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Why you need to take Dilantin
Dilantin (phenytoin) is an anti-epileptic drug used to control seizures. However, it will not be suitable for any types of seizures, rather than the ones your doctor prescribed it for. It works by slowing down the activity in the brain that triggers seizures. To make sure Dilantin is efficient and helps you prevent seizures, you will need to take it just as prescribed by your health care provider.
Discussing your treatment with your doctor
There are some medical conditions you may have that can affect the success of your treatment with Dilantin. Make sure you always report those to your doctor before starting the treatment. Your doctor will need to be informed of the following conditions you have: vitamin D deficiency, diabetes, porphyria, or liver disease. Dilantin can make your birth control pills less effective. You will need to use an additional form of birth control to avoid a pregnancy.
Taking Dilantin right
You have to take Dilantin exactly as prescribed without taking too much of it or less than necessary. You need to take the capsule whole without breaking it for the medicine to be released slowly in the body. The liquid form needs to be shaken well before use. You need to measure it with the help of special spoon. Even if you feel fine, it's important that you carry on taking Dilantin. Feeling fine does not mean your condition has been treated and you will not get seizures. You may get suicidal thoughts when you first start using Dilantin. Your doctor may need to see you at regular appointments for the first several weeks of your treatment to make sure you are getting all the benefits of the treatment and no serious effects occur.
Important information to remember about Dilantin
If you experience any worsened symptoms, make sure you call your doctor. You will need to report such symptoms as mood or behavior changes, hyperactivity, depression, restlessness, anxiety, suicidal thoughts, agitation, or hostility. Your blood may need to be tested often for your doctor to make sure you are benefitting from the treatment. Avoid drinking alcohol and using some antacids. Alcohol can worsen some of your side effects, while antacids can make the absorption of Dilantin harder for your body. Make sure you never stop using Dilantin suddenly, as this may lead to a seizure. Talk to your doctor if you think you need to stop the treatment. You may need to stop the treatment gradually, using less and less of Dilantin every several days.
Are Dilantin side effects likely to occur?
The following side effects are considered serious and will need to be reported as soon as you notice them: sore throat, confusion, skin rash, unusual thoughts or behavior, loss of balance or coordination, yellowing of the skin or eyes, hallucinations, headache with a severe blistering, extreme thirst or hunger, as well as easy bruising or bleeding. If you get a few mild side effects, there is no need to worry, as they are unlikely to change in intensity or get bothersome. The following mild side effects are possible at the beginning of your treatment: sleep problems, headache, joint pain, dizziness, itching, nervousness, nausea, constipation, mild skin rash, or vomiting. Your thinking and reactions may be impaired as a result of using Dilantin. Be sure about how your body reacts to the medicine before you start taking it, especially if you have to perform some hazardous activities.
An overdose of Dilantin
An overdose of can be fatal, so you will need to report any cases of an overdose straight to your health care provider. The following are possible symptoms of Dilantin overdose you will need to report as soon as you notice them: vomiting, nausea, shallow breathing, tremor, slurred speech, muscle stiffness, fainting, twitching eye movements, light-headedness, and loss of balance.
How Dilantin can affect your unborn child
Dilantin is FDA pregnancy category D: you will need to make sure you always tell your doctor if you are pregnant or breastfeeding at the moment of starting the treatment. Dilantin can cause harm to an unborn baby and pass into breast milk. However, there are cases when Dilantin needs to be used anyway, as having a seizure can be very dangerous for both the mother and the child. Talk to your doctor about all the risks and benefits of the treatment if you are already pregnant. Make sure you use an effective form of birth control to prevent a pregnancy while using Dilantin to avoid harming your baby.
In case you are taking other meds
There are some drugs that may increase the levels of Dilantin in your blood and affect your wellbeing that way. The following medications are known to do that and will therefore need to be reported to your doctor: disulfiram, stomach acid reducers, sulfa drugs, certain sedatives, estrogen hormone replacement, chlorpromazine, or methylphenidate. Other drugs you will need to report can include steroid medicines, antidepressants, theophylline, phenobarbital, digoxin, and antibiotics. |