Phenytoin dosing guidelines
Common Questions and Answers about Phenytoin dosing guidelines
dilantin
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.
) for dosing guidelines, but be sure to check with a licensed physician. Also check ilads (dot) com for Dr Burrascano's treatment guidelines. There may be useful information there. Also did you try searching something like "lyme disease iv rocephin dose"? Checking with an MD is important before proceeding with any such treatment. No one here is medically trained to my knowledge.
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.
Hi there. We don't allow dosing guidelines of medication to be given here. You should check with your doctor for guidance.
No safety or efficacy data are available in patients with renal impairment who received VIREAD using these dosing guidelines, so the potential benefit of VIREAD therapy should be assessed against the potential risk of renal toxicity.
VIREAD should be avoided with concurrent or recent use of a nephrotoxic agent.
s not unusual for people to have to fork out money to pay privately for FT3 and FT4 in U.K, due to the guidelines of the NHS, which often leave patients ill for very long times because labs can't test FT levels if TSH is normal, even if the doctor orders it. Many of our members end up going completely private in order to get the treatment they need.
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.
In my country, Sweden, the recently updated guidelines for geno 3 are that treatment can be shortened to 16 weeks for geno 3s if they are on weight based dosing. However, it is stated in the guidelines that this means 10% lower SVR rate.
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.
BEcca we would love to help but it is ageist the guidelines to give out any dosing instructions best to call a doctor google sub they have a 1-800 # for info good luck and God bless......
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.
In general, the guidelines are double for illness over 100, and 100mg IV (or IM) bolus for surgery, crisis etc.
You should for exercise add salt (AI is a salt wasting disease - the degree that you waste can depend but sweating will make you lose fluids). So keeping hydrated is very important for you - more important than most.
My doc told me it was fine to take Tylenol sinus, stay within dosing guidelines. Also a humidifier and if you don't want to use Vicks on your body (i did no issue) put it in a wax warmer next to you. Feel better!
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.
No safety or efficacy data are available in patients with renal impairment who received VIREAD using these dosing guidelines, so the potential benefit of VIREAD therapy should be assessed against the potential risk of renal toxicity.
VIREAD should be avoided with concurrent or recent use of a nephrotoxic agent.
Call your local pharmacist. We at MedHelp are not allowed to give out dosing instructions. Your pharmacist will be able to tell you exactly how to dose the medications. If your regular pharmacy is closed on Sunday, call any pharmacist availabe at your local grocery store or drug store such as Walgreens, CVS, or RiteAid.
Sophie, I am sorry you are feeling so poorly. It is a violation of our guidelines to provide any information regarding dosing, etc. Go to Suboxone.com and there you can do your research and even find a new doctor.
I hope you get this straightened out soon and it all works out for you. Stick around here for support.
One common problem I see with benzonatate, is that many doctors under prescribe the milligram dosing. The dosing guidelines were changed to reflect a more effective dosing but that info did not reach many of the doctors for some reason. The new dosing is: In children or those under 100 lbs. dosing is 100mg every 4 to 6 hours as needed. For adults dosing is 200-400mg every 4 to 6 hours as needed.
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