Movileps (άλλο όνομα Dilantin)

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

an alcohol abuse problem

Asian ancestry

blood disorders or disease

diabetes

heart problems

kidney disease

liver disease

porphyria

receiving radiation therapy

suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member

thyroid disease

an unusual or allergic reaction to phenytoin, other medicines, foods, dyes, or preservatives

pregnant or trying to get pregnant

breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Swallow these tablets whole. Do not chew, crush, or divide them. If this medicine upsets your stomach, take it with food or milk. Take your doses at regular intervals. Do not take your medicine more often than directed.
Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 13 years of age, precautions do apply.
Overdosage: If you think you've taken too much of this medicine contact a poison control center or emergency room at once.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is less than four hours to your next dose, take only that dose and skip the missed dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

delavirdine

This medicine may also interact with the following medications:

alcohol

aspirin and aspirin-like medicines

barbiturate medicines for inducing sleep or treating seizures

calcium supplements

carbamazepine

chloramphenicol

chlordiazepoxide

cimetidine or other medicines for heartburn or stomach ulcers

corticosteroid hormones such as prednisone or cortisone

diazepam

disulfiram

doxycycline

enteral feedings (liquid nutritional drinks or tube feeding liquids)

ethosuximide

female hormones, including contraceptive or birth control pills

furosemide

halothane

soniazid

medicines for mental depression, anxiety or other mood problems

medicines to control heart rhythm

methsuximide

methylphenidate

molindone

phenylbutazone

reserpine

rifampin, rifabutin or rifapentine

sucralfate

sulfonamides like Azulfidine or Bactrim

theophylline

ticlopidine

tolbutamide

valproic acid

vitamin D

warfarin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. This medicine needs careful monitoring. Your doctor or health care professional may schedule regular blood tests.
Wear a medical ID bracelet or chain, and carry a card that describes your disease and details of your medicine and dosage times.
Do not change brands or dosage forms of this medicine without discussing the change with your doctor or health care professional.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.
Birth control pills may not work properly while you are taking this medicine. Talk to your doctor about using an extra method of birth control.
This medicine can cause unusual growth of gum tissues. Visit your dentist regularly. Problems can arise if you need dental work, and in the day to day care of your teeth. Try to avoid damage to your teeth and gums when you brush or floss your teeth.
Do not take antacids at the same time as this medicine. If you get an upset stomach and want to take an antacid or medicine for diarrhea, make sure there is an interval of 2 to 3 hours before or after you took your phenytoin.
The use of this medicine may increase the chance of suicidal thoughts or actions. Pay special attention to how you are responding while on this medicine. Any worsening of mood, or thoughts of suicide or dying should be reported to your health care professional right away.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

breathing problems

changes in vision

chest pain or tightness

confusion

dark yellow or brown urine

fast or irregular heartbeat

fever, sore throat

headache

loss of seizure control

poor control of body movements or difficulty walking

redness, blistering, peeling or loosening of the skin, including inside the mouth

unusual bleeding or bruising, pinpoint red spots on skin

vomiting

worsening of mood, thoughts or actions of suicide or dying

yellowing of the eyes or skin

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

constipation

difficulty sleeping

excessive hair growth on the face or body

nausea

Where should I keep my medicine?

Keep out of the reach of children.
Store at room temperature below 30 degrees C (86 degrees F). Protect from light and moisture. Throw away any unused medicine after the expiration date.