Levetiracetam versus Phenobarbitone in Neonatal Seizures - An Open label Randomized Controlled Trial

BackgroundnbspPhenobarbitone is the traditional first-line anticonvulsant for neonatal seizures while levetiracetam a newer anti-epileptic has uncertain efficacy in comparisonObjectivenbspTo evaluate the efficacy and safety of levetiracetam versus phenobarbitone in term and pret...

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Main Authors: Nikhil D Kulkarni, Suman Rao P N, B Lakshmi Parvathi, Swarnarekha Bhat
Format: Article
Language:English
Published: Rajiv Gandhi University of health sciences 2025-01-01
Series:RGUHS Journal of Nursing Sciences
Online Access:https://journalgrid.com/view/article/rjns/12434337
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author Nikhil D Kulkarni
Suman Rao P N
B Lakshmi Parvathi
Swarnarekha Bhat
author_facet Nikhil D Kulkarni
Suman Rao P N
B Lakshmi Parvathi
Swarnarekha Bhat
author_sort Nikhil D Kulkarni
collection DOAJ
description BackgroundnbspPhenobarbitone is the traditional first-line anticonvulsant for neonatal seizures while levetiracetam a newer anti-epileptic has uncertain efficacy in comparisonObjectivenbspTo evaluate the efficacy and safety of levetiracetam versus phenobarbitone in term and preterm infants with clinically apparent seizures in a tertiary care neonatal setting guiding safer more effective neonatal seizure managementMethodsnbspThis study aimed to compare the efficacy and safety of levetiracetam 30 mgkgdose and phenobarbitone 20 mgkgdose in controlling neonatal seizures. An open-label parallel randomized controlled trial RCT was conducted in a neonatal intensive care unit NICU in IndiaResultsnbspSeizure cessation rates were 70 in the levetiracetam group and 66.6 in the phenobarbitone group with no statistically significant difference P 0.83.ConclusionnbspLevetiracetam and phenobarbitone demonstrated comparable efficacy and safety in managing neonatal seizures. Levetiracetam could be considered a viable alternative to phenobarbitone as a first-line treatment. Further studies are needed to confirm these findings especially regarding levetiracetams side effect profile.
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publishDate 2025-01-01
publisher Rajiv Gandhi University of health sciences
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spelling doaj-art-879a854513b3407389a6d8cbe16f61d02025-02-04T06:15:17ZengRajiv Gandhi University of health sciencesRGUHS Journal of Nursing Sciences2231-60512583-67572025-01-0115110.26463/rjns.15_1_10Levetiracetam versus Phenobarbitone in Neonatal Seizures - An Open label Randomized Controlled TrialNikhil D KulkarniSuman Rao P NB Lakshmi ParvathiSwarnarekha Bhat BackgroundnbspPhenobarbitone is the traditional first-line anticonvulsant for neonatal seizures while levetiracetam a newer anti-epileptic has uncertain efficacy in comparisonObjectivenbspTo evaluate the efficacy and safety of levetiracetam versus phenobarbitone in term and preterm infants with clinically apparent seizures in a tertiary care neonatal setting guiding safer more effective neonatal seizure managementMethodsnbspThis study aimed to compare the efficacy and safety of levetiracetam 30 mgkgdose and phenobarbitone 20 mgkgdose in controlling neonatal seizures. An open-label parallel randomized controlled trial RCT was conducted in a neonatal intensive care unit NICU in IndiaResultsnbspSeizure cessation rates were 70 in the levetiracetam group and 66.6 in the phenobarbitone group with no statistically significant difference P 0.83.ConclusionnbspLevetiracetam and phenobarbitone demonstrated comparable efficacy and safety in managing neonatal seizures. Levetiracetam could be considered a viable alternative to phenobarbitone as a first-line treatment. Further studies are needed to confirm these findings especially regarding levetiracetams side effect profile.https://journalgrid.com/view/article/rjns/12434337
spellingShingle Nikhil D Kulkarni
Suman Rao P N
B Lakshmi Parvathi
Swarnarekha Bhat
Levetiracetam versus Phenobarbitone in Neonatal Seizures - An Open label Randomized Controlled Trial
RGUHS Journal of Nursing Sciences
title Levetiracetam versus Phenobarbitone in Neonatal Seizures - An Open label Randomized Controlled Trial
title_full Levetiracetam versus Phenobarbitone in Neonatal Seizures - An Open label Randomized Controlled Trial
title_fullStr Levetiracetam versus Phenobarbitone in Neonatal Seizures - An Open label Randomized Controlled Trial
title_full_unstemmed Levetiracetam versus Phenobarbitone in Neonatal Seizures - An Open label Randomized Controlled Trial
title_short Levetiracetam versus Phenobarbitone in Neonatal Seizures - An Open label Randomized Controlled Trial
title_sort levetiracetam versus phenobarbitone in neonatal seizures an open label randomized controlled trial
url https://journalgrid.com/view/article/rjns/12434337
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AT blakshmiparvathi levetiracetamversusphenobarbitoneinneonatalseizuresanopenlabelrandomizedcontrolledtrial
AT swarnarekhabhat levetiracetamversusphenobarbitoneinneonatalseizuresanopenlabelrandomizedcontrolledtrial