Albumin-corrected phenytoin (Sheiner-Tozer)

Total phenytoin corrected for a low albumin (Sheiner-Tozer).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Measured total phenytoin
8 ug/mL
Serum albumin
2.0 g/dL

Result: Corrected phenytoin 16 ug/mL — within the 10-20 ug/mL therapeutic range.

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Measured total phenytoin
  • Serum albumin
  • CrCl <10 mL/min or ESRD (0.1 factor)
  • Albumin coefficient (default 0.2)
How this is calculated

Citation

Winter ME, Tozer TN. Phenytoin. In: Applied Pharmacokinetics, 3rd ed. 1992 (Sheiner-Tozer correction, coefficient 0.2; 0.1 for CrCl<10/ESRD). Cheng W, et al. Can J Hosp Pharm 2016;69:269-279 (0.275). Dilantin label on DailyMed: total 10-20, unbound 1-2 mcg/mL. Read the sources: Cheng 2016 ↗, Dilantin label ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.