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Drug interactions

Phenytoin + Teduglutide

Severity: Moderate

Phenytoin and Teduglutide: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Teduglutide improves intestinal fluid absorption and may increase absorption of oral drugs, potentially raising phenytoin levels. This matters because phenytoin has a narrow therapeutic index.

What this interaction means in plain words

Phenytoin and Teduglutide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Phenytoin belongs to Central Nervous System; Teduglutide belongs to Endocrine.

Evidence level: Low

Why it happens

Teduglutide enhances intestinal absorptive capacity and may increase oral phenytoin absorption.

What to do

Monitor phenytoin concentrations and toxicity signs after starting or changing teduglutide, and adjust the phenytoin dose accordingly.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Phenytoin with Teduglutide?

MediHelp rates the interaction as moderate. Phenytoin and Teduglutide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Teduglutide improves intestinal fluid absorption and may increase absorption of oral drugs, potentially raising phenytoin levels. This matters because phenytoin has a narrow therapeutic index.

How serious is the interaction between Phenytoin and Teduglutide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor phenytoin concentrations and toxicity signs after starting or changing teduglutide, and adjust the phenytoin dose accordingly.

What other medicines interact with Phenytoin?

MediHelp also lists interactions of Phenytoin with, for example, Artemether / lumefantrine, Bictegravir, Cabotegravir. The full list is on the Phenytoin page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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