Hi Welcome to healthcaremagic.com
Witnessing the seizures by a family member is utmost important to make the diagnosis. CT brain and EEG may be normal.
Doctor do treat seizures with Eption when they are having seizures (in hospital).
However, treating first episode of seizures is controversial. Some agree and some do not agree to treat. Risk of seizures is >50% in 2 yrs.
If there are no underlying causes, you can watch.
I also like to know the age of chil/baby who got seizures. If underer 21, phenytoin is not a good choice.
Adverse Drug Reactions:
, lack of appetite
, headache, dizziness, tremor, transient nervousness, insomnia, GI disturbances (e.g. nausea, vomiting, constipation), tenderness and hyperplasia of the gums, acne, hirsutism, coarsening of the facial features, rashes, osteomalacia. Phenytoin toxicity as manifested as a syndrome of cerebellar, vestibular, ocular effects, notably nystagmus, diplopia, slurred speech, and ataxia; also with mental confusion
, dyskinesias, exacerbations of seizure frequency, hyperglycaemia. Solutions for inj may cause local irritation or phlebitis. Prolonged use may produce subtle effects on mental function and cognition, especially in children. Potentially Fatal: Toxic epidermal necrolysis
, Stevens-Johnson syndrome
Regards Dr. Jagdish