What should you not take with dilantin?

Avoid taking antacids at the same time you take Dilantin. Antacids can make it harder for your body to absorb the medication.

What drugs should not be taken with Dilantin?

Serious Interactions

  • HYDANTOINS/SELECTED ANTICOAGULANTS (VITAMIN K ANTAGONISTS)
  • SELECTED ANTICONVULSANTS, BARBITURATES/CONTRACEPTIVES.
  • SELECTED ANTICONVULSANTS, BARBITURATES/TELITHROMYCIN.
  • PHENYTOIN/SULTHIAME.
  • HYDANTOINS/FLUOROURACIL &amp, FLUOROURACIL PRODRUGS.
  • SELECTED ANTICONVULSANTS, BARBITURATES/SLT AZOLE ANTIFUNGALS.

What medications affect Dilantin?

Drugs That Affect Phenytoin Concentrations

Interacting Agent Examples
Antiepileptic drugs Ethosuximide, felbamate, oxcarbazepine, methsuximide, topiramate
Azoles Fluconazole, ketoconazole, itraconazole, miconazole, voriconazole
Antineoplastic agents Capecitabine, fluorouracil
Antidepressants Fluoxetine, fluvoxamine, sertraline

What should you avoid when taking phenytoin?

What should I avoid while taking phenytoin? Avoid drinking alcohol while you are taking phenytoin. Alcohol use can increase your blood levels of phenytoin and may increase side effects. Daily alcohol use can decrease your blood levels of phenytoin, which can increase your risk of seizures.

Can you take Tylenol while taking Dilantin?

Using acetaminophen together with phenytoin may alter the effects of acetaminophen and cause serious side effects that may affect your liver.

Can you take Dilantin with milk?

You may give phenytoin with food or milk, but be consistent. Always give phenytoin with food or milk or always give it on an empty stomach. If your child is taking chewable tablets, encourage your child not to swallow them whole.


Can you take ibuprofen with Dilantin?

Aspirin is safe for most adults, but should be avoided by children and anyone using Depakote or Dilantin. Ibuprofen (Advil and Motrin) is another good drug for fever and pain but it can cause side effects like dizziness and difficulty walking when used in combination with Dilantin.

What are the symptoms of too much Dilantin?

Symptoms

  • Coma.
  • Confusion.
  • Staggering gait or walk (early sign)
  • Unsteadiness, uncoordinated movements (early sign)
  • Involuntary, jerky, repeated movement of the eyeballs called nystagmus (early sign)
  • Seizures.
  • Tremor (uncontrollable, repeated shaking of the arms or legs)
  • Sleepiness.

What interferes with phenytoin?

Drugs that may decrease phenytoin levels and reduce effectiveness include carbamazepine, chronic alcohol abuse, reserpine, and sucralfate (Carafate).

Do you shake Dilantin?

Shake this medication well before each dose. Take this medication by mouth usually 2 or 3 times a day, or as directed by your doctor. This product is not recommended for use once a day.

Do you take Dilantin with food?

This medicine can be taken with food or on an empty stomach. Try to take it the same way each day, since taking this with food may change the time it takes to be absorbed. Do not take antacids or medicine for diarrhea within 2 to 3 hours of taking phenytoin.

Can you take Benadryl with Dilantin?

Interactions between your drugs

Using phenytoin together with diphenhydrAMINE may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination.

Can aspirin be taken with Dilantin?

If your doctor does prescribe these medications together, you may need a dose adjustment or special test to safely use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs.

Can I take Aleve with Dilantin?

Interactions between your drugs

No interactions were found between Aleve and Dilantin.

Does melatonin interact with Dilantin?

Interactions between your drugs

Using phenytoin together with melatonin may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination.

Does magnesium interact with Dilantin?

Aluminum hydroxide, magnesium hydroxide, and calcium may bind to phenytoin in your digestive tract, preventing your body from absorbing your phenytoin.

Can you take calcium with Dilantin?

Interactions between your drugs

Using calcium carbonate together with phenytoin may decrease the effects of phenytoin. Separate the times of administration of calcium carbonate and phenytoin by at least two to three hours.

Does Dilantin help with nerve pain?

Tegretol (carbamazepine) and Dilantin (phenytoin) are anticonvulsants used to treat seizures. Tegretol is also used to treat nerve pain such as trigeminal neuralgia and diabetic neuropathy, and to treat bipolar disorder.

Should you brush your teeth after taking phenytoin?

In some patients (usually younger patients), tenderness, swelling, or bleeding of the gums (gingival hyperplasia) may appear soon after phenytoin treatment is started. To help prevent this, brush and floss your teeth carefully and regularly and massage your gums.

What medications should epileptics avoid?

Medications that may cause seizures:

  • Diphenhydramine – the active ingredient in Benadryl and other medications that treat colds or allergies. …
  • Pseudoephedrine – a decongestant that shrinks blood vessels in the nasal passages.

What medications interact with the flu shot?

Interaction between a vaccine and a drug has been reported only with influenza vaccine and four drugs (aminopyrine, phenytoin sodium, theophylline, and warfarin sodium), and with BCG vaccine and theophylline. Some of these interactions still are unconfirmed.

What drugs should not be taken with NSAIDs?

Drug interactions with NSAIDs

  • When combined with blood-thinning medicines (such as warfarin) NSAIDs increase the risk of bleeding.
  • NSAIDs can cause kidney failure when they are combined with ACE inhibitors (medicines used to treat heart problems and high blood pressure) and diuretics (medicines to remove excess fluid).

What happens when your Dilantin level is too high?

The neurotoxic effects are concentration dependent and can range from mild nystagmus to ataxia, slurred speech, vomiting, lethargy and eventually coma and death. Paradoxically, at very high concentrations, phenytoin can lead to seizures.

What is a good Dilantin level?

The therapeutic range is 10-20 mcg/mL. Total phenytoin levels (mcg/mL) and typical corresponding signs and symptoms are as follows: Lower than 10 – Rare. Between 10 and 20 – Occasional mild nystagmus.

How long does Dilantin stay in your system?

For Dilantin capsules, peak serum levels occur 4 to 12 hours after administration. Steady-state therapeutic levels are achieved at least 7 to 10 days (5–7 half-lives) after initiation of therapy with recommended doses of 300 mg/day.

What is Dilantin used for other than seizures?

In some cases, anticonvulsant medications like Dilantin may also be used in the treatment of mood disorders, such as for certain forms of bipolar disorder.

Does phenytoin interact with other drugs?

A total of 785 drugs are known to interact with phenytoin, categorized as 198 major, 540 moderate, and 47 minor interactions.

Does phenytoin cause weight gain?

Several antiepileptic drugs (AEDs) are associated with weight gain such as gabapentin, pregabalin, valproic acid, and vigabatrin and to some extent carbamazepine. Others are weight neutral such as lamotrigine, levetiracetam, and phenytoin or associated with slight weight loss as, e.g., felbamate.

Does Dilantin need to be refrigerated?

The diluted infusion mixture (Dilantin plus normal saline) should not be refrigerated. If the undiluted parenteral Dilantin is refrigerated or frozen, a precipitate might form: this will dissolve again after the solution is allowed to stand at room temperature. The product is still suitable for use.

Does phenytoin affect blood pressure?

In previous decades, several patients experienced adverse effects of intravenous phenytoin such as severe heart arrhythmias and decrease of blood pressure. These potential adverse effects caused a reluctance to use intravenous phenytoin which has also led to a search for safer antiepileptic drugs.

Can Dilantin cause muscle spasms?

Tell your doctor immediately if any of these unlikely but serious side effects occur: unusual eye movements, loss of coordination, slurred speech, confusion, muscle twitching, double or blurred vision, tingling of the hands/feet, facial changes (e.g., swollen lips, butterfly-shaped rash around the nose/cheeks), …

Why do you need to shake the bottle before dispensing carbamazepine?

Obviously, it is important to ensurethat the active ingredient(s) in a suspensionis (are) properly dispersedthroughout the vehicle before administration.

Can Tylenol cause seizures?

For most children fever causes only minor discomfort that can be relieved with acetaminophen (Children’s Tylenol®) or ibuprofen (Children’s Motrin® or Advil®). But in a few children, fever can bring on a seizure or a convulsion.

Can I take ibuprofen with epilepsy medication?

Usually, there is no interaction between AEDs and frequently used pain relief such as those containing paracetamol or ibuprofen.

Can you take antihistamines with epilepsy?

H1 receptor antagonists, including classical antihistamines and anti-allergy drugs, occasionally induce convulsions in healthy children and patients with epilepsy. In particular, promethazine, carbinoxamine, mepyramine (pyrilamine) and ketotifen should be used with caution in these patients.

Can you take traMADol with Dilantin?

phenytoin traMADol

Using phenytoin together with traMADol may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination.

Does Ativan interact with Dilantin?

Interactions between your drugs

Medications like LORazepam can alter the blood levels and effects of phenytoin.

Can you take Dilantin with Suboxone?

These medications may decrease the effects of Suboxone: Some seizure medications, including phenobarbital, Tegretol (carbamazepine) and Dilantin (phenytoin) Rifadin (rifampin)

Does LORazepam interact with phenytoin?

Interactions between your drugs

Medications like LORazepam can alter the blood levels and effects of phenytoin.

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