Phenytoin and seizures
Common Questions and Answers about Phenytoin and seizures
dilantin
In a small study, phenytoin-induced seizures occurred most often in patients with serum phenytoin concentrations of 50 mcg/ml or higher.[393] Peripheral neuropathy, usually occurring weeks to months after drug initiation, has also been reported in patients receiving phenytoin. A single case report describes the onset of neuropathy within a few hours of drug administration.[9780]
Adverse GI effects of phenytoin therapy include nausea/vomiting, constipation, abdominal pain, and anorexia.
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.
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'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.
The neurologist prescribed it after he had TIA number of times. He used to get seizures like symptoms and loose his consciousness. He was bedridden and stopped walking completely. Now, he is up on his feet and doing his regular work after regular physiotherapy.
At first, he had trigeminal neuralgia and he was on carbamezapine 150mg twice daily and then 300mg twice daily. I just need to know how long he has to be on Citilin. Is it a safe drug to be used for long time?
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.
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.
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.
I hate to say but that is very common. I have complex partial seizures and my seizures change. When I was younger it wasn't that uncommon for me to have a couple a day. It has taken me forever to get them controlled. I still have seizures but I can go a month without seizures at times but they still pop up every now and then.They are not as profound. I have been on a lot of meds and it took many years to get the seizures somewhat controlled.
Were you just told it was one seizure or SEVERAL! To me it sounds as if you had Status Epilepticus cos one general seizure lasts about 3 mins not 40 mins. Im just going by what I had a few years ago because I had 23 seizures continuously. The Medical Staff thought I was dead. Ive also had it twice more but not so many. If I was you I would see yr GP and insist on seeing a Neurologist at yr nearest hospital and explain whats happened, and insist on how to help your situation.
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 16 yr old son who suffers from autism cerebral palsey ocd servere to profound hearing loss and epilepsy has suffered 3 seizures in 2 weeks, 1 tonic seizure may 2, 1 grand mal may 7 and 1 grand mal may 17. he is now taking 1000mg depakote. his depakote level is 105 (he weighs 98 lbs) since his last seizure on may 17 he now cries for hours before he falls asleep, and wakes during the night crying. i think his meds r affecting him. can u please give me an idea to help him?
told me to go back to the 200mg and she would have to talk to my Neurologist, I just had blood work done again and my phenytoin level come back at 2. How is that possible? I take my pills regular, I have had no seizures. I have such a hard time getting a hold of the Neurologist I thought maybe you could help me. Could my others pills be interfering. I have been diagnosed with Hypothyroidism since the seizure and high colestoral. I take Levothyroxine, lipitor, vitamin D, and calcium.
im having the same problem. i take 400mg daily and my level is to low. my doctor told me taking any otc meds could deplet the dilantin.do you take tylenol ? my doc told me tylenol is one otc meds that will lower your level. i can only take ibuprofen , but my level as of llast week was 10. i have took dilantin for many years and this problem has just started for me to. im trying to get my level to stay normal to. i will check out the site that becky found to.
(cerebellar atrophy) so he slowly took me off of Dilantin and put me on Keppra - 500 2xa day, I was aready on Diamox,and tegertol.............and my seizures are under control now and i have about 3 seizures every month or 2...........I have been keeping a log and I found out about every 30 days i get real sleeply for 3 days, so for those 3 days I take 250mg of Keppra. It stops more from coming that day...................Don't get on Dilantin try getting on Keppra.
Hi there, i had a brain injury in feb and havent had any seizures yet but i was told in order to get back to driving/work etc i might have to take an anti-seizure medication. What medications are there? And i was told by someone else that they will slow down my recovery. because they are stimulants? in what way would they slow it down?
hi my husband is 46,he had a heart attack a week ago,thy tryed 2 wake him after a couple days but he started having seizeurs,thy said he has bad brain damage,he is on 4 medications for his seizures,his eyes still respond,he is breathing on his own,he is passing urine and his bowls are working,he seems to have seizures more when people touch him,i just dont no where to go from here,the doctors are giving up on him,but i want to explore every avenue,he has had a brain scan,but i was wondering if t
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.
I'm diagnosed Hypoglycemic and currently taking Trenbolone and Liothyronine Sodium.
Now i'm aware that Trenbolone can lower ones T3 levels which im countering with Liothyronine Sodium but i also know that Trenbolone can raise blood pressure and hypoglycemia is low blood sugar.
My diet is made up of regular meals every 3 hours of protein, fats and carbs to keep hypoglycemia at bay.
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 wasz on the phone with 911 the first seizure cause it had lasted so long I have seen at least 8 seizures in my life and my boyfriends was not like any I have ever seen I had had to leave my boyfriend to let the first responders in and when i came back up he was boxing the air then tried to get up but was to wobbly to get up the hopelessness in his eye was so sad.
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