Fosphenytoin and Phenytoin Loading Against the Label

Loading dose of fosphenytoin (in mg PE) or IV phenytoin for a chosen mg/kg, set beside the range on the FDA label.

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

Example

Drug: fosphenytoin (mg PE)
Phenytoin sodium injection, mg
Adult or pediatric
Adult
Status epilepticus (status) or non-emergent loading
Status epilepticus
Route: intravenous (iv) or intramuscular
Intravenous
Patient weight
70
Weight unit
kg
Dose chosen, per kg
15

Result: 1,050 mg of phenytoin sodium injection (21 mL) over at least 21 minutes: the dose is within the label range.

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

What you enter

  • Drug: fosphenytoin (mg PE), phenytoin sodium injection (mg), or the oral phenytoin load
  • Adult or pediatric
  • Status epilepticus (status) or non-emergent loading (non-emergent)
  • Route: intravenous (iv) or intramuscular (im, fosphenytoin only)
  • Patient weight
  • Weight unit
  • Dose chosen, per kg (mg PE/kg or mg/kg)
  • Oral load: history of renal or liver disease?
  • Bag volume for the infusion (optional)
How this is calculated

Citation

FDA labels on DailyMed: Cerebyx (fosphenytoin), section 2, Tables 1 to 3 (loading range, maximum rate, initial maintenance; 50 mg PE/mL; dilution; when to draw a level) and Phenytoin Sodium Injection (loading range, 50 mg/minute, dilution). Read the sources: Cerebyx label ↗, Phenytoin injection 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.