I see these color blobs that move in my vision that shouldn’t be there, they don’t show any connection to stimuli so I don’t have synesthesia. I’m on levetiracetam aka keppra and clobazam aka onfi. When I was on oxcarbazepine (trileptal) and levetiracetam (keppra) I started having these weird headaches where I would lose my vision, hearing, smell, and coordination, but I could still speak and feel. The doctors are pretty much stumped. Has anyone ever had a situation like this?
I am an Indian Citizen living in the US. I have been taking LEVETIRACETAM (to control partial-onset seizures) since 2011. Currently, I am in perfect health conditions. As a precautionary medicine, I get the medicine from India either myself or through a friend/family member traveling between India and the US. Due to the recent COVID-19 pandemic, I am running short of medicine. I have my prescription and medical certificates to support my condition.
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.
I am taking tablets for my minor neural problem for the past 4 years, The tablets i am consuming are Oxcarbazepine (Trileptal) -300mg and Levetiracetam (keppra) -250mg. Now I am looking for a tablet which should have both of this content in the same. I feel guilty that I am taking more tablets and my health condition is improved now. so I planned to reduce my tablet dosage. so I look over this- i.e.
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.
can levetiracetam 750mg (2 2 times a day) be taken with amlodipine 10mg (1 time a day) and albuterol 90mcg (2 pumps 4 times a day). Can these be mixed? I this too much medicine?
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..
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.
Keppra (levetiracetam) is mostly excreted by the kidneys are is one of the safest drugs speaking in terms of therapeutic vs. toxic blood concentrations. Other drugs include zonisamide, potassium bromide, etc. A large percentage of dogs respond to one anti-seizure medication. For some, one is not enough and they need 2, 3, or 4 others! (I have seen it). It is not excessive to have more than one drug. Each drug works on a different receptor in the brain.
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.
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 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.
At this point of time he is not able to speak more than two words in a row. His Hb is 8.9. He is on valporate, topiramate and levetiracetam. His MRI scan revealed "Assymetric Right Temporal Horn prominence without any difinite evidence of mesial scerosis"
His walking pattern is also erratic. Most often he adopts "Toe Walking". When he walks slowly, which is rare, he walks alright. Always he tries to rush up and runs in an imbalancing manner.
Hi there, the various side effects with keppra or levetiracetam are dizziness, irritability, tiredness, fatigue, severe allergic reactions, extreme dizziness, drowsiness, weakness or tiredness, memory loss, behavior changes like aggression, panic attacks, restlessness, new or worsening seizures etc. in the period immediately after a seizure attack, it could be the post ictal phase or confusion. Consult your neurologist for your evaluation and change of anti epileptic medication. Hope this helps.
Addition of other antiepileptic drugs like phenytoin,lamotrigene and sedatives will be helpful for controll of his night symptoms.
Pharmacotherapy usually involves drug modulating GABAergic neurotransmission like Levetiracetam, Piracetam, Clonazepam or Valproic acid against prescription. I suggest you to consult neuro physician for his further evaluation and management. Take care and regards.
This includes many antibiotics, some types of birth control pills, diazepam (Valium), flurazepam, indomethacin (Indocin), and phenytoin (Dilantin).
Just to repeat the first person you should ask these questions is a doctor vs asking laypersons on the Internet. I cannot offering advise or suggestions he guarding your healt or health care.
Only your doctor can give you medical recommendations.
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