Drug intelligence / Profile preview

s-mephenytoin

Development stage
Discontinued
Lead developer
Novartis
Modality
Small Molecules
Administration
Oral
01

Overview

S-mephenytoin is the S-enantiomer of mephenytoin, a hydantoin-derivative anticonvulsant drug used in the treatment of various forms of epilepsy, especially refractory partial epilepsy. It acts primarily by blocking voltage-dependent neuronal sodium channels, stabilizing neuronal membranes and inhibiting the spread of seizure activity in the motor cortex. Additionally, S-mephenytoin is widely used in biomedical research as a specific probe substrate for Cytochrome P450 2C19 (CYP2C19), facilitating the study of genetic polymorphisms in drug metabolism[1][5][10].

Brand names
Mesantoin
Other names
(S)-5-ethyl-3-methyl-5-phenylhydantoin(+)-MephenytoinS-mephenytoin
02

Targets

CYP2C19 (Cytochrome P450 2C19)NaV (Voltage-gated sodium channels)CYP2B6 (Cytochrome P450 2B6)

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