Doctor insights on:
Dilantin Vs Keppra
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
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
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
Will I have a seizure if I swicth from Dilantin to keppra (levetiracetam) I have been seizure free since my teens after I had two gran mal. Dilantin levels only 2.3?
Not likely: The Keppra (levetiracetam) should be started first, and titrated to therapeutic dose, and at that point the Dilantin slowly tapered off over about 10-12 weeks. Your physician should watch you closely thruout this time period. ...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
My doctor put me on 300 of dilatin. 50 lomitrigan...500 of keppra (levetiracetam) in the er...i was told I would be weaned off dilatin. Can I stop taking it?
Do not stop taking any medication until you have discussed the dosage specifically with your physician.
Rapid reduction in serum levels can lead to seizures. ...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
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
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
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
Could be: Everyone responds differently to dilantin. Some get tired, even on smaller doses at lower levels. The head-to-head studies showed that many of the new seizure meds cause less sedation. Discuss with your neurologist. ...Read more
Drug interactions: Pretty much all the ingredients in the over the counter cold medications have some interaction with Dilantin and/or tegretol, including increased liver toxigscity (from acetaminophen) and increased sedation. I would suggest you discuss the problem with your family doctor. Also, look at medlineplus. Gov (the national library of medicine patient education site) choosing drugs. ...Read more
Gabapentin: Some trials have reported a less than 0.1 % occurrence of increase cholesterol and hyperlipidemia associated with Gabapentin use. Dilantin has been associated with increase blood sugars. Please discuss any concerns with your doctor and do not stop taking your medications without consulting your doctor first. Hope this helps. Take care. ...Read more
Yes: Dilantin is dilantin, whether it comes from one pharmacy or another. Cost differences may exist. Reassure your prescription reads exactly as your physician has recommended. Good luck. ...Read more
Dilantin: Dilantin is a drug with a relatively narrow therapeutic index. Meaning, too little and it won't work, and too much can cause toxicity. Physician often will get blood levels of the drug to make sure its in the therapeutic but not toxic range. ...Read more
Metabolism: There is a therapeutic level at which Dilantin is safely effective. This level is usually based on how your body metabolizes the medication. ...Read more
See below: The level does not need to be in the therapeutic range, as long as your seizures are controlled. You should be good. ...Read more
OK, ....: I can only assume your work up for syncope revealed a possible seizure disorder, and the Dilantin was rx'd. Not enough info. Here, . ..Did you get an eeg to DX seizure disorder, were you admitted, did you follow-up with anyone yet post discharge, etc.? Follow-up with your pcp, assure they have the ed records and your hospital stay info, and your questions will be answererd. ...Read more
Lipitor/Dilantin: As prescribed, yes.Get a more detailed answer ›
How do I wean off Dilantin if my levels have only been 3.1 for past 10 years and what causes levels to be low?
Slowly: Dilantin is a long acting drug, meaning that it takes time for levels to stabilize. How to do it depends on whether you are really free of seizures, the current dose and the chances of future seizures. A level of 3.1 may be therapeutic. Low levels depend on the dose, the Dilantin formulation and the ability of your body to absorb the drug. ...Read more
If I take 400mg of Dilantin how much topamax (topiramate) would it take to equal that my dr says 50mh of topamax (topiramate)?
I understand that calcium can effect my Dilantin levels, but I love milk products. I was wondering how much I can have safely.
Please discuss it with your doctor and s/he may wish to monitor your drug levels to ensure that your intake of calcium is not resulting in low drug levels. See this site for info.
http://www. Webmd. Com/drugs/drug-4157-Dilantin+Oral. Aspx? Drugid=4157&drugname=Dilantin+Oral&dmid=1739&dmtitle=PHENYTOIN/ORAL%20CALCIUM&intrtype=DRUG&pagenumber=9 ...Read more
All of a sudden my Dilantin level has dropped and keeps dropping. Normally it stays between 15 & 18. Had a back operation 6 weeks ago.
For past 16 years my Dilantin levels have been 2.3 but have been seziure free as far as I know unless in sleep I have them should I switch meds?
No: If you are seizure free, there is no need to change meds. The only time you should change meds is at the discretion of your physician. Usually this is if the medication you are on is not working to control your symptoms which in your case is not true. Continue to follow your physician recommendation. ...Read more
I take 4 dilantins a day now for 15 years seizure free my levels never go higher than 2.3 my dr said I can cut down to 3 and won't have a seizure?
Worth a try: Even though you shouldn't mess w/what works, if you can be on less meds, that's better. If you have a sz on 3/day, can always go back to 4. There's a chance you've "outgrown " them, so after 3 might be 2....1....? ...Read more
I have trilgiamal neurgia is there a pain meds that will help with this pain? I'm taking 1100. 3 times daily also taking Dilantin 400 mg daily.
Trigeminal neuralgia: Hello, I'm not sure what 1100 3x/day means. What medication? Do you mean 1100 mg? We will need to know what you are taking. Dilantin should help with a medication for breakthrough pain. A visit to a neurologist or possibly a nuerosurgeon can perform a procedure to instantly remove this pain. ...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