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Doctor insights on: Phenytoin

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Dr. Andrew Mezey
216 doctors shared insights

Phenytoin (Overview)

Phenytoin is the generic name for the common anti-seizure medication known as dilantin.


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What is phenytoin sodium and Depakote risk for fetus?

What is phenytoin sodium and Depakote risk for fetus?

These meds a problem: Both meds are listed as category "d", known to have adverse effects on the fetus.(iugr, bone changes, small head, mental retardation) the phentoin is regarded as the worse of the two. Most ob's would chose to have you on one of the newer meds with less risks. ...Read more

Dr. Andrew Mezey
216 doctors shared insights

Phenytoin (Overview)

Phenytoin is the generic name for the common anti-seizure medication known as dilantin.


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Is it safe to take phenytoin while pregnant or breastfeeding?

Is it safe to take phenytoin while pregnant or breastfeeding?

No: Phenytoin use during pregnancy has been associated with many fetal abnormalities including, head and facial abnormalities, brain abnormalities, and development delays. "fetal hydantoin syndrome" is a disorder in infants characterized by many of these abnormalities. ...Read more

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What side effects does phenytoin have?

What side effects does phenytoin have?

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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Are the meds Chlorpromazine,Haloperidol, metoclopramide, phenytoin,valproic acid,&carbamazepine safe to eat to treat frequent hiccups.How long to take?

Are the meds Chlorpromazine,Haloperidol,
metoclopramide,
phenytoin,valproic acid,&carbamazepine safe to eat to treat frequent hiccups.How long to take?

Not all of them: Usually ALL those drugs is not not safe for hiccups. All those medications used alone have been used in the past for hiccups and are relatively safe though there may be some side effects. ...Read more

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What is the effect of having alcohol(sometimes intense) with phenytoin sodium medication course going on(300mg/day)? Please answer precisely

What is the effect of having alcohol(sometimes intense) with phenytoin sodium medication course going on(300mg/day)? Please answer precisely

Off label opinion: Would propose that consumption of one or two drinks in 24 hrs would be unlikely to cause severe problems, but Phenytoin is a rather troublesome drug, as has zero order kinetics, and alcohol and Phenytoin can interact, which would create a problem with drug level fluctuation. Would discuss in further detail with your neurologist. ...Read more

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What are issues caused by low phenytoin levels?

What are issues caused by low phenytoin levels?

Recurrent seizures: If Phenytoin is being used for the treatment of epilepsy, low levels ie. Less than 10, put you at increased risk of seizure recurrence. If your seizures have been well controlled on phenytoin, purposefully decreasing the level may endanger your driving privileges etc. Low Phenytoin levels may be due to low albumin, a poor diet, dialysis or competing drugs. This can be checked(free Phenytoin level). ...Read more

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Will someone please describe the symptoms of phenytoin?

Will someone please describe the symptoms of phenytoin?

Many adverse rxns.: Drugs don't have symptoms-they are adverse reactions and Phenytoin has serious and common events. Serious:suicidality, stevens-johnson syndrome, anaphylaxis, hepatotoxicity, deceased platelet count, whiteblood cell count or across all blood lines, etc. Common rxns:nausea, vomiting, rash, slurred speech, tremor, gum hyperplasia, coarse facial features, ataxia, confusion etc. There are others in both. ...Read more

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Phenytoin free level is @ .9 normal is 1.0-2.0.Should I worry?

Phenytoin free level is @ .9 normal is 1.0-2.0.Should I worry?

No cause you always: treat the person and not just the lab. If you are well without a seizure recurrence then you should not worry. Just remember that alcohol and over-the-counter medications to have an influence on your Dilantin. Be well and best wishes. ...Read more

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Is phenytoin more effective when taken orally or via injection?

Is phenytoin more effective when taken orally or via injection?

Efficiency: Intravenous phenytoin will affect faster than oral due to the need for the latter to be absorbed in the GI tract. Once therapeutic levels are achieved, either orally or intravenously, the effect is equivalent. ...Read more

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What side effects does phenytoin have?

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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Why phenytoin considered nonsedative antiepileptic?

Why phenytoin considered nonsedative antiepileptic?

Phenytoin: Not sure what you mean. Phenytoin is not considered to be a sedative by definition. This stands for the fact it doesn't possess properties that inhibit the brain in such a way as to induce relaxation, drowsiness, somnolence, calming. ...Read more

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What can be done to reduce the side effects of phenytoin?

What can be done to reduce the side effects of phenytoin?

Dilantin: There are a number of side effects with phenytoin, notwithstanding the kinetics of metabolism. Rather than trying to manage this, there are a number of medications that can be transitioned to, such as Lamictal or Keppra, which could be better particularly in your age group given the extended release forms. Suggest you speak with your doctor regarding the potential to be changed over. ...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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Could 1600mg tramadol, 5000mg of phenytoin, and a bowl of weed kill you?

Could 1600mg tramadol, 5000mg of phenytoin, and a bowl of weed kill you?

I can't provide: You with information that you will use to try to kill yourself. Please get help. Please be seen at the nearest emergency room now. Have a friend or relative drive you. If need be, you can call 911 for emergency services ; they can provide transport. When a person is depressed they often feel despair ; come to believe that things can't get better. But there is hope. Allow others to provide you w. ...Read more

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Extended phenytoin sodium what does this do?

Extended phenytoin sodium what does this do?

Prevent seizures: Phenytoin (or dilantin) is an anti-seizure medication that is also used for some types of nerve pain. While very effective, it has a number of nasty side effects with longer term use, and many physicians are trying to transition patients away from it. ...Read more

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Is there an extended release form of epilantin (phenytoin sodium)?

Yes Eplantin is: Yes it is extended release formulation.Epilantin is extended release form of dilantin. ...Read more