Type of medicine: hydantoin antiseizure
Generic and brand names: ethotoin, oral; Peganone
This medicine is used to control seizures caused by certain types of epilepsy.
Before taking this medicine, tell your healthcare provider if you have ever had:
If you are of Asian ancestry, you may be at high risk of a serious skin reaction. You may need a blood test before you start taking the medicine. Talk with your provider about this.
Females of childbearing age: This medicine is not usually given to pregnant women because it can harm the baby. If you are pregnant, tell your healthcare provider. Do not become pregnant during treatment with this medicine. If you become pregnant, contact your healthcare provider right away. Do not breast-feed while you are receiving this medicine.
Read the Medication Guide that comes in the medicine package when you start taking this medicine and each time you get a refill.
Check the label on the medicine for directions about your specific dose. Take this medicine exactly as your healthcare provider prescribes. This medicine must be taken regularly every day to control seizures. Do not stop taking this medicine without your healthcare provider's approval. You may have to gradually reduce your dosage. If you stop taking the medicine too quickly, your seizures may increase.
You may take this medicine with or without food. Taking it with meals may lessen the chance the drug will upset your stomach.
Do not miss a dose. If you miss a dose, take it as soon as you remember unless it is almost time for the next scheduled dose. In that case, skip the missed dose and take the next one as directed. Do not take double doses. If you are not sure of what to do if you miss a dose, or if you miss more than one dose, contact your healthcare provider.
If you or anyone else has intentionally taken too much of this medicine, call 911 or go to the emergency room right away. If you pass out, have seizures, weakness or confusion, or have trouble breathing, call 911. If you think that you or anyone else may have taken too much of this medicine, call the poison control center. Do this even if there are no signs of discomfort or poisoning. The poison control center number is 800-222-1222.
Symptoms of an acute overdose may include: trouble walking, loss of balance, drowsiness, passing out, nausea, slow breathing, vision problems, coma.
Antiseizure medicines may increase suicidal thoughts or actions in some people. Call your healthcare provider right away if you have new or increased thoughts of suicide.
This medicine may make you drowsy or dizzy. Do not drive or operate machinery unless you are fully alert.
Your healthcare provider will want to check your progress regularly and adjust your dosage. Keep all appointments.
If you need emergency care, surgery, or dental work, tell the healthcare provider or dentist you are taking this medicine.
Carry some form of ID stating that you have seizures and are taking an antiseizure medicine.
This medicine may increase the effects of alcohol and other drugs that slow down your nervous system. Do not drink alcohol or take other medicines unless your healthcare provider approves.
This medicine may cause swelling and irritation of your gums. Ask your healthcare provider or dentist about proper dental care.
Do not start or stop taking any other medicine without your healthcare providers advice. Other medicine may affect how this medicine works.
Contraceptives (birth control medicines), may not work properly while taking this medicine. Talk to your healthcare provider about other forms of birth control.
Diabetics: This medicine may affect your blood sugar level and change the amount of insulin or other diabetes medicines you may need. Talk to your healthcare provider about this.
Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse.
Life-threatening (Report these to your healthcare provider right away). If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help): Allergic reaction (hives; itching; rash; trouble breathing; chest pain or tightness in your chest; swelling of your lips, tongue, and throat).
Serious (report these to your healthcare provider right away): Nausea or vomiting; confusion; mood changes; depression; thoughts of suicide; vision problems; lightheadedness; uncontrollable eye or muscle twitches; slurred speech; increased seizures; pounding heartbeat; skin rash; chest pain; strange feelings in your hands or feet; trembling; trouble breathing; severe dizziness; dark urine; mouth sores; sore throat; fever; unusual bruising or bleeding; yellowish skin or eyes; swollen glands.
Other: Slight drowsiness or dizziness, trouble sleeping, loss of appetite, clumsiness, mild nausea or vomiting, constipation, diarrhea.
When you take this medicine with other medicines, it can change the way this or any of the other medicines work. Nonprescription medicines, vitamins, natural remedies, and certain foods may also interact. Using these products together might cause harmful side effects. Talk to your healthcare provider if you are taking:
If you are not sure if your medicines might interact, ask your pharmacist or healthcare provider. Keep a list of all your medicines with you. List all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take. Be sure that you tell all healthcare providers who treat you about all the products you are taking.
Store this medicine at room temperature. Do not refrigerate. Do not let it freeze. Keep the container tightly closed. Protect it from heat, high humidity, and bright light.
This advisory includes selected information only and may not include all side effects of this medicine or interactions with other medicines. Ask your healthcare provider or pharmacist for more information or if you have any questions.
Ask your pharmacist for the best way to dispose of outdated medicine or medicine you have not used. Do not throw medicine in the trash.
Keep all medicines out of the reach of children.
Do not share medicines with other people.
