Which medication is given buccally for an epileptic seizure?

• A. Glucogel
• B. Buccal midazolam
• C. Glucagon
• D. GTN spray

Answer: (B)

Buccal midazolam is used to stop a seizure by delivering the drug across the cheek’s mucous membrane, where it is rapidly absorbed into the bloodstream. This route provides quick onset without needing IV access, making it ideal for helping a caregiver administer rescue treatment at home or in the community. It’s specifically designed for prolonged or clustered seizures to abort the episode and prevent progression to more dangerous states. The other options don’t fit because glucose gel is for low blood sugar, glucagon for severe hypoglycemia, and GTN spray for angina—none are appropriate rescue medications for stopping an epileptic seizure via buccal administration.