Discussions that mention phenytoin

Epilepsy board


800/day and your levels were at 2; now reading 0.6!!! YIKES! Dilantin levels "recomended range" is 10-20. For some it's lower, others higher. Much of a reason for concern.

Generic in my case caused irratic levels, lower than normal. caused seizures. caused me to visit the ER a few times and get pumped up with dilantin by IV.

I'd HIGHLY suggest sticking with brand name ONLY if your Doc is keeping you on that medication. It DOES make a difference!!! By The Way, Dr's DO have to follow your (the patients) requests, even if they don't like it. If you so desire, ask your Dr to write out a script for Dilantin saying "Do Not Substitute". That way you will get brand name only if you wish to.

One generic I was on of Dilantin/Phenytoin was one side of the capsul was white, the other was purple (lavender?). The generic had a SOLID PILL inside, not powder like brand name Dilantin's Kapseal. (for a reference)

--Travis
[QUOTE=Travis from MN;

One generic I was on of Dilantin/Phenytoin was one side of the capsul was white, the other was purple (lavender?). The generic had a SOLID PILL inside, not powder like brand name Dilantin's Kapseal. (for a reference)

--Travis

So that is why the generic (phenytoin) takes longer to absorb into the blood stream. I didn't know it had a solid pill inside, but my 1st doctor would never put me on the generic either. He has since retired, and I have been seeing another doctor now for about 8 years. He knows I take Dilantin, but a few times he tried to write me a prescription for phenytoin. I finally had to tell him and his nurse that I would ONLY take dilantin. I've never been satisfied with this doctor, or maybe it's the office complex itself. He is in with 20+ other doctors, each specializing in different illnesses/diseases and only a handful of office workers. There is always a huge turnover rate at this office, and it's no wonder. The doctors are so busy that they don't take the time to know their patients.

What I can't understand, is if these doctors know the generic is not as good, then why do they prescribe them?? Must be the perks they get from the pharmaceutical companies.