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hydantoin anticonvulsants, hye-dan-toyn an-tye-kon-vul-sants, used most often to control certain convulsions, seizures, epilepsy, phenytoin also, used for other conditions, in seizure disorders, act on the central nervous system, cns, to reduce the number and severity, seizures, hydantoin anticonvulsants may also produce some unwanted effects, depend on the patient's individual condition, medicine taken, how long it has been taken, know what the side effects are and when to call a physician if they occur, hydantoin anticonvulsants are available only with a physician's prescription, dosage forms, oral, ethotoin, tablets, mephenytoin, tablets, phenytoin, extended capsules, prompt capsules, oral suspension, chewable tablets, parenteral, fosphenytoin, injection, phenytoin, injection, fosphenytoin is converted to phenytoin, in my body, it has the same effects as those listed for phenytoin, following sections, for hydantoin anticonvulsants, allergic reaction to any hydantoin anticonvulsant medicine, allergic to any other substance, foods, preservatives, dyes, although most mothers who take medicine for seizure control deliver normal babies, reports, increased birth defects when these medicines were used during pregnancy, not definitely known if, the cause, such problems, a change, way hydantoin anticonvulsants are absorbed, in my body, more seizures, even though you are taking my medicine regularly, a physician may need to increase the anticonvulsant dose, when taken during pregnancy, a bleeding problem, mother during delivery, newborn, this, prevented by giving vitamin k to the mother during delivery, to the baby immediately after birth, when breast-feeding , ethotoin and phenytoin pass into the breast milk in small amounts, not known whether mephenytoin passes into breast milk, be sure you have discussed the risks and benefits, the medicine with a physician, children some side effects, especially bleeding, tender, enlarged gums and enlarged facial features, more likely to occur in children and young adults, unusual and excessive hair growth may occur, which is more noticeable in young girls, some children may not do as well in school after using high doses, some medicines may affect older patients differently than they do younger patients, overdose is more likely to occur in elderly patients and in patients with liver disease , an interaction might occur, change the dose, when you are taking, receiving hydantoin anticonvulsants, health care professionals, alcohol, central nervous system, cns, depressants, medicine that causes drowsiness , long-term use, alcohol may decrease the blood levels, hydantoin anticonvulsants, resulting in decreased effects; use, hydantoin anticonvulsants in cases where a large amount, alcohol is consumed may increase the blood levels, the hydantoin, resulting in an increased risk, side effects, amiodarone, cordarone, use with phenytoin and possibly with other hydantoin anticonvulsants may increase blood levels, the hydantoin, resulting in an increase in serious side effects, antacids, medicine containing calcium, antacids, calcium supplements may decrease the absorption, phenytoin; doses, antacids and phenytoin, calcium supplements and phenytoin should be taken 2 to 3 hours apart, anticoagulants, blood thinners, chloramphenicol, chloromycetin, cimetidine, tagamet, disulfiram, antabuse, medicine for alcoholism, isoniazid, inh, nydrazid, fluconazole, diflucan, fluoxetine, prozac, itraconazole, sporanox, ketoconazole, nizoral, miconazole, monistat, phenylbutazone, butazolidin, sulfonamides, sulfa drugs, blood levels, hydantoin anticonvulsants, increasing the risk, serious side effects; hydantoin anticonvulsants may increase the effects, the anticoagulants at, with continued use may decrease the effects, corticosteroids, cortisone-like medicines, estrogens, female hormones, oral contraceptives, birth-control pills, containing estrogens, progestins, progestin injection contraceptives, depo-provera, progestin implant contraceptives, norplant, hydantoin anticonvulsants may decrease the effects, use, hydantoin anticonvulsants with estrogen-, progestin-containing contraceptives may result in breakthrough bleeding and contraceptive failure; additional birth control measures, needed to decrease the risk, diazoxide, proglycem, use with hydantoin anticonvulsants may decrease the effects, both medicines; therefore, should not be taken together, felbamate, felbatrol, blood levels, hydantoin anticonvulsants, blood levels, felbamate, decreased, a physician may need to adjust my dosage, lidocaine, risk, slow heartbeat, other effects, lidocaine, decreased because hydantoin anticonvulsants, removed from the body more quickly, methadone, dolophine, methadose, long-term use, phenytoin may bring on withdrawal symptoms in patients being treated for drug dependence, phenacemide, phenurone, use with hydantoin anticonvulsants may increase the risk, serious side effects, rifampin, rifadin, use with phenytoin may decrease the effects, phenytoin; a physician may need to adjust my dosage, streptozocin, zanosar, phenytoin may decrease the effects, streptozocin; therefore, should not be used together, sucralfate, carafate, sucralfate may decrease the absorption, hydantoin anticonvulsants, theophylline, theo-dur, hydantoin anticonvulsants may make this medicine less effective, valproic acid, depakene, depakote, use with phenytoin, possibly other hydantoin anticonvulsants, may increase seizure frequency and increase the risk, serious side effects affecting the liver, especially in infants
other medical problems, hydantoin anticonvulsants, any other medical problems, alcohol abuse, blood levels, phenytoin, decreased, decreasing its effects, blood disease, risk, serious infections rarely, increased by hydantoin anticonvulsants, diabetes mellitus, sugar diabetes, porphyria, systemic lupus erythematosus, hydantoin anticonvulsants may make the condition worse, fever above 101 °f for longer than 24 hours, blood levels, hydantoin anticonvulsants, decreased, decreasing the medicine's effects, heart disease , administration, phenytoin by injection may change the rhythm, the heart, kidney disease , liver disease , blood levels, hydantoin anticonvulsants, leading to an increase in serious side effects, thyroid disease, blood levels, thyroid hormones, decreased , for patients taking the liquid form, shake the bottle well before using, use a specially marked measuring spoon, a plastic syringe, a small measuring cup to measure each dose accurately, the average household teaspoon may not hold the right amount, liquid, for patients taking the chewable tablet form, tablets, chewed, crushed before they are swallowed, swallowed whole, for patients taking the capsule form, swallow the capsule whole, upsets my stomach, take it with food, the medicine should always be taken at the same time in relation to meals to make sure, absorbed, same way, to control my medical problem, medicine every day exactly, take the medicine at the correct times, try to get into the habit, taking it at the same time each day, hydantoin anticonvulsants will be different for different patients, follow a physician's orders, the directions on the label, the average doses, ethotoin, fosphenytoin, mephenytoin, phenytoin, dose is different, the number, capsules, tablets, teaspoonfuls, suspension, take, the number, injections you receive depends on the strength, the number, doses you take each day, the time allowed between doses, time you take the medicine depend on the medical problem for which you are using a hydantoin anticonvulsant, for ethotoin, for oral, dosage form, tablets, as an anticonvulsant, adults and teenagers, to start, 125 to 250 milligrams, four to six times a day, a physician may increase my dose gradually over several days, the dose is usually not more than 3000 mg a day, to start, up to 750 mg a day, based on the age and weight, the child, the doctor may increase the dose gradually, for fosphenytoin, for injection, dosage form, as an anticonvulsant, adults and children, dose is based on the illness being treated, the body weight, size, the patient, the medicine is injected into a vein, muscle, for mephenytoin, for oral, dosage form, tablets, as an anticonvulsant, adults and teenagers, to start, 50 to 100 milligrams, a physician may increase my dose by 50 to 100 mg a day at weekly intervals, the dose is usually not more than 1200 mg a day, to start, 25 to 50 mg once a day, the doctor may increase the dose by 25 to 50 mg a day at weekly intervals, the dose is usually not more than 400 mg a day, for phenytoin, for oral, dosage forms, capsules, chewable tablets, suspension, as an anticonvulsant, adults and teenagers, to start, 100 to 125 milligrams, three times a day, a physician may adjust my dose at intervals, seven to ten days, dose is based on body weight, body surface area, the usual dose is 5 mg, phenytoin per kilogram, 2.3 mg per pound, body weight to start, the doctor may adjust the dose, dose is based on body weight, the usual dose is 3 mg per kg, 1.4 mg per pound, body weight, the doctor may need to adjust the dose based on my response to the medicine, for injection, dosage form, as an anticonvulsant, adults and children, dose is based on the illness being treated, the body weight, size, the patient, the medicine is usually injected into a vein, if i miss a dose, dosing schedule is, one dose a day, take the missed dose, do not remember the missed dose until the next day, skip it, back to my regular dosing schedule, do not double doses, more than one dose a day, take the missed dose, within 4 hours, next dose, skip the missed dose, back to my regular dosing schedule, do not double doses, miss doses for 2, more days in a row, keep out of a child's reach, store away from heat and direct light, in other damp places, heat, moisture, the medicine to break down, keep the liquid form, from freezing, do not refrigerate, do not keep outdated medicine, medicine no longer needed, be sure any discarded medicine is out of a child's reach,
precautions, know the side effects, especially during the first few months, treatment with this medicine, during this time the amount, medicine you are taking, changed often to meet my individual needs, do not start, consult doctor before you stop taking any other medicine without a physician's advice, other medicines may affect the way this medicine works, will add to the effects, alcohol and other cns depressants, medicines that may make you drowsy, less alert, some examples, cns depressants are antihistamines, medicine for hay fever, other allergies, colds; sedatives, tranquilizers, sleeping medicine; prescription pain medicine, narcotics; barbiturates; other medicine for seizures; muscle relaxants, anesthetics, some dental anesthetics, check with a physician before taking, do not take this medicine within 2 to 3 hours, taking antacids, medicine for diarrhea, taking these medicines and hydantoin anticonvulsants too close together may make the hydantoins less effective, do not change brands, dosage forms, phenytoin without first checking with a physician, different products may not work the same way, refill my medicine, it looks different, check with my pharmacist, been taking this medicine regularly for several weeks, more, do not suddenly stop taking it, reduce gradually, the amount you are taking, before stopping completely, carry a medical identification card, bracelet stating, for diabetic patients, may affect blood sugar levels, notice a change, results, blood, urine sugar tests, any questions, before you have any medical tests, some tests, the dexamethasone, metyrapone, schilling tests, certain thyroid function tests, affected by this medicine, before having any kind, surgery, dental treatment, emergency treatment, tell the medical doctor, dentist in charge, taking hydantoin anticonvulsants together with medicines that are used during surgery, dental, emergency treatments, increased side effects, some people to become dizzy, lightheaded, drowsy, less alert than they are normally, after you have taken this medicine for a while, this effect may not be so bothersome, before you drive, dizzy, not alert, oral contraceptives, birth control pills, containing estrogen, progestin, contraceptive progestin injections, depo-provera, implant contraceptive forms, progestin, norplant, may not work properly if you take them, taking hydantoin anticonvulsants, unplanned pregnancies may occur, should use a different, additional means, birth control, taking hydantoin anticonvulsants, for patients taking phenytoin, mephenytoin, in some patients, usually younger patients, tenderness, swelling, bleeding, the gums, gingival hyperplasia, may appear soon after phenytoin, mephenytoin treatment is started, to help prevent this, brush and floss my teeth carefully and regularly and massage my gums, see my dentist every 3 months to have my teeth cleaned, any questions about, take care, teeth and gums, notice any tenderness, swelling, bleeding, gums,
side effects, along with its needed effects, some unwanted effects, side effects may occur, may need medical attention, side effects, overdose occur, bleeding, tender, enlarged gums, rare with ethotoin, burning, tingling, pain, itching, groin, following fosphenytoin injection, clumsiness, unsteadiness, confusion, continuous, uncontrolled back-and-forth and/or rolling eye movements, sign, overdose, swollen glands in neck, underarms, fever, muscle pain, skin rash , itching, slurred speech, stuttering, sign, overdose, sore throat, trembling, sign, overdose, unusual excitement, nervousness, irritability, bone malformations, burning pain at place, injection, chest discomfort, chills and fever, dark urine, dizziness , frequent breaking, bones, headache, joint pain, learning difficulties, in children taking high doses for a long time, light gray “colored stools, appetite, nausea, vomiting, pain, penis on erection, restlessness, agitation, slowed growth, stomach pain, severe, troubled, quick, shallow breathing, uncontrolled jerking, twisting movements, hands, arms, legs, uncontrolled movements, lips, tongue, cheeks, unusual bleeding, nosebleeds, bruising, unusual tiredness , weakness, weight loss, unusual, yellow eyes, skin, with long-term use, phenytoin, numbness , tingling, pain in hands, feet, symptoms, overdose, blurred, double vision, clumsiness, unsteadiness, severe, confusion, severe, dizziness , drowsiness , severe, seizures, staggering walk, stuttering, slurred speech, side effects may go away during treatment, body adjusts to the medicine, side effects continue, bothersome, constipation, dizziness , mild, drowsiness , mild, diarrhea, with ethotoin, enlargement, jaw, muscle twitching, swelling, breasts, in males, thickening, lips, trouble in sleeping, unusual and excessive hair growth on body and face, more common with phenytoin, widening, nose tip, other side effects,
additional information
once a medicine has been approved for marketing for a certain use, experience may show, also useful for other medical problems, uses are not included in product labeling, phenytoin is used in certain patients with the following medical conditions, cardiac arrhythmias, changes, in my heart rhythm, caused by digitalis medicine, myotonia congenita, myotonic muscular dystrophy, neuromyotonia, certain muscle disorders, paroxysmal choreoathetosis, certain movement disorders, tricyclic antidepressant poisoning, trigeminal neuralgia, tic douloureux, other than, information, there is no additional information relating to, side effects for these uses,
brand names
some commonly used brand names are, cerebyx, dilantin, dilantin-125, dilantin infatabs, dilantin kapseals, mesantoin, peganone, phenytek, dilantin, dilantin-30, dilantin-125, dilantin infatabs,
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