Which medication listed for the patient is most likely to interact negatively with phenytoin?

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Multiple Choice

Which medication listed for the patient is most likely to interact negatively with phenytoin?

Explanation:
Phenytoin is a strong inducer of liver enzymes, which speeds up the breakdown of many drugs. Warfarin’s effect depends on maintaining a certain level in the blood, so when phenytoin ramps up metabolism, warfarin is cleared more quickly and its anticoagulant effect drops. That can lead to a subtherapeutic anticoagulation level and a higher risk of clotting events. The other medications listed don’t have as robust or reliable a negative interaction with phenytoin, so the interaction that most concerns practice is with Warfarin.

Phenytoin is a strong inducer of liver enzymes, which speeds up the breakdown of many drugs. Warfarin’s effect depends on maintaining a certain level in the blood, so when phenytoin ramps up metabolism, warfarin is cleared more quickly and its anticoagulant effect drops. That can lead to a subtherapeutic anticoagulation level and a higher risk of clotting events. The other medications listed don’t have as robust or reliable a negative interaction with phenytoin, so the interaction that most concerns practice is with Warfarin.

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