The Pennine Acute Hospitals
NHS Trust Formulary
 
back
4 Central nervous system
04-08-02 Drugs used in status epilepticus

If status epilepticus persists longer than 45 minutes, the patient may need to be sedated, paralysed, intubated and ventilated; and subsequently admitted to a critical care unit. The on-call anaesthetist and medical consultant should be informed.


Lorazepam Injection
First Choice

View adult BNF  View SPC online  View childrens BNF
Diazepam
First Choice
Injection (emulsion)
Rectal tubes (rectal solution)

note Use diazepam injection as first-line alternative only if lorazepam injection not available


View adult BNF  View SPC online  View childrens BNF
Midazolam Buccal Solution Buccolam®
First Choice
Restricted Item Paediatric use only

Controlled Drug  Green 3 View adult BNF  View SPC online  View childrens BNF
Phenytoin Injection
Second Choice
Loading Dose See loading doses policy
Link  Loading Doses Policy
Link  Patient Safety Alert: Risk of death and severe harm from error with injectable phenytoin
Link  UKMi Q&A: How can we minimise the risk to patients when using IV phenytoin
 

View adult BNF  View SPC online  View childrens BNF
Paraldehyde Enema
Formulary
Restricted Item Paediatric use only

View adult BNF  View SPC online  View childrens BNF
Phenobarbital Injection
Formulary

Controlled Drug  View adult BNF  View SPC online  View childrens BNF
Fosphenytoin Sodium Pro-Epanutin®
Non Formulary

View adult BNF  View SPC online  View childrens BNF