MD/DO) education. Whether you’re studying for your classes or getting ready to conquer the USMLE Step 1, USMLE Step 2 CK, COMLEX Level 1, or COMLEX Level 2, we’re here to help.

Works better than traditional Medical (MD/DO) flashcards.

Research shows that students who use Picmonic see a 331% improvement in memory retention and a 50% improvement in test scores.