Dilantin and phenytoin
Common Questions and Answers about Dilantin and phenytoin
dilantin
3 and they gave him a loading dose of 500mg. PO of dilantin, and 500mg. IV Dilantin. He is very regimented taking his Dilantin and does not miss doses.
And told him to take 400mgs. today.
I have a call in to our family Dr. and waiting for a return.
We were being seen by a Neurologist, but she abruptly cancelled my husbands January appt. and said she was leaving town for a month, and did not refer us to any other Dr. so we saw the family Dr. who is prescribing.
Folic acid supplementation in folate-deficient patients with epilepsy changes the pharmacokinetics of phenytoin, usually leading to lower serum phenytoin concentrations and possible seizure breakthrough..."
It however says that initiation of Folic acid and phenytoin together is beneficial.
Since you can't go back and start all over again, you can take a small dose. It has been observed that as los as 1mg dose can perturb phenytoin’s levels, You may take doses lower than 1mg/day.
i started taking dilantin and im late for my period almost 4 weeks.
I have a TSH of 0.24 and T4 of 1.04. I have been on Dilantin for 30 years. I have been on Thyroid replacement therapy for 18 years with monthly injection of B12. I have had extreme fatigue and chest pains. Seeing neurologist for medicine change and have be referred to endocrinologist. How concerned should I be? What tests should be given? Is this my pituitary gland?
Hi everyone,
I'm new to this community.
My neurologist just informed me that Osteoporosis and shrinkage of the Cerebellum are very serious side effects for long term users of Dilantin. Does anyone know more about this?
I've been taking 500mg of Dilantin for over 30 years since I was a teenager, and now I'm terribly worried. Not one of the neurologists had mentioned anything about this over the years, and now at 46, I've learned that I may have severe osteoporosis.
Acute alcohol consumption increases the availability of phenytoin (Dilantin) and the risk of drug-related side effects. Chronic drinking may decrease phenytoin availability, significantly reducing the patient's protection against epileptic seizures, even during a period of abstinence. Any form of alcohol, even beer is contraindicated for some time when you are weaned off dilantin.
Sexual activity is an exertional activity which can cause exertional or sexual headache.
I'm a 48 yr old black female who began having seizures 7-8 yrs ago. they have increased to about 1 time a week. I'm taking 750 mg of Keppra and Dilantin 100mg 2 x a day.
Does prednisone effect dilantin and lamictal levels? I've been on dilantin and lamictal for over 5 years for seizures. I'm being tested for autoimmune hepatitis, I just had a liver biopsy. I don't want to take a chance on having a seizure.
my neuro is taking me off dilantin slowly. i take 400mg daily . my neuro told me dilantin will cause mood swings and cause me to be irritable and was hard on your body after being on them so long. i have started keppra and dropping 1 dilantin a month . i was told my moods will improve and i will start to think more clearly. my neuro told me dilantin does slow your thinking and leaves you in a fog.
This reaction is generally confined to the extremities but can affect the trunk and face and may be irreversible. Severe dermatologic reactions to phenytoin are infrequent. Some evidence, however, suggests that erythema multiforme is more likely in patients who undergo radiation therapy while receiving phenytoin.[22]
Lupus-like symptoms have been described for phenytoin. Whether phenytoin administration will exacerbate preexisting idiopathic systemic lupus erythematosus (SLE) is unclear.
He cannot swallow solid or liquids. Once in a while he will actually a little and drink a little. I have read up on dilantin and many people say they adjust to it, but he is only getting worse. He says he is hungry, but doesn't eat. Could the dilantin put him such a mind set that he doesn't remember to swallow?
Had siezures once per week at night and was semi aware of seizure as it started, then unconcious and would wake up breathing rapidly and confused. Have been on dilantin since then and it has controlled seizures for over 30 years.
Over the yaers I would have problems with severe muscle contortions and spasms of my right leg. Nearly 100% of the time it would bother me at night only, last for about a week as it tapered off.This would happen at most once a year.
Phenytoin (Dilantin et al) works best with me. It's off patent and about 70 years on the market. Low doses best. These repetitive thoughts are a brain electrical problem (inappropriate electrical activity), and while not as intense a problem as epilepsy, they can be treated the same way.
I take 50 - 100 mg as a dose and it smoothes those intrusions and does NOT make me tired or have noticeable side effects except feeling normal.
* phenytoin (Dilantin),
* valproic acid (Depakote, Depakote ER, Depakene, Depacon),
* carbamazepine (Tegretol, Tegretol XR, Equertro), and
* phenobarbital
Antibiotics such as:
* tetracyclines, [for example, tetracycline (Achromycin)]
* sulfonamides,
* isoniazid (INH) (Nydrazid, Laniazid)
* sulfamethoxazole (Gantanol),
* trimethoprim (Trimpex; Proloprim, Primsol)
* nitrofurantoin (Macrodantin; Furadantin; Macrobid),
* fluconazole (Diflucan
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