phenytoin dosing weight

I have been taking Eptoin for the last 3 months. I have gained around 5kg of weight since then. I feel dizzy and I believe my energy levels have gone down. I want to know, are these the side effects of Eptoin? Should the consumption of Alcohol strictly be avoided or a few drinks occasionally in social gathering will not do any harm?

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 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.

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.

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.

Would any of these diseases contribute to sudden weight loss? I have been close/over 350 lbs for years, but in the last several months I have dropped a significant amount of weight. I'm down to 287. (20 lbs in the last four weeks alone.) I wish I could say it's because I'm exercising or eating right... but I'm not. I've made no change to physical activity or diet. Any suggestions?

If other signs like fever, weight loss , tiredness and weight loss are accompanying painful lymph node, you better rush to the hospital, could be the indication of serious infection,.

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..

That dosage seems a little on the low side. I'd be checking if your NP is going by a flat dosage ribavirin chart or a weight-based dosage (WBD) ribavirin chart. For Schering-Plough and at that weight, I'm thinking you'd be better off at 1000mg of Riba. That's my humble opinion on it. An article on the differences in results between FD and WBD, just in case that's what she's going by. http://www.medscape.com/viewarticle/563799 As long as you can handle it ..

When RBV is combined with PEG-IFN alpha-2a, relatively small reductions to 800 mg/day lead to significantly lower rates of SVR (5). Similarly, a large comparative trial of fixed-dose RBV compared with weight-based dosing in combination with PEG-IFN alpha-2b demonstrated that stratifying patients of all genotypes to receive starting doses ranging from 800-1400 mg/day depending on weight effects higher SVR rates than using a fixed dose of 800 mg/day for all patients (7).

Can someone tell me the dosing for HC cream if using the cream instead of tablets? I remember the gram weight I think but not how often to use. Is it once a day or several times like the tablets?

s way of dosing insulin is rather old-fashioned and there are new dosing regimes that can be more effective. Such as dosing your insulin to give a basal level, and then dosing based on carbs/fat/and protein in every meal. There is good information on line and website that offer support and information for lower carb diets and diabetes management. Please send me a message directly to my mailbox and I'll send you a link to a support community, if you are interested.

137 Synthroid for four year before TAH with the typical problems after hysterectomies (weight gain, fuzzy thinking, blahs). Began HRT with bio-identicals with less than good results. After a year of that, the OB put me on estroidal as my estrogen was way low, but I kicked it after three days of headaches, four pounds gained, and lack of desire. SO, finally found a new pharmacy that took a look at my BHRT, told me I was on therapeutic dosage found in dept stores (paid 90 bucks a month for that!

If you are on triple therapy for genotype 1 and undetectable then your doc is following AASLD protocol for anemia management Anemia developed among recipients of both PIs. Hemoglobin decreases below 10 g/dL (grade 2 toxicity) occurred in 49% of patients who received a BOC regimen compared to 29% of those who received the SOC regimen, whereas 9% had a hemoglobin decline of <8.5 g/dL (grade 3 toxicity).

I was on Dilantin for about 30 years and I went to a new doctor because I moved. The first thing he said to me was "we have to get you off of Dilantin" he had taking xrays of my brain and he saw that half of my brain was shrinking. He slowly took me off of Dilantin and put me onto Keppra. Ever since I have been on Keppra things have be better. I still have small seizures but not many and they are under control...........Please get off of Dilantin and onto Keppra.

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 am in a trial that will be comparing ribavirin dosing, weight based compared to concentration controlled based on AUC 0-12 after first dose. http://clinicaltrials.gov/ct2/show/NCT01097395?

I was diagnosed with secondary autoimmune adrenal insufficiency in December. I feel lousy most of the time, have chronic abdominal pain and abnormal stools, and feel best flat on my back...which doesn't work well for someone who works 12 hour shifts in a busy ER while selling one house, building another, and has 2 teens and a disabled husband, lol. Here's my question. If a person has say diabetes, their meds are based on their blood sugars.

Has anyone's Dr. recommended double dosing? I was under the assumption that it was a personal choice people made and did on their own. If I don't decide to go with a trial, my Dr. wants me to double dose peg 180 mg 2x per week and 1400-1600 copeg (weight based) for 4 weeks. If RVR at 4 weeks, continue SOC for a total of 48 weeks. If no RVR, continue double dosing until week 12, the SOC to 72 weeks.

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.

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.

ve been found to have extremely low cortisol and have been following the dosing chart on *************************. Basically every 3 or 4 days you increase by 2.5mg if you haven't seen it. Initially I was feeling slightly better on one dose of 2.5mg each morning then a day or two after being on two doses of 2.5mg I started to feel very spaced out, dizzy, exhausted and confused. I read somewhere that ideally you should raise your dose every 2 weeks or so. Would you agree with this?

Phenytoin dosing weight

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