Top
30
Doctor insights on: Phenytoin Medication

Share
1

1
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

Dr. Andrew Mezey
216 Doctors shared insights

Phenytoin (Definition)

Phenytoin is the generic name for the common anti-seizure ...Read more


2

2
Please describe the medication: phenytoin?

Please describe the medication: phenytoin?

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

3

3
Which drugs other than phenytoin and carbamazepine cause fetal hydantoin syndrome?

Which drugs other than phenytoin and carbamazepine cause fetal hydantoin syndrome?

Birth defects: This syndrone is specific to those drugs. That is, although you can find the individual defects in other conditions with different causes, when they are found in a baby from a mother that has taken phenytion, they are called fetal hydantoin syndrome. ...Read more

5

5
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

6

6
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

7

7
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

8

8
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

9

9
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

10

10
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

11

11
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

12

12
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

13

13
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

14

14
Are there issues between taking phenytoin and tinzaparin or warfarin?

Are there issues between taking phenytoin and tinzaparin or warfarin?

Can occur: Medicine interactions are common. Talk with a pharmacist about interactions between your meds. ...Read more

15

15
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

16

16
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

18

18
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

19

19
Does Phenytoin can protect from Multiple sclerosis attacks? Because I read it can reducing the Nerve signals and I read that in the medical news

Does Phenytoin can protect from Multiple sclerosis attacks? Because I read it can reducing the Nerve signals and I read that in the medical news

No: Dilantin is a great medication for seizure and sometimes used for off label neuropathic pain. Etiology of multiple sclerosis remains unknown but all of the medication aims at suppressing immune system with exception of one. So perhaps that's what they meant, used to treat neuropathy in ms pt? There are all sorts of studies going on. It's truly an exciting field!!! ...Read more

20

20
Post cerebral concussion, will I need phenytoin?

Post cerebral concussion, will I need phenytoin?

Most likely not: In the absence of seizures after a minor traumatic brain injury, "prophylactic" treatment with anti-seizure medications is not recommended because there are side effects from medications like dilantin. Furthermore, the incidence of seizures is low after the 1st week. If there was coma, structural damage seen on ct or MRI scans, or surgery done, this may change the need for the anti-seizure meds. ...Read more

21

21
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

24

24
Can phenytoin treat epilepsy and can help slow the effects of parkinsons, is this true?

DIFFERENT DISORDERS: Phenytoin was one of the earliest medications used in epilepsy, and remains a current anti-epileptic drug even after approximately 80 yrs. However, it has no role in treating parkinson's disease, and furthermore, has a very limited role in clinical neurology in view of newer modern medications. So it can treat epilepsy, but not parkinson's disease. ...Read more

25

25
What to do if I have heard that phenytoin to treat epilepsy can help slow the effects of parkinsons, is this true?

What to do if I have heard that phenytoin to treat epilepsy can help slow the effects of parkinsons, is this true?

Not true: Phenytoin is a drug of the 1930's, and has potential issues, and is not my first choice for epilepsy. Has no utility in treatment of Parkinson's disease. ...Read more

26

26
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

27

27
What is the definition or description of: Phenytoin sodium allergy?

What is the definition or description of: Phenytoin sodium allergy?

Itching rash: Phenytoin (dilantin) can cause rashes with pruritis (itching). Often these resolve with anti-histamines or steroids. However, in some cases the rash progresses to exfoliative dermatitis, a massive loss of skin that can put the patient into a burn unit. All rashes with anti-convulsants should be treated quickly and monitored closely by the prescribing physician. ...Read more

28

28
I take phenobarbitone and phenytoin sodium tablets can they effect pregnancy?

I take phenobarbitone and phenytoin sodium tablets can they effect pregnancy?

Anticonvulsants: Both Phenobarbital and Phenytoin are anticonvulsant drugs. Anticonvulsant agents have been shown to affect fetuses and can cause birth defects. If you are taking these drugs, you should speak with your doctor regarding planning a pregnancy and what drugs you can safely use during pregnancy. ...Read more

29

29
I take phenobarbitol and phenytoin sodium. Effect on pregnancy?

I take phenobarbitol and phenytoin sodium. Effect on pregnancy?

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

30

30
7 days ago I had head injury. My city scan report was normal. But doctor tell me phenytoin 100mg and clonazapum. 25for long time I afraid please help me

7 days ago I had head injury. My city scan report was normal. But doctor tell me phenytoin 100mg and clonazapum. 25for long time I afraid please help me

Seizures: I suggest that you discuss with your physician the long term plan and talk to him about what makes you afraid. There is a school of thought regarding the use of anti epileptic medications after head trauma to prevent seizures. There are some who advocate no medication if no seizures have ever occurred. This is a subject of controversy in medicine. Discuss this with your physician for best plan. ...Read more