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Child with febrile convulsions. Advised tegritol. Frequent cold and cough with stomach infection. Medication side effect?

Hi I am Rini my son is suffering from feveral convulsion (three times till date). Dr. has advised Tegritol syrup (5ml twice a day daily).He is getting cough/cold & sometime stomach infection frequently(once in 3-4 months) . Is this a side effect of medicine & how long he has to take tagritol? When risk of feveral convulsion get reduce?
Asked On : Fri, 26 Apr 2013
Answers:  3 Views:  48
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Pediatrician 's  Response

Thanks for writing to health care magic.

There is no need of antiepileptic in a simple case of febrile convulsions.

If a child has several episodes then antiepileptics may be thought of. But if a child has 3 or 4 episodes then there is no indication for antiepileptics.

He can have seizures when ever he has fever. So fever should be controlled immediately with paracetamol and sponging. Clobazam prescribed by your doctor during a episode will be useful.

Continue to ask further queries as required.
Hope this helps.
Take care.
Answered: Fri, 3 May 2013
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Pediatrician Dr. Himanshi Kashyap's  Response
Hi Rini,

If your son has been confirmed to be suffering from Febrile convulsion then he will not require any Antiepileptics like Tegretol at all.

You just have to control his fever till he is 6yrs i.e whenever he get fever give him a tepid sponging and give him antipyretics to get the fever down immediately because if fever shoots up then he might get febrile convulsion .

After 6yrs his brain maturity will take place and he will stop having febrile convulsion.

Take Care.
Answered: Fri, 26 Apr 2013
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

For immediate management too - aggressive measures to reduce the temperature and expectant management to prevent it rising - form the cornerstone of treatment.

Generally, anti-convulsants are not given on long term basis - for febrile fits.
Also tegretol is not usually the drug of first choice..there are safer and better alternatives
A second opinion may help...

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Fri, 3 May 2013
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2 Doctors agree with this answer

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