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Moreover, cutaneous, hematological, and hepatic changes may necessitate a change in medication. Phenobarbital, primidone, and phenytoin may lead to osteomalacia (vitamin D prophylaxis) or megaloblastic anemia (folate prophylaxis). During treatment with phenytoin, gingival hyperplasia may develop in ca. 20% of patients.
In the liver, it is inactivated by acetylation, the rate of which is genetically controlled and shows a characteristic distribution in different ethnic groups (fast vs. slow acetylators). Notable adverse effects are: peripheral neuropathy, optic neuritis preventable by administration of vitamin B6 (pyridoxine); hepatitis, jaundice. Rifampin. |
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