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Mephenytoin Oral
IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.
MEPHENYTOIN – ORAL
(meh-FEN-ih-TOE-in)
COMMON BRAND NAME: Mesantoin
USES: This medication is used to treat seizures and epilepsy.
HOW TO USE: Take with food or milk to reduce stomach upset. Take this medication with a full glass (8 oz or 240 ml) of water unless your doctor directs you otherwise. Do not lie down for 30 minutes after taking this medication. This medication must be taken as prescribed. Do not stop taking this drug suddenly without consulting your doctor as seizures may occur. It is important to take all doses on time to keep the level of medication in your blood constant. Do this by taking doses at evenly spaced intervals throughout the day and night. While taking this medication, lab tests may be done, especially in the first few months, to check if the drug is working properly.
SIDE EFFECTS: Nausea, vomiting, insomnia, constipation, dizziness and drowsiness may occur. If these effects continue or worsen, inform your doctor. Unlikely but report: blurred vision, unsteadiness, nausea, mood changes, confusion, slurred speech, rash, fever, headache, sore throat, unusual bleeding or bruising. Very unlikely but report: stomach pain, uncoordinated movements, yellowing of the eyes or skin, trouble breathing, swollen glands, unusual fatigue. May cause enlargement of the gums. This can be minimized by maintaining good oral hygiene with regular brushing, flossing and massaging of the gums. If you notice other effects not listed above, contact your doctor or pharmacist.
PRECAUTIONS: Tell your doctor if you have: blood disorders (e.g., porphyria), allergies (especially drug allergies), liver disease. Use caution operating machinery or performing tasks requiring alertness. Limit alcohol use as it may increase the drowsiness effect of this medication. Limit your caffeine usage. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is unknown if this drug is excreted into human breast milk. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: Inform your doctor about all the medicine you use (both prescription and nonprescription) especially of blood thinners (warfarin), cimetidine, omeprazole, sucralfate, disulfiram, oral antifungal medication (azoles), xanthine drugs used for asthma (theophylline), isoniazid, folic acid, pyrimethamine, sulfa antibiotics, rifampin, trimethoprim, amiodarone, fluoxetine, anticancer drugs, valproic acid or divalproex, estrogens, disopyramide, levodopa, felodipine, primidone, felbamate, digoxin, narcotic pain medications (e.g., codeine). This drug may interfere with the effectiveness of birth control pills. Discuss using other methods of birth control with your doctor. Do not start or stop any medicine without doctor or pharmacist approval.
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include unusual eye movements, unsteadiness, nausea, dizziness, confusion, tremor, slurred speech, drowsiness, and loss of consciousness.
NOTES: It is recommended to wear or carry medication identification indicating you are taking this drug. Do not change from one brand of this product to another without consulting your doctor or pharmacist. Products made by different companies may not be equally effective.
MISSED DOSE: If you miss a dose, take as soon as remembered; do not take if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not “double-up” the dose to catch up. Check with your doctor if 2 or more doses have been missed.
STORAGE: Store at room temperature away from sunlight and moisture.
MEDICAL ALERT: Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada).