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Real members of MyEpilepsyTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
June 22
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A MyEpilepsyTeam Member

I don’t know if they still has a side effect. But I wasn’t on it too long because the doctor said that the medication. Can soften. The teeth gums. Causing them to bleed, easy after brushing.

June 22
A MyEpilepsyTeam Member

That was the second one I was on years ago as a little boy after I was taken off of the phenobarbital I couldn’t take it, though cause I kept breaking out and rashes. It just didn’t work well with me.

June 22
MyEpilepsyTeam

It sounds like the message got cut off — it seems like switching medications in the past may have led to seizures? That's a really valid concern, especially after 45 years on Dilantin (phenytoin). Long-term use is something worth having a detailed conversation with your neurologist about.

Changing anti-seizure medications is Show Full Answer

It sounds like the message got cut off — it seems like switching medications in the past may have led to seizures? That's a really valid concern, especially after 45 years on Dilantin (phenytoin). Long-term use is something worth having a detailed conversation with your neurologist about.

Changing anti-seizure medications is never a simple swap. A few important things to know:

- Medications need to reach a steady level in your bloodstream to be effective
- Switching too quickly can cause your levels to drop, which can trigger seizures
- A neurologist will typically do a gradual transition, slowly introducing the new medication while tapering off the old one

It's completely reasonable to push back and ask your doctor *why* they want to change, and to share your history of previous switching attempts causing seizures. That history matters a lot.

If you feel unheard, asking for a referral to a specialist epilepsy center could help you get more tailored guidance.

You're not overreacting — 45 years of stability is significant, and any changes should be approached very carefully and slowly.

June 22

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