Can injection form be given via dubhoff tube for oral ingestion? : Phenytoin

Can injection form be given via dubhoff tube for oral ingestion?

By Pam from Raleigh,NC on March 29, 2006
Category: Phenytoin

Hi,
We have an end stage pancreatic CA pt with a dubhoff tube. Dilantin susp is clogging. Tube was removed and
they're trying to re-insert. Pt is currently on 100mg phenytoin IV q8h & ativan for siezures.
She is to discharged to hospice or home and an alternative is needed. IF dubhoff is clogged and out, the
pt can NOT swallow.
Is there any reason that the IV formulation could not be used as oral via the tube if re-inserted, or subligual if not re-inserted? How is stability?
Thanks,Pam

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