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Medications & Treatments For discussion about medications and treatments for any disease or health condition, including issues of medication toxicity. |
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12-20-2009, 09:34 AM | #1 | |||
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I am currently on 400mg of dilantin a day and we modify that as necessary, I am trying to research the symptoms of too low a dilantin level and alll I can find are ads to buy it at a low price and symptoms of toxicity.
What are the stupid syptoms if it is too low? I have a blood test once or twice a week to check the level nad it keeps bouncing around like a ping pong ball, We want it to settle around 15. One week it is around 20-30 and another it is 8-9. How do you feel if it is too low? I take the test to measure it and the lab people know me by name I am there so often.
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I've had brain surgery, what's your excuse? 2 brain sugeries (aneurysms) 5 strokes and 5 seizures in the last 10 years. |
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12-21-2009, 12:57 PM | #2 | ||
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i am not sure there are any symptoms, excepting the obvious of having szs.
presuming that is what you are taking it for? in long term care, i have frequently seen the order to take on an empty stomache don t know if this is accurate or not. Also, absolutely no alcohol intake! |
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12-22-2009, 08:50 AM | #3 | |||
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Dilantin is a drug with very odd absorption characteristics.
When it first came out, it was arbitrarily made with fillers that Parke Davis chose for their ease of manufacture. When generics came out, none of the companies could duplicate the absorption for an AB approval from the FDA. So for a very long time, Dilantin brand name was the only type used. Then Mylan succeeded and they called their generic extended release: Quote:
The whole article can be accessed if you join Medscape...it is free. We are not allowed to copy whole articles here, I am sorry. But because of this inherent problem with phenytoin, it is very important you only use ONE brand consistently so your blood levels can be compared to each other. Also food interacts with this drug: http://www.neurology.org/cgi/content/abstract/57/4/582 this article explains it. Quote:
http://professionals.epilepsy.com/pa...ic_folate.html High dose folate (or consumption of folate enriched foods) may impair blood levels.
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All truths are easy to understand once they are discovered; the point is to discover them.-- Galileo Galilei ************************************ . Weezie looking at petunias 8.25.2017 **************************** These forums are for mutual support and information sharing only. The forums are not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. Always consult your doctor before trying anything you read here.
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