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Page values for "Primidone"

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"Medicines" values

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FieldField typeValue
genericStringPrimidone
brandStringMysoline
structureFile
classesList of String, delimiter: ,[[:Category:Anticonvulsants|Anticonvulsant]] [[:Category:Barbiturates|Barbiturate (parent compound)]] [[:Category:Tremor medicines|Tremor medicine]]
mechanismString'"`UNIQ--vote-00000013-QINU`"' Strong CYP3A4 induction via the phenobarbital metabolite produces many interactions (reduces oral contraceptives, warfarin, many psychotropics). Essential-tremor efficacy is the unique pharmacological selling point'"`UNIQ--ref-00000014-QINU`"'.
usesString'"`UNIQ--vote-00000015-QINU`"', '"`UNIQ--vote-00000016-QINU`"'
starting_doseStringSeizures: 100-125 mg PO at bedtime x 3 days, then BID, then TID, escalating to 750-1500 mg/day. Essential tremor: 25-50 mg PO at bedtime, titrate slowly to 250-750 mg/day
preparationsStringTablets 50, 250 mg
fda_maxString2 g/day (seizures); typically much lower for essential tremor
pill_idText
routesList of String, delimiter: ,Oral
onsetStringAnticonvulsant effect emerges with slow titration over weeks; tremor effect over weeks
durationStringBID-TID dosing
halflifeStringPrimidone 5-15 hours; '''phenobarbital active metabolite 50-150 hours'''; PEMA (phenylethylmalonamide) active metabolite 16 hours'"`UNIQ--ref-00000017-QINU`"'
bioavailabilityString~90% (oral)'"`UNIQ--ref-00000018-QINU`"'
pregnancyStringSubstantial teratogenic signal (barbiturate class effects including neonatal withdrawal and hemorrhagic disease of newborn).<sup class="pcp-cn" title="This claim needs a citation.">&#91;[[Pharmacopedia:Citation needed|citation&nbsp;needed]]&#93;</sup>
legalString[[USLegal:Prescription only|Rx-only]] in US. '''Federally non-controlled despite being a barbiturate''', a paradoxical situation given that its primary active metabolite phenobarbital is Schedule IV'"`UNIQ--ref-00000019-QINU`"'