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A Behavioral Screen for Heat-Induced Seizures in Mouse Models of Epilepsy
Published on: July 12, 2021
Histamine H1 antagonists and clinical characteristics of febrile seizures
1Department of Pediatrics, College of Medicine, Taibah University, Al-Madinah Al-Munawarah, Kingdom of Saudi Arabia.
Insights
Antihistamines may increase seizure susceptibility in children with febrile seizures. These drugs, particularly H1 antagonists, can shorten seizure onset time and prolong seizure duration, warranting caution in young infants.
Area of Science:
- Pediatric Neurology
- Pharmacology
Background:
- Febrile seizures are common in infants and children.
- Antihistamines are frequently used for various conditions in this age group.
Purpose of the Study:
- To investigate if antihistamine use provokes seizure susceptibility in patients experiencing febrile seizures.
Main Methods:
- A descriptive study involving 250 infants and children with febrile convulsions.
- Participants were divided into two groups: those who received antihistamines at fever onset and those who did not.
Main Results:
- Antihistamine administration was associated with a significantly shorter time from fever detection to seizure onset.
- Seizure duration was significantly longer in children who received antihistamines.
- No significant difference in seizure onset or duration was observed between first-generation and second-generation antihistamines.
Conclusions:
- H1 antagonists (antihistamines) should be avoided in patients with febrile seizures and epilepsy due to potential central nervous system effects.
- Caution is advised when using histamine H1 antagonists in young infants, as they may interfere with the central histaminergic system's anticonvulsive properties.
Background:
The purpose of this study was to determine whether seizure susceptibility due to antihistamines is provoked in patients with febrile seizures.
Methods:
The current descriptive study was carried out from April 2009 to February 2011 in 250 infants and children who visited the Madinah Maternity and Children's Hospital as a result of febrile convulsions. They were divided into two groups according to administration of antihistamines at the onset of fever.
Results:
Detailed clinical manifestations were compared between patients with and without administration of antihistamines. The time from fever detection to seizure onset was significantly shorter in the antihistamine group than that in the nonantihistamine group, and the duration of seizures was significantly longer in the antihistamine group than in the nonantihistamine group. No significant difference was found in time from fever detection to seizure onset or seizure duration between patients who received a first-generation antihistamine and those who received a second-generation antihistamine.
Conclusion:
Due to their central nervous system effects, H1 antagonists should not be administered to patients with febrile seizures and epilepsy. Caution should be exercised regarding the use of histamine H1 antagonists in young infants, because these drugs could potentially disturb the anticonvulsive central histaminergic system.
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