The pharmacokinetics of phenytoin was studied in 66 epileptic Chinese children and adults. The data were analysed by the population approach, using the non-linear mixed effect model, in the MULTI (ELS) program. There was no age or gender-related effect on either the apparent maximum elimination rate (k
max) or Michaelis-Menten constant (K
M). K
max was related to body weight 0.656. The population pharmacokinetics was similar in children and adults. K
max and K
M were estimated to be 30.72 mg·kg
–0.656 day
–1 and 2.307 mg·l
–1, respectively. K
max was higher than reported values, and K
M was comparable to that reported in a study in Japanese, but was much lower than that reported in studies of European patients. The inter-individual variability of K
M (CV 65.58%) was substantially higher than that of k
max (CV 28.49%), and the residual (intra-individual) variability was found 21.33% (CV).
Key words Phenytoin - Chinese epileptics - population pharmacokinetics - children and adults - pharmacogenetics