Albumin-corrected phenytoin (Sheiner-Tozer)

Albumin-corrected total phenytoin (Sheiner-Tozer) = measured/(0.2*albumin + 0.1); ESRD uses 0.1 factor.

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
How this is calculated

Winter ME, Tozer TN. Phenytoin. In: Applied Pharmacokinetics, 3rd ed. 1992 (Sheiner-Tozer correction). Corrected = measured / (0.2 x albumin + 0.1); 0.1 factor for CrCl<10/ESRD. Therapeutic total 10-20 ug/mL.

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.