Consider Intranasal Midazolam Over Rectal Diazepam for Acute Seizures

December 2019

The new intranasal midazolam (Nayzilam, NAY-zil-am) will raise questions about treating acute seizures when IV and IM aren't an option.

Nayzilam is a ready-to-use nasal spray...and is easier to give than rectal diazepam (Diastat AcuDial).

But keep in mind that generic injectable midazolam can also be given intranasally by spraying it with a mucosal atomizer device.

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