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Getting Off Warfrin. Have A Fib And Advised To Take Xarel. Could I Take Neurontin Instead Of Dilantin?
Question: hi i`m getting off warfrin because of many problems with it. I had a dvt 10 yrs ago and I also have a-fib. Xarel has been recomended for both problems and without blood checks monthly. I take dilantin for a partial seizure disorder. 300 mgs per day. I want to know if I can switch from dilantin to neurontin so that I`m compatable with xarelto?
Brief Answer:
It will be fine to switch but on a condition
Detailed Answer:
Hello,
thanks for posting on XXXXXXX
It is possible to switch to neurontin (generic name: gabapentin) but as an adjunctive therapy for treatment of partial seizures with or without secondary generalization of seizures. Taking the medication uniquely for treatment of your partial seizures might not be as effective as taking it in combination to another antiseizure drug such as valproic acid. Indeed, dilantin (generic name: phenytoin) has significant interactions that needs to be monitored closely with xarelto (generic name: Rivaroxaban). Most physicians actually prefer not to associate the two medications and I will advise against it too.
In any case, you can not do the switching by yourself without consulting with your doctor who alone can make that decision to switch you to another antiseizure medication.
Hope this helps and wish you the best.
Dr. Nsah
It will be fine to switch but on a condition
Detailed Answer:
Hello,
thanks for posting on XXXXXXX
It is possible to switch to neurontin (generic name: gabapentin) but as an adjunctive therapy for treatment of partial seizures with or without secondary generalization of seizures. Taking the medication uniquely for treatment of your partial seizures might not be as effective as taking it in combination to another antiseizure drug such as valproic acid. Indeed, dilantin (generic name: phenytoin) has significant interactions that needs to be monitored closely with xarelto (generic name: Rivaroxaban). Most physicians actually prefer not to associate the two medications and I will advise against it too.
In any case, you can not do the switching by yourself without consulting with your doctor who alone can make that decision to switch you to another antiseizure medication.
Hope this helps and wish you the best.
Dr. Nsah
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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