June 20, 2022
Dilantin or Dilatam?
While hospitalized, a 13-year-old girl with a history of epilepsy was mistakenly prescribed the anti-hypertensive drug, Dilatam (diltiazem), instead of her chronic anti-seizure drug, Dilantin (phenytoin). MedAware’s technology identified that this medication was inconsistent with the patient profile and alerted the care team to the error so it could be canceled before being given.
If given, the patient could have suffered from low blood pressure, as well as seizures due to her untreated epilepsy.