Reported Reactions

Drugs › Anti-epileptic agent

Brand name · Extended phenytoin sodium

Dilantin: adverse event reports filed with FDA

8,011 reports list it as a suspect or interacting product, 2004–2026. Class: Anti-epileptic agent. Also reported as Dilantin Inj, Dilantin /00017401/, Dilantin Suspension.

8,011
reports as suspect product
0% of all reports · about 356 a year
78
reports, 12 months to June 2026
78 in the 12 months before
71.7%
marked serious by the reporter
78.1% across the class
4.3%
record death among outcomes, as reported
343 reports · not verified by FDA

8,011 adverse event reports received by FDA list the brand name Dilantin (extended phenytoin sodium) as a suspect or interacting product, from January 2004 to June 2026. A further 8,601 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 78 reports listed it, close to the 78 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 356 reports a year and 0% of the 20,646,523 reports in the database, and 3% of the reports for the anti-epileptic agent class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are convulsion (16.4%), drug hypersensitivity (9.6%) and seizure (9%). A report can list several reactions, so shares add to more than 100%; 1,084 different terms appear across these reports. Convulsion is recorded in 16.4% of these reports, a larger share than in the median anti-epileptic agent drug (3.1%).

71.7% of the reports are marked serious by the reporter (78.1% across the class); 4.3% record death among the outcomes and 25.7% record hospitalisation, as reported. 44.3% of the reports came from consumers, and the largest patient age group is 45 to 64 (22.4%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

01632Jul 2021: 32Aug 2021: 16Sep 2021: 18Oct 2021: 17Nov 2021: 10Dec 2021: 142022Jan 2022: 7Feb 2022: 13Mar 2022: 8Apr 2022: 22May 2022: 21Jun 2022: 12Jul 2022: 18Aug 2022: 15Sep 2022: 5Oct 2022: 10Nov 2022: 2Dec 2022: 82023Jan 2023: 10Feb 2023: 7Mar 2023: 5Apr 2023: 7May 2023: 7Jun 2023: 9Jul 2023: 8Aug 2023: 14Sep 2023: 4Oct 2023: 8Nov 2023: 5Dec 2023: 132024Jan 2024: 5Feb 2024: 10Mar 2024: 6Apr 2024: 9May 2024: 9Jun 2024: 1Jul 2024: 6Aug 2024: 7Sep 2024: 3Oct 2024: 5Nov 2024: 3Dec 2024: 62025Jan 2025: 10Feb 2025: 17Mar 2025: 6Apr 2025: 5May 2025: 4Jun 2025: 6Jul 2025: 15Aug 2025: 13Sep 2025: 4Oct 2025: 10Nov 2025: 8Dec 2025: 62026Jan 2026: 9Feb 2026: 5Mar 2026: 4Apr 2026: 2May 2026: 1Jun 2026: 1

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

02965922004: 31620042005: 4492006: 3202007: 38320072008: 4952009: 2212010: 40520102011: 5292012: 5582013: 43320132014: 4372015: 5922016: 46520162017: 3342018: 4002019: 52220192020: 4812021: 2372022: 14120222023: 972024: 702025: 10420252026: 22

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Dilantin reports recording the termmedian drug in anti-epileptic agent

  1. Convulsion16.4%1,312
  2. Drug hypersensitivityan allergic-type reaction to a medicine9.6%770
  3. Seizurea fit or convulsion9%719
  4. Drug ineffectivethe medicine did not work as expected8.9%712
  5. Dizzinesslight-headedness or unsteadiness5.4%434
  6. Stevens-Johnson syndromea severe skin and mucous-membrane reaction5.4%429
  7. Drug interactionan interaction between medicines5%398
  8. Falla fall4.9%394
  9. Headachehead pain4.2%334
  10. Anticonvulsant drug level decreased3.9%316
  11. Rashskin rash3.8%303
  12. Anticonvulsant drug level increased3.6%291
  13. Fatiguetiredness3.6%289
  14. Gait disturbancedifficulty walking3.5%284
  15. Balance disorderproblems with balance3.3%265
  16. Feeling abnormalfeeling odd or not right3.2%259
  17. Toxicity to various agentspoisoning or toxic effect of one or more substances3.2%259
  18. Tremorshaking3.2%259
  19. Weight decreasedweight loss2.9%234
  20. Nauseafeeling sick2.9%233
  21. Somnolencedrowsiness2.9%230
  22. Condition aggravatedthe condition being treated got worse2.8%227
  23. Malaisegeneral feeling of being unwell2.8%227
  24. Memory impairmentmemory problems2.5%202
  25. Astheniaweakness or lack of energy2.5%199
  26. Confusional stateconfusion2.4%192
  27. Drug level decreaseda low blood level of the medicine2.4%189
  28. Painpain, site not specified2.2%175

Top 30 of 1,084 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 23 drugs in the anti-epileptic agent class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death4.3%343
Life-threatening2.8%226
Hospitalisation (initial or prolonged)25.7%2,061
Disability3%237
Congenital anomaly0.6%47
Other serious57.9%4,640
Not serious28.3%2,269

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 269,757 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.4%35
2 to 111.5%118
12 to 171.1%89
18 to 4413.3%1,068
45 to 6422.4%1,796
65 to 749.3%749
75 and over5.6%446
Age not given46.3%3,710

Patient sex

Female51.4%4,120
Male40%3,206
Not given8.6%685

Who reported

Physician20.9%1,676
Pharmacist8.7%700
Other health professional13.7%1,097
Lawyer5.3%424
Consumer or non-health professional44.3%3,548
Not given7.1%566

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 81.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Convulsion1,80222.5%
Seizure91411.4%
Epilepsy84810.6%
Grand mal convulsion1501.9%
Ill-defined disorder1291.6%
Generalised tonic-clonic seizure1011.3%

The indication field is filled in by the reporter and is often blank; shares are of all 8,011 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Dilantin reports
Keppra6598.2%
Phenobarbital3754.7%
Tegretol3374.2%
Depakote3284.1%
Lamictal3043.8%
Phenytoin3033.8%
Neurontin2973.7%
Aspirin2212.8%
Topamax2082.6%
Lisinopril1832.3%

Other products listed in reports where Dilantin is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureDilantinAnti-epileptic agentAll reports
Reports as suspect product8,011269,75720,646,523
Share of that pool—3%0%
Reports, latest 12 months78—1,332,454
Marked serious71.7%78.1%57.4%
Death recorded among outcomes, per 1,000 reports4312691
Hospitalisation recorded, per 1,000 reports257314213
Consumer-filed share44.3%30.1%45.8%
Top term, share of reportsConvulsion 16.4%median 3.1%0.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the anti-epileptic agent class

DrugName typeReportsLatest 12 monthsMarked serious
Gabapentingeneric74,3164,44768.7%
Lamotriginegeneric44,5202,80688%
Lamictalbrand32,36899665.4%
Valproic acidgeneric21,1771,03196.7%
Depakotebrand14,21929765.4%
Phenytoingeneric12,61846492.9%
Valproate sodiumgeneric11,58870897.5%
Sabrilbrand10,90913963.5%
Oxcarbazepinegeneric8,07871587.7%
Trileptalbrand7,66415785.7%
Zonisamidegeneric4,88536387.3%
Divalproex sodiumgeneric4,07139982.4%
Vigabatringeneric3,66426380.6%
Phenytoin sodiumgeneric2,9746884.4%
Primidonegeneric1,76910477.3%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Dilantin reports

How many adverse event reports has FDA received for Dilantin?

8,011 reports list Dilantin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 78 of them arrived in the latest 12 months. Another 8,601 list it only as a concomitant medication.

What reactions are recorded in Dilantin reports?

convulsion (16.4%), drug hypersensitivity (9.6%), seizure (9%), drug ineffective (8.9%) and dizziness (5.4%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Dilantin was responsible.

How serious are the reports?

71.7% are marked serious by the reporter. Among the outcomes recorded, 4.3% of reports include death and 25.7% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (44.3%), physician (20.9%) and other health professional (13.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Dilantin rising?

78 reports in the 12 months to June 2026, close to the 78 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Dilantin was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Dilantin?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Dilantin as a suspect or interacting product; reports listing it only as a concomitant medication (8,601) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.