Question

A 62-year-old man presents to the emergency department with generalised tonic-clonic seizures lasting >5 minutes without recovery of consciousness between episodes. What is the recommended first-line pharmacologic treatment for status epilepticus?

Accepted Answer

Intravenous lorazepam or diazepam

Answer

Oral phenytoin

Answer

Intramuscular haloperidol

Answer

Oral carbamazepine

Answer

No medication; wait for spontaneous resolution

Practice question

A 62-year-old man presents to the emergency department with generalised tonic-clonic seizures lasting >5 minutes without recovery of consciousness between episodes. What is the recommended first-line pharmacologic treatment for status epilepticus?