Most seizures are self-limiting and stop spontaneously but prolonged seizures may be potentially life-threatening.
Basics
BNF recommend dose for rectal diazepam, repeated once after 10-15 minutes if necessary
| Neonate | 1.25 - 2.5 mg |
|---|---|
| Child 1 month - 1 year | 5 mg |
| Child 2 years - 11 years | 5 - 10 mg |
| Child 12 years - 17 years | 10 mg |
| Adult | 10 - 20 mg (max. 30 mg) |
| Elderly | 10 mg (max. 15 mg) |
Midazolam oromucosal solution may also be used:
| Neonate | 300 mcg/kg (unlicensced) |
|---|---|
| Child 1 - 2 months | 300 mcg/kg (max. 2.5mg, unlicensced) |
| Child 3 - 11 months | 2.5 mg |
| Child 1 - 4 years | 5 mg |
| Child 5 - 9 years | 7.5 mg |
| Child 10 - 17 years | 10 mg |
| Adult | 10 mg (unlicensced) |