Midazolam
Buccal midazolam is the go-to when there's no IV access: 10 mg in adults, lower by age in children.
On this page
Buccal dose for fits
| Age | Dose |
|---|---|
| 3–11 months | 2.5 mg |
| 1–4 years | 5 mg |
| 5–9 years | 7.5 mg |
| 10 years and over (and adults) | 10 mg |
Repeat once after 10 minutes if still fitting (per protocol).
Cautions
- Breathing depression; low BP.
- Sedation by trained staff only.
Frequently asked questions
Where is buccal midazolam given?
Between the gum and cheek, half on each side if possible.
Used in these guides
Sources
Doses on this page are typical doses from the sources above. Always confirm with a current drug reference, the product leaflet and your hospital protocol, especially in children, pregnancy and kidney or liver disease.
For FCPS Part 1
Revising for FCPS Part 1? Midazolam is covered in our textbook chapter Antiepileptics and sedatives, with practice MCQs.