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Dilantin® Infatabs for Seizure Control
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Dilantin® Infatabs are chewable phenytoin tablets used to help control certain seizures. This page outlines how this medicine works, who it may suit, and how to access it for home use. Ships from Canada to US and can be practical for Dilantin Infatabs without insurance.
What Dilantin Is and How It Works
This anticonvulsant reduces repetitive firing of neurons by stabilizing voltage-gated sodium channels. It helps limit the spread of seizure activity in the brain. The effect supports control of focal onset seizures and generalized tonic-clonic seizures. For background on seizure types, see Seizures. Dilantin Infatabs are one formulation of phenytoin designed for patients who prefer a chewable option.
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
The treatment can be swallowed or chewed, which may aid adherence for those who have difficulty swallowing solid tablets. Consistent daily dosing is important with this narrow-therapeutic-index medicine. Switching between brands or dosage forms should only occur under guidance because bioavailability may differ.
Who It’s For
This therapy is indicated to help control focal onset seizures and generalized tonic-clonic seizures in appropriate patients. It is not considered effective for absence seizures. People with known hypersensitivity to phenytoin or other hydantoins should avoid it. Those with significant hepatic impairment, a history of severe cutaneous reactions to antiepileptics, or certain genetic risk factors for serious skin reactions should use caution as advised by a clinician.
Use during pregnancy requires careful risk-benefit discussion due to known fetal risks associated with the class. Alcohol use and poor nutritional status can alter levels and tolerability. If mental health concerns arise, including new or worsening mood or behavior changes, contact a healthcare professional promptly.
Dosage and Usage
Dosing is individualized. Prescribers typically adjust based on clinical response and serum levels. Take doses at evenly spaced times each day. The tablets may be chewed thoroughly or swallowed with water. Taking with food consistently can support steady absorption. Do not stop treatment suddenly, as abrupt discontinuation can raise the risk of breakthrough seizures.
For pediatric patients who benefit from a chewable form, clinicians often divide the daily amount into two or three doses. Adults may use an equivalent total daily amount to immediate-release tablets or suspension, as directed by a prescriber. Do not crush different formulations interchangeably without guidance. Avoid alcohol binges and maintain a steady routine to help keep levels stable. Dilantin Infatabs chewable tablets provide a convenient format where swallowing is a challenge.
- Take at the same times each day
- Chew fully or swallow whole with water
- Keep food timing consistent day to day
- Do not double up after vomiting; follow clinician advice
- Do not switch products without prescriber oversight
Strengths and Forms
Common presentations include a chewable Infatab and other oral forms like capsules and suspension. Availability may vary by pharmacy partner and supply. Infatabs are typically supplied as a single strength; prescribers may combine units to reach the prescribed daily total. If a specific presentation is not available, the pharmacy team can contact the prescriber about alternatives.
Missed Dose and Timing
If a dose is missed, take it when remembered unless it is close to the next scheduled time. If it is nearly time for the next dose, skip the missed dose and resume the regular schedule. Do not take two doses at once. Keeping a reminder system, such as a phone alarm or pill organizer, can help maintain a steady routine.
Storage and Travel Basics
Store the tablets at room temperature in a dry place, away from excessive heat and moisture. Keep the container closed tightly and out of reach of children and pets. When traveling, carry the original labeled bottle and a copy of the prescription. For longer trips, pack extra doses in case of delays. If you are flying, keep the medicine in your carry-on and consider a simple medication list for security. Temperature-controlled handling when required is observed across products that need it.
For broader neurologic topics and conditions, you can browse our Neurology category and clinical overviews like Status Epilepticus.
Benefits
This medicine can help reduce seizure frequency when used as prescribed. A chewable format may support adherence for patients who struggle with swallowing standard tablets or capsules. Having multiple oral options in the same drug class allows prescribers to tailor therapy to patient preferences and needs. Consistent use, level monitoring when indicated, and routine follow-up with a clinician can improve long-term management.
Side Effects and Safety
- Drowsiness or dizziness
- Nystagmus or coordination problems
- Gingival overgrowth
- Nausea or constipation
- Rash or itching
- Hair changes
- Vitamin D or bone effects with long-term use
Serious but less common risks include severe skin reactions (such as Stevens-Johnson syndrome), multi-organ hypersensitivity, liver injury, blood dyscrasias, and mood or behavior changes. Seek urgent help for widespread rash, blistering, jaundice, unusual bleeding, or confusion. The risk of hypoglycemia is not typical with this class, but central nervous system side effects may increase with alcohol or interacting medicines. Report side effects to your prescriber and follow official labeling for full safety details.
Drug Interactions and Cautions
Phenytoin is a strong enzyme inducer that can lower exposure to many medicines. Interactions may occur with oral contraceptives, anticoagulants, some antivirals, azole antifungals, other antiepileptics, tricyclic antidepressants, and herbal products like St. John’s wort. Valproate and certain inhibitors can raise phenytoin levels. Alcohol can unpredictably affect concentrations. Patients with liver disease, low albumin, or genetic risk factors for severe cutaneous reactions require careful monitoring. Use only under the supervision of a qualified prescriber who can review all medicines and supplements.
What to Expect Over Time
Seizure control often improves as steady-state levels are reached and dosing is optimized. Some side effects may lessen as the body adjusts, while others might require dose changes or supportive care. Regular follow-up, level checks when indicated, and consistent daily routines can support stability. Keep a simple seizure diary and bring it to visits. If a planned brand or formulation change is necessary, the prescriber will advise how to transition safely.
Compare With Alternatives
Patients who need a non-chewable option may use phenytoin capsules under clinician guidance. We also carry Dilantin® in other oral forms. For educational reading on other antiepileptics, see Topamax Uses and our primer on options in Seizure Medicines. Discuss any switch with a healthcare professional before making changes.
Pricing and Access
We offer Canadian sourcing with US shipping from Canada for eligible prescriptions. Cash-pay shoppers often compare Dilantin Infatabs Canadian pricing with local quotes to evaluate potential savings. You can check current pricing on the product page and see availability before placing an order. Our checkout is encrypted for your security. If you are looking for seasonal specials, visit Promotions.
To proceed, add the item to your cart, upload a valid prescription, and complete your contact details so our pharmacy partners can verify with the prescriber. If you need broader condition background while reviewing options, visit Neurology.
Availability and Substitutions
Supply may vary by strength and package size. If a requested item is not in stock, a prescriber may recommend an alternative formulation or another anticonvulsant. An online request through a reputable source can simplify coordination between your clinician and the dispensing pharmacy. Many patients search for Dilantin Infatabs online pharmacy options to compare fulfillment approaches and documentation steps.
Patient Suitability and Cost-Saving Tips
Good candidates can swallow or chew tablets, take medicine consistently, and maintain routine follow-up. People with a history of severe skin reactions to antiepileptics, significant liver disease, or uncontrolled alcohol use may not be suitable. When appropriate, multi-month supplies can reduce refill interruptions and shipping fees. Consider calendar alerts, pill organizers, and aligning refills with clinic appointments. Patients paying out of pocket sometimes ask about Dilantin Infatabs self-pay strategies, such as comparing Canadian and local sources under prescriber guidance.
Questions to Ask Your Clinician
- Most appropriate formulation: chewable, capsule, or suspension
- Target level range and monitoring plan
- Potential interactions with my current medicines
- What signs require urgent medical attention
- How to manage missed doses or illness
- Plans if pregnancy is possible or planned
Authoritative Sources
Ready to proceed? Add to cart for US delivery from Canada with prompt, express shipping. This content is for general information and does not replace professional medical advice. Always follow your prescriber’s instructions and the official label.
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Are Infatabs interchangeable with Dilantin capsules?
Yes, they contain the same active ingredient but different forms. Your doctor will guide you on how to switch if needed.
How should I give Dilantin Infatabs to my child?
Chew the tablet well before swallowing. You may give it with food to reduce stomach upset.
What happens if my child misses a dose?
Give the missed dose as soon as you remember. If it’s close to the next dose, skip the missed one—never double up.
Can Infatabs affect my child’s teeth or gums?
Yes, phenytoin can cause gum overgrowth. Good dental hygiene and regular dental checkups are important.
Do Infatabs need to be taken with food?
They can be taken with or without food, but consistency helps maintain stable blood levels.
Is this chewable option the same as phenytoin capsules?
Both contain phenytoin, but formulations differ in absorption and dosing flexibility. Chewables can be chewed or swallowed, which some patients find easier. Capsules are typically swallowed whole. Because phenytoin has a narrow therapeutic window, switching between forms should only be done under clinician guidance with monitoring. Your prescriber may check serum levels during changes to ensure stability and adjust the schedule if needed.
Can I stop this medicine if my seizures are controlled?
Do not stop suddenly without medical guidance. Abrupt discontinuation can increase seizure risk. If a change is being considered, your prescriber will outline a safe plan, which may include gradual adjustments and monitoring. Keep a simple seizure log and bring it to visits to support shared decisions and watch for patterns that affect control.
What food or lifestyle tips support stable levels?
Keep daily timing consistent, avoid binge alcohol use, and maintain steady meal patterns. Let your clinician know about supplements and herbals. Hydration, good oral care to reduce gum overgrowth risk, and regular follow-up visits are helpful. If nausea or constipation occurs, discuss options for supportive care. Ask your prescriber before starting or stopping any new medicines, including over-the-counter products.
How should the tablets be taken if swallowing is hard?
They may be chewed thoroughly and then swallowed. Some patients prefer to take them with a small amount of water after chewing. Keep a consistent routine with regard to food. If taste is an issue, a clinician may suggest simple strategies to improve tolerability. Do not crush other formulations or switch products without advice from a healthcare professional.
What are the most important side effects to watch for?
Common effects include drowsiness, dizziness, coordination issues, gum changes, rash, and stomach upset. Serious reactions are rare but include severe skin reactions, liver problems, blood changes, and mood or behavior changes. Seek urgent help for widespread rash, blistering, jaundice, unusual bleeding, or confusion. Report side effects to your clinician and review the full risk information on the official label.
Will this interact with my birth control or other medicines?
Phenytoin can reduce exposure to certain contraceptives and other medicines due to enzyme induction. It may also be affected by inhibitors or other antiepileptics. Share a complete medication and supplement list with your prescriber. They can review risks and recommend suitable options, including backup contraception when needed, based on the official label and your clinical situation.
How should I store it at home and while traveling?
Store at room temperature in a dry place, away from heat and moisture. Keep the bottle tightly closed and out of reach of children and pets. For travel, carry the original labeled container and a copy of the prescription. Pack enough doses for potential delays and keep the medicine in your carry-on. Maintain a consistent schedule whenever possible during trips.
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