Conversation: The conversation between human and AI assistant.
[|Human|] I HAD A CLOT GO TO MY RIGHT LUNG AND WAS PUT ON LENOVAL INJECTION FOR 7 DAYS AND 5 MG WARFARIN FOR THREE MONTHS,,,,I WAS TAKING 500 MG PHENYTOIN A DAY AND WAS CUT BACK TO 100 MG A DAY..WILL THIS MESS UP MY DILANTIN LEVEL AND PUT ME A THE RISK FOR A SEIZURE...MY LEVEL STAYS AROUND 12 AND LAST SEIZURE WAS IN 2004
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. Phenytoin is having Chat Doctor.  So both will interact with each other and decrease their therapeutic levels. And hence desired anti-epileptic and anti coagulant effect can not be achieved. So possibility of seizure attack and recurrence of Pulmonary embolism is high. So in my opinion, you should continue warfarin. Better to start newer anti-epileptic