How to administer Buccal Midazolam (Epistatus)

1 How to administerBuccal Midazolam ( epistatus ) 10mg in 1mlSPECIALPRODUCTSP artial SeizuresRecognise the common symptoms ofpartial seizures: Blank staring Chewing Fumbling WanderingIf you see someone having a partial seizure: Keep calm Speak quietly to the person Reassure them throughout the event Protect the person from hazards withoutrestraining them Explain to others what is happening People who have had this type of seizureshould be fully conscious and aware beforebeing left on their own. Make sure they knowthe date, where they are and where they aregoing next Confusion may last longer than the seizureitself and may be hazardous.

2 If fullconsciousness does not return, call for medicalassistanceSpecial Products LimitedUnit 16, Trade City, Avro Way, Brooklands Business Park, Weybridge, Surrey KT13 0YF United KingdomTel: + 44 (0)1932 690325 Fax: + 44 (0)1932 special thanks to Christine Hanson,Epilepsy Nurse Specialist, in the production andcontent of this leafletG1 M11-3 Iss 02 epistatus is generally administered after some minutes of convulsive activityor for repeated seizures or as directed by your doctor or epilepsy the bottle bypressing down on thechild resistant cap andturning it the syringe firmlyinto the bung on the topof the bottle, with theplunger pressed to thebottom of the syringeSupporting the bottle, tipthe bottle upside downand slowly pull theplunger on the syringe.

3 Until you havewithdrawn theprescribed amount1 Support the the Buccal areaby holding the chinand gently applyingdownward pressureon the lower lip asshown in this picture3 Insert the syringe intothe Buccal cavity - thespace between thelower gums and thecheek. Do not placethe syringe betweenthe patient s teeth asthe syringe may bebitten4 Slowly administer halfthe liquid in thesyringe by pushingthe plungerdownwards. Thenrepeat on the otherside5 epistatus can also begiven intra-nasallywith half of each dosebeing administeredinto each nostrilScrew the cap back on thebottle immediately after use672 Convulsive SeizuresIf you see someone having a convulsive seizure you should.

4 Keep calm Stay with the person Move things like chairs and other objects awayfrom them so that they don t hurt themselves If you can, put something soft such as a cushionunder their head Reassure the person throughout the seizure andwhen it is over DO NOTtry to physically stop the seizure or tryto restrain the person DO NOTput anything in the mouth Stay with the person until the seizure is over andtry to place them in the recovery position asshown in thesepicturesThere is usually no need to call anambulance for medical assistance unless: The seizure lasts longer than usual for theindividual The person has repeated seizures The person has sustained an injury The person has had a seizure in the sea or aswimming poolStorage Keep Midazolam at room temperature, away from bright light and direct sunlight and away from heat.

5 Do not store Midazolam in a fridge. You may not be using Midazolam regularly, so please keep a check on the expiry date.