Skip to main content
Archives of Emergency Medicine logoLink to Archives of Emergency Medicine
. 1987 Sep;4(3):169–172. doi: 10.1136/emj.4.3.169

Midazolam: an effective intravenous agent for seizure control.

G M Galvin 1, G A Jelinek 1
PMCID: PMC1285439  PMID: 3689542

Abstract

Midazolam meleate, a water soluble 1,4 benzodiazepine, was used intravenously in 20 patients suffering seizures, of whom 12 were in status epilepticus. In all cases, midazolam in a dose of 2.5-15 mg rapidly terminated the seizure. There were no complications from the use of midazolam. The causes of the seizures were varied but alcohol-withdrawal seizures were the single largest cause. Thirteen patients were taking some form of anticonvulsant medication but only three were in the therapeutic range. Midazolam is seen to be an effective agent in the emergency treatment of seizures.

Full text

PDF
169

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brown C. R., Sarnquist F. H., Canup C. A., Pedley T. A. Clinical, electroencephalographic, and pharmacokinetic studies of a water-soluble benzodiazepine, midazolam maleate. Anesthesiology. 1979 May;50(5):467–470. doi: 10.1097/00000542-197905000-00017. [DOI] [PubMed] [Google Scholar]
  2. Davidson D. L. Anticonvulsant drugs. Br Med J (Clin Res Ed) 1983 Jun 25;286(6383):2043–2045. doi: 10.1136/bmj.286.6383.2043. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Delgado-Escueta A. V., Wasterlain C., Treiman D. M., Porter R. J. Current concepts in neurology: management of status epilepticus. N Engl J Med. 1982 Jun 3;306(22):1337–1340. doi: 10.1056/NEJM198206033062205. [DOI] [PubMed] [Google Scholar]
  4. Deshmukh A., Wittert W., Schnitzler E., Mangurten H. H. Lorazepam in the treatment of refractory neonatal seizures. A pilot study. Am J Dis Child. 1986 Oct;140(10):1042–1044. doi: 10.1001/archpedi.1986.02140240088032. [DOI] [PubMed] [Google Scholar]
  5. GASTAUT H., NAQUET R., POIRE R., TASSINARI C. A. TREATMENT OF STATUS EPILEPTICUS WITH DIAZEPAM (VALIUM). Epilepsia. 1965 Jun;6:167–182. doi: 10.1111/j.1528-1157.1965.tb03786.x. [DOI] [PubMed] [Google Scholar]
  6. Kaneko S., Kurahashi K., Fujita S., Fukushima Y., Sato T., Hill R. G. Potentiation of GABA by midazolam and its therapeutic effect against status epilepticus. Folia Psychiatr Neurol Jpn. 1983;37(3):307–309. doi: 10.1111/j.1440-1819.1983.tb00338.x. [DOI] [PubMed] [Google Scholar]
  7. Meldrum B. S., Chapman A. G. Benzodiazepine receptors and their relationship to the treatment of epilepsy. Epilepsia. 1986;27 (Suppl 1):S3–13. doi: 10.1111/j.1528-1157.1986.tb05731.x. [DOI] [PubMed] [Google Scholar]

Articles from Archives of Emergency Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES