Treatment after diagnosis

There is no consensus on the treatment for benign familial neonatal seizures No currently approved medications have been studied for this condition Phenobarbital, 20 mg/kg loading dose, followed by 3-10 mg/kg/day daily dosing, would be considered first line A level between 20 and 40 mcg/mL should be targeted If frequent seizures occur and do not respond to the phenobarbital, benzodiazepines or phe-nytoin should be used The question of whether or not BFNS should be treated has been raised Because the diagnosis is often uncertain until the child has outgrown the syndrome and developed normally, our view is that treatment to stop recurrent seizures is warranted

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