J.G. states that because she has not had a seizure since she was in the hospital, she questions
how long she will have to continue taking the phenytoin (Dilantin). Which is your best
response?
a. "Your seizures are cured only as long as you take the medication."
b. "This medication might need to be continued for the rest of your life."
c. "This medication can be stopped after you are seizure free for 6 months."
d. "This medication will have to be taken only when you are experiencing stress."
b
A therapeutic response to Dilantin does not mean that she has been cured of the seizures, but
only that the seizure activity is decreased or absent. Therefore, treatment might last for years or
have to be continued for a lifetime. Withdrawal from therapy is complex and undertaken only after
detailed patient evaluation. Seizures might occur despite drug therapy, especially during periods of
stress.
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