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Doctor insights on: Dilantin Overdose In Children

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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

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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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

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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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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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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

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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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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 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

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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

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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

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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

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Could Dilantin be used for bipolar disorder?

Could Dilantin be used for bipolar disorder?

No: Dilantin has not been proven effective for bipolar disorder. Some anticonvulsants have including valproic acid, carbamazepine, and lamotragine. ...Read more

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How effective is Phenytoin (Dilantin) for treating epilepsy?

How effective is Phenytoin (Dilantin) for treating epilepsy?

Can be effective: Phenytoin is one of the oldest patent medicines used to treat epilepsy. It has been an effective treatment. Due to its sedating effect and other side effects, newer agents have replaced it as a first line treatment. It continues to be an effective alternative treatment. ...Read more

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What should I expect from a Dilantin level dropping in pregnancy?

What should I expect from a Dilantin level dropping in pregnancy?

Problems: Dilantin is difficult to use at any time but especially during pregnancy. Dilantin total level may be low, but free Dilantin adequate or even high. Dilantin can cause birth defects and can affect birth control. It is becoming apparent that it is an old drug that should not be used too often - especially in young women. ...Read more

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Had convulsions as a child, put on dilantin, then stopped since no epilepsy. Could it have damaged me?

Unlikely: Not too infrequently, seizure medicine (antiepileptics) can be tapered off in children if they have not experienced seizure for two years and brain wave test (eeg) became normalized. Any damage? Unlikely except for common side effects of dilatin. ...Read more

Dilantin Overdose (Definition)

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


Overdose (Definition)

When the maximum dose of medication ...Read more