Doctor insights on:
Primidone Phenobarbital Metabolite
Yes: Caution should be taken if breastfeeding while on this med. Both primadone and a metabolite Phenobarbital will pass to baby and can produce sedation in the neonatal period. Relative transfer <9% of mothers dose, with serum levels from trace to <1/2 therapuetic for both. Harriet lane c2-caution, hale L3 moderately safe. See medications and mothers milk 14ed. Hale, 2010. ...Read moreSee 1 more doctor answer
Essential Tremor: Primidone (mysoline) is a structural analogue of phenobarbital. The drug reduces tremor amplitude by 60% to 70%. Although Primidone therapy reduces hand tremor, tremors of the head, voice, and other areas improve less. The starting dose of Primidone should be low (12.5-25 mg), taken at bedtime, and gradually increased until tremor reduction is achieved. The maximum dosage is 750 mg/day divide tid. ...Read moreSee 1 more doctor answer
Phenobarbital: You would not be measuring Phenobarbital levels unless taking it for a specific condition, like seizure disorder. Your doctor titrates your dose by these levels and by side effects. Your first indicator that your level is "low" might be having a seizure -- so it's best to take your medication consistently and to check levels when your doctor feels it's time to do it. ...Read more
Consult with: a pediatric neurologist. Having been placed on phenobarbital for febrile seizures implies that there is some complicated issue (clusters of seizures, focal exam, abnormal EEG) Discuss if prophylaxis with another medication is advised. Know what to look for (subtle seizure types) Make sure there is continuity of care. Coordinate the phenobarbital taper with a well timed follow up EEG ...Read more
It is?: Hey, maybe that is why more folks are getting their drugs from canada. Phenobarb is an ancient drug and generic to boot, and should cost pennies at most. Shop around. We have entrepreneurs in the drugstores, and best to save your hard earned dollars in this day and age. ...Read more
Depends: The indication for the medicine is important. Probably nothing will happen if it's being given to get seizures under control. ...Read more
No: There are other (e.g. Anxiolytics) medications for that. ...Read more
How to lower the dose of a person taking phenobarbital? 1/4 gr 2x a day. And When to Stop, weeks or months?
Only your doc knows: Why was drug prescribed? It may not be safe to,abruptly stop this med. Speak to the prescribing doc,to ask your question and inform why you want to stop, if that is safe, and if a different agent is needed. Slow tapering is recognized as a safer way to get off this classic meds ...Read more
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