SC stat: 2.5mg–5 mg
SC 24-hour Syringe Driver/pump*: 5mg–30 mg**
Especially if anxiety/restlessness predominates.
SC stat: 2.5mg–5 mg
SC 24-hour Syringe Driver/pump*: 5mg–30 mg**
Especially if anxiety/restlessness predominates.
Oral PRN: 6.25mg-25mg
SC stat: 5mg–25mg
SC 24-hour Syringe Driver/pump: 5–75mg**
Especially if features of paranoia or psychosis are present.
Also useful as an antiemetic. Very sedative at higher doses.
Smaller doses in elderly
Oral PRN: 1.5mg–2.5 mg
SC stat: 1.5mg–2.5 mg
SC 24-hour Syringe Driver/pump: 1.5mg–5mg
Especially if features of paranoia or psychosis are present.
Also useful as an antiemetic. Smaller doses in the elderly eg 0.5mg
*Midazolam may cause disinhibition and paradoxical agitation, particularly at high doses.
**Start at lowest dose in the range especially in frail elderly patients; review dose every 24 hours and increase if necessary by 30%–50% according to additional ‘as required’ doses. Higher doses than this are occasionally necessary – seek Specialist Palliative Care Team advice.