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. 2014 Sep;1(3):134–140. doi: 10.1093/nop/npu018

Table 2.

List of non-oral antiepileptic drugs that can easily be applied in the out-of-hospital setting

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