I've read about the two-way interaction between dilantin and folate, and am confused. I've been on Dilantin for 15 months, and when I raised concerns about its depleting effect on folate, my doctor recommended taking a daily vitamin pill as a supplement. Im male, 44, and my folate levels are currently normal. I worry that adding folate will accelerate the dilantin metabolism and make me prone to breakout seizures (I haven't had a seizure since I went on the medication. I had a GM seizure two years after surgery to remove an AVM).
Should I take the vitamin or not? Also, is it worth having homocystein levels tested, and should a bone scan be done to establish a baseline to monitor future bone density losses from dilantin?
Thanks