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. Author manuscript; available in PMC: 2022 Mar 1.
Published in final edited form as: Epilepsia. 2021 Feb 10;62(3):795–806. doi: 10.1111/epi.16825

Table 1:

Guideline Recommended Doses and ESETT Protocol Eligibility Criteria (adapted from Sathe AG, Tillman H, Coles LD, et al. Underdosing of Benzodiazepines in Patients with Status Epilepticus Enrolled in Established Status Epilepticus Treatment Trial. Acad Emerg Med 2019;0(8):940–3).

Guideline Recommended
Doses per Administration*
ESETT Eligibility Criteria for
Minimally Adequate Cumulative
Dose**
Drug Route Dose for ≥ 32
kg Patients
(mg)
Dose for < 32
kg Patients
(mg/kg)
Diazepam IV

Rectal
0.15-0.2 mg/kg/dose, max: 10 mg/dose, may repeat dose once
If IV route not available, then 0.2-0.5 mg/kg/dose, max: 20 mg/dose
10 0.3
Lorazepam IV 0.1 mg/kg/dose, max: 4 mg/dose, may repeat dose once 4 0.1
Midazolam IV IM Dosing: 10 mg for > 40 kg, 5 mg for 13-40 kg 10 0.2
IM 10 0.3
IN/Buccal Dosing not specified
*

Meierkord H et al., European Journal of Neurology, 2006; 13(5): 445-450; Brophy GM et al. ,Neurocritical Care 2012;17(1):3–23 and Glauser T et al., Epilepsy Currents, Vol. 16, No. 1 (January/February) 2016 pp. 48–61

**

Cut-off criteria for the transmucosal routes were the same as those for the intravenous route