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Phenobarbital, Babies & Developmental Delays

Fri, 08/28/2009 - 13:21

My son is 8 months old and started Phenobarbital for simple partial seizures (30+ a day) a month ago. He had an intraventricular hemorrhage in utero and has a shunt. The doctors increased the Phenobarbital dosage several times since it wasn't controlling the seizures and he is now at the maximum "therapeutic level."

I've noticed that he can't support his weight as well on his legs, cannot sit as well and cannot hold his head as well since the last dosage increase (60mg per day). He seems generally floppy and regressing physically. He also gets sleepy faster and is less responsive to us. We just found out that Phenobarbital can decrease muscle tone, after we asked his doctors what other side effects there are besides sleepiness.

The seizures seem to be less but sometimes last a few seconds longer. Lately I am worried about the medication not helping enough to justify the risks I keep reading about. *Can Phenobarbital cause delays in babies if it's taken for a few months?* Also, if his seizures were mild and not troubling him (eyes turn and sometimes his head turns), is it still better for him to be taking a high dose of Phenobarbital? How can I make this decision? His doctors are impossible to get in touch with and ask questions.

I guess I worry whether we are doing the right thing. The Phenobarbital doesn't seem to be helping enough, and now they want to add a 2nd medication (Frisson?). I feel that the dose is already too high for him and am so anxious about how it is effecting him and what will happen in the future. *Is it true that the Phenobarbital will cause more problems?* Do some people chose to live with the seizures instead? These questions have been keeping me up at night.

I worry so much that we may be doing more harm to him now. Any advice or resources is appreciated.

Thanks-- Amanda, Benji's mom

Comments

Re: Phenobarbital, Babies & Developmental Delays

Submitted by rahims on Sat, 2010-03-06 - 23:26

Amanda,

 I feel for you and Benji,  I am 36 and was diagnosed very early in life myself (at age of 6months) I never new what the medication was that my mother was giving me but new that it did make me drowsy (it was phenobarbital)  I have been on a variety of drugs over the years and frisium was one of the better ones for me but it could work differently on Benji than it did on me.

 

I hope that you find the rught medication combination to help Benji live a normal life or as normal as he can live.  Hopefully he can outgrow the seizures.

 

Best wishes,

 

Rahim

Amanda,

 I feel for you and Benji,  I am 36 and was diagnosed very early in life myself (at age of 6months) I never new what the medication was that my mother was giving me but new that it did make me drowsy (it was phenobarbital)  I have been on a variety of drugs over the years and frisium was one of the better ones for me but it could work differently on Benji than it did on me.

 

I hope that you find the rught medication combination to help Benji live a normal life or as normal as he can live.  Hopefully he can outgrow the seizures.

 

Best wishes,

 

Rahim

Re: Phenobarbital, Babies & Developmental Delays

Submitted by rina23x on Fri, 2010-03-12 - 16:28

Hi Amanda,

 My daughter was on Phenobarbital for almost 6 months.  I did notice a big difference once she was taken off the medication and placed only on Keppra.  While on the pheobarb she would just lay there.  I took it as she was a new born but when I saw other babies her same age moving around is when I asked her neurologist about it.  He told me the Phenobarb would make her sleepy and very irritable.  Although between the Phenobarb and the Keppra she had absolutly no seizures but at what expense.  Finally the dr took her off the phenobarb and its like my princess has blossomed into this thriving baby girl.  I do believe the Phenobarb caused more harm then good.  I hope they can find a medication that will help your baby thrive and be seizure free.

Hi Amanda,

 My daughter was on Phenobarbital for almost 6 months.  I did notice a big difference once she was taken off the medication and placed only on Keppra.  While on the pheobarb she would just lay there.  I took it as she was a new born but when I saw other babies her same age moving around is when I asked her neurologist about it.  He told me the Phenobarb would make her sleepy and very irritable.  Although between the Phenobarb and the Keppra she had absolutly no seizures but at what expense.  Finally the dr took her off the phenobarb and its like my princess has blossomed into this thriving baby girl.  I do believe the Phenobarb caused more harm then good.  I hope they can find a medication that will help your baby thrive and be seizure free.

Re: Phenobarbital, Babies & Developmental Delays

Submitted by summertime06 on Wed, 2010-04-28 - 17:34
I just want to share my experience about my daughter and phenobarbital.  My daughter was 7 when she had her first seizure and was admitted to the hospital.  She was placed into a medically induced pentobarb coma while in the coma they put her on phenobarbital and dilantin the dosing was so high.  They didnt expect her to make it through.  They told me with her severe epileptic condition this was neccesary at the time.  After 1 month of being in the coma they still could not control her seizures they took her out and she remained on phenobarbital 97.2mg twice a day for appx 6months when we found another neurologist and she started weaning her off the phenobarb.  My daughter Summer was a healthy straight a student before her hospital experience.  Now she is in a lifeskills class diagnosed with developmental delay/mental retardation. I always wonder to this day if what they did in the hospital made her this way today.  I am ashamed to say that I should of researched more and protected my daughter.  I have had 2nd and 3rd opinions and no one seems to know what happened.  I hope Benji is well soon and he is blessed to have such a mother as you. Take Care...

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