Published on: 7/9/2025
What treatment options are available for acute repetitive seizures?
Acute repetitive seizures, also called seizure clusters, are treated with fast-acting medications like benzodiazepines to quickly stop seizures and prevent progression to status epilepticus.
Explanation
Acute repetitive seizures involve multiple seizures occurring close together without full recovery in between. Treatment focuses on stopping seizures promptly:
Rescue medications: Fast-acting drugs such as diazepam (Valium), lorazepam (Ativan), or midazolam are commonly used. These may be given as nasal sprays, rectal gels, or injections. Immediate medical care: If seizures do not stop with rescue meds or last longer than 5 minutes, emergency medical attention is necessary. Adjusting chronic therapy: Doctors may review and change long-term anti-seizure medications to reduce future clusters. Monitoring: Careful observation and follow-up with a neurologist are important for managing seizure clusters effectively.
If you or a loved one experiences acute repetitive seizures, having a clear treatment plan and rescue medication is essential.
(References)
- Cereghino JJ. (2007). Identification and treatment of acute repetitive seizures in .... Current treatment options in neurology, 17580005.
- McKee HR, & Abou-Khalil B. (2015). Outpatient pharmacotherapy and modes of administration .... CNS drugs, 25583219.
- Almohaish S, Sandler M, & Brophy GM. (2021). Acute Control of Repetitive Seizures and Status Epilepticus .... Journal of clinical medicine, 33920722.
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