4-year-old male child had febrile seizures, best prophylaxis –

Prophylaxis in febrile seizures Prophylactic anticonvulsants are not given routinely in febrile seizures. They are required when - A febrile seizure is prolonged or complicated Medical reassurance fails to relieve family anxiety. Prophylaxis may be continuous or intermittent Intermittent prophylaxis It is currently the desirable form of therapy It is used during episodes of fever Indicated during first three days of fever: Drugs that are used are - Diazepam and other benzodiazepines (these drugs are used because they attain desired levels quickly) Diazepam is given oral or rectal. Continuous prophylaxis - It is used when Intermittent therapy has failed                              Central nervous system disease                              Drugs used are → Sodium valproate or phenobarbitone. Recurrent atypical seizures The family history of epilepsy Note - Carbamazepine and phenytoin are ineffective for prevention of recurrence.