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What is Eptoin?

The generic name of Eptoin is Phenytoin. Eptoin is used to prevent and Control Seizures (also called an anticonvulsant or antiepileptic drug). Eptoin works by reducing the spread of seizure activity in the brain. Eptoin may also be used to treat certain Types of Irregular Heartbeats. Eptoin is also used to control and prevent fits during or after a severe head injury or brain surgery. Eptoin is also used to treat trigeminal neuralgia (facial nerve pain). Eptoin helps in controlling epileptic fits involving spasms of the muscles and jerking. At Discount Pharmacy Rhode Island in Rhode Island you can Buy Eptoin Online because Discount Pharmacy Rhode Island is a certified and registered pharmacy to cater to your needs.

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What is Eptoin Used For?

Eptoin is an anti-epileptic drug used to control seizures. It does not treat all types of seizures, and your Rhode Island doctor will determine if it is the right medicine for you. Eptoin Works by slowing down impulses in the brain that cause seizures. Eptoin helps prevent neurons from working at a very fast speed thereby preventing all brain cells from firing together rapidly in an uncontrolled way.

How To Use Eptoin?

Eptoin may be taken alone or in conjunction with other medications. You can take Eptoin with or without food/ milk. The Best Eptoin Dosage for you will be determined by your Rhode Island doctor according to your age, medical history, and response to treatment. It will take several weeks for this drug to effect.

Why Eptoin is Prescribed?

Eptoin belongs to the group of neurological medications called 'Anticonvulsant' and is prescribed in Rhode Island to control various epileptic conditions (fits), and prevent seizures during/after brain surgery or after Traumatic Brain Injury (TBI). Eptoin also treats trigeminal neuralgia (facial nerve pain). Eptoin contains 'Phenytoin' which works by controlling the overactivity of the brain that causes seizures episodes (fits).

What Conditions Does Eptoin Treat?

Eptoin is an epilepsy medication that is used to control and avoid seizures (seizures). It Prevents Seizures by reducing irregular and repetitive nerve cell activity in the brain. 

Eptoin Dosage

Usual Adult Dose for Seizures:

  • Oral (except suspension) Loading dose: 1 g orally divided into 3 doses (400 mg, 300 mg, 300 mg) given at 2-hour intervals.
  • Then normal maintenance dosage started 24 hours after loading dose.
  • Initial dose: 100 mg extended-release orally 3 times a day.
  • Maintenance dose: 100 mg orally 3 to 4 times a day.
  • Suspension
  • Do not exceed the infusion rate of 50 mg/min.
  • Loading dose: 10 to 15 mg/kg IV slowly.
  • Maintenance dose: 100 mg IV every 6 to 8 hours.

Usual Adult Dose for Arrhythmias:

  • Loading Dose: 1.25 mg/kg IV every 5 minutes. May repeat up to a loading dose of 15 mg/kg, or
  • 250 mg orally 4 times a day for 1 day, then 250 mg twice daily for 2 days
  • Maintenance Dose: 300 to 400 mg/day orally in divided doses 1 to 4 times a day

Usual Adult Dose for Status Epilepticus:

  • Loading dose: The manufacturer recommends 10 to 15 mg/kg by slow IV administration (at a rate not exceeding 50 mg/minute).
  • Alternatively, generally accepted guidelines suggest 15 to 20 mg/kg by slow IV administration (at a rate not exceeding 50 mg/minute).
  • Maintenance rate: 100 mg orally or IV every 6 to 8 hours
  • Maximum rate: 50 mg/minute

Usual Adult Dose for Neurosurgery:

  • 100 to 200 mg IM at about 4-hour intervals during surgery and the immediate postoperative period
  • Usual Pediatric Dose for Seizures:
  • Status Epilepticus: Loading Dose:
  • Infants, Children: 15 to 20 mg/kg IV in a single or divided doses

Usual Pediatric Dose for Arrhythmias:

  • Greater than 1 year:
  • Loading Dose: 1.25 mg/kg IV every 5 minutes 
  • Maintenance Dose: 5 to 10 mg/kg/day orally or IV in 2 to 3 divided doses

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Side Effects of Eptoin:

Common side effects include but are not limited to:

  • Drowsiness
  • Fatigue
  • Loss of control of bodily movements
  • Loss of balance or coordination
  • Irritability
  • Headache
  • Restlessness
  • Nervousness
  • Involuntary, repetitive eye movements
  • Dizziness
  • Spinning sensation (vertigo)
  • Slurred or slow speech
  • Numbness and tingling
  • Rash
  • Itching
  • Swollen or tender gums (pediatric patients)
  • Tremors
  • Paradoxical seizure
  • Drug withdrawal seizure
  • Double vision
  • Psychosis (high dose)
  • Optic nerve damage
  • Encephalopathy
  • Atrioventricular (AV) conduction disorder
  • Ventricular fibrillation
  • Nausea
  • Vomiting
  • Constipation
  • Diarrhea
  • Megaloblastic (folate-deficiency) anemia
  • Low blood calcium levels (hypocalcemia)
  • Liver damage
  • Abnormal hair growth
  • Enlarged lymph nodes
  • Purple glove syndrome
  • Allergic reactions in the form of rash or, rarely, more serious forms (drug reaction with eosinophilia and systemic symptoms, or DRESS) or anaphylaxis
  • Red or purple spots on the skin
  • Toxic epidermal necrolysis
  • Bullous dermatosis
  • Coarsening of facial features
  • Periarteritis nodosa
  • Immunoglobulin abnormalities
  • An altered taste sensation, including metallic taste
  • Peyronie's disease
  • IV greater than 50 mg/min
  • CNS depression
  • Cardiovascular collapse
  • Hypotension
  • Involuntary muscle movements
  • Weakness or paralysis of eye muscles
  • Kidney damage
  • Stevens-Johnson syndrome
  • Lupus erythematosus
  • Rickets
  • Softening of the bones
  • Cerebellar atrophy

Cautions To Take Eptoin:

  • You should not use Eptoin if you are allergic to it or any of its ingredients
  • You should not use Eptoin if you also take Delavirdine

You should not use Eptoin if you have ever had:

  • Liver problems are caused by phenytoin.
  • An allergy to similar medicines such as ethotoin, fosphenytoin, or mephenytoin.
  • If you currently take delavirdine (Rescriptor).
To make sure phenytoin is safe for you, tell your doctor if you have ever had:
  • Heart problems
  • Liver disease
  • Diabetes
  • Depression
  • Suicidal thoughts or actions
  • A vitamin D deficiency or any other condition that causes thinning of the bones
  • Porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system)
  • If you are of Asian ancestry

Inform your doctor if you are pregnant or breastfeeding. Eptoin can make birth control pills less effective. Ask your doctor about using non-hormonal birth control to prevent pregnancy 

Frequently Asked Questions

1. Can I stop taking Eptoin without consulting a doctor?

Keep taking this medicine even if you feel well. Do not stop taking this without talking to your doctor, even if you experience side effects such as unusual behavior or mood changes. If you suddenly stop taking Eptoin, your seizures may get worse. Your doctor will probably reduce your dose gradually.

2. What type of seizures does Eptoin treat?

Eptoin is best used for partial seizures. It is generally not effective against generalized-onset absence seizures or childhood spasms. Eptoin has limited value in clonic, myoclonic, and atonic seizures and in Lennox-Gastaut syndrome. The tonic-clonic component of the syndrome may be controlled.

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