What is C TOIN?

• C TOIN contains Phenytoin Sodium which belongs to a group of medicines known as anti-epileptic drugs

CONSUMER MEDICINE INFORMATION

THERAPEUTIC USES

WARNING & PRECAUTIONS

INTERACTIONS

DIRECTIONS FOR USE

SIDE EFFECTS

MORE INFORMATION

What C TOIN is used for?

• It is used to treat epilepsy
• It is used to control a variety of epileptic conditions, to control or prevent seizures during or after brain surgery or severe head injury
• It can also be used to treat trigeminal neuralgia (facial nerve pain)

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TALK TO YOUR DOCTOR

PREGNANCY AND BREAST-FEEDING

CHILDREN AND ADOLESCENTS

DRIVING AND USING MACHINES

Talk to your doctor before taking this medicine, if you:

• are allergic to Phenytoin sodium or to any of the other ingredients of this medicine
• have severe damage to the blood cells and bone marrow
• have grade I, II, III AV block, atrial fibrillation, atrial flutter (disorder of heart beat regulation)
• have a type of disorder that causes fainting and sometimes fits called Strokes-Adams syndrome
• have heart failure, heart attack within the last three months
• have impaired breathing function
• have severe hypotension (systolic blood pressure less than 90 mm Hg)
• have impaired liver, kidney function
• are diabetic
• have Porphyria (an inherited disease that affects hemoglobin biosynthesis)

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• C TOIN should not be taken during pregnancy, unless you are told otherwise by your doctor, because it might increase the risk of birth defects
• If you take C TOIN to treat your seizures, do not interrupt the therapy during pregnancy without consulting first your doctor, as any abrupt discontinuation of treatment or uncontrolled dose reduction can cause recurrence of seizures, which may harm you and/or your unborn child
• You should not take C TOIN if you are breast-feeding

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• Your doctor will decide the most appropriate dose based on your child’s weight

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• C TOIN may cause symptoms like dizziness or drowsiness, especially during the first few weeks of treatment or following a dose increase. Patients are advised not to drive or use machines until it is established that their ability to perform such activities is not affected

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Tell your doctor if you are taking,

• medicines used for treating heart and circulation problems (dicoumarol, digitoxin, amiodarone, furosemide, quinidine, reserpine, warfarin, and diltiazem and nifedipine)
• medicines used for treating epilepsy (carbamazepine, oxcarbazepine, phenobarbital, sodium valproate and valproic acid)
• medicines used to treat fungal infections (e.g. amphotericin B, fluconazole, ketoconazole and miconazole)
• medicines used for tuberculosis and other infections (chloramphenicol, isoniazid, sulphonamides, doxycycline and nelfinavir).
• medicines used for stomach ulcers (omeprazole, sucralfate, ranitidine, famotidine and some antacids)
• theophylline used for asthma and bronchitis
• medicines used for pain and inflammation (phenylbutazone, salicylates and steroids)
• medicines used for sleeplessness, depression and psychiatric disorders
• medicine used for treating psychotic problems such as chlordiazepoxide, clozapine, diazepam, fluoxetine, phenothiazines, tricyclic antidepressants, fluvoxamine, sertraline)
• tolbutamide used for diabetes
• estrogens, oral contraceptives (the birth control pill)
• ciclosporin used for organ and tissue transplants, to prevent rejection
• medicines used for cancer (antineoplastic agents)
• muscle relaxants used for surgery, some anesthetic drugs (halothane) and methadone

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• Always take this medicine exactly as your doctor has told you
• Take C TOIN at the same time each day
• Swallow the medicine whole, with plenty of water

Adults

• The amount of C TOIN needed varies from one person to another. Most adults need between 200mg and 500mg a day either as a single or divided dose. Occasionally higher doses are needed

Children

• Infants and children usually start on a dose that depends on their weight (5mg per day for every kg they weigh) and is given as a divided dose, twice a day. The dose is then adjusted up to a maximum of 300mg a day

If you take more C TOIN

• If you accidentally take more C TOIN, contact your doctor at once or go to the nearest hospital casualty department

If you forget to take C TOIN

• If you forget to take a dose, take it as soon as you remember unless it is time for your next dose
• Do not take a double dose to make up for a missed dose

If you stop taking C TOIN

• Do not stop taking C TOIN unless your doctor tells you to. If you suddenly stop taking this medicine you may have a seizure

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Like all medicines, this medicine can cause side effects, although not everybody gets them.

SERIOUS

COMMON

UNCOMMON

RARE

VERY RARE

• sudden wheeziness, difficulty in breathing, swelling of eyelids, face or lips, rash or itching (especially affecting the whole body)
• bruising, fever, looking pale, severe sore throat abnormality of the blood, including decreases in the number of red cells, white cells or platelets
• skin rash and fever with swollen glands, particularly in the first two months of treatment
• pain and inflammation of the joints
• severe mental illness
• skin rashes

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NA

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ADDITIONAL INFORMATION

STORAGE

NA

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• Store at room temperature (15-25°C)
• Keep this medicine out of the reach of children
• Do not take this medicine after expiry date

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Disclaimer:

The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment.  Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.