NAS score (score every 4 hours)

Action

Score averages ³ 8 for 3 scores

Phenobarbital 15 mg/kg oral or IM stat, then

6 mg/kg/day in 2 divided doses orally>

If score persists ³ 8 despite Phenobarbital 6 mg/kg/day

Phenobarbital 8 mg/kg/day in 2 divided doses orally

If score persists ³ 8 despite Phenobarbital 8 mg/kg/day

Phenobarbital 10 mg/kg/day in 2 divided doses orally