Skip to main content

Prescription medicine

Phenytoin Brand names: Dilantin, Phenytek; first approved as Dilantin-125

Phenytoin (Dilantin) is a prescription medicine with an FDA approval on record since 1953. FDA's NDC Directory lists it from 29 generic labelers, and pharmacies paid $0.145 per phenytoin sod ext 100 mg capsule in the October 7, 2026 NADAC survey.

  • Generic listed

Check it at the source: the phenytoin FDA label on DailyMed (effective October 15, 2024, Mylan Pharmaceuticals Inc.); the NDA 8762 record on Drugs@FDA; every phenytoin label on DailyMed.

Highlights of the record

FDA label of October 15, 2024; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

PHENYTEK ® capsules (extended phenytoin sodium capsules) are indicated for the treatment of tonic-clonic (grand mal) and psychomotor (temporal lobe) seizures and prevention and treatment of seizures occurring during or following neurosurgery.

Forms and strengths

  • 30 mg
  • 50 mg
  • 100 mg
  • 200 mg
  • 300 mg
  • 50 mg/ml
  • 125 mg/5ml

Extended-release capsule; injection; chewable tablet; capsule; suspension.

On the market

Earliest approval on file
January 6, 1953 Dilantin-125, Viatris; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
35 first July 16, 1975; 12 with a marketed status in Drugs@FDA
Labelers listed (NDC)
29 of which 29 under generic applications, 1 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
$0.145 per capsule Phenytoin sod ext 100 mg capsule
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
11 since 2013 2 Class I among all firms' recalls; latest October 27, 2023
FAERS reports
40,278 through July 30, 2026

What is phenytoin used for?

From the label: indications and usage

PHENYTEK ® capsules (extended phenytoin sodium capsules) are indicated for the treatment of tonic-clonic (grand mal) and psychomotor (temporal lobe) seizures and prevention and treatment of seizures occurring during or following neurosurgery. PHENYTEK ® CAPSULES are indicated for the treatment of tonic-clonic (grand mal) and psychomotor (temporal lobe) seizures and prevention and treatment of seizures occurring during or following neurosurgery.

Conditions named in the indications of phenytoin's FDA labels, with every medicine labeled for each:

FDA pharmacologic class: Anti-epileptic Agent.

Source: FDA drug label (Phenytek), Mylan Pharmaceuticals Inc., effective October 15, 2024 (SPL set 0f94c791-8b07-4b41-927e-c9f28bec5f60), via openFDA; the full label on DailyMed

What does the patient leaflet for phenytoin say first?

The FDA-approved Medication Guide or Patient Information that comes with the medicine, in its own words.

From the patient leaflet: What is the most important information I should know about PHENYTEK ® CAPSULES?

Do not stop taking PHENYTEK ® CAPSULES without first talking to your healthcare provider. • Stopping PHENYTEK ® CAPSULES suddenly can cause serious problems. • Stopping a seizure medicine suddenly can cause you to have seizures more often or seizures that will not stop (status epilepticus). 2. Like other antiepileptic drugs, PHENYTEK ® CAPSULES may cause suicidal thoughts or actions in a very small number of people, about 1 in 500. Call a healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you: • Thoughts about suicide or dying • Attempts to commit suicide • New or worse depression • New or worse anxiety • Feeling agitated or restless • Panic attacks • Trouble sleeping (insomnia) • New or worse irritability • Acting aggressive, being angry, or violent • Acting on dangerous impulses • An extreme increase in activity and talking (mania) • Other unusual changes in behavior or mood Suicidal thoughts or actions can be caused by things other than medicines. If you have suicidal thoughts or actions, your healthcare provider may check for other causes. How can I watch for early symptoms of suicidal thoughts and actions? • Pay attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings. • Keep all follow-up visits with your healthcare provider as scheduled. Call your healthcare provider between visits as needed, especially if you are worried about symptoms. 3. PHENYTEK ® CAPSULES can cause a type of serious allergic reaction that may affect different parts of the body such as your liver, kidneys, blood, heart, skin or other parts of your body. These can be very serious and cause death. […]

From the patient leaflet: What should I avoid while taking PHENYTEK ® CAPSULES?

Do not drink alcohol while you take PHENYTEK ® CAPSULES without first talking to your healthcare provider. Drinking alcohol while taking PHENYTEK ® CAPSULES may change your blood levels of phenytoin sodium which can cause serious problems. • Do not drive, operate heavy machinery, or do other dangerous activities until you know how PHENYTEK ® CAPSULES affect you. PHENYTEK ® CAPSULES can slow your thinking and motor skills.

From the patient leaflet: How should I store PHENYTEK ® CAPSULES?

Store PHENYTEK ® CAPSULES at room temperature between 20° to 25°C (68° to 77°F). • Store in tight, light-resistant containers. • Protect from light and moisture. Keep PHENYTEK ® CAPSULES and all medicines out of the reach of children.

Source: FDA drug label (Phenytek), Mylan Pharmaceuticals Inc., effective October 15, 2024 (SPL set 0f94c791-8b07-4b41-927e-c9f28bec5f60), via openFDA; the full label on DailyMed

Is there a generic for phenytoin (Dilantin)?

The FDA approved the first generic phenytoin on July 16, 1975. 35 generic applications are approved; 12 of them carry a current (not discontinued) marketing status in Drugs@FDA; that status is not evidence that the generic is on sale.

FDA's NDC Directory lists phenytoin from 29 labelers under a generic (ANDA) application and from 1 brand labeler. A listing means the company has registered the product for sale; it does not show that every pharmacy stocks it.

  • 1953 earliest approval on file
  • 1975 first generic approved
  • red ticks recalls

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do pharmacies pay for phenytoin (Dilantin)?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $0.145 per Phenytoin sod ext 100 mg capsule, down 5% from $0.152 on October 8, 2025. Prices per unit in the table differ many-fold by strength, form and brand, so compare like with like. The chart's scale runs from the lowest to the highest price shown, not from zero. NADAC is what retail pharmacies paid their wholesalers, per unit, in CMS's monthly survey; what a patient pays depends on insurance and the pharmacy.

  • Phenytoin sod ext 100 mg capsule (generic)
  • Dilantin 100 mg capsule (brand)
$1.74
$0.0993
January 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Phenytoin 125 mg/5 mL suspensionGeneric$0.0748 per mLn/a+8%
Phenytoin 50 mg infatab chewableGeneric$0.201 per unitn/a-6%
Phenytoin 50 mg tablet chewableGeneric$0.201 per tablet$6.04-6%
Phenytoin sod ext 100 mg capsuleGeneric$0.145 per capsule$4.35-5%
Dilantin 100 mg capsuleBrand$1.74 per capsule$52.16+5%
Dilantin 30 mg capsuleBrand$1.50 per capsule$44.97+5%
Dilantin 50 mg infatabBrand$1.58 per unitn/a+4%
Phenytek 200 mg capsuleBrand$1.40 per capsule$42.08-0.2%
Phenytek 300 mg capsuleBrand$2.10 per capsule$62.93+0.3%

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

Has phenytoin been recalled?

The FDA's Enforcement Report lists 11 recalls naming phenytoin since 2013: 2 Class I (the most serious), 7 Class II, 2 Class III; 0 still ongoing. A recall names products and lots, not every product of the medicine.

StartedClassCompanyReason
October 27, 2023Class IIAmneal Pharmaceuticals of New York, LLCFailed Dissolution Specifications
October 23, 2023Class IThe Harvard Drug Group LLC dba Major Pharmaceuticals and …Failed Content Uniformity Specifications
May 30, 2023Class IIAmneal Pharmaceuticals of New York, LLCFailed Dissolution Specifications: Out-of-specification results for dissolution (above specification)
November 14, 2022Class IIIAcella Pharmaceuticals, LLCLabeling: Not elsewhere classified; the product is being recalled because of customer complaints that the primary vial label was missing a barcode.
February 7, 2020Class ITaro Pharmaceuticals U.S.A., Inc.Resuspension Problems: Two lots of Phenytoin Oral Suspension USP 125mg/5mL may coagulate and may not resuspend as per the label copy instructions.
January 18, 2017Class IIVistaPharm, Inc.CGMP Deviations: Purified water used to manufacture the drug products may have been contaminated with Burkholderia cepacia.
April 22, 2015Class IIWockhardt Usa Inc.CGMP Deviations: Firm did not adequately investigate customer complaints.
October 15, 2013Class IIVistaPharm, Inc.Defective Container: A lidding deformity allowed for the product to have out of specification results for assay and viscosity at the12 month stability …

Source: FDA Enforcement Report (drug recalls) via openFDA, through October 8, 2026

What does the phenytoin label say about other medicines?

The phenytoin label names 81 other medicines in its interaction, contraindication or warning sections. The labels of 46 other medicines name phenytoin. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Albendazoledrug interactionsInteracting Agent: Other; Examples: Albendazole (decreases active metabolite), chlorpropamide, clozapine, cyclosporine, digoxin, disopyramide, folic acid, methadone, mexiletine, praziquantel, quetiapine
Amiodaronedrug interactionsInteracting Agent: Other; Examples: Acute alcohol intake, amiodarone, chloramphenicol, chlordiazepoxide, disulfiram, estrogen, fluvastatin, isoniazid, methylphenidate, phenothiazines, salicylates, ticlopidine, tolbutamide, trazodone, warfarin
Apixabandrug interactionsInteracting Agent: Anticoagulants; Examples: Apixaban, dabigatran, edoxaban, rivaroxaban
Atorvastatindrug interactionsInteracting Agent: Antilipidemic agents; Examples: Atorvastatin, fluvastatin, simvastatin
Bleomycindrug interactionsInteracting Agent: Antineoplastic agents usually in combination; Examples: Bleomycin, carboplatin, cisplatin, doxorubicin, methotrexate
Calcium carbonatedrug interactionsInteracting Agent: Antacids Antacids may affect absorption of phenytoin.; Examples: Calcium carbonate, aluminum hydroxide, magnesium hydroxide Prevention or Management: Phenytoin and antacids should not be taken at the same time of day
Capecitabinedrug interactionsInteracting Agent: Antineoplastic agents; Examples: Capecitabine, fluorouracil
Carbamazepinedrug interactionsInteracting Agent: Antiepileptic drugs; Examples: Carbamazepine, vigabatrin
Carboplatindrug interactionsInteracting Agent: Antineoplastic agents usually in combination; Examples: Bleomycin, carboplatin, cisplatin, doxorubicin, methotrexate
Chloramphenicoldrug interactionsInteracting Agent: Other; Examples: Acute alcohol intake, amiodarone, chloramphenicol, chlordiazepoxide, disulfiram, estrogen, fluvastatin, isoniazid, methylphenidate, phenothiazines, salicylates, ticlopidine, tolbutamide, trazodone, warfarin
Chlordiazepoxidedrug interactionsInteracting Agent: Other; Examples: Acute alcohol intake, amiodarone, chloramphenicol, chlordiazepoxide, disulfiram, estrogen, fluvastatin, isoniazid, methylphenidate, phenothiazines, salicylates, ticlopidine, tolbutamide, trazodone, warfarin
Cimetidinedrug interactionsInteracting Agent: Gastric acid reducing agents; Examples: H 2 antagonists (cimetidine), omeprazole
Cisatracuriumdrug interactionsInteracting Agent: Neuromuscular blocking agents; Examples: Cisatracurium, pancuronium, rocuronium and vecuronium: resistance to the neuromuscular blocking action of the nondepolarizing neuromuscular blocking agents has occurred in patients chronically administered phenytoin. …
Cisplatindrug interactionsInteracting Agent: Antineoplastic agents usually in combination; Examples: Bleomycin, carboplatin, cisplatin, doxorubicin, methotrexate

Every other medicine the phenytoin label names

Medicine namedSectionWhat the label says
Clozapinedrug interactionsInteracting Agent: Other; Examples: Albendazole (decreases active metabolite), chlorpropamide, clozapine, cyclosporine, digoxin, disopyramide, folic acid, methadone, mexiletine, praziquantel …
Cyclosporinedrug interactionsInteracting Agent: Other; Examples: Albendazole (decreases active metabolite), chlorpropamide, clozapine, cyclosporine, digoxin, disopyramide, folic acid, methadone, mexiletine, praziquantel …
Dabigatrandrug interactionsInteracting Agent: Anticoagulants; Examples: Apixaban, dabigatran, edoxaban, rivaroxaban
Diazepamdrug interactionsInteracting Agent: Other; Examples: Chronic alcohol abuse, diazepam, diazoxide, folic acid, reserpine, rifampin, St. John’s wort The induction potency of St. …
Diazoxidedrug interactionsInteracting Agent: Other; Examples: Chronic alcohol abuse, diazepam, diazoxide, folic acid, reserpine, rifampin, St. John’s wort The induction potency of St. …
Digoxindrug interactionsInteracting Agent: Other; Examples: Albendazole (decreases active metabolite), chlorpropamide, clozapine, cyclosporine, digoxin, disopyramide, folic acid, methadone, mexiletine, praziquantel …
Disopyramidedrug interactionsInteracting Agent: Other; Examples: Albendazole (decreases active metabolite), chlorpropamide, clozapine, cyclosporine, digoxin, disopyramide, folic acid, methadone, mexiletine, praziquantel …
Disulfiramdrug interactionsInteracting Agent: Other; Examples: Acute alcohol intake, amiodarone, chloramphenicol, chlordiazepoxide, disulfiram, estrogen, fluvastatin, isoniazid, methylphenidate, phenothiazines, salicylates …
Divalproexdrug interactionsCalcium carbonate, aluminum hydroxide, magnesium hydroxide Prevention or Management: Phenytoin and antacids should not be taken at the same time of day Antineoplastic agents usually in combination …
Doxorubicindrug interactionsInteracting Agent: Antineoplastic agents usually in combination; Examples: Bleomycin, carboplatin, cisplatin, doxorubicin, methotrexate
Doxycyclinedrug interactionsInteracting Agent: Other; Examples: Corticosteroids, doxycycline, estrogens, furosemide, oral contraceptives, paroxetine, quinidine, rifampin, sertraline, theophylline, and vitamin D
Edoxabandrug interactionsInteracting Agent: Anticoagulants; Examples: Apixaban, dabigatran, edoxaban, rivaroxaban
Efavirenzdrug interactionsInteracting Agent: Antiviral agents; Examples: Efavirenz, lopinavir/ritonavir, indinavir, nelfinavir, ritonavir, saquinavir Fosamprenavir: phenytoin when given with fosamprenavir alone may decrease …
Ethosuximidedrug interactionsInteracting Agent: Antiepileptic drugs; Examples: Ethosuximide, felbamate, oxcarbazepine, methsuximide, topiramate
Felbamatedrug interactionsInteracting Agent: Antiepileptic drugs; Examples: Ethosuximide, felbamate, oxcarbazepine, methsuximide, topiramate
Fluconazoledrug interactionsInteracting Agent: Azoles; Examples: Fluconazole, ketoconazole, itraconazole, miconazole, voriconazole
Fluorouracildrug interactionsInteracting Agent: Antineoplastic agents; Examples: Capecitabine, fluorouracil
Fluoxetinedrug interactionsInteracting Agent: Antidepressants; Examples: Fluoxetine, fluvoxamine, sertraline
Fluvastatindrug interactionsInteracting Agent: Other; Examples: Acute alcohol intake, amiodarone, chloramphenicol, chlordiazepoxide, disulfiram, estrogen, fluvastatin, isoniazid, methylphenidate, phenothiazines, salicylates …
Fluvoxaminedrug interactionsInteracting Agent: Antidepressants; Examples: Fluoxetine, fluvoxamine, sertraline
Fosamprenavirdrug interactionsInteracting Agent: Antiviral agents; Examples: Fosamprenavir, nelfinavir, ritonavir
Furosemidedrug interactionsInteracting Agent: Other; Examples: Corticosteroids, doxycycline, estrogens, furosemide, oral contraceptives, paroxetine, quinidine, rifampin, sertraline, theophylline, and vitamin D
Irinotecandrug interactionsInteracting Agent: Antineoplastic agents; Examples: Irinotecan, paclitaxel, teniposide
Isoniaziddrug interactionsInteracting Agent: Other; Examples: Acute alcohol intake, amiodarone, chloramphenicol, chlordiazepoxide, disulfiram, estrogen, fluvastatin, isoniazid, methylphenidate, phenothiazines, salicylates …
Itraconazoledrug interactionsInteracting Agent: Azoles; Examples: Fluconazole, ketoconazole, itraconazole, miconazole, voriconazole
Ketoconazoledrug interactionsInteracting Agent: Azoles; Examples: Fluconazole, ketoconazole, itraconazole, miconazole, voriconazole
Lacosamidedrug interactions… Carbamazepine, felbamate, lamotrigine, topiramate, oxcarbazepine, lacosamide
Lamotriginedrug interactions… serum levels is unpredictable; Examples: Carbamazepine, felbamate, lamotrigine, topiramate, oxcarbazepine, lacosamide
Lopinavir and ritonavirdrug interactionsWarfarin Increased and decreased PT/INR responses have been reported when phenytoin is coadministered with warfarin Other Corticosteroids, doxycycline, estrogens, furosemide, oral contraceptives …
Magnesium hydroxidedrug interactionsInteracting Agent: Antacids Antacids may affect absorption of phenytoin.; Examples: Calcium carbonate, aluminum hydroxide, magnesium hydroxide Prevention or Management: Phenytoin and antacids should …
Methadonedrug interactions… chlorpropamide, clozapine, cyclosporine, digoxin, disopyramide, folic acid, methadone, mexiletine, praziquantel, quetiapine
Methotrexatedrug interactionsInteracting Agent: Antineoplastic agents usually in combination; Examples: Bleomycin, carboplatin, cisplatin, doxorubicin, methotrexate
Methsuximidedrug interactionsInteracting Agent: Antiepileptic drugs; Examples: Ethosuximide, felbamate, oxcarbazepine, methsuximide, topiramate
Methylphenidatedrug interactions… chloramphenicol, chlordiazepoxide, disulfiram, estrogen, fluvastatin, isoniazid, methylphenidate, phenothiazines, salicylates, ticlopidine, tolbutamide, trazodone, warfarin
Mexiletinedrug interactions… clozapine, cyclosporine, digoxin, disopyramide, folic acid, methadone, mexiletine, praziquantel, quetiapine
Miconazoledrug interactionsInteracting Agent: Azoles; Examples: Fluconazole, ketoconazole, itraconazole, miconazole, voriconazole
Nelfinavirdrug interactionsInteracting Agent: Antiviral agents; Examples: Fosamprenavir, nelfinavir, ritonavir
Nifedipinedrug interactionsInteracting Agent: Calcium channel blockers; Examples: Nifedipine, nimodipine, nisoldipine, verapamil
Nimodipinedrug interactionsInteracting Agent: Calcium channel blockers; Examples: Nifedipine, nimodipine, nisoldipine, verapamil
Nisoldipinedrug interactionsInteracting Agent: Calcium channel blockers; Examples: Nifedipine, nimodipine, nisoldipine, verapamil
Omeprazoledrug interactionsInteracting Agent: Gastric acid reducing agents; Examples: H 2 antagonists (cimetidine), omeprazole
Oxcarbazepinedrug interactionsInteracting Agent: Antiepileptic drugs; Examples: Ethosuximide, felbamate, oxcarbazepine, methsuximide, topiramate
Paclitaxeldrug interactionsInteracting Agent: Antineoplastic agents; Examples: Irinotecan, paclitaxel, teniposide
Paroxetinedrug interactionsInteracting Agent: Other; Examples: Corticosteroids, doxycycline, estrogens, furosemide, oral contraceptives, paroxetine, quinidine, rifampin, sertraline, theophylline, and vitamin D
Phenobarbitaldrug interactionsInteracting Agent: Antiepileptic drugs; Examples: Phenobarbital, valproate sodium Valproate sodium and valproic acid are similar medications. …
Posaconazoledrug interactionsInteracting Agent: Azoles; Examples: Fluconazole, ketoconazole, itraconazole, posaconazole, voriconazole
Praziquanteldrug interactions… cyclosporine, digoxin, disopyramide, folic acid, methadone, mexiletine, praziquantel, quetiapine
Quetiapinedrug interactions… digoxin, disopyramide, folic acid, methadone, mexiletine, praziquantel, quetiapine
Quinidinedrug interactionsInteracting Agent: Other; Examples: Corticosteroids, doxycycline, estrogens, furosemide, oral contraceptives, paroxetine, quinidine, rifampin, sertraline, theophylline, and vitamin D
Rifampindrug interactionsInteracting Agent: Other; Examples: Chronic alcohol abuse, diazepam, diazoxide, folic acid, reserpine, rifampin, St. John’s wort The induction potency of St. …
Ritonavirdrug interactionsInteracting Agent: Antiviral agents; Examples: Fosamprenavir, nelfinavir, ritonavir
Rivaroxabandrug interactionsInteracting Agent: Anticoagulants; Examples: Apixaban, dabigatran, edoxaban, rivaroxaban
Rocuroniumdrug interactionsInteracting Agent: Neuromuscular blocking agents; Examples: Cisatracurium, pancuronium, rocuronium and vecuronium: resistance to the neuromuscular blocking action of the nondepolarizing neuromuscular …
Sertralinedrug interactionsInteracting Agent: Antidepressants; Examples: Fluoxetine, fluvoxamine, sertraline
Simvastatindrug interactionsInteracting Agent: Antilipidemic agents; Examples: Atorvastatin, fluvastatin, simvastatin
Sucralfatedrug interactions… potency of St. John’s wort may vary widely based on preparation., sucralfate, theophylline
Sulfadiazinedrug interactionsInteracting Agent: Sulfonamides; Examples: Sulfamethizole, sulfaphenazole, sulfadiazine, sulfamethoxazole-trimethoprim
Theophyllinedrug interactions… St. John’s wort may vary widely based on preparation., sucralfate, theophylline
Ticagrelordrug interactionsInteracting Agent: Antiplatelets; Examples: Ticagrelor
Topiramatedrug interactionsInteracting Agent: Antiepileptic drugs; Examples: Ethosuximide, felbamate, oxcarbazepine, methsuximide, topiramate
Trazodonedrug interactions… methylphenidate, phenothiazines, salicylates, ticlopidine, tolbutamide, trazodone, warfarin
Valproic aciddrug interactionsInteracting Agent: Antiepileptic drugs; Examples: Phenobarbital, valproate sodium Valproate sodium and valproic acid are similar medications. …
Vecuroniumdrug interactionsInteracting Agent: Neuromuscular blocking agents; Examples: Cisatracurium, pancuronium, rocuronium and vecuronium: resistance to the neuromuscular blocking action of the nondepolarizing neuromuscular …
Verapamildrug interactionsInteracting Agent: Calcium channel blockers; Examples: Nifedipine, nimodipine, nisoldipine, verapamil
Vigabatrindrug interactionsInteracting Agent: Antiepileptic drugs; Examples: Carbamazepine, vigabatrin
Voriconazoledrug interactionsInteracting Agent: Azoles; Examples: Fluconazole, ketoconazole, itraconazole, miconazole, voriconazole
Warfarindrug interactions… phenothiazines, salicylates, ticlopidine, tolbutamide, trazodone, warfarin

Other labels that name phenytoin

Check phenytoin against other medicines

Source: FDA drug label (Phenytek), Mylan Pharmaceuticals Inc., effective October 15, 2024 (SPL set 0f94c791-8b07-4b41-927e-c9f28bec5f60), via openFDA; the full label on DailyMed

What do FAERS reports show for phenytoin?

The FDA Adverse Event Reporting System holds 40,278 reports that list phenytoin among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 4,416 are coded as a death and 14,794 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

Reports received each year

The most reported reactions

  • Drug Ineffective (a use or a product term, not a reaction)4,500
  • Convulsion3,518
  • Seizure (a use or a product term, not a reaction)3,095
  • Drug Interaction (a use or a product term, not a reaction)2,262
  • Toxicity To Various Agents1,888
  • Off Label Use (a use or a product term, not a reaction)1,682
  • Fall1,602
  • Dizziness (named in the label)1,539

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What else is labeled for the same conditions as phenytoin?

20 other medicines are given the same way (oral) and in the same FDA class as phenytoin or labeled mainly for the same use (seizures and epilepsy), the same class first. Seizures and epilepsy lists all 27 medicines labeled for it, by any route. The first 8 are below. They are listed as records, not as substitutes: whether one can replace another is a prescriber's decision.

MedicineShared indicationGeneric labelers (oral)Pharmacy costShortage
GabapentinSeizures and epilepsy87 labelers$0.0218 per capsule 100 mg capsuleNo current entry
LamotrigineSeizures and epilepsy50 labelers$0.0268 per tablet 25 mg tabletA presentation being discontinued
DivalproexSeizures and epilepsy44 labelers$0.194 per tablet 500 mg tabletNo current entry
OxcarbazepineSeizures and epilepsy43 labelers$0.167 per tablet 300 mg tabletNo current entry
ZonisamideSeizures and epilepsy20 labelers$0.106 per capsule 100 mg capsuleNo current entry
Valproic acidSeizures and epilepsy19 labelers$0.243 per capsule 250 mg capsuleListed; available
PrimidoneSeizures and epilepsy21 labelers$0.0914 per tablet 50 mg tabletNo current entry
FelbamateSeizures and epilepsy9 labelers$1.00 per tablet 600 mg tabletNo current entry

Every medicine labeled for the same conditions as phenytoin

Source: FDA drug labels (indications), NDC Directory, NADAC of October 7, 2026, FDA shortages (October 8, 2026)

How does phenytoin compare with medicines for the same use?

6 side-by-side pages set phenytoin beside a medicine whose label shares a use: approvals, generics, pharmacy cost, warnings and supply.

What next?

Alternatives to phenytoin
20 medicines for the same use
Other anti-seizure medicines
the pharmacologic class, with prices and generics
Phenytoin side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other