Table 2.
Route of Administration | Drug | Dose | Indication |
---|---|---|---|
Intranasal | Midazolam | 27.8 mg/mL, 1 spray of 2.5 mg in each nostril (total dose 5 mg); if necessary, repeat after 5 min | Emergency treatment |
Rectal | Diazepam | 10 mg; if necessary, repeat after 5 min | Emergency treatment |
Buccal | Clonazepam | 2–4 times 0.5 mg/d; maintenance dose 4 times, 0.5–1.0 mg/d; maximum dose 20 mg/d | Prophylactic treatment |
Subcutaneous | Phenobarbital | 100 mg; if necessary, repeat after 4–6 h; maintenance dose 2–4 mg/kg | Prophylactic treatment |
Subcutaneous | Midazolam | Start dose 10 mg; maintenance dose 1.5–2.5 mg/h | Palliative sedation in patients with refractory seizures where other non-oral AEDs have failed. |
Abbreviations: d, day; h, hour; min, minute