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What are the medications for treating status epilepticus?

Dr. Dr. Jennifer Meinhardt, DO,  - Internal Medicine specialist at 10250 Santa Monica BlvdLos Angeles, CA 90067
Dr. Jennifer Meinhardt, DO

10250 Santa Monica BlvdLos Angeles, CA 90067 Internal Medicine

Expert Medical Information

There are several types of drugs for treating status epilepticus: 1. Diazepam. Whether treating status epilepticus in adults or children, intravenous injection of Diazepam is the most effective first - choice drug. Adults can receive a slow intravenous injection at a rate of 2 - 4 milligrams per minute until the seizure stops or the total dose reaches 20 - 30 milligrams. After the injection of Diazepam, 80 - 100 milligrams can be added to 500 milliliters of 5% glucose solution and slowly infused intravenously at a rate of 40 milliliters per hour. 2. Clonazepam. Its efficacy is five times that of Diazepam, and its half - life is 22 - 32 hours. The initial adult intravenous dose is 3 milligrams. However, it has a relatively strong inhibitory effect on respiration and the heart, so extra attention is needed. 3. Phenobarbital. It can be used in both adults and children and can be administered by intramuscular injection. 4. Phenytoin. It has a slow onset but a long - lasting effect. It is effective for status epilepticus, does not affect consciousness, and does not inhibit respiration. It can be used in combination with Diazepam.

Common symptoms include fever, fatigue, and discomfort in the affected area. Always consult with a healthcare professional for an accurate diagnosis.
Diagnosis typically involves a physical examination, medical history review, and possibly laboratory tests or imaging studies depending on the suspected cause.
Treatment options vary based on the specific condition, severity, and individual health factors. They may include medication, lifestyle changes, physical therapy, or in some cases, surgical intervention.
Seek immediate medical attention if you experience severe symptoms, rapid worsening of condition, or if self-care measures aren't providing relief within a reasonable timeframe.