Greater Glasgow and Clyde Medicines
Key to symbols The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP The medicine should only be used and prescribed by a specialist Indicates the preferred choice within a class or group of medicines
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
4.8. Antiepileptic drugs

4.8.2. Drugs used in status epilepticus

Preferred List
DIAZEPAM (RECTAL TUBES)
Specialist and GP
MIDAZOLAM (BUCCAL LIQUID)

Restrictions:

Buccal midazolam should only be initiated on the advice of a specialist in accordance with agreed local guidelines and following appropriate training of the parent or carer. It may, however, be continued to be prescribed in primary care.

Prescribing Notes:

Buccal midazolam is available as Buccolam® or Epistatus®.  The two preparations are different strengths and may have different doses, therefore are not considered interchangeable.  In light of these differences and the associated risks, any agreed change of preparation in existing patients would require careful management by all involved.

BNF Link

Total Formulary
Specialist and GP
CLONAZEPAM

Restrictions:

Restricted to specialist initiation only.

BNF Link

Specialist and GP
FOSPHENYTOIN

Restrictions:

Restricted to specialist initiation only.

BNF Link

LORAZEPAM
Specialist and GP
PARALDEHYDE

Restrictions:

Restricted to specialist initiation only.

BNF Link

Specialist and GP
PHENYTOIN

Restrictions:

Restricted to specialist initiation only.

BNF Link