Further treatment - Febrile seizures Determine the cause of the fever. Give paracetamol (see Fever, page 26), albenza canada undress the patient, wrap in damp cloth. In children under 3 albenza canada years, there is usually no risk of later complications after simple febrile seizures and no treatment is required after the crisis. - Infectious causes Severe malaria (page 131), meningitis (page 165), meningo-encephalitis, cerebral toxoplasmosis (pages 217 and 218), cysticercosis (page 153), etc. - Metabolic causes Hypoglycaemia: administer glucose by slow IV injection (for administration, see page 23) to all patients who do not regain consciousness, to patients with severe malaria and to albenza canada newborns and malnourished children.
When possible, confirm hypoglycaemia (reagent strip test). - Iatrogenic causes Withdrawal of antiepileptic therapy in a patient being treated albenza canada for epilepsy should be managed over a period of 4-6 months with progressive reduction of the doses. An abrupt stop of treatment may provoke severe recurrent seizures. - Epilepsy • A first brief seizure does albenza canada not need further protective treatment. Only patients with chronic repetitive seizures require further regular protective treatment with an antiepileptic drug, usually over several years. • Once a diagnosis is made, abstention from treatment may be recommended albenza canada due to the risks associated with treatment.
albenza canada
However, these risks must be balanced with the risks of aggravation of the epilepsy, ensuing seizure-induced cerebral damage and other injury if the patient is not treated. • It is always preferable to start with monotherapy. The albenza canada effective dose must be reached progressively and symptoms and drug tolerance evaluated every 15 to 20 days. • An abrupt albenza canada interruption of treatment may provoke status epilepticus. The rate of dose reduction varies according to the length of treatment; the longer the treatment period, the longer the reduction period (see iatrogenic causes, above). In the same way, a change from one antiepileptic drug to another must be made progressively with an overlap period of a few weeks.
• First albenza canada line treatments for generalised tonic-clonic seizures in children under 2 years are carbamazepine or phenobarbital, in older children and adults sodium valproate or carbamazepine. For information: carbamazepine PO Children: initial dose of 2 mg/kg/day in 1 or 2 divided doses; increase every week until the optimal dose for the individual has been reached (usually 10 to 20 canada albenza mg/kg/day in 2 to 4 divided doses). Adults: initial dose of 200 mg/day in 1 or 2 divided doses; increase by 200 mg every week until the optimal dose for the canada albenza individual has been reached (usually 800 to 1200 mg/day in 2 to 4 albenza canada divided doses).
Aifew symptomes and syndromes sodium valproate PO Children over 20 kg: initial canada albenza dose of 400 mg in 2 divided doses irrespective of weight; if necessary, increase the dose progressively until the optimal dose for the individual has been reached (usually 20 to 30 mg/kg/day in 2 divided doses). Adults: initial dose of 600 mg/day in 2 divided doses; increase by 200 mg/day every 3 days until the albenza canada optimal dose for the individual has been reached (usually 1 to 2 g/day in 2 divided doses).