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Updated: Aug 17, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Risks of diazepam in newborn infants]
T W de Vries1, C J Miedema, A Okken
1Academisch Ziekenhuis, afd. Kindergeneeskunde, Groningen.
Insights
Diazepam effectively treats seizures in children but can cause severe side effects like coma and hypotonia in newborns. This highlights the risks of using diazepam in the neonatal population.
Area of Science:
- Neonatal neurology
- Pediatric pharmacology
- Clinical toxicology
Background:
- Diazepam is a commonly used anticonvulsant medication in pediatric populations.
- Intravenous and rectal administration of diazepam is generally effective for managing seizures in children.
Observation:
- A case study involving a newborn experiencing seizures and treated with diazepam is presented.
- The neonate developed serious adverse effects including coma, hypotonia, and feeding difficulties following diazepam administration.
Findings:
- Diazepam's efficacy and safety profile differ significantly between pediatric patients and neonates.
- Neonates are particularly vulnerable to severe adverse reactions from diazepam.
Implications:
- The use of diazepam in neonates requires extreme caution due to potential serious side effects.
- Alternative or modified treatment strategies may be necessary for managing neonatal seizures.
Abstract:
In children there is a good effect of diazepam on convulsions after intravenous or rectal administration. This is not the case in neonates. We describe a newborn to whom diazepam was given because of a convulsion and who exhibited serious side effects: coma, hypotonia and feeding difficulties. We point out the risks of using diazepam in neonates.
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