First-Time Seizure: What Are Your Treatment Options?
Published: Sep 13, 2023
Experiencing a seizure for the first time can be overwhelming. Knowing your treatment options can help you take control of your health.
Contents
Immediate Post-Seizure Care
Most seizures stop on their own within a few minutes. After a first seizure, the immediate focus is on ensuring safety and assessing the cause. Emergency care may involve securing IV access to administer medications if the seizure persists.
When to Start Medication
Deciding to start seizure medication after a first seizure is not always straightforward. It depends on factors like the seizure type, cause, and risk of recurrence. Consultation with a neurologist can help decide the best course of action.

Hospitalization Considerations
Hospitalization might be necessary if the seizure is prolonged or if there are complications. Patients with significant post-seizure confusion or injury may require additional observation and care.
Frequently Asked Questions
No, only prolonged or complicated seizures need hospitalization.
Medication is considered based on seizure type and recurrence risk.
Ensure safety and determine the cause.
Yes, most seizures resolve within minutes.
The Bottom Line
Understanding treatment options can empower you to manage seizures effectively.
References
- Krumholz A, Wiebe S, Gronseth GS, et al. Evidence-based guideline: Management of an unprovoked first seizure in adults: Report of the Guideline Development Subcommittee of the American Academy of Neurology and the American Epilepsy Society. Neurology 2015; 84:1705.
- Berg AT, Shinnar S. The risk of seizure recurrence following a first unprovoked seizure: a quantitative review. Neurology 1991; 41:965.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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