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Question
An 18-year-old woman who is known to have epilepsy is brought to the Accident and Emergency department. She has had one prolonged seizure which was terminated by giving buccal midazolam 10mg given by a family member. She normally takes lamotrigine regularly. In the department she has a further seizure lasting more than 5 minutes (1 hour after the first seizure).
Which of the following would be the best immediate treatment?