Epilepsy Expert Discusses Dilantin: long term problems - YouTube

Jun 29, 2015 - Uploaded by Andrew Reeves Neurology
Epilepsy Expert Discusses Dilantin: long term problems. Andrew Reeves Neurology ... Dilantin:Side Effects ...

The oldest of the first-line drugs prescribed today is phenytoin (Dilantin®). It was introduced in 1938, and remains the primary choice for monotherapy seizure control. Phenytoin is used to control generalized tonic-clonic and complex partial seizures, but is ineffective against absence seizures. It is also used to prevent and treat seizures related to neurosurgery.

Though the drug offers very good seizure control, it has a variety of short-term side effects including blurred or double vision, drowsiness, unsteadiness, decreased coordination, mental confusion and slurred speech (symptoms similar to, and potentially confused with, drunkenness.

It also can slow thought processes and reduce memory.

 More troubling, however, are the long-term side effects that accompany the chronic use of phenytoin, such as the coarsening of facial features, overgrowth of gums, increase in body hair, and acne. Women with a dark complexion should not use it.