Doctor insights on:
Dilantin Vs Keppra
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
Keppra (levetiracetam) weaned down?: So you're taking keppra (levetiracetam) and you want to stop taking it. Have you discussed this with the doctor who is prescribing the keppra (levetiracetam)? Have you asked your doctor the post question? Please repost and state your doctor's answers to your questions; or, if you haven't asked your doctor, please state why not. ...Read more
Duration: Depakote er is a branded drug which can be taken once daily. Steady drug levels are maintained, and adverse events may be lower due to lack of peaks in the blood stream. There are now generic forms of immediate release "depakote", but these must be used two or three times daily to achieve a consistent effect. ...Read more
With Your Doctor: Weaning off of Keppra (levetiracetam) will depend on the dosage and length of time on the medication. It would be tapered down, much the same as it is generally started. Because of complications, it should only be done under your doctor's supervision. It is not something to try on your own at home. ...Read moreSee 1 more doctor answer
Racing thoughts: If the racing thoughts are from bipolar disorder, Depakote is probably the best. Keppra (levetiracetam) has been studied in bipolar depression, but the results have not been so good. http://www.ncbi.nlm.nih.gov/pubmed/21034692 Lexapro and Celexa are both antidepressants which could worsen bipolar disorder if given by themselves without a mood stabilizer like depakote. ...Read moreSee 1 more doctor answer
What has more side effects Dilantin or topamax (topiramate) and can topamax (topiramate) cause seizures?
Jeff24, U need 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 abit. Topamax (topiramate) is actually used to treat both seizure and migraine. Jeff24, call your doc and make an appointment for follow-up. I think you have obscessive-compulsive-disorder. Good luck. ...Read more
Any suggestions on which medication is stronger, keppra (levetiracetam) from 1 g or lamictal 100 mg?
Dose vs mechanism: I'm not sure you can compare dose in two seizure meds that have different mechanisms of action. 3000-4000 mg a day for Keppra (levetiracetam) is the ceiling dose in 90 percent of adult patients. Lamictal titration is limited by the risk of developing stevens johnson syndrome ( i start with 25 mg twice a day and don't increase it any faster than 25 mg in 2 week increments up to 150 twice a day). Others go higher. ...Read more
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
Depends upon: Whether your spells are well controlled. If you have been seizure free for several years, perhaps only one medication is needed. But you cannot safely suddenly stop both meds, as you risk "status epileptics". An eeg may be useful in guiding future decisions, so, discuss with your doctor how to proceed. ...Read more
Took 400 mg of Ibprohen for a week just found out I'm pregnant should we worry? She's also taking keppra (levetiracetam) Dilantin 100 mg each twice a day
Seizure disorder: Stop taking the Ibuprofen. IF you are taking Keppra (levetiracetam) and Dilantin then it is likely that you have a seizure disorder. This makes the pregnancy high risk and it is important that you schedule an Obgyn evaluation promptly. Folate 4 mg daily should be taken. ...Read more
***SEIZURE DOCTOR*** I had an EEG done. I was on Lamictal, Keppra, (levetiracetam) and Dilantin IV Drip. Will those meds cause the EEG to give an inaccurate result?
Usually we stop meds: In our hospital setting we generally ask patients to stop their anti-seizure medications a couple of days before an EEG unless it is absolutely critical and impossible to stop their medications. So the answer to your question is YES....it is possible that the EEG will be less sensitive to actual electrical abnormalities which are being masked by the medications. ...Read more
I have Left temporal lobe Epilepsy (caused by Injury) I currently am Taking Dilantin, Keppra, Propanolol, which one is likely to cause Dermatitis?
Please repost: Levetiracetam has no effect on the liver. Phenytoin CAN affect the liver, but other medications may affect this. Please repost and state what answer the prescriber of your anticonvulsants gave you to your questions; or, if you have not asked that person (who would seem like the natural person to ask), please state why not. ...Read more
My husband is on brand keppra (levetiracetam) and dilatin (been on dilatin over 28 years) no seizure for 12 years can we switch to generic, keppra (levetiracetam) brand to expensive?
Antiepileptic: Really need to speak to your doctor. Drugs which require specific levels in the serum in order to be effective may behave differently in generic form and require further adjustment. That being said a generic is certainly an option. ...Read more
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 moreSee 1 more doctor answer
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
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
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