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Doctor insights on: Safe Phenobarbital Pregnant

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Is it safe to take phenobarbital while pregnant?

Would NOT advise: Phenobarbital is clearly teratogenic and can cause midline malformations, especially within the first 6-8 weeks of development. Do not understand, in this day and age, why someone might be taking phenobarbital, but perhaps a vestige of years past. Problem stopping as must be very slow tapering due to risk of withdrawal seizure. ...Read more

Dr. Darrin Cunningham
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


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Is it safe to take phenobarbital while pregnant or breastfeeding?

Is it safe to take phenobarbital while pregnant or breastfeeding?

Yes & no: Phenobarbital is considered a category d drug during pregnancy primarily because of the withdrawal syndrome newborns go through at birth. That said it is less worrisome than some anti-convulsants. Choice to continue should be made in consultation with treating physicians. Use in lactation is relatively safe, yet baby gets about 1/4 of mom's dose & sedation or withdrawal problems can be seen. ...Read more

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Is there a good alternative to phenobarbital when pregnant?

Is there a good alternative to phenobarbital when pregnant?

Not really: Get in touch with a perinatoogist (high risk OB doctor), especially if you're going to be maintained on similar medications. ...Read more

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Do doctors still prescribe phenobarbital for pregnant epileptics?

Do doctors still prescribe phenobarbital for pregnant epileptics?

Usually Not: While we generally avoid medications in pregancy, uncontrolled seizures are a greater threat to a pregnancy and to the mother than the medications are. Most anti-seizure meds can be used in pregnancy, understanding that each has its own potential side effects and teratogenicity. Phenobarb is one med, but more modern anti-epileptics are also used when appropriate. ...Read more

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My mom took phenobarbital the last trimester of her pregnancy with me, could this by why I have bipolar disorder?

My mom took phenobarbital the last trimester of her pregnancy with me, could this by why I have bipolar disorder?

No specific BPD link: While it has a definite serious risk of birth defects and long-lasting cognitive function damage in babies born to mothers who took that drug (or other barbituates), there is no specific mood disorder Dx linked to it. That said, it may indeed show a non-causal correlation if it was studied. Physicians (and patients) didn't know the risks then - we may be unknowingly doing harm now. Take care! ...Read more

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I take phenobarbitol and phenytoin sodium. Effect on pregnancy ?

I take phenobarbitol and phenytoin sodium. Effect on pregnancy ?

These meds a problem: Both meds are listed as category "d", known to have adverse effects on the fetus.(iugr, bone changes, small head, mental retardation) the phentoin is regarded as the worse of the two. Most ob's would chose to have you on one of the newer meds with less risks. ...Read more

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How old does belladonna/phenobarbital have to be before it is not safe to use?

Best.Read Expiration: It is always best to use medication before its expiration date listed on the prescription. ...Read more

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SAM E and phenobarbital or tmg for high bilrubin ( gs) (yellow eyes)? Are these safe to take? I have no any other issues. Just yellow eyes!

SAM E and phenobarbital or tmg for high bilrubin ( gs) (yellow eyes)? Are these safe to take? I have no any other issues. Just yellow eyes!

Is your: Bilirubin high or do you just think your eyes look yellow? The supplements you mention are safe with phenobarbital but really won't change the color of yor eyes. If they are abnormally yellow go to the doctor ...Read more

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2 episodes of febrile seizure due to pneumonia (9mons)(1y/o). Is that safe to put on phenobarbital 1/4 gr 2x/day? how long he need to take it?

2 episodes of febrile seizure due to pneumonia (9mons)(1y/o). Is that safe to put on phenobarbital 1/4 gr 2x/day? how long he need to take it?

Febrile seizures: Febrile seizures are not usually treated with preventative medications other than Tylenol (acetaminophen) or Motrin during illness (this can help prevent rapid body temperature fluctuations that trigger the seizure). If an anti-seizure drug was recommended for your child, there may be more going on that simple febrile seizures. Please have a frank discussion with your pediatrician or neurologist. ...Read more