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How to administerBuccal Midazolam

(Epistatus)10mg in 1ml

SPECIALPRODUCTS

Partial Seizures

Recognise the common symptoms ofpartial seizures: Blank staring Chewing

Fumbling

Wandering

If you see someone havinga 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 seizure

should 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. If fullconsciousness does not return, call for medicalassistance

Special Products LimitedUnit 16, Trade City, Avro Way, Brooklands Business Park,

Weybridge, Surrey KT13 0YF United KingdomTel: + 44 (0)1932 690325 Fax: + 44 (0)1932 341091

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With special thanks to Christine Hanson,Epilepsy Nurse Specialist, in the production and

content of this leaflet

G1 M11-3 Iss 02

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Epistatus is generally administered after some minutes of convulsive activityor for repeated seizures or as directed by your doctor or epilepsy nurse.

Open the bottle bypressing down on thechild resistant cap andturning it anti-clockwise.Insert the syringe firmlyinto the bung on the topof the bottle, with theplunger pressed to thebottom of the syringe

Supporting the bottle, tipthe bottle upside downand slowly pull theplunger on the syringe,until you have

withdrawn theprescribed amount

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Support the head.

Locate the buccal areaby holding the chinand gently applyingdownward pressureon the lower lip asshown in this picture

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Insert the syringe intothe buccal cavity - thespace between thelower gums and thecheek. Do not placethe syringe betweenthe patients teeth asthe syringe may bebitten

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Slowly administer halfthe liquid in thesyringe by pushingthe plungerdownwards. Thenrepeat on the otherside

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Epistatus can also be

given intra-nasallywith half of each dosebeing administeredinto each nostril

Screw the cap back on thebottle immediately after use

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Convulsive SeizuresIf you see someone having aconvulsive seizure you should: Keep calm

Stay with the person Move things like chairs and other objects away

from them so that they dont 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 NOT try to physically stop the seizure or try

to restrain the person DO NOT put anything in the mouth

Stay with the person until the seizure is over andtry to place them in the recovery position asshown in thesepictures

There is usually no need to call anambulance for medical assistance unless: The seizure lasts longer than usual for the

individual

The person has repeated seizures

The person has sustained an injury

The person has had a seizure in the sea or aswimming pool

Storage Keep midazolam at room temperature, away from bright light and direct sunlight and away from heat. Do not store midazolam in a fridge. You may not be using midazolam regularly, so please keep a check on the expiry date.