Buccal Midazolam Training: Frequently Asked Questions
What is buccal midazolam?
Buccal midazolam is an emergency medication used to treat prolonged seizures or repeated seizures without full recovery in between. If a convulsive seizure lasts longer than 5 minutes, it is unlikely to stop without treatment, which can be life-threatening.
Midazolam belongs to a group of medicines called benzodiazepines, which are used to treat various conditions, including seizures.
How is buccal midazolam given?
The midazolam is administered into the buccal cavity, the area between the cheek and gums. This is known as the buccal or oromucosal route. This part of the mouth has many capillaries on the surface of the mucosal membrane, allowing the medication to be rapidly absorbed directly into the bloodstream. It is administered using a syringe without a needle, which offers an easy way to access the buccal cavity.

How does buccal midazolam work?
Buccal midazolam works by enhancing the effect of a neurotransmitter called GABA (gamma-aminobutyric acid) in the brain, which helps to calm abnormal electrical activity during a seizure.
How quickly does buccal midazolam work?
Buccal midazolam typically starts to work within 5 to 10 minutes after administration.
Are there side effects of buccal midazolam?
Common side effects include drowsiness and shallow breathing.
Why is buccal midazolam preferred over other forms of seizure medication?
Buccal midazolam is preferred in many cases because it is easy to administer, works quickly, and is non-invasive. It can be administered by non-health professionals in the community after appropriate training.
Who can administer buccal midazolam?
With correct training, buccal midazolam can be administered by parents, family members, caregivers, teachers, and school staff. It is important that anyone who may need to administer buccal midazolam receives appropriate training to ensure it is given safely and effectively, reducing the risk of errors.
Where can I get buccal midazolam training?
Teachhealth.co.uk provides accredited Epilepsy Awareness & Buccal Midazolam 3-hour training programmes for groups or individuals. Training sessions are available during the day, in the evening, and on weekends. This engaging and interactive programme is delivered by highly experienced registered nurses with current clinical experience in epilepsy. For more information on epilepsy and buccal midazolam training, visit Epilepsy Awareness & Buccal Midazolam Training Course (3 hours).
Conclusion: Buccal midazolam is a vital emergency medication for managing prolonged or repeated seizures, providing rapid and effective treatment. Its ease of administration and quick action make it a preferred option, especially in non-hospital settings. Proper training is essential for caregivers, family members, and school staff to ensure the safe and effective use of this medication. Accredited training programs, such as those offered by Teachhealth.co.uk, equip individuals with the necessary skills and knowledge to administer buccal midazolam confidently. By understanding its usage, effects, and administration, we can better support individuals with epilepsy and respond appropriately during seizure emergencies.



