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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will chewing tobacco can effect the intake of Dilantin?

I had recently seizure. (Second time), I consulted a neuro Specialist, and we have taken a MRI, EEG, and other Blood tests. Every thing seems to be a normal report. Doctor prescirbed Dialntin 100mg (3 Tabs in Night) and folvite (1 at night.) I am usung the same for the past 10 days. I have a habit of using Tobocco Orally. Will the Chewing Tobocco , while using Dilantin will have any effect on me? what will the Effects of Tobocco & Dilantin ? Kindly reply. Thanks
Tue, 5 Nov 2019
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Neurologist, Surgical 's  Response
Hello,

Nicotine may affect plasma levels of phenytoin (Dilantin). So, it is advisable to avoid or at least reduce the nicotine intake while using phenytoin. Discuss with your Doctor for these issues.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Erion Spaho, Neurologist, Surgical
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