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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by What The Dillio on January 29, 2002, at 22:08:08
I've been taking Dilantin Kapseals (XR) for mania. It has no side-effects, even at high doses. When I felt that I had no more mania, I stopped taking it. But now my doctor says that he wants to have me get a blood serum level drawn for it. My question is this: If I were to take a 900 mg dose tonight, would I have a normal therapeutic blood level (300 ml) of it tomorrow if I were tested in the morning? ...
I know I can tolerate any amount of it, so that's not a problem. The problem is that I haven't been taking it regularly-- yet I need to please the doc by showing that I have a therapeutic blood level of the Dilantin. Any response would be greatly appreciated. Thanx...
Posted by spike4848 on January 29, 2002, at 23:04:27
In reply to Dilantin ******, posted by What The Dillio on January 29, 2002, at 22:08:08
Hey STOP NOW! Dilantin is also affects the heart through the sodium channels. In the hospital, we alway put patients on a heart monitor when we "load" them with dilantin. The loading dose is 1000 mg by mouth over 4 hours. So if you take 900 mg at once, you could go into an arrhythmia.Be careful .....
Spike
PS You shouldn't have to do this just to please your doctor. He is working for you. Take the meds if they help you feel better.
Posted by Ritch on January 30, 2002, at 0:59:59
In reply to Dilantin ******, posted by What The Dillio on January 29, 2002, at 22:08:08
> I've been taking Dilantin Kapseals (XR) for mania. It has no side-effects, even at high doses. When I felt that I had no more mania, I stopped taking it. But now my doctor says that he wants to have me get a blood serum level drawn for it. My question is this: If I were to take a 900 mg dose tonight, would I have a normal therapeutic blood level (300 ml) of it tomorrow if I were tested in the morning? ...
>
> I know I can tolerate any amount of it, so that's not a problem. The problem is that I haven't been taking it regularly-- yet I need to please the doc by showing that I have a therapeutic blood level of the Dilantin. Any response would be greatly appreciated. Thanx...My Mom has epilepsy and at her highest dose it was only 100mg 4x daily (which I thought was a max dose of Dilantin) plus phenobarbitol.
Are you sure you are taking that much-that doesn't sound right.Mitch
Posted by What The Dillio on January 30, 2002, at 1:18:44
In reply to Re: Hey STOP NOW! » What The Dillio, posted by spike4848 on January 29, 2002, at 23:04:27
Thank you both for your concern...
I'm trying to get a therapeutic blood level taken so I can be able to get driving priviledges back soon. I need to be able to drive to school or work or I will go broke and flunk out. :( me sad
:( :(
Posted by PattyG on January 30, 2002, at 21:00:47
In reply to The end of me without therapeutic blood level, posted by What The Dillio on January 30, 2002, at 1:18:44
> Thank you both for your concern...
>
> I'm trying to get a therapeutic blood level taken so I can be able to get driving priviledges back soon. I need to be able to drive to school or work or I will go broke and flunk out. :( me sad
>
> :( :(
////What would your serum level have to do with your driving privileges? Were you having seizures previously? And if so, you're all well now? (Sorry if you've already explained this!)
PattyG
This is the end of the thread.
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