MTW NHS Trust West Kent CCG

Drug Status Key

  • Preferred
  • Second Line
  • Third Line
  • Specialist Initiation
  • Hospital Only
  • Not Approved for Formulary

Sedatives

Local guidance

: Adult conscious sedation guidelines, May 2010

Benzodiazepines are widely used in sedation. Midazolam is often the first choice agent, using the 1mg/ml ampoules. The 10mg/2ml ampoules should be reserved for use when further dilution is required, e.g. for syringe drivers. Please note: midazolam must be ordered in the ward controlled drug order books.

Other Benzodiazepines used sedation include Diazepam, Lorazepam, and Temazepam. They are all classified under "Hospital only" use for this indication.

Sedating antihistamines such as alimemazine and promethazine may also be used for pre-medication sedation, particularly in paediatrics.