Skip to main content
. 2026 Apr 12;6:106046. doi: 10.1016/j.bas.2026.106046

Table 9.

Criteria for Initiating Early Anticonvulsant Prophylaxis. Prophylaxis should be maintained for 7 days.

Criteria for Initiating Early Anticonvulsant Prophylaxis
  • Severe TBI

  • Moderate or mild TBI that meets any of the following conditions:
    • Depressed skull fracture
    • Penetrating TBI
    • Intracranial bleeding
    • Post-traumatic seizure
Recommended Medications for Anticonvulsant Prophylaxis Levetiracetam:
1 g every 12 h.
Phenytoin:
Initial loading dose of 15 mg/kg divided into 3 doses: (half at hour 0, a quarter at hour 8, and the last quarter at hour 16). The maintenance dose is 5 mg/kg/day divided into 3 daily doses.