CBI,
I was told that it takes 30-40 minutes from when medicine enter the stomach till when it enters into the blood system, so I just separate them by an hour.
When changing slowly from one medicine to another, a good way is to slowly decrease the original one while increasing the new one at separate times. Take them separete, a hour apart from each other. If both are twice daily and you normally take your medicine at 8am & 8pm. Begin by taking the new one at 8am & 8pm, while taking the original at 7's or 9's.
Tim < tbb1@prodigy >
--- On Sun, 5/3/09, CBI <cbicook@yahoo.
From: CBI <cbicook@yahoo.
Subject: Re: [epilepsy] Re: "serious" side effets (Katrina)
To: epilepsy@yahoogroup
Date: Sunday, May 3, 2009, 5:51 PM
When I switched from Dilantin to Tegretal, I did have some dizzy feelings once completely on Tegretal. I have only switched meds once and decreasing one while increasing the other was how I was told it is done. I have been on Tegretal for 5 years now and I haven't had this dizzy feeling since. I don't know if it is an initial reaction by the body to the medication. I also was told by my Neru that the absorption rate for Tegretal differs between people and finding the therapeutic limit that works best to control sz's is the key. Once found and hopefully it is within an acceptable blood level range the person should receive the best control. I take 1200 MG a day, in two doses and use the slow release version. This permits me to not have to take it more frequently and I maintain a consistent blood level. If you are having problems with maintaining an acceptable level and sz control, maybe this drug isn't for you. I don't know how long
one has to try a med but frequent blood tests is a key. Unfortunately it takes time to prove how well it controls sz's. I would say if you can go several months seizure free and be in an acceptable blood level range, it is working. Best of luck. I wish I knew more about medications. I wondered when switching if Dilantin and Tegretal would be a good combination drug. One problem is both are absorbed in your liver so there would be additional strain on that organ. There may be a balance if the meds were taken at different times in the day. How the half life degradation works once taken is how these two would interact. Hopefully your doctor understands this and can explain it to you. Best of luck.
CBI
--- On Sun, 5/3/09, no_seizures_ since_surgery <stephenpales@ yahoo.com> wrote:
From: no_seizures_ since_surgery <stephenpales@ yahoo.com>
Subject: [epilepsy] Re: "serious" side effets (Katrina)
To: epilepsy@yahoogroup s.com
Date: Sunday, May 3, 2009, 12:33 PM
Hi Katrina,
When you where taking the Tegretol and feeling what you described, where your blood levels within the amount safe for you? After your body adapted to an increase in dosage, was it then that it was OK? In my situation with Tegretol, I took the most mg. I could within what the blood levels from blood tests showed. Any increase after that would have made me toxic. The feelings you described might have been felt from simply an increase in your dosage. And in time your body addapted to them? Take care, keep a smile on your face!
Steve
--- In epilepsy@yahoogroup s.com, "katrini24" <katrini24@. ..> wrote:
>
> --- In epilepsy@yahoogroup s.com, "gaelic_darkwater" <gaelic_darkwater@ > wrote:
> >
> > I've been trying to find an answer to this for several days and can't seem to get a real answer anywhere, so I'm hoping someone here has experience with this or knows someone who does and can give me an answer...
> >
> > I'm having a LOT of problems with the side effects from the phenytoin. I looked the medicine up online and the side effects are mostly listed as "serious", such as loss of balance, and dizziness, although I also have blurred vision and EXTREME fatigue. (I have slept for DAYS at a time.) I also can't type anywhere NEAR as easily as I once did and frequently misspell words or even forget words entirely. Not too long ago I stood in my kitchen for nearly an hour struggling to remember what the big silver box was and how in the world it was used. It was the microwave, which I use every day.
> >
> > So what I need to know is, when they say "serious" how serious is it? Am I risking serious long-lasting health problems (which I really can't afford added to these seizures) or do they just mean that these are seriously irritating? What should I do? I can't get to my doctor for weeks still.
> >
> Years ago my doctor prescribed me carbratrol. I had so much in my system that I had blurry vision, natious, I couldnt even walk I was so dizzy. I only felt like this after I took my medicine. After I threw up all that stuff went away. Your not alone. If I were you I would see your doctor. The prescribed me the carbratrol got sued. Please let me know what happens.
>
> Katrina
>
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