Dilantin or (diphenylhydantoin) as you mention is prescribed to stop/control tonic-clonic grand mal and complex partial (temporal lobe) seizures. Sometimes it is given for trigeminal neuralgia as well which doesn't seem to be your problem. Common side effects are ataxia (altered gait), slurred speech, dizziness, insomnia, nervousness, twitching, headache(common), mental confusion, decreased coordination, periarteritis nodosa, nystagmus, diplopia, blurred vision, gingival hyperplasia, nausea, vomiting, constipation, hepatitis, hyperglycemia, osteomalacia, thrombocytopenia, leukopenia, agranulocytosis, pancytopenia, scarlatiniform or morbilliform rash, bullous or purpuric dermatitis, exfoliative dermatitis, Steven-Johnson syndrome, lupus erythematousus, toxic epidermal necrolysis, photosensitivity reactions from the sun, and hirsutism. Are your blood levels, CBC and calcium level being checked occasionally? Are your liver function tests being done? Are you being checked for megaloblastic anemia, folic acid or B12 levels? Take with food! It's a very old drug and I suspect you are well controlled considering your dose. There probably are better drugs on the market but this one is cheap and effective especially if you are well-controlled. Keep a journal of any symptoms you have and take them to your doctor so he/she can order appropriate lab work. If you have any skin manifestations ask your prescriber about Stevens-Johnson syndrome. These are not all inclusive side effects or lab findings but some of the more normal ones. Don't ever just take yourself off the medication without the prescribers authorization. Don't get scared by "all" the side effects in the literature, for liability they tend to be over zealous in reporting everything, but obviously you need this drug and taking it out weighs any of the negatives. Questions should be routinely asked by your prescriber/pharmacist/lab personnel and shared with you. You are captain of your ship, take responsibility to know what labs, symptoms, side effects you should know about. Always ask when in doubt, but only your prescriber knows your whole clinical picture. There are side effects with other drugs so ask about that also. Good luck, should you get pregnant please inform your prescriber!
2006-10-22 10:07:15
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answer #1
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answered by Shaman 3
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