He also has blood creatinine. Please let me know if he is on right drugs and right dosage? I would be very thankful if you give me an answer ASAP.
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.
Since your frequency of seizures has increased you need to have a fresh evaluation of your neurological function clinically, with a recent MRI brain and an EEG. The antiepileptic drugs need to be checked for a dosage modulation, assessment of adverse effects due to chronic usage over years like megaloblastic anemia, gingival hypertrophu and osteomalacia with phenytoin.
Take care.
According to my Lippincott nursing drug book, Phenytoin (Dilantin) may decrease the effect of the steroid when used together. Therefore the steroid dosage would be adjusted according to what your physician prescribes. It does also state that prednisone is used cautiously in patients with history or seizures. There is nothing specific about those anticonvulsant med levels being affected. But I'm sure your physician will be monitoring you carefully.
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.
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.
The physician may half the dosage for about 2 weeks and if you are stable may further halve it for next 2 weeks and gradually stop it. You need to be prepared for any possible adverse reactions. Our seizures may return, increase or worsen as you stop this. Your blood sugar may need monitoring esp. if you are a diabetic since phenytoin can affect your blood sugar levels particularly on stopping the medication. Hence it is advisable to withdraw the drug only under medical supervision. Take care.
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.
Addition of other antiepileptic drugs like phenytoin,lamotrigene and sedatives will be helpful for controll of his night symptoms.
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.
The most effective drugs are anti-seizure medications, such as carbamazepine, gabapentin, and phenytoin. Some antidepressants, such as amitriptyline, may help certain people.
In severe cases, when pain is difficult to treat, surgery to take pressure off the glossopharyngeal nerve may be needed. This surgery is generally considered effective. If a cause of the neuralgia is found, treatment should control the underlying problem.
You can refer http://www.nlm.nih.
Latley his depression has come back (not as bad as before). His MD has increase his dosage by 150 mg.(has not started yet, med is being filled) , can people build up talorance to this drug?
I heard the effectivesnees of accutane is increased with a twice daily dosage. True? I will be taking 40mg a day, once a day. Would it be better to take 20 mg twice a day?
Also, is it ok to take glucosamine for my joints while on accutane?
Lastly, should I be getting a monthly blood test? Or any other precautionary measures?
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