C Masi Bing and phenytoin are commonly used drugs for the treatment of hemifacial spasm, but in the course of medication, occasionally drug
C Masi Bing and phenytoin are commonly used drugs for the treatment of hemifacial spasm, but in the course of medication, occasionally drug reaction. C Masi Bing is more and more severe phenytoin. The most of the adverse reactions is due to allergic reactions caused by drug eruption. Two kinds of drug induced adverse reactions have a certain incubation period, generally ranging from a few days to tens of days. The clinical manifestations of mild erythema and papules on the grounds to removal of bullous dermatitis, erythema, toxic epidermal stripping serious release. Systemic symptom is obvious, multi drug fever up to 38 percent. Sometimes low heat and easy to ignore, heart rate. Lymph node enlargement, or localized or vascular edema. Erythema and papules from the chest, back, foot skin first, showed red spots and papules scattered, with mild pruritus, soon spread to the head and face, mouth, anus, limbs, etc., can also continue to develop to severe exfoliative dermatitis, if not timely diagnosis and treatment can be life threatening.
C Masi Bing and other phenytoin adverse effects include dizziness, leukopenia, liver damage etc.. And individual differences, in the treatment process should pay attention to observation, timely detection and treatment.
According to clinical symptoms and medical history, diagnosis is generally not difficult. A small number of patients may have an incubation period, easily overlooked, should be given high priority. In this case, should first disable the allergenic drugs, can cause allergic reactions and avoid similar cross drug applied chemistry, and other drug use with caution or avoid strong antigenicity. If early diagnosis and timely treatment, most of the prognosis is good. Once diagnosed, in the absence of the drug at the same time, timely delivery of anti allergic drugs. For severe patients, the use of large doses of intravenous corticosteroids, antibiotics, vitamins and sterile isolation, and the appropriate application of drugs. Commonly used drugs are: dexamethasone, methylprednisolone, keganmin, cyproheptadine, Calamine Lotion etc..
Severe liver damage, to application of liver protective drugs in a timely manner, to avoid the use of drugs with liver damage. Leukopenia, mild withdrawal observation, drug cases and promote the application of white blood cell formation.