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The body gets rid of topamax faster if taken at the same time as certain seizure medicines, including carbamazepine tegretol, tegretol xr, carbatrol , phenytoin dilantin, phenytek , phenobarbital and primidone.

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Administration of phenytoin and interpretation of serum phenytoin levels vary depending on the clinical scenario. Loading doses to achieve rapid therapeutic levels should be checked 1 hour after an intravenous loading dose and 24 hours after an oral loading dose. [4]

Use caution in cardiovascular disease.hypoalbuminemia.hepatic impairment.hypothyroidism.or seizures. because fraction of unbound phenytoin is increased in patients where to buy dilantin renal or hepatic disease.or in those with hypoalbuminemia.the monitoring of phenytoin serum levels should be based on the unbound fraction in those patients.

Table 1 includes commonly occurring drug interactions that affect phenytoin concentrations. However.this list is not intended where to buy dilantin be inclusive or comprehensive. Individual prescribing information from relevant drugs should be consulted.

Headache Nausea Dizziness Sleep disruptions Drowsiness Nervousness Constipation Excess hair growth.

Your doctor will probably start you on a low dose of Dilantin and gradually increase it.

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dilantin was originally approved for use in seizures by the food and drug administration fda in 1953 and is manufactured by pfizer, inc.

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