Doctor insights on:
Dilantin Infatabs Medication
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
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
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
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
Other than phenytoin sodium/dilantin, what other working anti-epileptic drugs are there to control seizure?
Quite a few: At least a dozen. Selection is based upon many factors and is best discussed with your treating neurologist. ...Read more
Mother drinking, smoking, taking dilantin, Valium pretty strong, ad a questionable pegnancy drug 1965. Could this cause brain chemical imbalance.
Many things combine: In our lives many partake of many things that are not good for us and they impact our entire body. As part of our body, the brain is not immune - but there's no reason to search for a prime culprit. If your Mom's mental health is a problem, a good psych eval and treatment is the important thing. The questionable substances may be addressed in such therapy. Try not to strengthen her defensiveness. ...Read more
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
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
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
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
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
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
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
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
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
Dilantin: Adding biotin to Dilantin or Capozide should be perfectly safe. Allergies to biotin are extremely rare. ...Read more
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
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
I have been taking generic Dilantin from cvs now I wanna switch to walmart. Is walmarts any different or will it be safe?
No difference: Chances are that they both get the drug from the same manufacturer you might inquire who their manufacturers are. ...Read more
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...
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.?
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?
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
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
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
Complex: Yes, you physician needs to be aware of your concern. ...Read more
Maybe more: Your doctor should be measuring the level in your blood to see if you can take more if you need it to reduce the pain. If not, there are many other meds to try. ...Read more
I take 400mg of Dilantin a night my dr wants to cut me back down to 300mg will my body know the difference in mgs.?
Best to measure.: Your body doesn't really know anything that's why we measure Dilantin levels. I am sure that your doc is either lowering the dose because your serum level is high or because you are tapering off this med. I am not sure which. You should check with them. ...Read more
Does your body have any clue if you tapper off Dilantin slowly like going from 400mg to 300mg for a month and so on?
No: I assume you are taking Dilantin for epilepsy. Your level will stablize at a new level following 5 doses of 300 mg. Theoretically, if you remain in the therapeutic range at this new dose, you should be protected. The question is, what is your goal, to wean yourself off Dilantin without other AED protection, or a slight reduction in dilantin? The former is dangerous-could develop status epilepticus. ...Read more
If I take 400mg of Dilantin a day and cut it down to 300 a day because the 400 didn't raise the level from 2.3 will my body know the difference?
No, not really: Dilantin exhibits zero-order pharmacokinetics; the rate of clearance of the drug is dependent upon the concentration of drug present. Therefore, Phenytoin does not have a classical half-life like other drugs, since it varies with blood concentration. As the blood concentration drops, the rate at which it is excreted increases. Speak with your neurologist if this is the right medication for you. ...Read more