Babies and Parents

How do you prevent febrile seizures?

When a child has a fever many parents use drugs such as acetoaminofen or ibuprofen to reduce fever and for the child more comfortable, although there are no studies proving that this reduces the risk of a seizure.

One preventive measure would be to try to reduce the number of illnesses with fever, although this is not a practical possibility.

Daily use and prolonged oral anticonvulsants such as phenobarbital or valproate, to prevent febrile seizures is not recommended because of potential side effects and because their effectiveness in preventing such seizures is controversial.

Children especially prone to febrile seizures can be treated as often as they have a fever with the drug diazepam orally or rectally. Most children with fever seizures do not need to be treated with medication, but in some cases the doctor may decide that medicine given only when the child has a fever is the best alternative.

This medicine may reduce the risk of having another febrile seizure. Usually this is well tolerated, but occasionally cause drowsiness, lack of coordination or hyperactivity. Children vary greatly in susceptibility to these side effects.

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