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- W2074076329 endingPage "1971" @default.
- W2074076329 startingPage "1971" @default.
- W2074076329 abstract "In Reply .—We would like to reassure Drs Courtney and Falbe that it is not the policy of our nursing home to measure serum phenytoin concentrations at least monthly in every patient. The large number of the measurements was the result of an ongoing larger study looking at drug-drug interactions in nursing home patients. The indications for measuring serum phenytoin levels have been elegantly discussed by Troupin, 1 and we had commented on those in our Comment section. Whether these indications are applicable to frail nursing home patients cannot be dogmatically stated. This was precisely the question we wanted to address, since previous studies are done in younger patients. 2,3 The lack of clinically apparent toxicity is not surprising considering the difficulty in recognizing phenytoin toxicity in a patient population with a high prevalence of neurologic deficits and alterations in mental status. 4 Availability of serum levels of phenytoin may" @default.
- W2074076329 created "2016-06-24" @default.
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- W2074076329 date "1990-09-01" @default.
- W2074076329 modified "2023-09-26" @default.
- W2074076329 title "Phenytoin Monitoring in Nursing Home Patients-Reply" @default.
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- W2074076329 doi "https://doi.org/10.1001/archinte.1990.00390200145034" @default.
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