Question

A 36-year-old man in the ED has generalised convulsions lasting more than 5 minutes despite initial midazolam. He is in established status epilepticus. Which second-line drug is most appropriate?

Accepted Answer

Start intravenous phenytoin or levetiracetam

Answer

Repeat benzodiazepine doses only for the next hour

Answer

Start oral carbamazepine

Answer

No further treatment; seizures will self-terminate

Answer

Immediate thrombolysis

Practice question

A 36-year-old man in the ED has generalised convulsions lasting more than 5 minutes despite initial midazolam. He is in established status epilepticus. Which second-line drug is most appropriate?