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Information for patients and carersBuccolam Midazolam mucosal liquid Patient name: ___ Discussed with (healthcare professional)___ Date___ Midazolam is a fast acting sedative. It is used for a number
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How to fill out buccal solution for form

01
Open the bottle of buccal solution for form
02
Using the dropper provided, carefully draw up the recommended amount of solution
03
Place the dropper into the mouth and release the solution onto the inner cheek
04
Hold the solution in the mouth for the recommended amount of time before swallowing
05
Close the bottle tightly after use

Who needs buccal solution for form?

01
Patients who have difficulty swallowing pills or capsules
02
Patients who require localized treatment in the mouth or throat area
03
Patients who have conditions affecting the mucous membranes in the mouth
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Buccal solution form is a form of medication that is administered through the mucous membranes in the mouth.
Patients who have been prescribed a medication in buccal solution form are required to file this form.
The buccal solution form can be filled out by providing information about the medication being taken and any relevant medical history.
The purpose of the buccal solution form is to ensure that patients are receiving the correct medication and dosage.
Information such as the name of the medication, dosage, frequency of administration, and any potential side effects must be reported on the buccal solution form.
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