Effectiveness of IM midazolam in various age groups, types of convulsions and etiology of convulsions was analyzed. The data was analyzed by t table and compared using chi-square test for proportions. We have this Calvinistic view about treating pain in the long-term care setting, we must not give them too much analgesia becauseyou never knowgrandma might become addicted. Group A received diazepam alone. IM midazolam was equally effective in various types of convulsions be it GTC or focal convulsions. No significant abnormality in the vital parameters was noticed in any of the groups and none of the patients had hypotension or respiratory depression due to the drugs. Getting an IV access immediately may be difficult in children and buy diazepam cheap rectal administration of diazepam is also not easy.
However, these results buy diazepam cheap are not confirmed by controlled trials. Intramuscular midazolam was statistically faster for controlling seizures in all age groups as compared to IV diazepam buy diazepam cheap when intravenous access was not present. The dose of diazepam varied from 20-240 mg daily in 4-6 divided buy diazepam cheap doses. Only in one Buy diazepam cheap case it showed a rise. It was observed that the mortality rate increases with the severity of the disease. This is probably due to the overactivity of the sympathetic nervous system probably brought on by the action of tetanus toxin on the brain stem. Patients buy diazepam cheap with febrile convulsions had statistically faster control of seizures with IM midazolam as compared to IV diazepam without IV access p0,001, t185,3. The overall buy diazepam cheap mortality in this group was 50 percent. It appears that addition of chlorpromazine Buy diazepam cheap or propranolol to diazepam is not likely to produce any additional benefit in the treatment of convulsions in tetanus. Since diazepam is a buy diazepam cheap safer drug, there seems to be no justification for adding chlorpromazine to diazepam.