Effect of S-1 on blood levels of phenobarbital and phenytoin: A case report

Clin Case Rep. 2021 Feb 4;9(3):1514-1517. doi: 10.1002/ccr3.3813. eCollection 2021 Mar.

Abstract

Drug-drug interaction of fluorinated pyrimidine anticancer agents with phenytoin is well known, but interaction with phenobarbital is limited. We describe a case showing increases in plasma phenobarbital as well as phenytoin concentrations during preoperative S-1 (tegafur/gimeracil/oteracil) and radiation therapy for rectal cancer.

Keywords: S‐1; drug‐drug interaction; phenobarbital; phenytoin; therapeutic drug monitoring.

Publication types

  • Case Reports