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Precautions

Do NOT use Dilantin if:

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• you're allergic to any ingredient in Dilantin in order to another hydantoin (eg, fosphenytoin).

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Some medical ailments may communicate with Dilantin. Tell your doctor or pharmacist for those who have any health concerns, in particular when any with the following connect with you:

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• if you're pregnant, intending to become pregnant, or are breast-feeding

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• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• for those who have allergies to medicines, foods, or any other substances

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• in case you have a blood disease (eg, porphyria), liver disease, diabetes, or even a reputation lymph gland problems

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• should you are drinking alcoholic beverages or have a very good alcohol abuse

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• if you have been tested and know whether you have a gene type called HLA-B*1502.

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Some medicines may connect to Dilantin. Tell your medical provider if you are taking any other medicines, especially any with the following:

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• Many other prescription and nonprescription medicines (eg, useful for asthma, blood thinning, diabetes, infections, inflammation, pains and aches, hypertension, heart problems, high cholesterol, contraception, hormone replacement, mental or mood problems, sleep seizures), multivitamin products, and herbal or dietary supplements (eg, herbal teas, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort) may talk with Dilantin, increasing the chance of negative effects. Ask a medical expert or pharmacist if you might be unsure if all of your medicines might restrict Dilantin.

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This will not be a whole set of all interactions that may occur. Ask your medical provider if Dilantin may connect to other medicines that you just take. Check with your doctor before starting, stop, or customize the dose from a medicine.

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Important safety information:

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• Dilantin may cause dizziness. This effect could possibly be worse should you take it with alcohol or certain medicines. Use Dilantin with caution. Do not drive or perform other possible unsafe tasks before you know how you respond to it.

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• Check together with your doctor when you drink alcohol while you're taking Dilantin. Alcohol may increase or slow up the amount of medicine within your blood.

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• Do not change brands or dose forms (eg, tablets, suspension, injection) of Dilantin without talking together with your doctor.

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• Do not take over the recommended dose without checking together with your doctor.

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• Proper dental hygiene is essential while you happen to be taking Dilantin. Brush and floss your teeth and go to the dentist regularly.

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• Dilantin may increase your blood glucose. High blood glucose might make you're feeling confused, drowsy, or thirsty. It can also make you flush, breathe faster, or have a fruit-like breath odor. If these symptoms occur, tell your doctor immediately.

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• There are already reports of lymph node problems, including cancer, in patients who take Dilantin. It is not known if Dilantin might be the cause. Contact your physician right away should you develop swollen lymph nodes, fever, rash, dark urine, stomach pain, or yellowing with the eyes or skin.

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• Tell a medical expert or dentist that you just take Dilantin before you decide to get any medical or dental care, emergency care, or surgery.

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• Hormonal contraceptive (eg, contraception pills) might not be well while you're using Dilantin. To prevent pregnancy, make use of an extra form of contraceptive (eg, condoms).

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• Patients who use a certain gene type called HLA-B*1502 might have a heightened risk for serious skin reactions from Dilantin. This gene type is available mostly in Asian patients. Tell your doctor if you have been tested and know regardless of whether you've the HLA-B*1502 gene type. Discuss questions or concerns with your doctor.

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• Dilantin may interfere with certain lab tests. Be sure your physician and lab personnel know you're taking Dilantin.

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• Lab tests, including blood phenytoin levels, might be performed when you use Dilantin. These tests could be used to monitor your trouble or check for negative effects. Be sure to keep all doctor and lab appointments.

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• Use Dilantin with caution within the elderly; they might be more sensitive to its effects.

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• Women taking Dilantin may experience an increase in seizure activity when they become pregnant. Discuss any questions or concerns using your doctor. If you think you may be pregnant, speak to your doctor.

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• Pregnancy and breast-feeding: Dilantin may cause problems for the fetus. If you think you could be pregnant, contact your doctor. You will need to discuss the huge benefits and perils of using Dilantin while you happen to be pregnant. Dilantin is available in breast milk. Do not breastfeed while taking Dilantin.

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