Phenytoin Injection prescription and dosage sizes information for physicians and healthcare professionals. Pharmacology, adverse reactions, warnings and side. Page 1. Page 4. Malta ADR Reporting website: adrportal 5. How to store Epanutin RMP The storage of Epanutin RMP will not be . Epanutin Injection is used for Seizure, Migraine, Cardiac arrhythmias and other conditions. Epanutin Injection may also be used for purposes not listed in this.

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Click here for US version. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records.

Available for Android and iOS devices. Subscribe to receive email notifications whenever new articles are published. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. To view content sources and attributions, please refer to our editorial policy. We comply with the HONcode standard for trustworthy health information – verify here. The pharmacist will ensure that your medicine is kept out of the sight and reach of children.

The expiry date refers to the last day of that month. The pharmacist will also ensure that Epanutin RMP is kept in the original package. Do not throw away any medicine via wastewater.

The pharmacist or nurse will throw away any medicine you no longer use. These measures will help protect the environment. Epanutin RMP is for single use only. Any unused solution should be discarded immediately after initial use. The other ingredients are propylene glycol, ethanol alcoholsodium hydroxide and water for injection.

Your blood pressure may also be lowered and experience heart problems when Epanutin is injected into your vein too quickly. There have been reports of bone disorders including osteopenia and osteoporosis thinning of the bone and fractures.

Check with your doctor or pharmacist if you are on long-term antiepileptic medication, have a history of osteoporosis, or take steroids. Intramuscular phenytoin administration may cause pain, dying or sloughing of skin cells, and formation of an infection at the injection site. Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet.

You can also report side effects directly see details below. By reporting side effects you can help provide more information on the safety of this medicine.

United Kingdom Yellow Card Scheme website: Unusual eye movements, unsteadiness, difficulty in controlling movements, shaking, abnormal or uncoordinated movements, slurred speech, confusion, pins and needles or numbness, drowsiness, dizziness, vertigo, sleeplessness, nervousness, twitching muscles, headaches and change in taste.

Epanutin Ready Mixed Parenteral

Feeling sick, being sick and constipation. Increased levels of blood sugar, or decreased levels of blood calcium, phosphates, folic acid and vitamin D.

Taking Phenytoin may cause abnormal thyroid test results. EPAN-L03 Read all of this leaflet carefully before you are given this medicine because it contains important information for you.

You may need to read it again. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. In this case, you will only be able to read this leaflet after you have had the product given to you. Your doctor will have considered the important safety information in this leaflet, but your urgent need for treatment may have been more important than some of the normal cautions.


Check them now, especially if you are going to continue to be given Epanutin RMP or any other form of phenytoin. What is in this leaflet 1.

What Epanutin RMP is and what it is used for 2. What you need eppanutin know before you are given Epanutin RMP 3. How Epanutin RMP is given 4. Possible side effects 5. How to store Epanutin RMP 6. Contents of the pack and other information 1. What Epanutin RMP is and what it is epwnutin for This medicine is a solution for injection or infusion containing phenytoin, which belongs to a group of medicines called antiepileptic drugs.

Epanutin RMP can be used to treat severe epileptic seizures or fits status epilepticus. Epanutin RMP is also used to control or prevent seizures for short periods of time when antiepileptic drugs cannot be taken by mouth. Epanutin RMP can also be used to treat specific heart rhythm problems cardiac arrhythmias when these are injevtion by the drug digoxin, or when these do not respond well to treatment with other medicines, or when other treatments cannot be used. You should consult your doctor if you are unsure why you have been given Epwnutin RMP, if you do not feel better or if you feel worse.


Warnings and precautions Talk to your doctor, pharmacist or nurse before you are given Epanutin RMP if you suffer from or have suffered in the past from any of the following conditions: EPAN-L03 Page 3 Page 2 If you develop a rash or these skin symptoms, stop taking Epanutin, seek urgent advice from a doctor and tell him that you are taking this medicine.

Consult your doctor before discontinuing Epanutin. If you suddenly stop taking this medicine you may have a seizure. If you are taking phenytoin at the same time as you receive radiation therapy to your head and the dose of another medication called corticosteroids is reduced, you may more likely to develop a severe skin rash called erythema multiform or one that causes blistering called Stevens Johnson Syndrome or Toxic Epidermal Necrosis see Possible Side Effects in section 4.

Other medicines and Epanutin RMP Tell your doctor if you are taking, have recently taken or might take any other medicines.

Epanutin Injection – Uses, Side-effects, Reviews, and Precautions – TabletWise – UAE

These include Not all medicines injeftion listed here. Talk with your doctor or pharmacist: You should be administered Epanutin RMP with caution if you suffer from kidney or liver problems. A small epanutinn of people being treated with antiepileptics such as phenytoin sodium have had thoughts of harming or killing themselves. If at any time you have these thoughts, immediately contact your doctor.

Potentially life-threatening skin rashes Stevens Johnson syndrome, toxic epidermal necrolysis have been reported with the use of Epanutin, appearing initially as reddish target-like spots or circular patches often with central blisters on the trunk. Additional signs to look for include ulcers in the mouth, throat, nose, genitals and conjunctivitis red and swollen eyes. These potentially life-threatening skin rashes are often accompanied by flu-like symptoms. The rash may progress to widespread blistering or peeling of the skin.

The highest risk for occurrence of serious skin reactions is within the first weeks of treatment. If you have developed StevensJohnson syndrome or toxic epidermal necrolysis with the use of Epanutin, you must not be re-started on Epanutin at any time. Your doctor may injextion to test the amount of phenytoin in your blood to help decide if any of these drugs are affecting your treatment.

Epanutin RMP may also interfere with certain laboratory tests that you may be given. Epanutin RMP with food, drink and alcohol Drinking a lot of alcohol can also affect the concentration of phenytoin in your blood. Pregnancy, breast-feeding and fertility If you do get pregnant while you are given Epanutin RMP you must tell your doctor straight away.


It is important that your epilepsy remains well controlled, but, as with other anti-epilepsy treatments, there is epautin risk of harm to the epauntin. Make sure you are very clear about the risks and benefits of being given Epanutin RMP. You should not breast-feed if you are being given Epanutin RMP. Driving and using machines Epanutin RMP may cause dizziness or drowsiness. If you experience these symptoms, do not drive or use any tools or machines and contact your doctor.

Epanutin RMP contains ethanol and sodium This medicinal product contains 8.

It may be harmful if you suffer from alcoholism. It should be taken into account in pregnant or breast-feeding women, children and high risk groups such as patients with liver disease. This medicine contains up to 1. This should be considered if you are on a sodium-controlled diet. Epanutin RMP will be either injected into one of your large veins intravenously or into your muscle intramuscularly.

When given as an intravenous infusion, Epanutin RMP must inuection diluted with normal saline. Intramuscular or intravenous Epanutin RMP should not be added to dextrose or dextrose-containing solutions as this could interfere with the dose of this medicine.

The dose and concentration of the solution of Epanutin RMP you are given will be decided by your doctor and will injecyion written as the equivalent dose of phenytoin sodium PE. The dose will be as mg per dose if given as an injection or mg per ml of solution if given as an infusion drip. Sometimes it is necessary to give Epanutin RMP into your muscle if you cannot continue to take it by mouth. This is not normally continued for longer than one week. When switching back to oral Epanutin, the dose should be reduced to half the original oral dose elanutin the same period of time that the intramuscular injection was given.

Injechion is because phenytoin continues to be released from your muscles for sometime after the injections have been given. The recommended dose is as epanjtin Adults Severe epileptic seizure or fits Status Epilepticus A dose of 10 to 15 mg per kg of body weight is given intravenously at a rate not exceeding 50 mg per minute knjection adults.

This is followed by more Ijjection given every 6 to 8 hours either by injection or by mouth. Cardiac arrhythmias variations to normal heartbeat A dose of 3. This may be repeated a second time.

Neurosurgery A dose of to mg may be given into your muscle intramuscularly approximately every 4 hours during surgery and for two to three days afterwards to prevent seizures. This dosage may then be reduced to a maintenance dose of mg daily and adjusted according to your blood levels.

Elderly Lower or less frequent dosing may be needed in some elderly patients due to decreased clearance of Epanutin RMP. Your doctor may not need to change your dose, but side effects can occur more often in the elderly. Kidney or liver problems Make sure your doctor knows if you have liver or kidney problems as you may need your dose adjusted.