Note The Use Of Anticonvulsant Drugs In Children

High fever convulsions are a common disease in children aged 6 months to 5 years (mostly between the ages of 12 - 18 months). To avoid seizures for children, the best method is to avoid children with fever.
And if the child has a fever, need to be controlled closely so that the body temperature does not exceed 37.5 ° C, can be used for children with paracetamol and aspirin (prescribed by a physician) alternating with the appropriate dose for age, face Other treatment needs cause of fever.
However, in reality, the close control of body temperature is not easy because the child's body temperature can rise very quickly

.
Therefore, in some cases, if a child has two or more seizures when he or she has a high fever, he or she may be given anticonvulsants for a period of 18-24 months, prescribed and controlled by a doctor.
Commonly used medications are: valproate de sodium (depakine) or phenobarbital (gardenal). The use of these drugs should be very cautious

Valproate de sodium
Divide into 2 times a day, drink before meals, drink at certain times, avoid forgetting or quit suddenly.


Note The Use Of Anticonvulsant Drugs In Children


Unwanted effects may be:
Asleep
Confusion (rare)
Gastrointestinal disorders encountered in the early stages of treatment (limited by increasing the dose gradually)
Weight gain due to appetite
Thrombocytopenia (mild)
Slight increase in liver enzymes
Skin allergy (rare), severe hepatocellular necrosis but not dose-related, usually occurring in the first 6 months of treatment, or in children under 2 years of age receiving multiple therapy combination of drugs).
Valproate de sodium
Phenobarbital
Take once a day, drink at a certain time, avoid forgetting or giving up suddenly. Unwanted effects may be:
Sleepy
Cognitive dysfunction, agitation in children
Rickets and osteomalacia (due to vitamin D regression)
Skin intoxication.
Phenobarbital
In children who already have epilepsy being treated, fever is also a factor that causes recurrent seizures, so in addition to preventing children from fever, parents need to give children anti-epileptic medication as directed by doctor..

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