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Dilantin Toxicity, Ambulatory Care

Dilantin

, or phenytoin, toxicity happens when you have high levels of Dilantin in your body that become harmful. Dilantin is a medicine that is used to prevent and treat seizures. Dilantin toxicity can lead to a coma. Your risk of Dilantin toxicity is higher if you are elderly. Your risk is increased if your dose is increased or you take other medicines that affect the way Dilantin works. Examples include other medicines used to treat seizures and some antibiotics. Other examples include certain medicines used to treat arrhythmias (abnormal heart rhythms), alcoholism, ulcers, and tuberculosis.

Seek immediate care for the following symptoms:

  • Fast, uncontrollable eye movements or double vision
  • Lack of coordination of fingers, hands, arms, legs, or other part of your body
  • Dizziness, drowsiness, or confusion
  • Slurred speech
  • Irregular or jerky movements
  • Inability to be awakened

How to safely take Dilantin:

  • Take this medicine exactly as directed. Contact your healthcare provider if you miss a dose or you have any questions about how to take Dilantin.
  • Do not stop taking Dilantin or change your dose. Your risk of seizures increases if you decrease your dose or stop taking Dilantin. Even a small increase in your dose can cause toxicity.
  • Go to all your follow-up appointments. Your healthcare provider will need to monitor you closely while you are taking Dilantin. You will need regular blood and urine tests.

What else you should do while you are taking Dilantin:

Wear medical alert jewelry or carry a card that says you take Dilantin. Ask where to get these items.

What you should do if you think you or someone you know took too much Dilantin:

Call the Poison Control Center at 1-800-222-1222 immediately.

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© 2015 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

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