How can this medicine affect other medicines?
Phenytoin blood levels may be increased by:
Amiodarone
Antibiotics such as chloramphenicol, isoniazid and sulphonamides (e.g. co-trimoxazole)
Anti-epileptic succinimides such as ethosuximide
Anti-fungals such as fluconazole and miconazole
Benzodiazepines such as chlordiazepoxide and diazepam
Dicoumarol
Disulfiram
Methylphenidate
Phenothiazines such as chlorpromazine
Phenylbutazone
Ulcer-healing medicines such as cimetidine and omeprazole
and viloxazine.
Phenytoin blood levels may be decreased by:
Carbamazepine
Chronic heavy alcohol consumption
Folic acid
Sucralfate
and vigabatrin.
Phenytoin blood levels may be changed by:
Anti-cancer medicines
Ciprofloxacin
Phenobarbitone (phenobarbital)
and sodium valproate or valproic acid.
Phenytoin may change the blood levels of:
Phenobarbitone (phenobarbital)
and sodium valproate or valproic acid.
Phenytoin may decrease the effectiveness of:
Anti-cancer medicines
Anti-fungals such as ketoconazole
Clozapine
Corticosteroids such as prednisolone
Dicoumarol
Digoxin
Doxycycline
Frusemide (furosemide)
Oral contraceptives
Quinidine
Theophylline
and vitamin D.
Phenytoin may increase the anti-clotting effect of warfarin.
The risk of seizures occurring may be increased by tricyclic antidepressants such as amitriptyline and possibly phenothiazines such chlorpromazine. Phenytoin doses may need to changed to decrease this risk.
Other medicines containing the same active ingredients
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