Epilepsy Rescue Medication

Buccal midazolam and rectal diazepam for prolonged seizures

Step by Step

People with epilepsy may be prescribed rescue medication for seizures that last too long or cluster together, most commonly buccal midazolam, given into the space between the cheek and gum, or rectal diazepam. Only give it if you are trained or following the emergency call handler, since dosing depends on age and weight and the person has a written plan. The usual trigger is a seizure continuing beyond 5 minutes, or repeated seizures without recovery. After giving it, place the person in the recovery position, stay with them, and call emergency services if the seizure continues, breathing is a problem, or it is a first use. Rescue medication can cause breathing to slow, which is why monitoring and the emergency call matter. Training for carers and teachers is arranged routinely through epilepsy services.