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.
The neurologist figured the Topamax just was not working and then put him on Keppra. (He was still taking 1 dilantin and weaned off that dilantin just before going on Keppra) I had him wean off the Topamax really slow, much slower than the neurologist wanted at first but neuro. gave us his ok to wean off slow. He also weaned on Keppra at a slow dosage. The Keppra worked ok and then he had a few other seizures, one he actually ended up w/ a compression fracture in his back.
I have researched and spoken with my doctor about it and was told that after taking Dilantin for so long the liver, for the lack of a better way of describing it, builds up a tolerance to the medication and hypermetabolize it. This causes a low level but is often blamed on non-compliance. I guess the solution is to change the medication regimen to something easier on the liver.
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.
i started taking dilantin and im late for my period almost 4 weeks.
I have a TSH of 0.24 and T4 of 1.04. I have been on Dilantin for 30 years. I have been on Thyroid replacement therapy for 18 years with monthly injection of B12. 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?
Hello Dear,
Stopping Dilantin quickly is not recommended. Although Dilantin is not addicting and is not likely to be abused, stopping it too quickly can cause seizures to worsen.
Dilantin Withdrawal Symptoms
The most significant Dilantin withdrawal symptom is a seizure. Suddenly stopping Dilantin can increase your risk of seizures These seizures can be especially severe and very difficult to control.
They said she was having seizures based on her low Dilantin levels. The gave her two injections of Dilantin, she seemed fine and they sent her home.
Now she seems fine again, although a little weak, dizzy, and tired, but pretty good for having three back to back episodes. We went to a follow up appointment with her general doctor on Monday. He again insisted it was related to her cholesterol.
Then in February of 2019 I had a fasting liver blood test and my AST and ALT levels came back mildly elevated again. My doctor sent me for a sonogram of my abdomen which came back normal. He then suggested I cut back on alcohol and repeat a non fasting liver blood test in 3 months. A month later in March of 2019 I called the doctors office and expressed concern that being I’m a genetic carrier of hemochromatosis I’m concerned that my iron levels have not been checked for about a year.
I took 2 old, and 1 new for about a month, then 2 new and 1 old, and am now on 3 new dilantin 100mg. every day. I have been on this for about 2 weeks, and I have not had any problem at all. I do feel kinda nervous about it, though, and never leave home without my medical card in my wallet. (something I never even had to think about with the old dilantin). How about you? Are you on the new capsules? If so, how are you doing?
3 and they gave him a loading dose of 500mg. PO of dilantin, and 500mg. IV Dilantin. He is very regimented taking his Dilantin and does not miss doses.
And told him to take 400mgs. today.
I have a call in to our family Dr. and waiting for a return.
We were being seen by a Neurologist, but she abruptly cancelled my husbands January appt. and said she was leaving town for a month, and did not refer us to any other Dr. so we saw the family Dr. who is prescribing.
Two meta-analyses (an analytic study combining the results of several clinical trials) done by Sirven, et al (2004) and Tremont-Lukats, et al (2008) showed no benefit to giving anti-epileptic drugs in general, and Dilantin in particular, to patients with brain tumors in order to prevent an initial seizure. Your husband may have an option not to take Dilantin since there's no difference in outcome.
You can check out the articles yourself:
www.mayoclinicproceedings.
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