Phenytoin level correction

Common Questions and Answers about Phenytoin level correction

dilantin

Avatar n tn Hi, is he on some other drugs too because other drugs might decrease the level of phenytoin by enhancing its metabolism via induction of enzymes and can lead to drug drug interction. “Drugs which may decrease phenytoin levels include: carbamazepine, chronic alcohol abuse, reserpine, and sucralfate. Moban® brand of molindone hydrochloride contains calcium ions which interfere with the absorption of phenytoin.
1291453 tn?1272143404 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.
Avatar f tn 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.
Avatar f tn 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.
Avatar m tn Hello AB, welcome to the medhelp forum. Phenytoin can cause certain side effects like dizziness and mental confusion. Some people may also manifest incoordinate movements. Weight gain is not a documented side effect. It could be related to your alcohol consumption or wrong dietary habits and lack of exercise. 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.
Avatar f tn 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.
Avatar f tn 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.
Avatar f tn 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?
Avatar m tn 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.
Avatar n tn 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.
Avatar n tn 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..
Avatar n tn It sounds like your body is producing more of the testosterone hormone than it should. There should be medications to level your hormones so they are balanced and where they should be.
Avatar m tn 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.
Avatar m tn 00 pm to 5:30, and give her insulin to cover the dinner carbs. Today a visiting nurse came to the house after school and when told us if we give our daughter a correction at 3:30 we cannot give her dinner at 5:00 pm but must wait three hours after we give the insulin. This is not what the doctor said. What should we do?
Avatar m tn The normal level depends on the individual laboratory. Most laboratories consider a level of 1.1 milligrams per deciliter (mg/dl) or lower to be normal. What Happens When The Bilirubin Is Too High? When the bilirubin level reaches about 3 mg/dl the white parts of the eyes become yellow ("icterus"), the urine becomes dark, and the skin becomes yellow ("jaundice"). Patients with high levels of bilirubin also experience itching.
Avatar f tn I have Hep C and my bilirubin level has increased to 1.7 over the past year and a half when I was first diagnosed, up 0.9 at that time when first diagnosed. I do take 3 Lortab daily for ruptured & bulging discs but will get medicine changed to something with no aceteminophen. What does the increased level in that amount of time mean?
Avatar f tn 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.
Avatar m tn One eye is perfect at plano, but the other eye is needing quite a bit of correction for distance. Is there a particular diopter correction needed point at which the procedure would be considered as meaningful to do? As it stands, I'm having trouble getting balanced vision with the two eyes and prescription lenses. I'm trying progressives now, and they are troublesome.
Avatar f tn My neurologist wants me off Dilantin because of bone loss and possible cerebella(sp) can develop - I have been taking Dilantin since I was a teenager - I am now 66 - my level runs around 13 - I take 330mg a day - I also take calcium 1200 with d3, magnesium, and multi vit.
Avatar f tn Neuroleptics like carbamazepine, felbamate, valproic acid, clonazepam and phenytoin alongwith gabapentin are effective. Local anesthetic agents like intravenous application of lidocaine, tocainide or mexiletene, can be prescribed as combination. Spinal cord stimulation introduces low level of electrical current to the dorsal portion of spinal cord and can include a fully implanted system or a system with an external power source.
Avatar m tn Polycystic ovary syndrome, abbreviated PCOS, (the most common)[4] Congenital adrenal hyperplasia, in turn mostly caused by 21-α hydroxylase deficiency Cushing's disease Tumors in the ovaries or adrenal gland (cancer) Certain medications Insulin resistance Stromal Hyperthecosis - in postmenopausal women Obesity: As there is peripheral conversion of androgens to estrogen in these patients, this is the same mechanism as polycystic ovary syndrome, PCOS.
1936411 tn?1333831849 ve heard of that might help with the itch are trying the over the counter antihistamines or antihistamine hydroxyzine (Atarax), anticonvulsants (e.g. gabapentin, carbamazepine, phenytoin), antidepressants (e.g. amitriptyline, paroxetine, mirtazapine), and even Pregabelin (Lyrica)....
Avatar f tn 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.