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MIRTAZAPINE AND PHENYTOIN

Medical Diagnosis and Drugs, Medications
Mirtazapine does not appear to affect the pharmacokinetics of phenytoin. Phenytoin decreases the AUC and maximum plasma levels of mirtazapine by 47% and 33%, respectively. Fosphenytoin, a prodrug of phenytoin, may interact similarly.
The mirtazapine dose may need to be increased in the presence of phenytoin. Monitor concurrent use to ensure mirtazapine is effective.
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