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Up next
Can phenobarbital & clonazepam stop Seizures in babies? - Dr. Vykunta Raju K N
Phenobarbital is the most commonly used drug in the earlier days. It is the most common drug available to treat convulsions in children and in older people. Phenobarbital is less commonly used compared to older days especially in children less than 3 months of age. Of course we will use less commonly. We will use only if they are not responding to other newer drugs and there are lot of side effects, then only we consider this Phenobarbitone. Rivotrail can stop seizures in children. The main problem with rivotrail is that it causes lot of side effects like problems in concentration, especially in school going children, they can have decreased IQ in the future also. So if you are using Phenobarbital, you should be careful even though it is a good drug to stop seizure. But the side effects are more compared to the usage of benefits. Rivotrail is one of the drugs used commonly in treating epilepsy in children. This also can stop seizures but rivotrail alone we can’t use because it is just an adjuvant for other types of fits medicine also. The reason for it may stop the seizures temporality. The chance of recurrence after discontinuation of medication is very high and also if the seizures will stop temporarily even if you continue medication also, there is a chance of recurrence. So even though it stops temporarily, it cannot be used as a single medicine. Regarding the children who are suffering from seizures, the parent should be taken care of some of the important facts. They should consider and give medicine as per the doctor has advised. As per the doctor’s advice, they should have the medicines on regular times and regular frequency. They should not miss any medication. Even if they miss, they need to give medications immediately after remembering the next dose and if the child is getting medications, they should not discontinue suddenly or without advice from the doctor. They should not stop medication. Only if you stop medication, you should stop slowly after decreasing the dosage and if they are decreasing the dosage and if they are getting medications with seizures, they can have some behavioral problems in children especially drowsiness and sleepiness in the school or behavioral problems like aggressiveness and hyperactivity and this should be monitored with children and this should be reported to parents. Sometimes rarely problems with the kidney and the liver, they should be reported to the doctor. Regarding other precautions, better to avoid swimming in those children having epilepsy because during the episodes and during swimming if the child gets seizures, the chance of drowning is more. So these are some of the precautions parents should be aware when children are suffering from epilepsy.

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