Question

A 24-year-old man presents with generalised tonic-clonic status epilepticus lasting more than 5 minutes. He has no known epilepsy history. What is the recommended first-line pharmacological treatment in the emergency setting?

Accepted Answer

Intravenous midazolam or diazepam

Answer

Intravenous phenytoin loading

Answer

Oral carbamazepine

Answer

Intravenous valproate as initial therapy

Answer

No pharmacological therapy until EEG is performed

Practice question

A 24-year-old man presents with generalised tonic-clonic status epilepticus lasting more than 5 minutes. He has no known epilepsy history. What is the recommended first-line pharmacological treatment in the emergency setting?