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On Eptoin, occasionally miss a dose. had seizure a few days back, phenytoin test done. Suggestions?

Gud Evening Doc, I am taking eptoin since last 10 years. But somehow i always misses a dose. As a result i was never able to complete my 3 yr course and have seizures in between. Few days back also i had a seizure. I am on a medication of 4 eptoin 100mg tablets every night. Few days back i gone through phenytoin test and the resulting was 38. Doctor found no symptoms of this excess level in me as i can walk normally my vision is clear. So to verify the report again i went through the same test from different lab but the result was same i.e. 38 . What could be the reason and what can happen to me at this level
Asked On : Tue, 18 Dec 2012
Answers:  1 Views:  55
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Neurologist, Surgical 's  Response
Can you please let me know what test was done: Was it is Phenytoin therapeutic level or toxic level? When was the blood sample taken in respect to your dose of medicine?

If the level of 38 is a therapeutic level, it means that the drug's level is well above the dose needed for preventing the seizures. it is good that you have been checked for side effects of high blood levels of Phenytoin. What this means is that the dose of Eptoin can be brought down.

If you continue to have Seizure activity inspite of adequate Phenytoin, then your doctor needs to consider whether another medicine needs to be added. Which medicine this is depends on the type of epilepsy that you suffer from.

Hope this helps?
Answered: Thu, 27 Dec 2012
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