(fos FEN i toyn) Brand: Cerebyx
• You must not use this medicine if you are allergic to fosphenytoin or phenytoin (Dilantin) or if you have determined serious heart conditions such as slow heartbeats, heart block, AV block, or Adams-Stokes syndrome (a heart rhythm disorder).
• Fosphenytoin must not be used together with delavirdine (Rescriptor).
• Till receiving fosphenytoin, speak your doctor if you are allergic to any drugs, or if you have heart malady, kidney malady, liver malady, low blood pressure, porphyria, diabetes, or if you drink big amounts of alcohol.
• If possible till you receive fosphenytoin, speak your doctor if you are pregnant. Fosphenytoin may reason harm to an unborn child, but having a seizure during pregnancy could harm both the mother and the child. If you become pregnant while using fosphenytoin, DO NOT STOP USING the medication without your doctor's advice. Seizure control is very significant during pregnancy and the benefits of preventing seizures may outweigh any risks posed by using fosphenytoin.
• If you have received fosphenytoin during pregnancy, be certain to speak the doctor who delivers your child about your fosphenytoin use. Both you and the child may need to receive medications to prevent overweening bleeding during delivery and just after birth.
• There are much another medicines that can interact with fosphenytoin. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.
• Fosphenytoin is an anticonvulsant that works by slowing down impulses in the brain that reason seizures.
• Fosphenytoin is used to prevent or control seizures. Fosphenytoin is used only for a short time when another forms of phenytoin can't be given.
• Fosphenytoin may also be used for purposes not listed in this medicine guide.
• You must not use this medicine if you are allergic to fosphenytoin or phenytoin (Dilantin) or if you have determined serious heart conditions such as slow heartbeats, heart block, AV block, or Adams-Stokes syndrome (a heart rhythm disorder).
• Fosphenytoin must not be used together with delavirdine (Rescriptor).
• To create certain you can safely receive fosphenytoin, speak your doctor if you have any of these another conditions:
· kidney or liver disease;
· diabetes;
· low blood pressure;
· porphyria (a genetic enzyme mess that causes symptoms affecting the skin or nervous system); or
· if you drink big amounts of alcohol.
• Patients of Asian ancestry may have a higher risk of developing a rare but serious skin reaction to fosphenytoin. Your doctor may recommend a blood test till you start the medicine to determine your risk of this skin reaction.
• FDA pregnancy category D. If possible till you receive fosphenytoin, speak your doctor if you are pregnant. Fosphenytoin may reason harm to an unborn baby. Use effective birth control to prevent pregnancy while you are using fosphenytoin. Fosphenytoin can create birth control pills smaller effective. Ask your doctor about using a non hormone method of birth control (such as a condom, diaphragm, spermicide) to prevent pregnancy while receiving fosphenytoin.
• If you become pregnant while using fosphenytoin, DO NOT STOP USING the medication without your doctor's advice. Although fosphenytoin may harm an unborn child, having a seizure during pregnancy could harm both mother and child.
• Seizure control is very significant during pregnancy. The benefit of preventing seizures may outweigh any risks posed by using fosphenytoin. Follow your doctor's instructions about using fosphenytoin while you are pregnant.
• If you have received fosphenytoin during pregnancy, be certain to speak the doctor who delivers your child about your fosphenytoin use. Both you and the child may need to receive medications to prevent overweening bleeding during delivery and just after birth.
• It is not known whether fosphenytoin passes into breast milk or if it could harm a nursing child. You must not breast-feed while you are using fosphenytoin.
• Fosphenytoin is injected into a muscle, or into a vein through an IV. You may be shown how to use injections at house. Do not self-inject this medication if you do not fully understand how to give the injection and properly dispose of used needles, IV tubing, and another items used to inject the medicine.
• Your breathing, blood pressure, oxygen levels, kidney function, and another vital signs will be watched closely while you are receiving fosphenytoin in a clinic or hospital setting. Your heart function may also need to be checked using an electrocardiograph or ECG (sometimes called an EKG). You will be watched closely for at least 20 minutes after receiving fosphenytoin, to be certain this medicine is not causing deleterious effects.
• Use a disposable needle only once. Throw away used needles in a puncture-proof container (ask your pharmacist where you can get one and how to dispose of it). Hold this container out of the reach of children and pets.
• Do not stop using fosphenytoin without first talking to your doctor, even if you feel beautiful. You may have heighten seizures if you stop using fosphenytoin suddenly without medical advice.
• This medicine can reason unusual results with determined medical trials. Speak any doctor who treats you that you are using fosphenytoin.
• Store in the refrigerator, do not freeze.
• Do not use fosphenytoin if it has changed colors or has particles in it. Call your doctor for a new prescription.
• Call your doctor for instructions if you miss a doze of fosphenytoin.
• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222. An overdose of fosphenytoin can be fatal.
• Overdose symptoms may include weakness, nausea, vomiting, feeling light-headed, chest pain, quick or slow heart course, weak pulse, slow breathing (breathing may stop).
• Avoid drinking alcohol while you are receiving fosphenytoin. Alcohol use can magnify your blood levels of fosphenytoin and may magnify side effects. Daily alcohol use can decrease your blood levels of fosphenytoin, which can magnify your risk of seizures.
• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your person, lips, tongue, or throat.
• Speak your caregivers at once if you have a serious side effect such as:
· severe burning, itching, swelling, redness, or skin discoloration anywhere in the body;
· problems with vision or speech;
· feeling like you might pass out;
· chest pain, irregular heart rhythm, feeling short of breath;
· fever, swollen glands, body aches, flu symptoms;
· skin rash, light bruising or bleeding, severe tingling, numbness, pain, muscle weakness;
· confusion, nausea and vomiting, swelling, rapid weight gain, urinating smaller than normal or not at all;
· new or worsening cough with fever, trouble breathing;
· upper stomach pain, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
· low potassium (confusion, uneven heart course, extreme thirst, heighten urination, leg discomfort, muscle weakness or limp feeling); or
· severe skin reaction -- fever, sore throat, swelling in your person or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the person or upper body) and causes blistering and peeling.
• Smaller serious side effects may include:
· constipation, mild nausea, dry mouth;
· headache, dizziness, drowsiness;
· mild itching or tingly feeling;
· tremor, muscle weakness, loss of coordination;
· ringing in your ears; or
· pain in your hips or back.
• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.
• Drugs that can magnify fosphenytoin levels in your blood include:
· amiodarone (Cordarone, Pacerone);
· disulfiram (Antabuse);
· fluorouracil (5FU, Adrucil);
· ethosuximide (Zarontin);
· isoniazid (for treating tuberculosis);
· methylphenidate (Ritalin, Concerta, Daytrana);
· tolbutamide (Orinase);
· birth control pills or hormone replacement therapy;
· chlorpromazine (Thorazine), prochlorperazine (Compazine, Compro), promethazine (Pentazine, Phenergan, Anergan, Antinaus), thioridazine (Mellaril), and another phenothiazines;
· phenobarbital (Solfoton) or another barbiturates;
· salicylates such as aspirin, Backache Relief Extra Power, Novasal, Nuprin Backache Caplet, Doan's Pills Extra Power, Pepto-Bismol, Tricosal, and others;
· stomach acid reducers such as cimetidine (Tagamet), ranitidine (Zantac), famotidine (Pepcid), or nizatidine (Axid);
· determined sedatives (such as Librium, Librax, Limbitrol, or Valium) or antidepressants such as fluoxetine (Prozac, Rapiflux, Sarafem, Selfemra, Symbyax) or trazodone (Desyrel); or
· sulfa drugs (Bactrim, Septra, Sulfatrim, SMX-TMP, and others).
• Drugs that can create fosphenytoin smaller effective in controlling seizures include:
· reserpine; or
· carbamazepine (Carbatrol, Equetro, Tegretol).
• Another drugs that can interact with fosphenytoin include:
· a blood thinner such as warfarin (Coumadin, Jantoven);
· digoxin (digitalis, Lanoxin);
· furosemide (Lasix);
· steroid medications (prednisone and others);
· theophylline (Elixophyllin, Theo-Dur, Theo-Bid, Theolair, Uniphyl);
· valproic acid (Depakene) or divalproex sodium (Depakote);
· an antibiotic such as rifampin (Rimactane, Rifadin, Rifamate) or doxycycline (Doryx, Vibramycin, Adoxa, and others); or
· an antidepressant such as amitriptyline (Elavil, Vanatrip, Limbitrol), doxepin (Sinequan, Silenor), nortriptyline (Pamelor), and others.
• This list is not complete and there are much another medicines that can interact with fosphenytoin. Speak your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal commodity, and drugs predesigned by another doctors. Do not start using a new medicine without your doctor's advice.
• Your pharmacist can provide more information about fosphenytoin.
Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.
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