Phenytoin normal levels
Common Questions and Answers about Phenytoin normal levels
dilantin
Hi, is he on some other drugs too because other drugs might decrease the level of phenytoin by enhancing its metabolism via induction of enzymes and can lead to drug drug interction. “Drugs which may decrease phenytoin levels include: carbamazepine, chronic alcohol abuse, reserpine, and sucralfate. Moban® brand of molindone hydrochloride contains calcium ions which interfere with the absorption of phenytoin.
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. Whereas if you are a chronic alcoholic, the phenytoin levels may be lower than expected and can cause seizures. I suggest you consult with your neurologist in this regard. Hope this information helps. Take care.
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.
I was then lowered to 200mg which I could handle quite well. My levels were checked in Feb.08 and the levels were low at 29, my Dr. raised the dose to 250mg wich moved my levels to 55. which she said was good. In a short time of being on that I started to get the same side affects as on the 300mg. My Dr. told me to go back to the 200mg and she would have to talk to my Neurologist, I just had blood work done again and my phenytoin level come back at 2. How is that possible?
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.
Hi there. 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.
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.
t come back as a surprise to her considering after the blood work came back my LFTs came back elevated so my alt and ast levels as well as albumin levels were high. I also found out I am pre diabetic and my platelets had dropped from 247 to 177 in a month. I am not sure how I could be pre diabetic considering I lift weights and do cardio six days a week along with eating healthy but my spleen and liver were enlarged based on physical examination.
High levels of bilirubin in the blood may be caused by:
Some infections, such as an infected gallbladder, or cholecystitis.
Some inherited diseases, such as Gilbert's syndrome, a condition that affects how the liver processes bilirubin. Although jaundice may occur in some people with Gilbert's syndrome, the condition is not harmful.
Diseases that cause liver damage, such as hepatitis, cirrhosis, or mononucleosis.
Does prednisone effect dilantin and lamictal levels? I've been on dilantin and lamictal for over 5 years for seizures. I'm being tested for autoimmune hepatitis, I just had a liver biopsy. I don't want to take a chance on having a seizure.
I believe that the benefits pf statins outweigh the risks and have altered my eating lifestyle so to nearly exclude carbohydrates. This has enabled me to continue statin regime while keeping my fasting blood glucose levels at acceptaptable unmedicated levels. My wife on the other hand continues to take Metformin while on the statin drug.
black female 46 with exessive hair growth (chest, chin, upperlip been tested all came back normal not sure what test was done only know it was a hormone levels test no sonogram i have been shaving for years because cant find the source of the problem i have develop hyperpigmentation and holes and my face what can i do to get rid of it and is it wise to keep searching for a solution to my problem i have seen a (endrocrinologist, gyn) i have not seen a dermatologist
The only antibiotic that has ever been shown to interfere with birth control levels and effectiveness is a medicine called rifampin which is used to treat tuberculosis. Rifampin may also interfere with the birth control patch and vaginal ring so if you are taking it, be sure to use a back-up, non-hormonal (i.e. condom) form of birth control.
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..
Sure enough, I had a full fledged grand mal for the first time in 18 years. My blood levels showed I was low (well below the desired 10 to 20). Can anyone tell me why the generic works different than the brand name? I've heard they use different bonding agents for the capsules as one possibility.
elevated levels of ALT do not automatically mean that medical problems exist. Fluctuation of ALT levels is normal over the course of the day, and ALT levels can also increase in response to strenuous physical exercise.[1]"
(http://www.aafp.org/afp/20050315/1105.html)
"A thorough medical history and physical examination are the cornerstone of the evaluation of patients with mildly elevated liver transaminase levels.
No idea if, when or how to lower bilirubin levels. I do know that lower SGPT levels are better than higher. What is the normal range listed on your test results for these tests. What does your doctor say?
I did find this on a medical web site
High levels of bilirubin in the blood may be caused by:
Some infections, such as an infected gallbladder, or cholecystitis.
Some inherited diseases, such as Gilbert's syndrome, a condition that affects how the liver processes bilirubin.
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