Febrile seizure prophylaxis is recommended in all of the following except:
Correct Answer: Febrile seizures lasting more than 30 minutes
Description: Ans. C. Febrile seizures lasting more than 30 minutesCorrect option is Febrile seizures lasting 1 minutes or more.Intermittent prophylaxis is currently prescribed during episodes of fever. A drug that attains drug levels quickly and prevents febrile convulsions should be used. Oral clobazam (0.75-1mg/kg/day) is an effective prophylactic and is given for 3 days during fever episodes. Antipyretics, hydrotherapy and meticulous temperature recording should be advocated for all patients. Domiciliary care is recommended.Continuous prophylaxis with antiepileptic drugs is advocated in the event of failure of intermittent therapy, recurrent atypical seizures and in particular, when parents are unable to promptly recognize the onset of fever. Only sodium valproate (10-20mg/kg/day) or phenobarbitone (3-5mg/kg/day) are effective for febrile seizure prophylaxis. Carbamazepine and phenytoin are ineffective. The duration of therapy should be for 1-2 yr or until 5 yr of age.
Category:
Pediatrics
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