phenytoin and potassium

drugs like gabapentin, phenytoin are used for hemifacial spasm. Other options are botulinum injections and microvascular decompression surgery. Hope this helps. Take care.

consult a neurologist immediately, a balanced diet, foods high in potassium, calcium and magnesium, massages to relieve physical stress and fatigue, vitamin B complex rich foods,certain drugs like gabapentin, phenytoin,carbamazepine, botulinum toxin injections. Take care.

I would steer clear of the Supplements, as even Fish Oil, Potassium, Magnesium, and the like can contribute to arrhythmias in some people, especially when not done under the auspices of a Doctor. Lastly, the introduction of supplements of any form can effect the way that other medications are absorbed and used by the body.

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.

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.

Combining fluoxetine or paroxetine with phenytoin can also lead to increased phenytoin side effects and reduce blood levels of paroxetine. You really need to discuss the potential drug interactions with your own doctor.

You should tell your doctor if you experience any of these symptoms while taking phenytoin, so that your blood level of phenytoin can be measured and your dose reduced if necessary. " Also, he has had a major surgery, and will need time to recover. However, any changes need to be reported to the doctor.

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..

Whereas if you are a chronic alcoholic, the phenytoin levels may be lower than expected and can cause seizures. I suggest you consult with your neurologist in this regard. Hope this information helps. Take care.

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.

I totally forgot to tell you that he is on Phenytoin 100mg once daily. Can this be continued and taken for a long period of time? Thank you doctor once again for your immediate reply.

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?

Addition of other antiepileptic drugs like phenytoin,lamotrigene and sedatives will be helpful for controll of his night symptoms.

For this reason you should avoid large amounts of foods that have a high potassium content, for example dried fruit, bananas, tomatoes and low sodium salt, while you are taking this medicine, also avoid potassium supplements. I had a bad reaction from eating these foods. I had been warned about grapefruit juice, as it increases the amount of Prograf in the blood-stream. I did not know about the problems with other foods. Being a health food addict, this is what I eat.

I've always had low pottassium and always had to eat a banana everyday. I also have Graves Disease, had hyperthyroidism and had RAI (radioactive iodine) then a Thyroidectomy. I never associated the two. I thought my low pottassium was from heart issues being born with a heart murmur. Maybe it does both fall together. Just get on the bananas and take a pottasium supplement everyday until the levels increase.

They have a much higher amount of potassium (99mg is the minimum daily requirement). I had terrible leg cramps and started eating a couple bananas a day and snacking on raisins, and I rarely get them anymore.

It does not specify which side effects are from potassium being too high and which are associated with it being too low, but you could certainly google "potassium too high" and get some good information.

Last year I had NO potassium and ended up in the Cardiac Intensive Care Unit for five days. The shots are very painful but they do have potassium pills. I think they give you the pills after they have gotten some measure of potassium back into you. Please be extremely careful about this.

blood test they said the urine came back fine but I had to go back a week later for my blood resaults so I go back kidneys and all came back good except my potassium it was 7.5.

when he saw my case he says he ws amazed as hes never seen a case like mine in all of his 40 years of practice which wasnt great for me..they tested my blood for potassium deficiency etc and they all came back normal . I also had an EMG where they place a needle around the muscles of my eye and measured the frequency using electrodes..my results showed severe abnormalities and were in line with a condition called neuromyotonia..

A few weeks ago I woke up with yellow crust on the corner of my lips and it went away in 2 days, and today I woke up and it's in the exact same spot again except a little more then before. It doesn't hurt or itch, it feels like my lips are very very dry. I don't smoke, I have grandmal seizures and my medication is phenytoin and kepra but I didn't read anywhere that would be a side effect so I'm worried this could be a STD or something.

Phenytoin and potassium

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