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The effect produced by changes in the calcium content of the diet on the plasma concentration of diphenylhydantoin was studied. In subjects on a high calcium intake, plasma diphenylhydantoin levels were significantly lowered, probalby resulting from both the formation of an insoluble calcium-drug complex and the direct effect of calcium on the intestinal membrane. A similar but less pronounced effect was observed when calcium-rich foods were excluded from the diet. These observations indicate the need for a balanced calcium diet during diphenylhydantoin treatment.
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