Buccal Midazolam Guidelines

ESNA guidelines for the safe administration of buccal midazolam.

Buccal Midazolam Protocol

Examples of generic protocols

Safe Administration of Buccal Midazolam

Competency Checklist for Carers and Nurses

ESNA would like to introduce the oromucosal midazolam competency checklist. It is a helpful tool to guide reviewers and their caregivers through the process of understanding a person’s seizures, their emergency protocol, and the importance of safe and practical administration of oromucosal midazolam. It can be completed at any time, useful for carer supervision and appraisal. Also a useful tool for CQC review.

Administration of Buccal Midazolam (Videos)

Please refer to the person’s protocol/emergency plan first. These videos are for information ONLY.


Face to Face clinical training by a Nurse or medic with a minimum of 2 years hands on experience in Epilepsy care and teaching is recommended as best practice, as per ESNA guidelines.

This video is for information only, used in Scotland . This will not replace your recommended face to face training. 

It describes the midazolam medication and brands and administration for information only.