Phenytoin and albumin
Common Questions and Answers about Phenytoin and albumin
dilantin
During those times I had not yet been diagnosed and was able to go back to life like normal, however after the diagnosis and being on phenytoin and switching to oxcarbazepine i am feeling awful. Dizzy, nauseated, moody, extremely tired, severe headaches that come and go. All i get from my Neurologist is these are side effects that will eventually go away. Because i never know when these symptoms will come on too strong I have missed a lot of days at work during my probation period.
t come back as a surprise to her considering after the blood work came back my LFTs came back elevated so my alt and ast levels as well as albumin levels were high. I also found out I am pre diabetic and my platelets had dropped from 247 to 177 in a month. I am not sure how I could be pre diabetic considering I lift weights and do cardio six days a week along with eating healthy but my spleen and liver were enlarged based on physical examination.
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.
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.
Albumin is a protein produced by the liver and it forms an important part of the blood as it helps keep the water in the blood vessels and also helps carry many substances in the blood.
It is important to understand how lab values are derived. A sample population is taken and then a normal range is defined, usually this range is based on statistics, most commonly 2 standard deviations above and below the mean...
Moban® brand of molindone hydrochloride contains calcium ions which interfere with the absorption of phenytoin. Ingestion times of phenytoin and antacid preparations containing calcium should be staggered in patients with low serum phenytoin levels to prevent absorption problems”. Taken from http://www.rxlist.com/cgi/generic/phenyt_od.htm
Our population is divided into 4 type of metabolizers ranging from rapid to slow metabolizers depending upon the speed of elimination of drug from body.
Thank you for your question, you are relatively fine with Phenytoin and the seizure episodes in a form of lack of speech are the residue of a generalized type seizure. I don’t have a full description of your consciousness during the lack of speech episodes to decide whether this start is a partial epilepsy which can continue in a generalized or it is a generalized one from the first moment..
Unfortunately I had to fly home because my dads kidney function started to deteriorate even with the Terlipressin and albumin. He has had numerous blood transfusions but they are struggling to keep the canulas in his body as his tissues are so swollen and oedemic. He has started vomiting and I spoke to his doctor who said he may only have a week or so. Last night he couldn't tolerate any of his meds and I feel now that he truly has had enough.
If you are pregnant your doctor may gradually decrease the dose and stop it and may prescribe an alternative anti seizure medicine which is safe during pregnancy. Sudden withdrawal of antiseizure medication may precipitate seizures in a pregnant woman which can be dangerous for the fetus. Medicines are prescribed during pregnancy only if the benefits outweigh the risks. Your doctor may prescribe you high dose folic acid 4 mg to prevent spinal cord deformities. I sincerely hope it helps.
I have been on Coumadin for 18 years due to Lupus Anticoagulant (Antiphospholipid Syndrome) and several DVTs. In 2005 had MI with occlusion of the LAD artery and had drug stent inserted and I am still on plavix. My doc has debated when to take me off the Plavix safely....what are the recent studies about this dilemma? thanks so much!
Subsequent to discharge on 10 July, she was put on phenytoin 200 mg od. She broke out with fever again on 15 July and the fever lasted for about 4 days with daily temperature peaking in the afternoon (max 101 F). The face and body were covered with rash similar to measles which resolved by 20 July. Could she have had measles at her age? Why did she have convulsions? Could anyone throw any light on the episode.
Im not sure, probably about 48-64 oz a day. But when I woke up the morning of the test my pee wasn't light in color. It wasn't dark, I wasn't severely dehydrated (I don't think) but I think I was a tiny bit. My urea and albumin levels weren't really high, just 1 and 0.1 above the normal level, respectively. And nothing else is wrong with me, I know really awful conditions and problems cause high albumin levels.
Low iron level or anemia is often associated with low albumin level in the blood. This causes water retention and swelling. Once the iron level is built up and so also the albumin level, the swelling goes down as water leaves this area.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!
Would like to know if a 59mg albumin is something to worry about? My doctor said my Kidneys were leaking protein in my urine is this something to worry about? What does it all actually mean?
SYMPTOMS:
Chronic Fatigue
Muscle aches/tenderness
Numbness/Tingling in hands and feet
Joint stiffness
Stomach issues
Bowel issues(mostly constipation)
Vision issues(especially at night I’ve been through 3 eyeglass prescriptions in 2yrs and still can’t drive at night)
Swollen nasal passages(started April 2020)
Lung issues
Headache(usually in right temple region)
Bruise easily
Dry/Brittle hair
DIAGNOSIS:
Chronic Fatigue Syndrome
Chronic Pain
Asthma
IBS
Outdoor/Indoor Allergies(2018)(2021
Had several rounds of blood work month after month . Had a negative EEG and MRI of brain. The latest is Albumin at 5.2 and Folate is 20 which is high. Does this tell me anything?? I work out regularly and like to take a little extra protein added to my diet. No steroids involved. No one knows whats wrong and why I have Hypertension to start with but I would love to get to the bottom of this. Help. thank you.
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