What Is Buccolam?

Buccolam is a medicine that is used to treat prolonged, acute, convulsive seizures in patients from 3 months to less than 18 years of age.

For infants aged 3-6 months, treatment should be in a hospital setting where monitoring is possible and resuscitation equipment is available.

Buccolam is administered in the mouth and your healthcare professional can show you the correct way so you can feel confident if a seizure comes.

Buccolam Doses

Only give Buccolam to the patient it has been prescribed for and exactly as the healthcare professional has told you. Please do not use Buccolam for any other patient. It could harm them.

Buccolam is available in four colour-coded doses, which the healthcare professional has prescribed according to the age of the patient. Buccolam comes as a pre-filled, single use oral syringe.

Storing Buccolam

  • Keep Buccolam out of sight and reach of children
  • Do not refrigerate or freeze
  • Keep the syringe in the protective tube and do not use if the medicine has passed the expiry date

Why Have I Been Prescribed Buccolam?

Buccolam is licensed for the treatment of prolonged, acute, convulsive seizures in infants, toddlers, children and adolescents (from 3 months to <18 years). It must only be used by parents/carers where the patient has been diagnosed to have epilepsy.

Administration Demonstration

Everyone who might need to administer this medication should receive training, which is usually provided by your healthcare professional.

The following video may be helpful as a training aid:

Play Video

For infants aged 3-6 months, treatment should be in a hospital setting where monitoring is possible and resuscitation equipment is available.

How To Administer Buccolam

These instructions are also available as a printable leaflet.

Before administering Buccolam:

  • Ensure the patient is not in any physical danger, remove glasses and loosen tight clothing.
  • Support the patient’s head with something soft, such as a cushion or your lap.
  • Follow the advice of your healthcare professional or follow the Patient Care Plan.
Alert

IMPORTANT:

On occasions the seal for the lid on the protective tube may not be intact. The sole purpose of this seal is to keep the syringe in the tube.

Broken retaining seals do not compromise product quality or syringe use.

Please ensure the translucent tip is fully removed. If necessary, it must be manually removed BEFORE administration, to ensure it does not fall into the patient’s mouth.

Administering Buccolam -1

1

Remove the syringe from the tube.

2

Remove the red cap and dispose of safely. Please ensure that the inner translucent tip cap has also been fully removed. If necessary, it must be manually removed BEFORE administration, to ensure it does not fall into the patient’s mouth.

3

Gently hold the cheek away from the teeth.

4

Insert the tip of the syringe between the lower gum and cheek.

5

Slowly release the solution by gently pressing the plunger until empty. If prescribed by your doctor (for larger volumes and/or smaller patients), you can give approximately half the dose slowly into one side of the mouth, then into the other side of the child’s mouth.

6

Note the time that Buccolam was administered. Stay with the patient until they are fully recovered.

7

Retain empty syringe for the ambulance or healthcare professional.

Call An Ambulance Immediately If:1

  • The seizure does not stop within 10 minutes of administering BUCCOLAM

  • You cannot administer BUCCOLAM, or cannot give the full dose

  • The patient’s breathing slows down or stops

  • The patient vomits and the seizure does not stop within 10 minutes of administering BUCCOLAM

  • You observe signs of a heart attack such as chest pain or pain that spreads to the neck or left shoulder and down the left arm

  • You give too much BUCCOLAM and there are signs of overdose (see patient information leaflet)

NEVER Give Another Dose Of Buccolam:1
  • Even if the seizure does not stop within 10 minutes
  • If the patient vomits or salivates

Please read the patient information leaflet inside the box for additional signs indicating need for medical support.

References:

  1. Buccolam PIL. Available at: https://www.medicines.org.uk/emc/files/pil.2768.pdf (accessed 03 Apr 2020)

This information is provided as a resource for patients who have been prescribed Buccolam by their doctor or other healthcare professional.

Reporting of adverse events (Healthcare Professionals in the UK)

Adverse events should be reported. Reporting forms and information can be found at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. Adverse events should also be reported to Neuraxpharm. at: pv-uk@neuraxpharm.com