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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 15 - Anaesthesia 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
15.01.04.01 Benzodiazepines

Midazolam

RED
Formulary
5mg/5mL, 10mg/2mL & 10mg/2mL Injection

N.B.: always prescribe 10mg/2mL strength for palliative care.
BNF BNFc SPC

Midazolam 10mg in 2mL (Buccolam®)
(Oromucosal solution, pre-filled syringe)

RED
Restricted Drug Restricted

Approved by DTC for adult patients with severe pre-operative anxiety where alternatives cannot be given (e.g. needle phobic patients).

BNF BNFc SPC

Midazolam 5mg/ml oral solution (Miprosed ®)

RED
Restricted Drug Restricted

For use in Paediatrics on saftey grounds as per paediatric sedation guideline (CG744T- Sedation Guideline for Infants, Children & Young People). DTC August 2024

BNFc SPC
15.01.04.01 Benzodiazepines
Classifications
GREEN
May be initiated in any care setting
Amber SPA
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Amber SPIS
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
SCG
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
RED
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
DNP
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
SELF
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.