Phenytoin in lactation
Common Questions and Answers about Phenytoin in lactation
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.
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.
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. Hence, every person react differently to same drug.
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.. in both cases the treatment in Phenytoin and no known to me (till now a treatment to over count its side effects from gingival hypertrophy to the respiratory problems).
An occasional one or two drink may be fine but moderate or large amount can cause significant increases in blood levels of phenytoin due to induction of hepatic enzymes. 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.
Yes u will cuz some women dont start getting their milk in till a few days after bb arrives b patient it will come in soon!
Hi I have noticed today while in the bath that both of my breasts are lactating I am Not PREGNANT I had my last child 18 months ago but never breast fed....nothing like thiws has happened before anyone one got any ideas as to what maybe the problem.... I wear a bra everday nothing has changed in my breasts ie when i was pregnant they were sore and heavy none of that is happening...
didn't you JUST post in the teenpregnancy forum that you THINK YOU ARE pregnant? now you're saying you're not pregnant?
so which is it...are you or aren't you?
You don't get breast milk in until 2-6 days after you give birth. First thing that is produced is colostrum, which is clear, milky, orange or yellow in color. That is the nutrient rich and thick stuff baby gets first. The more baby breast feeds the more your body will make the milk. Breast size doesn't matter in production of milk, you should make milk just fine. But you do need to drink a lot of water to produce enough breast milk. So keep hydrated after you give birth.
Thank u so much for your input! It is most appreciated.
If your having nipple issues I would get it checked. Idididn't know you could "lactate" that early in pregnancy, and I didn't know your colostrum could clog you.. I'd just probably get it checked to be in the safe side.
i was going threw the same thing but i took test after test and they should up negitive. After about 7 1/2 weeks of pain in my breast and fluid i went to the hospital for throwing up and little did I know I was pregnant wait a while and take another one okay...Hope everything works out.
Yes- it can be! It's usually not milk but you can leak colostrum- which is what comes in before the milk will.
I am in my 34th week and I am not lactating yet. during what stage should I be expecting lactation?
This may sound silly but I'm wondering when I will know that I have milk in my boobs.....
She is probably producing colustrum. Comes at all different times, very often even a day or two after delivery! Don't worry. Just consider yourself lucky you aren't leaking yet!!
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.
Clear lactation of colostrum is normal but I'm not sure about the brownish color, you may need to go to the doctor just in case. I had to wear nursing pads a few months before my baby was born because i leaked clear stuff. HOpe this helps!
My dad who is 81 years old in India is on Citilin 500mg daily. 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.
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