25, 2004 — don t switch from brand-name dilantin to a generic version of the antiseizure drug — or from generic to brand name, epilepsy specialists warn.

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Have kidney or liver problems as you may show early signs of toxicityDILANTIN may cause liver damage Have or had porphyriapor-FER-ee-ahDILANTIN has been associated with harmful effects on blood cells Have or had diabetesYour blood sugar level can be altered while taking DILANTIN.

Patients of Asian ancestry may have a higher risk of developing a rare but serious skin reaction to phenytoinYour doctor may recommend a blood test before you start the medication to determine your risk of this skin reaction.

Take the missed dose as soon as you rememberSkip the missed dose if it is almost time for your next scheduled doseDo not take extra medicine to make up the missed dose.

Liver functionSome people have reported liver problems andin rare instancesliver failurewith the use of phenytoinThese cases have been associated with an allergic reaction that includes feverskin rashes or hivesor swollen lymph glandsThe reaction usually occurs within the first 2 months of treatment.

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