Top
30
Doctor insights on: Dilantin Allergy In Children

Share
1

1
What is the definition or description of: Dilantin allergy?

What is the definition or description of: Dilantin allergy?

Dilantin Allergy: Allergic reactions to Dilantin or phenytoin can be manifested by a rash or develop into exfoliating dermatitis, also known as Steven-Johnson syndrome. ...Read more

Dr. John Chiu
2,630 doctors shared insights

Allergies (Definition)

Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more


2

2
What is the definition or description of: Phenytoin sodium allergy?

What is the definition or description of: Phenytoin sodium allergy?

Itching rash: Phenytoin (dilantin) can cause rashes with pruritis (itching). Often these resolve with anti-histamines or steroids. However, in some cases the rash progresses to exfoliative dermatitis, a massive loss of skin that can put the patient into a burn unit. All rashes with anti-convulsants should be treated quickly and monitored closely by the prescribing physician. ...Read more

3

3
How low can Dilantin still be ok?

How low can Dilantin still be ok?

Therapeutic range: When Dilantin is used for epilepsy, we try to keep patients within a range between 10 and 20. Below 10, you might still have some benefit, but as the level drops down to 5 or below, unlikely, that your meds will be very protective. Wise to stay in therapy window. ...Read more

4

4
My Dilantin levels are down to 24 should I still be concern ?

Dilantin: You need to find out what the normal lab levels are for Dilantin as it can vary. In my hospital 10 to 20 is normal so by their scale you would be above the normal maintenance level - the md prescribing the Dilantin should be easily able to answer your query. ...Read more

5

5
Can you tell me what happens when a person takes too much dilantin?

Can you tell me what happens when a person takes too much dilantin?

Toxicity: Not difficult to get toxic on Dilantin due to "zero order kinetics". If this occurs, you will lose balance and coordination, will feel dizzy and maybe nauseated, and have difficulty focusing vision. Readily reversible once levels drop into therapy range. ...Read more

6

6
Should people on Dilantin stay away from grapefruit?

Should people on Dilantin stay away from grapefruit?

No: There are a lot of medications that grapefruit can interact with, but Dilantin is not one of them. If you are on multiple medications, it is always a good idea to review them with your pharmacist to see if there are any potential interactions with each other and with certain foods. On a side note, Dilantin should not be taken with spinach, dairy, or enriched wheat products. ...Read more

7

7
Is it safe to leave Dilantin 100mg capsules in cold temperatures?

Not really an issue: However, Dilantin is a very old drug with lots of short term and long term issues, and the newer meds work far better with less side effects. Just an editorial comment, as I have essentially stopped using this product for years, similar to most neurologists. ...Read more

8

8
What is a normal Dilantin level for someone not taking dilantin? Or is there a level?

What is a normal Dilantin level for someone not taking dilantin? Or is there a level?

None: If you are not taking Dilantin , there should be no levels at all. However, therapeutic levels are between 10-20mcg/ml (blood test). ...Read more

9

9
How do I wean off dilantin?

How do I wean off dilantin?

Yes body knows/respo: Dilantin is prescribed for control of seizures.Too much can cause side effects and body knows when it is too much as blood level goes up body responds with side effects.Same holds true when you take too little, seizures are not controllled.That is the reason to keep the blood level in threpeutic range.So if you are tapering for a reason, your body knows as level falls.Wean off gradually ...Read more

10

10
Is Dilantin good for adhd?

Is Dilantin good for adhd?

No: It plays no role in the treatment of adhd whatsoever. It is an anticonvulsant. That means that it is a seizure medication. Best wishes. ...Read more

11

11
Can Dilantin cause weight loss?

Can Dilantin cause weight loss?

Usually reverse: More typical would be weight gain, but less frequently, might see loss of appetite, especially in liver toxicity, with some degree of weight loss. ...Read more

12

12
Could i take sudafed with dilantin?

Could i take sudafed with dilantin?

Probably OK, but: There will be some trivial hepatic drug interaction, but usually Dilantin level is not affected. However, this could be checked just to be safe. Most likely, no problem here. ...Read more

13

13
Could you take sudafed with dilantin?

Could you take sudafed with dilantin?

No real issue: Likely minimal if any severe drug-drug interaction if taken at usual therapeutic dosing. ...Read more

14

14
What is the treatment for Dilantin overdose?

What is the treatment for Dilantin overdose?

Dilantin overdoserx: Treatment of overdose of Dilantin depends on the level in blood and when was the last dose taken
iv fluids
ng tube to wash out somach(gastric lavage)
activated charcoal
breathing tube(intubation if needed)
mild overdose only needs supportive care and wait
moderate dose with proper care recover within 48to72 hours
severe overdose more aggressive rx if pt in coma &abnormal vital signs, may take3-5da. ...Read more

15

15
Can you take oxycodone while taking dilantin ?

Can you take oxycodone while taking dilantin
?

No interaction: Both suppress brain function. The combo is not contraindicated, but be careful. ...Read more

17

17
Is Dilantin still one of the best drugs to treat seizures?

Is Dilantin still one of the best drugs to treat seizures?

Dilantin: Dilantin is a good medication for seizures. There are newer medications that may have fewer side effects. However, if you have been taking Dilantin for years and your seizures are controlled, I am of the opinion "if it a'int broke don't fix it." ...Read more

18

18
What has more side effects Dilantin or topamax (topiramate) ?

What has more side effects Dilantin or topamax (topiramate) ?

Dilantin: Dilantin has been around long time and is relatively saf, but has more side effects in therapeutic doses than newer med topamax (topiramate). ...Read more

19

19
Can you drink n/a beer taking 3300 daily and. Dilantin 400mg daily?

Yes you can: Yes you can drink non alcoholic beer when you are taking dilantin, we don't know what 3300 number is for. ...Read more

20

20
Anything bad can happen if i taking oxycodone in combination with dilantin?

Anything bad can happen if i taking oxycodone in combination with dilantin?

No: Oral narcotics don't really increase or decrease your seizure threshold. Short term use as prescribed should not be a problem. Remember to maintain your usual Dilantin dose throughout your narcotic course. ...Read more

22

22
If someone suddenly stopped taking Dilantin and seized within 72 hr. Does it prove epilepsy?

Not necessarily: Sudden stopping of any anti-epileptic drug, such as Dilantin could provoke a seizure, even if the drug had been started in a non-epileptic pt. This is non-diagnostic, and other ways to prove or disprove epilepsy are far better. ...Read more

23

23
My Dilantin medication is cause swelling in my gums. Are there any home remedies to alleviate the swelling?

My Dilantin medication is cause swelling in my gums. Are there any home remedies to alleviate the swelling?

Somewhat: It depends how severe. Good dental hygiene is key. Frequent brushing and dental floss, multiple times each day will help. If it is severe, then you will need the help of a dentist, to surgically decrease the increased size of the gums. If untreated, this could lead to tooth loss. If severe, alternate anti-seizure medications should be considered. ...Read more

24

24
I'm on 3300 of gabapentin and 400 Dilantin a day.. Still have some break throughs. Could they raise the Dilantin ?

Need more info: Dilantin has a therapeutic level for seizure control. Too much Dilantin can cause many neurologic and occasionally cardiac problems. Elderly people are more sensitive to the medication than young people. Adjustment of Dilantin is a complex medical problem, best left to your neurologist. ...Read more

26

26
Dilantin level was 5.4 (2) weeks ago, 1.4 today have severe headache only on left side. Feel like funny hard to describe. ?

Dilantin level was 5.4 (2) weeks ago, 1.4 today have severe headache only on left side. Feel like funny hard to describe. ?

See a doctor now: A headache only on the left side could be something as simple as stress or muscle tension. It could also be serious and require treatment. You should be checked by a doctor for temporal arteritis and other vascular problems. ...Read more

27

27
Can you reduce Dilantin from 400 to 300 for 1 month and then 200 then eventually get off? If you don't have any seizures are you good?

Can you reduce Dilantin from 400 to 300 for 1 month and then 200  then eventually get off? If you don't have any seizures are you good?

Perhaps: Since I am not clear why the Dilantin was started, need to be cautious how to proceed. Yes, if you do need to stop, need to taper slowly over 3-4 months. But if you had seizures years ago, check an eeg and get examined and if appropriate taper off under a neurologist's supervision. ...Read more

28

28
Dr wants me to quit Dilantin and take kepra instead for a month and then no more meds seiz free for 14 years after having one. Is this a good idea?

Unclear: If you have been free of seizures for all this time why would you need to take kepra for a month after stopping dilantin? Not sure this scenario makes sense. Is this doctor a neurologist? Have you had an eeg? What were the circumstances for the first seizure? Need more info. See a neurologist if you have not already. ...Read more

29

29
If you did not need Dilantin for seizures wouldnt te levels be high all the time instead of low, I had 2 seizures 14 years ago and level always 3.4?

If you did not need Dilantin for seizures wouldnt te levels be high all the time instead of low, I had 2 seizures 14 years ago and level always 3.4?

Complicated: Drugs used for seizure prevention are best used in sufficient dosages to put a patient into a therapeutic range to best protect against future seizures. Your level seems too low, but the medicine, nonetheless, is likely helping. Talk to your neurologist as to what should be done to optimize your treatment. ...Read more

30

30
I stopped my Dilantin about 3 months ago and I haven't had a seizure in 20 years but now I am unbalanced should I start taking my Dilantin again?

Stopping Medication: Hi

your question is a very good one, but please read carefully. The simple answer would be to restart your medication. But, given the way you describe your question I am worried that you are assuming the new symptoms are just the absence of dilantin.

I would not jump to that conclusion so quickly.

Please get into your favorite health provider's office for a thorough evaluation. ...Read more

Dilantin (Definition)

Dilantin (generic name phenytoin) is a drug that has been used to treat seizure disorders since 1938. It is a sodium channel blocker that is effective in treatment of epilepsy but it has significant side effects. Because of that many newer drugs have been developed ...Read more


Dilantin Allergy (Definition)

Allergic reactions to Dilantin or phenytoin can be manifested by a rash or develop into exfoliating dermatitis, also ...Read more