<human>: Gud Evening Doc, I am taking eptoin since last 10 years. But somehow i always misses a dose. As a result i was never able to complete my 3 yr course and have seizures in between. Few days back also i had a seizure. I am on a medication of 4 eptoin 100mg tablets every night. Few days back i gone through phenytoin test and the resulting was 38. Doctor found no symptoms of this excess level in me as i can walk normally my vision is clear. So to verify the report again i went through the same test from different lab but the result was same i.e. 38 . What could be the reason and what can happen to me at this level
<bot>: Can you please let me know what test was done: Was it been Phenytoin therapeutic level or toxic level? When was the blood sample taken in respect to your dose of medicine?  If the level of 38 is a therapeutic level, it means that the Chat Doctor.  It is good that you have been checked for side effects of high blood levels of Phenytoin. What this means is that the dose of Option can be brought down.  If you continue to have Seizure activity inspire of adequate Phenytoin, then your doctor needs to consider whether another medicine needs to be added. Which medicine this is depends on the type of epilepsy that you suffer from.  Hope this helps?