A child had 3 febrile seizure started phenobarbital when he's 1yr, after a year of medication no seizure episode and EEG normal. When 2 stop taking PB?
Now. Phenobarbital is occasionally prescribed for prevention seizures after multiple febrile seizures. OK to stop after a year.
2 episodes of febrile seizure due to pneumonia (9mons) (1y/o).Is that safe to put on phenobarbital 1/4 gr 2x/day? EEG is abnomal.
Phenobarbitol. There is no evidence for a difference in antiepileptic efficacy between phenobarbital and any other compared AED, and also no evidence for absolute efficacy. No proof exists for increases in behavioural adverse effects. In childhood epilepsy studies show no significant differences in behavioural or cognitive adverse effects comparing phenobarb with other antiepileptics. Listen to your doctor. Read more...
9mos 1st febrile seizure had pneumonia, 2nd 1yr/1mos febrile seizure pneumonia again. EEG abnormal. Pedia put phenobarbital 1/4gr 2x/day. Right decision?
Seek referral to a . pediatric neurologist & obtain a developmental assessment to know benefits vs. risks of Phenobarbital, as it can cause behavior & learning problems. Recurrence of Febrile Seizures in 50% of tots who have their 1st at < 12 mos. & abnormal EEG's in 49% don't predict epilepsy. Having Developmental Delays &/or Cerebral Palsy prior to 1st febrile seizure increases risk of epilepsy from 2.9% to 40%. . Read more...