Drug General Information (ID: DDI70VC4N2)
  Drug Name Probenecid Drug Info Phenylbutyric acid Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Uricosuric Agents Antihyperammonia Agents
  Structure

 Mechanism of Probenecid-Phenylbutyric acid Interaction (Severity Level: Major)
     Decreased renal excretion (Unspecific) Click to Show/Hide Mechanism Graph
      Drug Name Probenecid Phenylbutyric acid
      Mechanism Inhibit the renal excretion of metabolites of phenylbutyrate Phenylbutyrate
      Key Mechanism Factor 1
Factor Name Pharmacokinetics
Factor Description Alters the excretion of the drug, resulting in changes in the plasma concentration of the drug and affecting the pharmacological effects.
      Mechanism Description
  • Decreased renal excretion of Phenylbutyric acid caused by Probenecid 

Recommended Action
      Management Since plasma PAA and urinary PAGN levels may be used to help guide dosing of phenylbutyrate therapy, caution is advised if probenecid is coadministered. The potential for increased risk of PAA-induced neurotoxicity should also be considered.

References
1 Goldbart A, Press J, Sofer S, Kapelushnik J "Near fatal acute colchicine intoxication in a child. A case report." Eur J Pediatr 159 (2000): 895-7. [PMID: 11131346]
2 Product Information. Buphenyl (sodium phenylbutyrate). Horizon Pharma USA Inc, Northbrook, IL.
3 Product Information. Ravicti (glycerol phenylbutyrate). Hyperion Therapeutics Inc, South San Francisco, CA.