Drug General Information (ID: DDI8FVN7PD)
  Drug Name Phenytoin Drug Info Sucralfate Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Anticonvulsants Gi Agents
  Structure

 Mechanism of Phenytoin-Sucralfate Interaction (Severity Level: Moderate)
     Complex formation Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Phenytoin Sucralfate
      Mechanism Binds to polyvalent cations Polyvalent cations
      Key Mechanism Factor 1
Factor Name Chelation
Factor Description Chelation is a direct drug interaction that usually involves the formation of dimers or trimers, resulting in larger complexes and poorer absorption.
      Mechanism Description
  • Decreased absorption of Sucralfate due to formation of complexes caused by Phenytoin 

Recommended Action
      Management Patients should be advised to take phenytoin at least two hours before or 6 hours after sucralfate and to notify their physician if loss of seizure control occurs.

References
1 McCarthy DM "Sucralfate." N Engl J Med 325 (1991): 1017-25. [PMID: 1886624]
2 Product Information. Carafate (sucralfate). Hoechst Marion-Roussel Inc, Kansas City, MO.
3 Smart HL, Somerville KW, Williams J, et al "The effects of sucralfate upon phenytoin absorption in man." Br J Clin Pharmacol 20 (1985): 238-40. [PMID: 3840029]