Phenobarbital

Acts as a non-selective CNS depressant. One of the oldest and most widely used seizure medications globally, especially in resource-limited settings.

Dosage by Body Weight

Maintenance dose for children: 3-5 mg/kg per day. Requires therapeutic drug monitoring (TDM).

  1. Body Weight
    5-10 kg
    Dose
    15 mg to 30 mg total daily
    Frequency
    Once daily or divided
    Tracking Notes
    May cause significant drowsiness and behavioral changes.

Formulation

TabletElixirInjection

Purpose

Barbiturate used as an antiepileptic to control seizures and as a sedative.

Generic Name

Phenobarbital Sodium

Branded Drug Names

Phenobarbital is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

Safety Advice

Alcohol

UNSAFE

Phenobarbital: Alcohol can significantly increase drowsiness, dizziness, breathing problems, or seizure risk. Avoid alcohol unless a specialist says otherwise.

Pregnancy

CAUTION

Phenobarbital: Use in pregnancy only under specialist advice because seizure control and fetal risks must be carefully balanced.

Breast Feeding

SAFE IF PRESCRIBED

Phenobarbital: May pass into breast milk and can cause infant drowsiness or feeding issues. Use only with healthcare provider guidance.

Driving

CAUTION

Phenobarbital: Can cause drowsiness, slowed reaction time, dizziness, or blurred vision. Avoid driving until you know how it affects you.

Liver

CAUTION

Phenobarbital: Some anti-seizure medicines can affect liver function and may require blood tests or dose adjustments.

Kidney

CAUTION

Phenobarbital: Some anti-seizure medicines require dose adjustment in kidney impairment. Use under medical supervision.

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.