Dilantin overdose
Key points
- Symptoms The symptoms are variable depending on the actual toxicity.
- The standard procedure is to induce vomiting unless the patient is unconscious or experiencing convulsions.
- Poison Control, or a local emergency number If you are concerned about a Dilantin overdose, seek emergency medical care at the nearest emergency room immediately, or call your local poison control center or local emergency number.
- Before inducing vomiting, contact Poison Control for verification.
Definition
Poisoning from an overdose of Dilantin.
Poisonous Ingredient
- phenytoin
Where Found
- Dilantin
- phenytoin
Symptoms
The symptoms are variable depending on the actual toxicity. Some symptoms may be:
- involuntary and jerky repetitive movement of the eyeballs
- slow or slurred speech
- staggering gait or walk
- lethargy
- nausea
- vomiting
- body as a whole
o unsteadiness
o swollen gums
o fever
o tremor - nervous system
o sleepiness
o confusion
o coma
Home Treatment
The standard procedure is to induce vomiting unless the patient is unconscious or experiencing convulsions. Before inducing vomiting, contact Poison Control for verification.
If instructed to induce vomiting, the standard procedure is as follows:
- Give the usual dose of ipecac syrup: 15 milliliters (ml) or 1 TABLEspoonful for children and 30 ml (2 TABLEspoonsful) for an adult.
- Follow with 1/2 glass or 4 ounces (oz.) of water for children or 8 to 12 oz. of water for adults.
- Repeat 1 more time in 1/2 hour if vomiting has not occurred.
Before Calling Emergency
Determine the following information:
- the patient's age, weight, and condition
- the name of the product (ingredients and strengths if known)
- the time it was swallowed
- the amount swallowed
- if the medication was prescribed for the patient
Poison Control, or a local emergency number
If you are concerned about a Dilantin overdose, seek emergency medical care at the nearest emergency room immediately, or call your local poison control center or local emergency number. See Poison Control centers for telephone numbers and addresses. Take the container with you to the emergency room.
Written and revised by
Andrey Nailor, M.D.
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