a similar problem arises when a patient has decreased consciousness, a poor swallow, or indeed status epilepticus . The overriding principle is that efforts should be made to administer the patients's usual antiepileptic drugs via the enteral route and it is crucial that a nasogastric or a percutaneous endoscopic gastrostomy tube is utilised early to accomplish this. Once enteral access is achieved the next antiepileptic drugs doses should be given without delay before continuing the usual regime, with consideration of top-up doses if multiple doses have already been missed. The commonly used antiepileptic drugs are available in liquid formulations. Of particular note is that phenytoin suspension does not have dose equivalence to phenytoin tablets and so caution should be exercised.