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Do not crushchewbreakor open an extended-release capsuleSwallow it wholeDo not use any Dilantin capsule that has changed colorsCall your doctor for a new prescription.

Check with your doctor as soon as possible if any of the following side effects occur:

Neurosurgeryprophylactic100 to 200 mg IM at about 4 hour intervals during surgery and the immediate postoperative periodNoteWhile the manufacturer recommends IM administrationthis route may cause severe local tissue destruction and necrosisSome clinicians recommend the use of fosphenytoin if IM administration is necessaryIf IM administration is not necessaryaccepted protocol has been 100 to 200 mg IV at about 4 hour intervals during surgery and the immediate postoperative period.

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