Buccal Midazolam Doses and Administration for Children

Introduction

In this guide, we will discuss the various doses and strengths of Buccal Midazolam prescribed for children with epilepsy. Buccal Midazolam is a prescription medication specifically tailored for children and young people, available in different strengths.

Different Doses and Strengths

2.5 Milligrams

The yellow box contains 2.5 milligrams of Buccal Midazolam in a 0.5 millilitre pre-filled syringe. This dose is for children from three months to less than one year old. Follow these steps:

• Check the syringe through the viewing window for any crystallisation.
• Verify the expiry date on the box.
• Ensure the prescription label includes the child’s name and other necessary details.

5 Milligrams

The blue box contains 5 milligrams of Buccal Midazolam in a 1 millilitre pre-filled syringe. This dose is for children from one year to less than five years old. Follow the same steps as above to ensure safe administration.

7.5 Milligrams

The next dose is 7.5 milligrams of Buccal Midazolam in a 1.5 millilitre pre-filled syringe, intended for children from five years to less than ten years old. Again, ensure there is no crystallisation and check the expiry date before administration.

10 Milligrams

The red box contains 10 milligrams of Buccal Midazolam in a 1 millilitre pre-filled syringe. This dose is for children from ten to eighteen years old. Ensure all checks are completed as with the previous doses.

Administering Buccal Midazolam

Regardless of the dose, the administration process is consistent:

1. Open the tube and remove the syringe.
2. Inspect for any crystallisation within the syringe.
3. Check the expiry date and prescription details.
4. Administer the medication as directed into the buccal cavity (inside the cheek).

Off-Label Use for Adults

Buccal Midazolam may also be prescribed for individuals over eighteen years old, although this is considered off-label use. This means the manufacturer does not assume responsibility, and the prescribing doctor or pharmacist is accountable for its use.

Conclusion

Buccal Midazolam is an effective treatment for children with epilepsy when administered correctly. Always follow the prescribed steps to ensure safe and effective use, and consult with healthcare professionals if you have any concerns.