Benzodiazepines are used as first-line treatments for status epilepticus. Fosphenytoin (FPHT) is recommended for second-line therapy; however, intravenous injection of levetiracetam (LEV) may also be effective against status epilepticus. Herein, we compared the efficacy and safety of LEV as a second-line treatment for status epilepticus with FPHT in Japanese patients.Patients with status epilep...

BACKGROUND Office hysteroscopy with endometrial biopsy is usually the first investigation for abnormal uterine bleeding and other uterine diseases. AIMS To evaluate the effect of oral drotaverine with mefenamic acid on pain perception during hysteroscopy and endometrial biopsy and to compare it with that of paracervical block using 1% lignocaine and with that of intravenous sedation using dia...

Fifty-three neonates born to 51 mothers treated with lorazepam were followed up for five days after delivery. Lorazepam had been given by mouth to 35 mothers and intravenously to 16. In general, maternal plasma concentrations of lorazepam were higher than the corresponding cord plasma concentrations. Cord plasma concentrations exceeding 45 micrograms/l were associated with three-quarters of the...

Background: Providing better surgical conditions with meticulous control of Intraocular Pressure (IOP) is one of the most important factors that affect the success rate in ophthalmic surgery. Clonidine is a selective central α2 agonist with analgesic, antianxiety and sedative effects which makes it a good choice in premedication recently. In this study, we compared the effects of oral clonidine...

To cite: Amin OSM. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013009845 DESCRIPTION An 11-year-old girl was admitted to our acute and emergency department with a 12-h history of confusion and non-responsiveness. There was no fever or neck stiffness. The parents denied any history of head trauma. She was diagnosed with grand mal epilepsy at the age of 7 years...

The effects of i.v. diazepam and droperidol both alone and in combination administered as premedication were studied in 240 patients. Relief of anxiety, sedation, lack of recall, acceptance by both patient and physician and side-effects were evaluated. Overall, the combination of droperidol 2.5 mg with diazepam 5 mg produced better ratings of these variables than could be achieved with either d...

The respiratory effects of premedication with i.v. injection of diazepam have been assessed in 10 healthy patients awaiting minor operative procedures. Measurements were recorded before and 60 min after administration of diazepam 0.14 mg kg-1. Mouth occlusion pressure (P 0.1) was used as an index of neuromuscular inspiratory drive. Minute-ventilation (VE), respiratory frequency (f) and mean ins...

The synaptogenic hypothesis of major depressive disorder implies that preventing the onset depressive-like behavior also prevents loss hippocampal spine synapses. By applying psychoactive drugs, diazepam and fluoxetine, we investigated whether blocking development helpless by promoting stress resilience in rat learned helplessness paradigm is associated with a synaptoprotective action hippocamp...

background: febrile convulsion (fc) is one of the most common causes of seizure in children. oral diazepam or oral midazolam are two mostly recommended drugs for fc prevention, but the effectiveness of these drugs remains controversial. prophylactic use of oral anticonvulsant drugs is thus a questionable practice. this study was carried out to compare the effect of using different diazepam dose...