Generic Name: sodium phenylbutyrate (SOE dee um FEN il BUE ti rate)
Brand Name: Buphenyl
What is Buphenyl?
Buphenyl is converted to a substance in the body that helps the kidneys eliminate waste substances from the body. These waste substances can produce ammonia, which is toxic if it builds up in your blood.
Buphenyl is used to treat urea cycle disorders in people who lack certain liver enzymes needed to properly eliminate waste substances from the body. Buphenyl helps prevent a build-up of ammonia in the blood.
Buphenyl may also be used for other purposes not listed in this medication guide.
Seek emergency medical attention if you notice any signs of ammonia build-up, including mood or behavior changes, memory loss, thinking problems, muscle twitching, back and forth movement of the eyes, vomiting, increasing weakness, slurred speech, seizure (convulsions), and fainting.
Buphenyl will not treat immediate symptoms of an ammonia build-up.
Before taking this medicine
You should not use Buphenyl if you are allergic to it. Buphenyl will not treat immediate symptoms of an ammonia build-up.
To make sure Buphenyl is safe for you, tell your doctor if you have:
congestive heart failure;
high blood pressure;
severe kidney disease;
swelling or fluid retention; or
epilepsy or other seizure disorder.
FDA pregnancy category C. It is not known whether Buphenyl will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.
It is not known whether sodium phenylbutyrate passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.
Do not give this medicine to a child who weighs less than 44 pounds unless your doctor tells you to.
How should I take Buphenyl?
Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.
Take this medicine with each meal. Divide your total daily dose among all of your meals for the day.
Buphenyl powder should be mixed with food before consuming.
Shake the powder lightly before mixing it with food.
Use Buphenyl regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. You may need to take this medicine for the rest of your life.
Call your doctor right away if you have any signs of infection such as fever, chills, redness, swelling, body aches, or weakness. An infection may cause your condition to go out of control even while you are taking Buphenyl.
While using Buphenyl, you may need frequent blood tests.
Buphenyl is only part of a treatment program that may also include diet, dialysis, and other medications. Follow your doctor's instructions very closely.
Keep using this medicine even if you feel well. Your condition may have no symptoms. If the urea cycle disorder is not under control, you may have a build-up of ammonia, which can cause life-threatening side effects.
Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.
What happens if I miss a dose?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
Be sure to take Buphenyl with food.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What should I avoid while taking Buphenyl?
Follow your doctor's instructions about any restrictions on food, beverages, or activity.
Buphenyl side effects
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Even with treatment, urea cycle disorders can cause a build-up of ammonia in the blood which can result in life-threatening side effects. Seek emergency medical attention if you notice any signs of ammonia build-up, including mood or behavior changes, memory loss, thinking problems, muscle twitching, back and forth movement of the eyes, vomiting, increasing weakness, slurred speech, seizure (convulsions), and fainting.
Call your doctor at once if you have:
severe drowsiness, confusion;
swelling, rapid weight gain;
a light-headed feeling, like you might pass out; or
pale skin, feeling short of breath, rapid heart rate.
Common side effects may include:
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect Buphenyl?
Tell your doctor about all medicines you use, and those you start or stop using during your treatment with Buphenyl, especially:
This list is not complete. Other drugs may interact with sodium phenylbutyrate, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Editorial References and Review
Medically reviewed by USARx EDITORIAL TEAM Last updated on 1/1/2020.
Source: Drugs.com Buphenyl (www.drugs.com/mtm/buphenyl.html).