dilantin renal dosing

can 20 years on dilantin after one seizure, then a stroke with no speech, cause terrible sideeffects?

Please note Tenofovir is principally cleared through the kidney and dosing adjustments due to renal impairment have not been clinically tested. The followings are extracts from the label information for Tenofovir: 2.3 Dose Adjustment for Renal Impairment in Adults Significantly increased drug exposures occurred when VIREAD was administered to subjects with moderate to severe renal impairment [See Clinical Pharmacology (12.3)].

I am not aware that impaired renal function precludes treatment for HCV. I have read that kidney disease is a negative predictor of SVR but, so too are a lot of conditions yet people have overcome them. I have seen articles which discuss the plasma levels of ribavirin with renal impaired patients. The suggestion is that rather than weight base dose these patients the dose should be arrived at by considering GFR (glomerular filtration rate). This is from Clinical Care Options @ http://tiny.

By "AGE" I'm assuming you mean a persons age in years. I don't believe age has anything to do with Janumet's "effectiveness" but age has a larger role with renal function. To make it clear for other readers, Janumet is combination of two drugs; Sitagiptin and Metformin. This a brief from the Merck web site - makers of Janumet - Section 8.5 - Geriatric Use JANUMET.

I also have kidney damage from a bout of high blood pressure 4 years ago, and I am a frequent kidney stone former, so I am being watched carefully by a nephrologist too. I have renal panels frequently too. I was wondering if any of this could increase my stone risk. I was reading about the cytomel and stones. The nephrologist wants me to remain on the synthroid and cytomel.

I think it depends on some individual factors, particularly renal clearance of the drug. I found this information in the drug reference: According to the manufacturer's tests, the drug reaches maximum serum levels between 15 and 44 hours after subcutaneous injection of a single dose. The mean elimination half-life is 22 to 60 hours (mean = 40 hours). So, I would expect that after 7 days (4.2 half-lifes) that the concentration would be about 5.5% (0.5^4.2) of the maximum levels.

//pain-topics.org/pdf/Opioids-Renal-Hepatic-Dysfunction.

Dilantin Withdrawal Symptoms The most significant Dilantin withdrawal symptom is a seizure. Suddenly stopping Dilantin can increase your risk of seizures These seizures can be especially severe and very difficult to control. Anxiety, sleeplessness, feeling cold, anger, seeing dead people in sleep, nausea, little appetite, shakineness are usually not due to the withdrawl of dilantin.Reduce your dose gradually to avoid seizures. Limiting Dilantin Withdrawal Refer http://epilepsy.emedtv.

Glomerular filtration rate or its approximation of the creatinine clearance are measured whenever renal disease is suspected or careful dosing of nephrotoxic drugs is required. The normal ranges of GFR, adjusted for body surface area for males is 70 ± 14 mL/min/m2 (56-84) . Risk factors for kidney disease include diabetes, high blood pressure, family history and older age. Take care and keep us posted.

i have been on dilantin for over 25 years . i to have very bad mood swings and i just cant take any stress at all . 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.

Is anybody here taking the new Dilantin? Are you having any problems with it?

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.

My husband was recently diagosed with glioblastoma multiforme brain cancer. The neurosurgeon put him on Dilantin "for life." He isn't even going to check blood levels. My husband has not had any seizures. Does this seem appropriate?

From my experience no but people do grow out of it if they are lucky enough our healed from it. I was on Dilantin, Phenobarbital and Lamictal three years ago. My Dr took me off of Dilantin and no more problems. I was on Dilantin over twenty years and i was scared. Let me know what happens because depending on your dosage you would be off of it or almost by now. I wish you the best.

My surgeon has my switching from Gabapentin to Dilantin, by early this week I should be solely on 400 to 500 MG of dilantin per day however it is doubtful if the meds will fully control the pain so then my only real option is an injection which may cause permanent facial numbness. I would like to know if anyone else has had to deal with recurrent trigeminal neuralgia and if so what was your outcome?

i just started taking dilantin and im 4 weeks late for my peiod and not pregnant

I am on 500mg Dilantin daily as a seizure maintenance drug which works fine. I'm also on 100mg topomax daily as a migraine maintenance drug. I've run out of my Dilantin and want to know how many topomax would be the equivalent temporary substitution for Dilantin?

Does anyone know what can cause Dilantin levels to be too low after taking correct dosage? My levels have been around 3.2 and I take the correct dosage my doctor prescribed of 400 MG a day. 200 in the morning and 200 at night. My doctor thinks I am not taking my Dilantin and I cannot convince him otherwise!!! I don't know what to do or where to find any information about it. Would appreciate any information, please.

Google Dilantin side effects and Dilantin withdrawal.

I've been taking Dilantin for sleep seizures for 43 years. No problems before, but recently I'm having trouble making any decisions and I'm getting scatter-brained. What are the long-term effects of Dilantin?

i had a pituitary tumor and was told dilantin will mess with labs. im hoping to get off dilantin completly in a couple months.

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.

I watched South Pacific last night and just could not stop crying. These years of taking Dilantin and Vimpat have seriously impacted my marriage, and i just cannot get hub to speak to me in the voice I am accustomed to hearing.He is sooooo impatient! So demanding! So judgmental! We married when I was already a head injured person: if I divorce, I will get half of what we/he has, but that is not the deal I signed on for. I love him and am also very dependent on him.

My husband has is dilantin very low and I was wondering if he can increase his medication to 200 mg.I was also wondering why does that keep happening and what is the side effects for the dilantin.

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?

Dilantin renal dosing

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