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Seizures and HIV treatment

Feb 10, 2004

Which anticonvulsant agent would you use in a patient who is also taking protease inhibitors? Do you feel comfortable using phenytoin in these patients?

Response from Dr. Horwath

The combination of phenytoin and a protease inhibitor may lead to drug interactions. Phenytoin is known to induce an enzyme that metabolizes protease inhibitors. This could lead to decreased levels of the protease inhibitor. When these drugs are used in combination, close monitoring is indicated.

Effect of Remeron and Clonazepam on WBC's
need some comfort!!!!!

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