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Doctor insights on: Dilantin Vs Keppra

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I want to stop taking Dilantin and keppra (levetiracetam) for seizures. Is this possible?

I want to stop taking Dilantin and keppra (levetiracetam) for seizures. Is this possible?

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 (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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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

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

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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

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***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

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I have Left temporal lobe Epilepsy (caused by Injury) I currently am Taking Dilantin, Keppra, Propanolol, which one is likely to cause Dermatitis?

I have Left temporal lobe Epilepsy (caused by Injury) I currently am Taking Dilantin, Keppra, Propanolol, which one is likely to cause Dermatitis?

All: They all can cause dermatitis and a rash. Strong suggestion is to be evaluated by your doctor who can look at the rash and better understand your history to be able to help discern which may be the causative agent. ...Read more

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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?

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

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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?

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?

Seizure disorder: 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

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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 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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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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Can Dilantin cause memory loss?

Can Dilantin cause memory loss?

Maybe: This is not one of the side effects listed by FDA publications. However, it can cause confusion, which may appear as memory loss. ...Read more

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Can Dilantin be take with riluzole?

Can Dilantin be take with riluzole?

Dilantin: I can think of no contraindication, but consult your neurologist to be on safe side. ...Read more

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How come some kids on Dilantin have bad gums?

How come some kids on Dilantin have bad gums?

Side effect: That is just one of the side effects of the dilatin. It is called dilatin hyperplasia of the gums. Must keep teeth clean to minimize the problem. See dentist every 3 months. ...Read more

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What are the signs of fetal Dilantin syndrome?

What are the signs of fetal Dilantin syndrome?

Several.: Phenytoin is a known human teratogen even in therapeutic doses. It can cuase: fetal arrhythmia, cleft palate, heart defects and psychomotor delay. ...Read more

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I seem to be tired a lot! Could it be my Dilantin level?

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

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What medicine can I take for a cold with Dilantin and tegretol?

What medicine can I take for a cold with Dilantin and tegretol?

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

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Which meds gabpintin or Dilantin that messes with your cholesterol?

Which meds gabpintin or Dilantin that messes with your cholesterol?

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

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If I take generic Dilantin from walmart is it safe to switch to cvs?

If I take generic Dilantin from walmart is it safe to switch to cvs?

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

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What is blood levels for Dilantin mean? It was taken through blood work. ..

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

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Is the levels on Dilantin tell about the kidneys? If not what does levels mean?

Is the levels on Dilantin tell about the kidneys? If not what does levels mean?

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

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It is safe to take Pepcid (famotidine) at least one hour before taking Dilantin 200mg?

Pepcid/Dilantin: Pepcid (famotidine) may increase effects of Dilantin. Taking Pepcid (famotidine) at least few hours before or after Dilantin might lessen that effect. Review with your doctor first. ...Read more

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My doc told me my Dilantin was low. How could I get it to a level where it could be ok?

My doc told me my Dilantin was low. How could I get it to a level where it could be ok?

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

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I went to ER after blacking out for about five min. He perscribed Dilantin 100mg twice a day.

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

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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

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I understand that calcium can effect my Dilantin levels, but I love milk products. I was wondering how much I can have safely.

I understand that calcium can effect my Dilantin levels, but I love milk products. I was wondering how much I can have safely.

Drug levels: 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

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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.

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.

Some advice: Do not have a clue why you are taking Dilantin, but I would not recommend it for any condition. In your age group, complications such as osteoporosis, peripheral neuropathy, and cerebellar atrophy are very real. Do not fret about your levels, find a safer substitute. ...Read more

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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?

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

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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

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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.

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

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Is Dilantin good for adhd?

Is Dilantin good for adhd?

No: It plays no role in the treatment of adhd whatsoever. It is an anticonvulsant. That means that it is a seizure medication. Best wishes. ...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