Anticonvulsants

Phenytoin is the preferred agent after benzodiazepines to control seizures.  Levetiracetam may be considered after discussion with the intensivist.  For patients previously on antiepileptics drugs, these are usually recommenced after taking levels to confirm compliance and exclude toxicity (if relevant).  Intractable seizures is an indication for consideration of transfer to another facility for neurologist input.