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ISSN: 1735-4668

Iranian Journal of Child Neurology
Vol. 4 No. 2 (2010)

Intermittent Clonazepam in The Prevention of Recurrent Febrile Seizures

  • Touran MAHMOUDIAN
  • Omid YAGHINI
  • Shirin BAJOGHLI

Iranian Journal of Child Neurology, Vol. 4 No. 2 (2010), , Page 37-40
https://doi.org/10.22037/ijcn.v4i2.1868 Published 6 October 2010

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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.

 

Keywords:
  • recurrent febrile seizures
  • clonazepam
  • intermittent prophylaxis
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How to Cite

MAHMOUDIAN, T., YAGHINI, O., & BAJOGHLI, S. (2010). Intermittent Clonazepam in The Prevention of Recurrent Febrile Seizures. Iranian Journal of Child Neurology, 4(2), 37-40. https://doi.org/10.22037/ijcn.v4i2.1868
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