Question

A 24-year-old man has had a generalised tonic-clonic seizure lasting 8 minutes, followed by a second seizure within 5 minutes without recovery of consciousness. What is the most appropriate first-line pharmacologic treatment?

Accepted Answer

Intravenous lorazepam

Answer

Intravenous phenytoin

Answer

Oral carbamazepine

Answer

Intravenous valproate as first dose

Answer

No treatment; observe only

Practice question

A 24-year-old man has had a generalised tonic-clonic seizure lasting 8 minutes, followed by a second seizure within 5 minutes without recovery of consciousness. What is the most appropriate first-line pharmacologic treatment?