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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
C-Toin 300 mg ER Capsule is used to treat epilepsy/seizures, and prevent seizures during/after brain surgery or after traumatic brain injury. Besides this, it may also be used to treat trigeminal neuralgia (facial nerve pain). It contains Phenytoin, which helps prevent neurons from working at a very fast speed, thereby preventing the brain cells from firing together rapidly in an uncontrolled way. As a result, it controls the overactivity of the brain cells that cause seizures. It slows down the electrical impulses in the nerves and reduces their ability to transmit pain. Thereby treating trigeminal neuralgia. In some cases, it may cause certain common side effects such as weakness, drowsiness, dizziness, restlessness, and constipation.
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Whats That

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Composition :

PHENYTOIN-300MG

Manufacturer/Marketer :

USV Pvt Ltd

Consume Type :

ORAL

Return Policy :

3 Days Returnable

Expires on or after :

Jan-27

About C-Toin 300 mg ER Capsule

C-Toin 300 mg ER Capsule used to treat epilepsy/seizures, and prevent seizures during/after brain surgery or after traumatic brain injury. Besides this, C-Toin 300 mg ER Capsule may also be used to treat trigeminal neuralgia (facial nerve pain). Epilepsy is a central nervous system disorder characterized by a sudden rush of electrical activity in the brain, leading to seizures, unusual behaviour, and loss of awareness.

C-Toin 300 mg ER Capsule contains 'Phenytoin', which helps prevent neurons from working at a very fast speed, thereby preventing the brain cells from firing together rapidly in an uncontrolled way. As a result, C-Toin 300 mg ER Capsule controls the overactivity of the brain cells that cause seizures. C-Toin 300 mg ER Capsule slows down the electrical impulses in the nerves and reduces their ability to transmit pain. Thereby treating trigeminal neuralgia.

Take C-Toin 300 mg ER Capsule with or without food. You are advised to take C-Toin 300 mg ER Capsule for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, C-Toin 300 mg ER Capsule may cause certain common side effects such as weakness, drowsiness, dizziness, restlessness, and constipation. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

To treat your condition effectually, continue taking C-Toin 300 mg ER Capsule for as long as your doctor has prescribed it. Please do not skip any doses or stop taking C-Toin 300 mg ER Capsule suddenly without consulting your doctor, as it may lead to increased seizures. Avoid taking C-Toin 300 mg ER Capsule if you are pregnant or breastfeeding unless prescribed by the doctor. Avoid alcohol consumption while taking C-Toin 300 mg ER Capsule as it might cause increased dizziness. Inform your doctor about all the medicines you are taking and your health condition to rule out any unpleasant side effects.

Uses of C-Toin 300 mg ER Capsule

Treatment of Epilepsy/Seizures, Trigeminal neuralgia

Directions for Use

Tablet/Capsule: Swallow it as a whole with a glass of water. Do not chew, break, or crush the tablet/capsule. Suspension: Shake the bottle well and take the prescribed dose/quantity by mouth using the measuring cup/dosing syringe/dropper.

Medicinal Benefits

C-Toin 300 mg ER Capsule belongs to the group of anticonvulsant medicines called 'hydantoins' used to treat epilepsy/seizures. C-Toin 300 mg ER Capsule is also used to control and prevent fits during or after a severe head injury or brain surgery. C-Toin 300 mg ER Capsule works by controlling the overactivity of the brain cells that cause seizures (fits). Thereby, C-Toin 300 mg ER Capsule helps in controlling epileptic fits involving spasms of the muscles and jerking. C-Toin 300 mg ER Capsule may also be used to treat trigeminal neuralgia (facial nerve pain). C-Toin 300 mg ER Capsule slows down the electrical impulses in the nerves and reduces their ability to transmit pain. Thereby treating trigeminal neuralgia.

How C-Toin 300 mg ER Capsule Works

C-Toin 300 mg ER Capsule contains 'Phenytoin', which helps prevent neurons from working at a very fast speed, thereby preventing the brain cells from firing together rapidly in an uncontrolled way. As a result, C-Toin 300 mg ER Capsule controls the overactivity of the brain cells that cause seizures. C-Toin 300 mg ER Capsule slows down the electrical impulses in the nerves and reduces their ability to transmit pain. Thereby treating trigeminal neuralgia.

Storage

Store in a cool and dry place away from sunlight

Side Effects of C-Toin 300 mg ER Capsule

  • Weakness
  • Drowsiness
  • Dizziness
  • Restlessness
  • Constipation

What if I have taken an overdose of C-Toin 300 mg ER Capsule

Do not take more than the prescribed dose of C-Toin 300 mg ER Capsule as it may cause overdose which can be fatal. The symptoms of overdose include slurred speech, twitching eye movements, muscle stiffness or weakness, tremore, loss of balance, lightheadedness, fainting, vomiting, nausea and slow or shallow breathing. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

Do not take C-Toin 300 mg ER Capsule if you are allergic to any of its contents. Stop taking C-Toin 300 mg ER Capsule and consult your doctor if you develop any skin rashes (Stevens-Johnson syndrome), swollen glands (anticonvulsant hypersensitivity syndrome - AHS) or have suicidal thoughts. Talk to your doctor if you have heart, kidney, or liver problems. Avoid taking C-Toin 300 mg ER Capsule if you are pregnant or breastfeeding unless prescribed by your doctor. Avoid alcohol consumption while taking C-Toin 300 mg ER Capsule as it might cause unpleasant side effects. Let your doctor know if you have diabetes, as intake of C-Toin 300 mg ER Capsule affects the blood sugar level. Intake of C-Toin 300 mg ER Capsule may cause dizziness so be cautious while driving or operating any heavy machinery. Tell your doctor that you are taking anti-HIV medicine (like delavirdine) before intake of C-Toin 300 mg ER Capsule , as both might react with each other leading to serious conditions.

Drug-Drug Interactions

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PhenytoinRanolazine
Critical
PhenytoinIsavuconazole
Critical

Drug-Drug Interactions

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PhenytoinRanolazine
Critical
How does the drug interact with C-Toin 300 mg ER Capsule 30's:
Using ranolazine together with C-Toin 300 mg ER Capsule 30's may significantly reduce the blood levels of ranolazine leading to dreceased effectiveness of ranolazine in treating your condition.

How to manage the interaction:
Taking C-Toin 300 mg ER Capsule 30's with Ranolazine is not recommended. They can be taken together if advised by a doctor. However, contact a doctor if you experience any symptoms. Do not stop taking any medications without consulting a doctor.
PhenytoinIsavuconazole
Critical
How does the drug interact with C-Toin 300 mg ER Capsule 30's:
Co-administration of C-Toin 300 mg ER Capsule 30's and Isavuconazole may significantly reduce the blood levels of Isavuconazole, which may make Isavuconazole less effective in treating your condition.

How to manage the interaction:
Taking Isavuconazole with C-Toin 300 mg ER Capsule 30's is not recommended as it can cause an interaction, consult a doctor before taking it. Do not discontinue any medication without consulting a doctor.
PhenytoinLurasidone
Critical
How does the drug interact with C-Toin 300 mg ER Capsule 30's:
Using lurasidone together with C-Toin 300 mg ER Capsule 30's may significantly decrease the blood levels of lurasidone.

How to manage the interaction:
Using lurasidone with C-Toin 300 mg ER Capsule 30's is not recommended, it can be taken if a doctor has prescribed it. Consult a doctor, if you experience any unusual symptoms. Do not discontinue any medications without consulting a doctor.
PhenytoinRilpivirine
Critical
How does the drug interact with C-Toin 300 mg ER Capsule 30's:
Using rilpivirine together with C-Toin 300 mg ER Capsule 30's may significantly reduce the blood levels of rilpivirine.

How to manage the interaction:
Taking Rilpivirine with C-Toin 300 mg ER Capsule 30's is not recommended, it can be taken if prescribed by the doctor. Do not stop using any medications without talking to a doctor.
PhenytoinVenetoclax
Critical
How does the drug interact with C-Toin 300 mg ER Capsule 30's:
Using venetoclax together with C-Toin 300 mg ER Capsule 30's may significantly reduce the blood levels of venetoclax leading to decreased effectiveness of venetoclax in treating in your condition.

How to manage the interaction:
Taking C-Toin 300 mg ER Capsule 30's with Venetoclax is not recommended as it can cause an interaction, it can be taken if prescribed by the doctor. Do not stop using any medications without talking to a doctor.
PhenytoinCimetidine
Critical
How does the drug interact with C-Toin 300 mg ER Capsule 30's:
Using C-Toin 300 mg ER Capsule 30's together with cimetidine may increase the effects of C-Toin 300 mg ER Capsule 30's.

How to manage the interaction:
Taking C-Toin 300 mg ER Capsule 30's with Cimetidine is not recommended, it can be taken if prescribed by the doctor. Contact a doctor, if you experience twitching eye movements, slurred speech, loss of balance, tremors, muscle stiffness or weakness, nausea, vomiting, feeling light-headed, fainting, and slow or shallow breathing. Do not stop using any medications without talking to a doctor.
PhenytoinCimetidine
Critical
How does the drug interact with C-Toin 300 mg ER Capsule 30's:
Using C-Toin 300 mg ER Capsule 30's together with Cimetidin may increase the effects of C-Toin 300 mg ER Capsule 30's.

How to manage the interaction:
Taking C-Toin 300 mg ER Capsule 30's with Cimetidine can cause an interaction, consult a doctor before taking it. Contact a doctor if you experience twitching eye movements, slurred speech, loss of balance, tremors, muscle stiffness or weakness, nausea, vomiting, feeling light-headed, fainting, and slow or shallow breathing. Do not stop using any medications without talking to a doctor.
PhenytoinCeritinib
Critical
How does the drug interact with C-Toin 300 mg ER Capsule 30's:
Taking ceritinib with C-Toin 300 mg ER Capsule 30's may significantly reduce the blood levels and effectiveness of Ceritinib.

How to manage the interaction:
Taking C-Toin 300 mg ER Capsule 30's with Ceritinib is not recommended as it can cause an interaction, it can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms, contact a doctor immediately. Do not stop using any medications without talking to a doctor.
PhenytoinPraziquantel
Critical
How does the drug interact with C-Toin 300 mg ER Capsule 30's:
Using praziquantel together with C-Toin 300 mg ER Capsule 30's may significantly reduce the blood levels of praziquantel leading decreased effectiveness.

How to manage the interaction:
Taking C-Toin 300 mg ER Capsule 30's with Praziquantelcan is not recommended as it cause an interaction, it can be taken if prescribed by a doctor. Do not stop using any medications without talking to a doctor.
PhenytoinLevonorgestrel
Severe
How does the drug interact with C-Toin 300 mg ER Capsule 30's:
Coadministration of C-Toin 300 mg ER Capsule 30's and Levonorgestrel may lower levonorgestrel blood levels and effects.

How to manage the interaction:
Although taking levonorgestrel and C-Toin 300 mg ER Capsule 30's together can result in an interaction, it can be taken if a doctor has prescribed it. If you use hormone replacement treatment(levonorgestrel) for menopause, consult the doctor if your symptoms do not improve or if you begin to bleed abnormally. Do not discontinue any medication without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • A ketogenic diet (low in carbohydrates and high in fats) is recommended for people with epilepsy. This diet helps in utilizing fat instead of glucose for the generation of energy.

  • Atkins diet (high fat and controlled carbohydrates) is recommended for adolescents and adults.

  • Rest well, and get plenty of sleep.

  • Avoid smoking and alcohol consumption.

  • Exercise, meditation and yoga can help lower stress, decrease pain sensitivity and improve coping skills.

  • Prepare your living area; small changes may reduce the risk of physical injury during a seizure.

  • Install an alarm or emergency device to get assistance during a seizure attack.

  • Have a seizure response plan, this helps those around you know what to do.

  • Understand what triggers seizures and try reducing or avoiding them.

  • Please pay attention to overall health as it can help in reducing seizure activity.

Habit Forming

No

Therapeutic Class

ANTICONVULSANT

C-Toin 300 mg ER Capsule Substitute

Substitutes safety advice
  • Eptoin 300 ER Tablet 30's

    6.62per tablet
  • Epsolin 300 Tablet 30's

    by AYUR

    5.52per tablet
  • Celetoin ER 300mg Tablet 30's

    6.62per tablet
  • Celetoin 300 mg Tablet 30's

    5.52per tablet
  • PHENYKEM 300MG TABLET

    5.17per tablet
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Alcohol

Unsafe

You are recommended to avoid alcohol consumption while taking C-Toin 300 mg ER Capsule to prevent unpleasant side-effects.

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Pregnancy

Caution

Do not take C-Toin 300 mg ER Capsule if you are pregnant unless prescribed by the doctor. Your doctor will prescribe C-Toin 300 mg ER Capsule only if the benefits outweigh the risks. If you become pregnant while taking C-Toin 300 mg ER Capsule , then do not stop taking C-Toin 300 mg ER Capsule without consulting your doctor.

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Breast Feeding

Caution

Please consult your doctor if you have any concerns regarding this, your doctor will decide whether C-Toin 300 mg ER Capsule can be given to breastfeeding mothers or not.

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Driving

Unsafe

C-Toin 300 mg ER Capsule may cause dizziness and drowsiness. Drive and operate machinery only if you are alert.

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Liver

Caution

Dose adjustment may be needed. C-Toin 300 mg ER Capsule should be used with caution in patients with liver impairment/liver disease. Please consult your doctor if you have liver impairment or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed. C-Toin 300 mg ER Capsule should be used with caution in patients with kidney impairment/kidney disease. Please consult your doctor if you have kidney impairment or any concerns regarding this.

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Children

Safe if prescribed

C-Toin 300 mg ER Capsule can be given to children if prescribed by the doctor.

FAQs

C-Toin 300 mg ER Capsule is used to treat epilepsy/seizures and prevent seizures during/after brain surgery or after traumatic brain injury. Besides this, C-Toin 300 mg ER Capsule may also be used to treat trigeminal neuralgia (facial nerve pain).
C-Toin 300 mg ER Capsule works by controlling overactivity of the brain that causes seizures (fits). Thereby, C-Toin 300 mg ER Capsule helps in controlling epileptic fits involving spasms of the muscles and jerking.
C-Toin 300 mg ER Capsule can make birth control pills less effective. Talk to your doctor about using non-hormonal contraceptives like condoms and diaphragm with spermicide to prevent pregnancy.
Please do not stop taking C-Toin 300 mg ER Capsule without consulting your doctor as it may cause increased seizures. Continue taking C-Toin 300 mg ER Capsule for as long as your doctor has prescribed it to you. Do not be reluctant to speak with your doctor if you experience any difficulty while taking C-Toin 300 mg ER Capsule .
Yes, C-Toin 300 mg ER Capsule may cause swelling in the gums. Brush and floss your teeth daily; visit your dentist if you experience this problem regularly.
C-Toin 300 mg ER Capsule may affect the breakdown of the blood sugar/glucose and may prevent the release of insulin, thereby leading to high blood sugar. So, contact a doctor before using C-Toin 300 mg ER Capsule if you have diabetes.
A seizure generally lasts from a few seconds to a few minutes depending on the type of seizure.
Take C-Toin 300 mg ER Capsule with or without food as advised by your doctor.
You are recommended to avoid alcohol consumption while taking C-Toin 300 mg ER Capsule as it may cause increased side effects.
C-Toin 300 mg ER Capsule may stay in our system (body) for 5 to 6 days on average. This duration is different for each person. In some cases, it may remain for about 9 to10 days.
C-Toin 300 mg ER Capsule overdose can be fatal and may cause symptoms such as slurred speech, twitching eye movements, muscle stiffness or weakness, tremors, loss of balance, lightheadedness, fainting, vomiting, nausea and slow or shallow breathing. Also, it may cause very low blood pressure and even coma. Therefore, do not exceed the recommended daily dose.
Patients with liver disease, particularly if they have a history of developing a liver problem due to C-Toin 300 mg ER Capsule should avoid taking C-Toin 300 mg ER Capsule . Additionally, anyone taking Delavirdine (a medicine used in the treatment of HIV infection) should not take C-Toin 300 mg ER Capsule as it may reduce the effectiveness of Delavirdine against HIV and the virus may also develop resistance to Delavirdine. It is advised to inform your doctor before taking C-Toin 300 mg ER Capsule if you have any existing heart problem.
You are recommended to consult your doctor before taking C-Toin 300 mg ER Capsule with ibuprofen or other medicines to avoid drug interactions.
The most common side effects of C-Toin 300 mg ER Capsule in children are overgrowth of the gums and jerky movements of the eyes (nystagmus). In some children, it causes problems with behaviour or thinking, mood change, loss of energy and slow or clumsy movements. High doses may cause side effects such as vomiting, sleepiness and unsteadiness in the feet and hands. To avoid these, the dose is increased gradually. As soon as the dose is reduced, these side effects disappear.
C-Toin 300 mg ER Capsule does not cause weight gain. However, on longer term use of a higher dose of C-Toin 300 mg ER Capsule , weight loss can occur. If you experience weight gain after taking C-Toin 300 mg ER Capsule , please consult your doctor.
C-Toin 300 mg ER Capsule can make you feel sleepy as a side effect. However, if you feel extremely sleepy after taking C-Toin 300 mg ER Capsule , especially in the first few weeks of treatment or after a dose increase, please consult your doctor.

Country of origin

India

Manufacturer/Marketer address

Arvind Vithal Gandhi Chowk, BSD Marg, Station Road, Govandi East, Mumbai - 400 088. , India.
Other Info - CTO0009

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