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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Continue Eptoin For Subdural Hematoma Causing Drowsiness And Delayed Speech?

sir, My father had a fall and has subdural hematoma. As he is 80, due to brain shrinkage whatever gap is produced, the hematoma is adjusted within. No midline shift was there. He was hospitalized for 8 days. Now he is at home with Eptoin 100 three times a day. He does not have any complain but is drowsy and when he takes eptoin has delayed speach. Should he continue Eptoin 100 tid or BID?
Mon, 20 Jan 2014
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Neurologist 's  Response
Hi,

Thank you for posting your query.

Your question is very important and I congratulate you for that.

In fact, there is no need to give eptoin (phenytoin) in an old person with subdural hematoma.

Phenytoin is an anti-epileptic drug and is required in a person with fits or seizures.

So, if your father has not had any seizures, then, eptoin can be discontinued.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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Should I Continue Eptoin For Subdural Hematoma Causing Drowsiness And Delayed Speech?

Hi, Thank you for posting your query. Your question is very important and I congratulate you for that. In fact, there is no need to give eptoin (phenytoin) in an old person with subdural hematoma. Phenytoin is an anti-epileptic drug and is required in a person with fits or seizures. So, if your father has not had any seizures, then, eptoin can be discontinued. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in