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Frequency of S-mephenytoin hydroxylation deficiency in 373 spanish subjects compared to other Caucasian populations

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Summary

We have investigated the prevalence of poor metabolisers (PM) of S-mephenytoin in 373 unrelated, healthy Spanish Caucasian subjects, based on the enantiomeric S/R mephenytoin ratio in urine collected 0–8 h and 24–32 h after intake of the racemic drug.

Five of the subjects were PM (1.34%, 95% confidence interval 0.18–2.59%), a prevalence lower than in 6 other Caucasian populations, but only significantly lower than in studies in France and Switzerland (P<0.01).

We suggest that this difference might be due to the use of different phenotyping procedures.

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Reviriego, J., Bertilsson, L., Carrillo, J.A. et al. Frequency of S-mephenytoin hydroxylation deficiency in 373 spanish subjects compared to other Caucasian populations. Eur J Clin Pharmacol 44, 593–595 (1993). https://doi.org/10.1007/BF02440867

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