Phenytoin dose adjustment

Common Questions and Answers about Phenytoin dose adjustment

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Avatar m tn Well Keppra is the most commonly used anti-seizure medication in a setting of TBI. Often the right dose and timing adjustment helps. Symptoms in hospital may not have been due to Kreppa, and your mother may now be stronger and adjust to Kreppa. However, you can discuss with her neurologist and ask for a change. Another drug which is commonly used in this setting is phenytoin or Dilantin. Maybe you can start this with your mother, but this also has side effects and hence may not suit her.
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.
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 n tn 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.
Avatar m tn I have been taking eptoin for 21 years, for the first 2 years it was just 1 , i had a seizure and it was increased to two am and pm,aain i had one it was increased .6th year i had seizure gardenol60 [1] and frezium[2] and eptoin[1] am and pm..for 12 years i was fit free in the 19th i had a seizure , gardenol60[2],frezium[2],eptoin[2] am and pm. now i am married. Doc do suggest me the side effects.
5268376 tn?1406179712 My doctor Prescribed Zithromax i time dose at 2 500mg pills for an infection, and I have history of benign pvc's and pac's , while taking it i felt horrible . I felt worse than i have ever felt in life. It gave me unclear thoughts, I couldn't drive due to a foggy mind, it made my heart race and skip , i actually had to go to the ER because i thought I would die.
1634196 tn?1300321214 Just like there is an adjustment period when you first start a med like Zoloft, there is also an adjustment period when increasing your dose. It is usually not quite as long as the initial adjustment period, but you still may need 3-4 weeks to start seeing improvements in your mood, and a decrease in any side effects. Just hang in there for a little while.
Avatar f tn Thank you so much for your immediate reply doctor. My dad has been using Citilin since December 2007. Is it okay to use Citilin beyond 3 months or should it be discontinued? Also, is a tapering dose needed or stopped all of a sudden? Will it affect my dad's condition and will he get the stroke or seizures like attack again after discontinuing this medicine? After December 2007 he has not had any attack so far. Kindly let me know about this doctor. Once again, thank you very much doctor.
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 Issues with Seizure Medications For some people using certain medications, generics can be a problem. This is most often a problem with medications in which even a miniscule change in dose can be ineffective or cause side effects. Dilantin (phenytoin) is one of those medications.
1831849 tn?1383228392 I have heard of people taking a little extra or sooner than 12 hours on a big day to feel better and having a seizure. Ampyra was developed at twice the dose the MS Specialists used for all those years so it has more risk. That is why they say you can't take it if you are at risk for seizure.
Avatar n tn Also had some trouble sleeping from about 3am onward. Is this normal on such a small dose? Are there other side effects I should anticipate? Thanks everyone!
535882 tn?1396576685 how does the doc. determine the right dose.. is it all weight.. ex. im a 244 pound man on 175 syntroid. levothroxine.. how do i know what the correct dose should be. going baclk foer adjustment soon., this is too low.
Avatar m tn I lowered the dose when I developed gynecomastia (breast tissue). Avodart has a long half life. Will it still work to help my benign prostatic hyperplasia (BPH)? I have been taking Avodart for 5 years and it has been very helpful.
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 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 m tn 25 milligrams of Klonopin in the morning and 20 mg of Paxil and have been on this dose for 6 yrs. I will take the Xanax for a day or two along with my current meds and will be ok as mentioned for a couple wks to be followed by an episode of dry heaving and anxiety which lasts. I work pretty long hrs during the wk and have a great wife and a young son born last November. The doc says this can be related to stress etc.. That very well can be the case.
535882 tn?1396576685 Sounds like you are hyperthyroid. Yes, it definitely is an adjustment. Make sure that you limit the amount of time that you are exposed to the heat, because it can take a toll on you. Keep hydrated and once you get the thyroid under control, you will notice a difference in your tolerance to heat.
Avatar f tn Yes, you are being too impatient. The 50 mcg is a starting dose. Dependent on the levels of your biologically active thyroid hormones, Free T3 and Free T4, it may take a while to ramp up your meds to achieve symptom relief. In addition, if your doctor only tests for TSH and medicates accordingly, you may never get there.
Avatar m tn I was on it for only one and a half years--after seizures were recorded in the EMU during my presurgical workup they dumped me on a high dose, since you can start off on a high dose--and I have osteopenia, primarily on my upper femur on both sides. As I only recently learned, dilantin is especially bad for premenopausal women (not good for anyone, of course) even if you're on it for only a year, for example.
Avatar f tn I was just wondering if anyone takes different dosages of thyroid meds on different days. The reason I ask is that my doctor changed my dose from 75 mcg of Synthroid to 50 but she wants me to take 2 pills on Mondays and Fridays. The reason for the adjustment is that I was overmedicated based on the below levels: Normal Ranges according to this lab TSH .034 0.450-4.500 Free T4 1.50 0.61-1.
Avatar n tn I had my synthroid dose increased to 112 mcg from 100mcg. I have taking it for a little over 2 weeks. Since than my lips have been burning. My toes feel tingly. My doctor checked my b12 and said it was okay. Ihave been playing phone tag with her snce she does not want to see me. She said she does not know what is causing my lips to burn or why my toes feel tingly. I am disappointed in the doctor's response.
Avatar f tn Hi. Anytime I had a dose adjustment, ie up or down, I experienced pretty tough joint/leg/hip pain . It usually lated about two weeks and then subsided. It was especially bad when laying down at night. I hope my experience helps you. Check with your Dr. it may or may not have anything to do with the dose adjustment. best wishes.