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Doctor insights on: Dilantin For Migraines

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I've read about things like IV Ketamine or IV depakote or Dilantin as a treatment for intractable migraine that has been unresponsive to all other treatments. I've tried "all other treatments." (except botox)Anyone have knowledge of these or other?

I've read about things like IV Ketamine or IV depakote or Dilantin as a treatment for intractable migraine that has been unresponsive to all other treatments. I've tried "all other treatments." (except botox)Anyone have knowledge of these or other?

Anticonvulsants, no;: I too have them and created a checklist of all the things I do before taking any prescription drugs. You might be able to find (search Managing Migraines) it at https://www. Healthtap. Com/expert/tips. Do find a neurologist who is interested or specializes in headaches. And do try Botox before you consider these other agents, unless the neurologist thinks they may well work for you. Good luck! ...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


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Been seizure free for 14 years on Dilantin levels only 3.1 dr said he is switching me to topomax for migraines too is this safe will it give me seizur?

Been seizure free for 14 years on Dilantin levels only 3.1 dr said he is switching me to topomax for migraines too is this safe will it give me seizur?

Jeff24, get help: I see that you posted many questions all related to your "seizure" which you may have had 14 yrs ago. Despite multiple answers from different docs, you are not satisfied and seem to obsess about this issue quite a bit. U have constant fear of this, which has not occured in 14 yrs, I think you need help--likely med and/or therapy to help you get over this fear/obsession. Consult doc. Good luck. ...Read more

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What are the side effects of dilantin?

What are the side effects of dilantin?

Short and long term: The most common reactions in the short term are nausea, sedation, and ataxia (difficulty with coordination). Over long periods of use, however, Dilantin has multiple serious side effects, including causing osteoporosis, overgrowth of the gums, anemia, and tremor- these can sometimes persistent even after the medication is stopped. ...Read more

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What are the signs of Dilantin toxicity?

What are the signs of Dilantin toxicity?

Many: Most characteristic is dizziness, gait imbalance, incoordination, eye nystagmus causing objects to jump, but may see a bit of nausea, even confusion, and generalized fatigue and malaise. ...Read more

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Is it true that Dilantin has aspartme in it?

Probable hoax: Despite the internet stories, aspartame does not appear on any official list of ingredients for dilantin. The allegations referred to in internet stories are unable to be confirmed, and the society, the foundation, and the individual making the allegations all appear to be one and the same. I consider this to be a hoax until proven otherwise. ...Read more

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What are the effects of phenytoin (dilantin)?

What are the effects of phenytoin (dilantin)?

Dilantin Effects: Following side effects
dizziness, drowsiness, headache, vomiting, trouble sleeping, nervousness
severe allergic reaction, bone pain, irritability, slurred speech, unusual eye movements, toredness and weakness
swollen&tender gums, ataxia, liver problems, loss of appetite, yellow skin or eyes, unusual muscle movements, swollen lymph nodes. ...Read more

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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

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Is Dilantin a safe drug. Does it deleped your sodium?

Is Dilantin a safe drug. Does it deleped your sodium?

Dilantin: Dilsntin is available as Dilantin sodium.As such it does not deplete sodium. It can however, cause osteoporosis or hypothyroidism among other side effects. ...Read more

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What is the definition or description of: Dilantin overdose?

What is the definition or description of: Dilantin overdose?

Dilantin Toxicity: Overdose or toxicity with Dilantin presents with altered brain function - encephalopathy, ataxia or in coordination of the limbs and trunk, nystagmus, lethargy and if very high, cardiac arrhythmia. ...Read more

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Can I take homeopathic cold syrup (Boiron) while on dilantin?

Can I take homeopathic cold syrup (Boiron) while on dilantin?

Yes: You certainly can, because Dilantin and Boirin = Dilantin and nothing. You’re throwing away your money. Homeopathic remedies are nothing but very expensive water. Homeopathy is 100% quackery. And don’t be duped by any crackpot homeopath who claims that homeopathic remedies are better because they have no side effects. A drug that has no SIDE effects
almost certainly has no EFFECTS either. ...Read more

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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

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What is the definition or description of: side effects of dilantin?

What is the definition or description of: side effects of dilantin?

Plenty of those: Ongoing side effects might include gum hypertrophy, coarsening of facial features, vertigo and imbalance, interactions with other medicines, problems with calcium and vitamin d, but chronic problems might include liver toxicity, osteoporosis, peripheral neuropathy, cerebellar degeneration, and worsening of myoclonic seizures and absence seizures. ...Read more

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I take capazide and Dilantin will hurt if I take 5000 mg of biotin?

I take capazide and Dilantin will hurt if I take 5000 mg of biotin?

Dilantin: Adding biotin to Dilantin or Capozide should be perfectly safe. Allergies to biotin are extremely rare. ...Read more

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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

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Can you tell me the side effects/problems you can have from taking 400mgs of dilantin?

Can you tell me the side effects/problems you can have from taking 400mgs of dilantin?

Dilantin: Some are tremor, sedation, double vision, low blood counts, overgrowth of gums, itching, excess hair growth, decrease bone density, suicidal behaviors. ...Read more

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What signs can I look for possible Dilantin high levels? I give only what is prescribed at the certain hrs set-up.

What signs can I look for possible Dilantin high levels? I give only what is prescribed at the certain hrs set-up.

Dilantin side effect: Your question seems to be asking the signs and symptoms of Dilantin toxicity. These may occur when the Dilantin levels are higher than the recommended therapeutic range. Some of these symptoms include nystagmus (twitching of the eyes), sleepiness, nausea/vomiting, difficulty with speech (slurring), trouble with balance, bleeding of the gums. These symptoms can be reversed by decreasing the dose. ...Read more

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I have trilegimal nerugia 3300 mg daily 400 mg a day of dilantin. How high can they raise the Dilantin? I'm having break through shocks...

I have trilegimal nerugia 3300 mg daily 400 mg a day of dilantin. How high can they raise the Dilantin? I'm having break through shocks...

Tried anything else?: Carbamazepine? Gabapentin? Have you been offered gamma knife surgery? There are many options. I'm surprised Phenytoin was the first-line medcation. ...Read more

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For the first time in over 20 years my Dilantin levels have spiked to 91, why. I was taking 400 mg a day. I recently had major surgery and I am 59.?

Other med: An additional med related to the condition for which you had surgery may be the culprit. Liver function changes also should be considered. ...Read more

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Does your body have any clue if you tapper off Dilantin slowly like going from 400mg to 300mg for a month my level is always only 3.5 14 year seiz fre?

Yes: Being seizures free for 14 years is reassuring, but if your eeg still show epileptic discharges you are at risk--level of 3, 5 is low and will get lower if you decrease your dose, but that does not mean, it is not working meaning protecting you from seizures--
only your neurologist who know about all your seizures and studies, can assess your risk--just don't decrease the dose on your own--. ...Read more

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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

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Can Dilantin be taken by snorting it?

Can Dilantin be taken by snorting it?

Please don't: Dilantin is difficult to take by conventional method. It is extremely irritating if infiltrated into the skin or injected into a vein and is poorly absorbed in any setting. Snorting it will probably produce a severe irritation that will cause more problem without benefit. ...Read more

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Please describe the medication: dilantin?

Please describe the medication: dilantin?

Anticonvulsant: 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 over the past 70+years. ...Read more

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What is the therapeutic range of dilantin?

What is the therapeutic range of dilantin?

Typical values: The so-called therapeutic level is but a guideline, and some patients may do better outside the usual range, but typically best between 10-20, with higher more toxicity and lower, perhaps less potency. ...Read more

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Can a person person take too much dilantin?

Can a person person take too much dilantin?

Definitely: Dilantin is an anti-epilepsy drug which was developed over 75 yrs ago, and has many potential problems. Due to metabolism, drug levels can easily rise with weight loss, dosage adjustment, and drug interactions. If toxic, the drug can cause dizziness, imbalance, falling, and incoordination. Long-term usage has been reported to cause problems with brain and periph nerves. ...Read more

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What is the sytpmons of toxin city from Dilantin?

What is the sytpmons of toxin city from Dilantin?

Many: Loss of balance and incoordination, intention tremors of arms and legs, possible nausea and anorexia, perhaps dizziness, and falling. A blood test will reveal the Dilantin level and pinpoint the problem. ...Read more

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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

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What causes Dilantin levels to stay low if meds are being taking?

Metabolism: Some people metabolize medications differently, so levels will be tested for and the medications can be adjusted to confirm therapeutic levels are achievable for treatment. Best wishes. ...Read more

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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

Dr. Dariush Saghafi
1,882 Doctors shared insights

Migraine (Definition)

A type of headache that is associated with throbbing localized pain and usually causes light ...Read more