Still haven't helped your patients put a Seizure Preparedness Plan in place?

Download a complete plan now:

Child/Teen Seizure Preparedness Plan

Adult Seizure Preparedness Plan

Need to Update A Seizure Preparedness Plan?

Whether for a child/teen or for an adult, each Seizure Preparedness Plan has been especially designed to include all the forms your patient needs to complete their plan. However, at times, it may be necessary to update plan information.

Choose individual pages below:

INDIVIDUAL FORMS
Medical History and Physician Prescribed Emergency Seizure Treatment Order (Child/Teen)

Medical History and Physician Prescribed Emergency Seizure Treatment Order (Adult)

Step-by Step Seizure Treatment Plan (Child/Teen and Adult)

Plan-at-a-Glance Wallet Cards (Child/Teen and Adult)

Seizure Log Cards (Adult)

Student Interview Form (Child/Teen)

Seizure Record (Child/Teen)

DIASTAT® AcuDial™ (Diazepam Rectal gel) Administration Instructions
 
IMPORTANT SAFETY INFORMATION

DIASTAT® AcuDial™ (diazepam rectal gel) is a gel formulation of diazepam intended for rectal administration in the management of selected, refractory patients with epilepsy, on stable regimens of AEDs, who require intermittent use of diazepam to control bouts of increased seizure activity for patients 2 years and older.

In clinical trials with DIASTAT®, the most frequent side effect was somnolence (23%). Less frequent adverse events reported were dizziness, headache, pain, vasodilation, diarrhea, ataxia, euphoria, incoordination, asthma, rash, abdominal pain, nervousness and rhinitis (1%-5%). Please see full DIASTAT AcuDial Prescribing Information.