Author/Authors :
Mahmoudian ، Touran نويسنده Associate Prof. of Pediatric Neurology, Department of Pediatric Neurology, Isfahan University of Medical Sciences, Isfahan, Iran , , Yaghini ، Omid نويسنده Assistant Professor of Pediatric,Pediatric Department, Isfahan University of Medical Sciences, Isfahan, Iran , , BAJOGHLI، Shirin نويسنده Resident of Pediatric,Isfahan University of Medical Sciences, Isfahan, Iran ,
Abstract :
Objective
To evaluate the efficacy and common side effects of intermittent clonazepam in febrile seizures.
Materials & Methods
This study was an experimental trial designed to determine the efficacy of intermittent clonazepam in febrile seizures .Thirty patients with an age range of 6 months to 5 years (60% male, 40% female) were studied. Children with a history of psychomotor delay, abnormal neurological examination, a history of antiepileptic drug consumption, and afebrile seizures were excluded from the study. Patients received a single dose of prophylactic Clonazepam (0.05 mg/kg/ day) on the first day of febrile illness and twice daily during the course of fever.
An antipyretic medication (Acetaminophen) was advised if fever exceeded 38oC. Patients were followed up for one year after the study inclusion date.
Results
Three patients were excluded from study since they didnot follow the tritment and three patients experienced afebrile seizures. Twenty four patients had 162 febrile episodes during the course of the study and all patients were seizure-free after 1 year.
Conclusion
Clonazepam was 100% effective but lethargy and ataxia were common side effects in patients. Fortunately, their parents continued treatment because they had prior awareness of the possible side effects of clonazepam. Clonazepam is efficacious as an intermittent therapy for febrile seizures if parents are informed of its side effects.
