- Medicines and Healthcare products Regulatory Agency
- 7 December 2017
- Last updated:
- 8 December 2017, see all updates
- 7 December 2017
- Alert type:
- Drug alert
- Medical specialty:
- Anaesthetics, Cardiology, Care home staff, Cosmetic surgery, Critical care Dentistry, General practice, General surgery, Haematology and oncology, Infection prevention, Obstetrics and gynaecology, Ophthalmology, Orthopaedics, Paediatrics, Pathology, Pharmacy, Physiotherapy and occupational therapy, Radiology, Renal medicine, Theatre practitioners, Urology, and Vascular and cardiac surgery
Caution in Use: Distribute to Pharmacy, Hospital, GP, Dental Practice, Ward and Clinic Level.
BUCCOLAM (midazolam) 2.5 mg, 5 mg, 7.5 mg and 10 mg Oromucosal Solution Pre-filled Syringes
Marketing Authorisation number
Brief description of the problem
Shire has distributed the Direct Healthcare Professional Communication (DHCP) attached due to reports that the translucent tip-cap sometimes remains on the syringe tip when pulling the red cap off, as shown in the DHCP diagrams.
If this occurs, the translucent tip cap needs to be removed manually to enable administration of BUCCOLAM and to prevent it falling into the patient’s mouth upon application of extreme pressure. There have not yet been any reports of the translucent tip-cap falling into a patient’s mouth but this cannot theoretically be excluded.
This issue is applicable to all unexpired batches of BUCCOLAM currently in the marketplace.
Actions for healthcare professionals
As outlined in the DHCP attached, we ask you share this information with your patients’ parents and caregivers, and with age-appropriate patients, during your interactions with them going forward to ensure they are aware of this issue when handling the product.
Company contact information
Should you have any questions or require additional information on the use of BUCCOLAM 2.5 mg, 5 mg, 7.5 mg and 10 mg oromucosal solution, please contact:
Tel: 0800 055 6614
Recipients of this Drug Alert should bring it to the attention of relevant contacts by copy of this letter. NHS regional teams are asked to forward this to relevant clinics, hospital pharmacists, general practitioners, dental practices, dentists, nurses, neurologists, neurology specialist nurses, epilepsy specialist nurses and community pharmacists for information.
The DHCP letter has been circulated to a number of patient support groups.
Published: 7 December 2017
Updated: 8 December 2017
Issued: 7 December 2017
- Added information for dental practices.
- First published.
Alert type: Drug alert
Medical specialty: Anaesthetics Cardiology Care home staff Cosmetic surgery Critical care Dentistry General practice General surgery Haematology and oncology Infection prevention Obstetrics and gynaecology Ophthalmology Orthopaedics Paediatrics Pathology Pharmacy Physiotherapy and occupational therapy Radiology Renal medicine Theatre practitioners Urology Vascular and cardiac surgery