Phenytoin oral to iv conversion

Common Questions and Answers about Phenytoin oral to iv conversion

dilantin

Avatar f tn Tramadol (Ultram, Ultracet) I copied this from her journal..it looks pretty close to the other conversion charts I have seen..but again..
Avatar n tn 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.
Avatar n tn It is very likely the conversion dosage rate is fine- however since you are going from oral meds to transdermal - it needs to build up in the bloodstream and the tissues so that you are receiving a steady dose. This occurs over the first two or three patch changes and the breakthrough during conversion is usually handled by allowing a small dose of oral meds (5 mg or so of old med) during the first week while changing opiates/delivery system.
Avatar m tn m cold, I developed very severe mood swings that go from very mad to very sad. I started to grow facial hair on my chin, and most recently developed reddish purple marks on my stomach which resemble stretch marks but change shape over time and fade then more appear.
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 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.
603838 tn?1238534975 I have been on a beta blocker (metoprolol) for about 8 years now and I also take Gabapentin to level out my moods. I have read that both of these meds can interfere with conversion of T4 to T3.
Avatar n tn My doctor is recommending cardiac conversion. I do not want to do an invasive procedure if possible. Is there a non invasive option for me?
Avatar n tn Conversions from one opiate to another are typically done reducing the new opiate dose by 20-30% for cross tolerance. Converting from fentanyl back to oral pain meds is a difficult conversion, and may require adjustments by your doctor. Do not adjust the dosage on your own or take more than you are currently prescribed without your doctors permission and guidance.
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.
641819 tn?1240325930 In 2003 at the initial problem walking/balance/fatigue I was told by the neuro that it was conversion disorder. I requested a referal to a phsyc at that time but he refused saying he didn't think it would do any good. I then sought out 2 therapists and a phsyc - all who've helped me a lot, but didn't find anything to support the conversion diagnosis.
Avatar m tn Hi everyone, I'm new to this community. My neurologist just informed me that Osteoporosis and shrinkage of the Cerebellum are very serious side effects for long term users of Dilantin. Does anyone know more about this? I've been taking 500mg of Dilantin for over 30 years since I was a teenager, and now I'm terribly worried. Not one of the neurologists had mentioned anything about this over the years, and now at 46, I've learned that I may have severe osteoporosis.
Avatar m tn well if you used protection then why are you worrying? protection means prevention from hiv .and there was no need to test from the begining but i guess you just wanted to do it for reassurance and i hope you got it.
Avatar m tn Normally, body goes through the process of sero-conversion at about 7-14 days post infection, that's why ARS occurs at that point, it is body's response to the alien interference, the human immunodeficiency virus in this case. A week post sero-conversion, a large amount of infected population would start to yield positive result with an antibody test, i.e III generation test. Most HIV experts would factor a reasonable period to eliminate the possibility of delayed sero-conversion.
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.
948882 tn?1270553807 early research used hepatitis B e antigen (eAg) loss, seroconversion, and biochemical and histologic improvement to document response to treatment. More recently, serum HBV DNA suppression has been used as a marker of response, because initially HBsAg loss was not typically observed in antiviral studies.
Avatar f tn i have took dilantin for many years and this problem has just started for me to. im trying to get my level to stay normal to. i will check out the site that becky found to.
Avatar f tn I has My Conversion Tues. I feel fine except my stomach is bloated so bad its hard to get a breath. Is this a side effect. It may be fluid but I'm not swollen any where else.
Avatar n tn The water in this municipality is horrible tasting and smells to me like pesticide. I use a water filter attached to the faucet.....neither my cats of dog drink unfiltered water. Last night...used up my last filter....AHHHHH! It's an Emergency!!! Gotta go to Store...dehydrating as I type.............. ps Have yet to read article...doesn't sound good. From a biblical standpoint...this is par for the course.....and the bottom line is "SIN".
Avatar f tn 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.
Avatar m tn 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.
Avatar n tn I plan to get another hep c test in the near future but are my negative HIV results whooo hooable or do I have to worry about delayed sero-conversion. i want to believe my negative HIV results so bad!
Avatar m tn But when I get these tongue/oral symptoms, I am shivering. Since it is not common to get these, I am not able to accept the fact that appears on test result. Hence, if you could explain whether at all I was at risk and whether the tongue related issues are related to HIV, It will be of a great great help.
Avatar n tn Admitted to ER for Atrial Fibrillation. Heart rate was around 170, rhythm was ragged. ER administered 4 shocks while I was under sedation. The electro-conversion didn't work, so they administered IV toprol, and sent me on my way. Heart converted to normal sinus rhythm some 30 hours later. Several days later, and I feel like I've been pulled through a keyhole backwards. Is this normal? And is it a result of the electro-conversion, sedation, toprol, or all of the above?