<prompt> 4-year-old male child had febrile seizures, best prophylaxisParacetamol 6 hourlyParacetamol diazepamDiazepamPhenobarbitone  <response>: Prophylaxis in febrile seizures Prophylactic anticonvulsants are not given routinely in febrile seizures. They are required when -A febrile seizure is prolonged or complicatedMedical reassurance fails to relieve family anxiety.Prophylaxis may be continuous or intermittentIntermittent prophylaxisIt is currently the desirable form of therapyIt is used during episodes of feverIndicated during first three days of fever:Drugs that are used are - Diazepam and other benzodiazepines these drugs are used because they attain desired levels quickly Diazepam is given oral or rectal.Continuous prophylaxis -It is used whenIntermittent therapy has failed Central nervous system disease Drugs used are Sodium valproate or phenobarbitone.Recurrent atypical seizuresThe family history of epilepsyNote - Carbamazepine and phenytoin are ineffective for prevention of recurrence. 