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Table 3 Suggested safety measures during IS treatment with ACTH and vigabatrin

From: Infantile spasms (West syndrome): update and resources for pediatricians and providers to share with parents

  ACTH Vigabatrin
Baseline hematology X X
Baseline serum chemistries (i.e., SMA 20) X X
Day 3 serum chemistries (especially potassium) X  
Twice weekly:   
Blood pressure X  
Stool guaiac X  
Urine glucose X  
Periodic ophthalmic evaluations and visual history   X
Periodic clinical exam and review of potential side effects X X