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IM midazolam was equally effective in various types of convulsions be it GTC or focal convulsions. This article examines the risks involved in prescribing psychotropic medication and offers suggestions for managing those risks to ensure the best possibility for a favorable outcome. Patients were monitored for vital parameters including heart rate, respiratory rate, blood pressure and sensorium and side effects of the drug administered were noted every 10 minutes till one hour after control of seizure and then every 6 hourly for next 24 hours.