Lamotrigine – SJS Emergency Management — SCE Neurology MCQ

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HardEpilepsy & Seizure DisordersLamotrigine – SJS Emergency ManagementSCE Neurology

An adult has convulsive status epilepticus in the community and IV access is unavailable. Which first-line rescue treatment is appropriate in a UK pathway?

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Correct answer: B — Buccal midazolam 10 mg

A rapidly administered benzodiazepine is first-line. In adults without IV access, buccal midazolam 10 mg is an established UK community rescue option; rectal diazepam is an alternative in relevant plans. Airway support, timing and urgent escalation are essential, with a second benzodiazepine dose and second-line antiseizure treatment according to protocol if seizures continue.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/neurological-conditions