What is buccal Midazolam used for?
What is buccal Midazolam used for?
Midazolam belongs to a group of medicines called benzodiazepines, which are used to treat a number of different conditions, including seizures. If a seizure lasts for more than five minutes, it may be difficult to stop unless treatment is given.
When should you administer buccal Midazolam?
When should Buccolam be given? Buccolam is usually given 5 minutes after the start of a tonic / clonic seizure. The precise timing will depend on age, seizure pattern and will be decided by the doctor. You will be given a protocol to follow.
How do you administer buccal?
Midazolam is given via the buccal route, which is where the medicine is placed against the sides of the gums and cheek. It is absorbed into the bloodstream via capillaries in the buccal cavity. Give the medicine slowly as your child could choke or swallow it if given too quickly.
How quickly does buccal Midazolam work?
Buccal Midazolam will take 5 to 10 minutes to work and most children will sleep for a while after the seizure has finished. They should be placed on their side during this time.
Which drug should not be given with midazolam?
Caution is advised when midazolam is administered concomitantly with drugs that are known to inhibit the P450 3A4 enzyme system such as cimetidine (not ranitidine), erythromycin, diltiazem, verapamil, ketoconazole and itraconazole.
Should you rub the face cheek once you have given buccal midazolam?
3 Place nozzle of the syringe between the lower gum and cheek on one side of the mouth (the buccal cavity). Slowly give dose into the mouth, remove syringe, close lips together and rub cheek on the outside. Can be given on either side or both, divided approximately into half each side.
What does the Institute of buccal midazolam do?
The Institute of Buccal Midazolam Educators campaigns for, promotes and supports high quality Epilepsy and Buccal Midazolam training. One of the most important components of epilepsy care by health and social care professionals is the effective management of seizures.
What kind of seizures can Buccal midazolam treat?
Buccal midazolam is indicated for the treatment of acute repetitive convulsive seizures and prolonged convulsive seizures, including status epilepticus where an intravenous access is unavailable, in both children and adults.
What happens to your child after taking Buccal midazolam?
The table below contains some of the most common ones associated with buccal midazolam. The most likely effect is that your child will feel sleepy after their seizure and after having this medicine. This is normal and helps your child to fully recover from their seizure.
Which is better rectal diazepam or Buccal midazolam?
The buccal administration was easy to handle and socially more acceptable than the rectal route. Buccal midazolam appeared to be at least as effective as rectal diazepam with little or no side effects. The buccal administration was easy to handle and socially more acceptable than the rectal route.
