Diastat Pediatric

Generic Name: diazepam rectal (dye AZ e pam)
Brand Name: Diastat AcuDial, Diastat Pediatric

What is Diastat Pediatric (diazepam rectal)?

Diazepam is a benzodiazepine (ben-zoe-dye-AZE-eh-peen). Diazepam affects chemicals in the brain that may become unbalanced and cause seizure.

Diazepam rectal is used to treat occasionally increased seizures (cluster seizures) in people with epilepsy who also routinely take other anti-convulsants. Diazepam rectal is not for long-term daily use to prevent seizures.

Diazepam rectal may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Diastat Pediatric (diazepam rectal)?

You should not receive this medication if you are allergic to diazepam (Valium), or if you have untreated or uncontrolled narrow-angle glaucoma.

Before using diazepam rectal, tell your doctor if you have glaucoma, liver or kidney disease, asthma, pneumonia, other breathing problems, or a history of depression, suicidal thoughts, or addiction to drugs or alcohol. Also tell your doctor if you are allergic to other benzodiazepines (alprazolam, Ativan, lorazepam, Klonopin, Restoril, Tranxene, Xanax, and others).

Slideshow: Flashback: FDA Drug Approvals 2013

This medication is usually given by a caregiver to the person who is having a seizure. Not all types of seizures can be treated with diazepam rectal. If you are the caregiver, do not give this medication unless you know how to recognize the symptoms of a seizure episode that should be treated with diazepam rectal.

Diazepam rectal may cause harm to an unborn baby, but having a seizure during pregnancy could harm both the mother and the baby. Tell your doctor right away if you become pregnant while using diazepam rectal for seizures. Do not start or stop using any of your seizure medications during pregnancy without your doctor's advice.

There are many other drugs that can interact with diazepam rectal. Tell your doctor about all medications you use.

Diazepam may be habit-forming and should be used only by the person it was prescribed for. Keep the medication in a secure place where others cannot get to it.

What should I discuss with my healthcare provider before using Diastat Pediatric (diazepam rectal)?

You should not receive this medication if you are allergic to diazepam (Valium), or if you have untreated or uncontrolled narrow-angle glaucoma.

To make sure diazepam is safe for you, tell your doctor if you have:

  • glaucoma;

  • asthma, pneumonia, emphysema, bronchitis, chronic obstructive pulmonary disease (COPD), or other breathing disorder;

  • liver or kidney disease;

  • a history of depression or suicidal thoughts or behavior;

  • a history of drug or alcohol addiction; or

  • if you are allergic to other benzodiazepines, such as alprazolam (Xanax), chlordiazepoxide (Librium), clorazepate (Tranxene), lorazepam (Ativan), or oxazepam (Serax).

FDA pregnancy category D. Do not start or stop taking diazepam during pregnancy without your doctor's advice. Diazepam may cause harm to an unborn baby, but having a seizure during pregnancy could harm both mother and baby. Tell your doctor right away if you become pregnant while taking diazepam for seizures.

Diazepam can pass into breast milk and may harm a nursing baby. You should not breast-feed while using this medicine.

The sedative effects of diazepam rectal may last longer in older adults. Accidental falls are common in elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury while you are using diazepam rectal.

Do not give this medication to a child younger than 6 months old.

How should I use Diastat Pediatric (diazepam rectal)?

Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

This medication is usually given by a caregiver to the person who is having a seizure. If you are the caregiver, make sure you know and understand all instructions for giving diazepam rectal.

Not all types of seizures can be treated with diazepam rectal. If you are the caregiver, do not give this medication unless you know how to recognize the symptoms of a seizure episode that should be treated with diazepam rectal.

After giving diazepam rectal to another person, stay with the person for at least 4 hours and watch for changes in his or her breathing, and any side effects from the medicine.

Get emergency medical help if:

  • the seizure has not stopped within 15 minutes after giving diazepam rectal;

  • the seizure seems to be different from the person's usual seizures;

  • the seizures seems to be closer together or more severe than the person's usual seizures; or

  • the person has breathing problems, pale or blue-colored skin, or any other serious or unusual problems.

Diazepam rectal is used in combination with other seizure medications. Use all medications as directed by your doctor. Read the medication guide or patient instructions provided with each medication. Do not change your doses or medication schedule without your doctor's advice.

Diazepam rectal is not for long-term daily use to prevent seizures. Using diazepam rectal daily over long periods can actually make your seizures more frequent or more severe. You may also have withdrawal symptoms when you stop using diazepam rectal.

Diazepam may be habit forming. Never share diazepam with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.

Do not use this medication for longer than 5 days in a row without a doctor's advice. Contact your doctor if this medicine seems to stop working as well in treating your symptoms.

Store at room temperature away from moisture, heat, and light.

After giving a dose of diazepam rectal, empty any leftover medicine from the syringe into a toilet and flush, or into a sink and rinse down the drain. Throw the empty syringe away where children and pets cannot get to it. Do not reuse a diazepam rectal syringe.

What happens if I miss a dose?

Since diazepam rectal is used on an as needed basis, you are not likely to miss a dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include extreme drowsiness, loss of balance or coordination, limp or weak muscles, or fainting.

What should I avoid while using Diastat Pediatric (diazepam rectal)?

Diazepam may impair your thinking or reactions. Do not drive, operate machinery, or perform other hazardous activities until you are alert and awake and you no longer feel drowsy from this medicine.

Do not drink alcohol while using diazepam. This medication can increase the effects of alcohol.

Grapefruit and grapefruit juice may interact with diazepam and lead to unwanted side effects. Discuss the use of grapefruit products with your doctor.

Diastat Pediatric (diazepam rectal) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if the person receiving this medication has:

  • worsening seizures, or seizures that seem different from the patient's other seizures;

  • pale or discolored skin;

  • confusion, hallucinations, unusual thoughts or behavior, unusual risk-taking behavior, decreased inhibitions, no fear of danger;

  • hyperactivity, agitation, hostility, depressed mood, thoughts of suicide or hurting yourself;

  • feeling like you might pass out; or

  • pain or burning when you urinate.

Common side effects may include:

  • headache, blurred vision, dizziness, drowsiness, tiredness;

  • sleep problems (insomnia);

  • slurred speech, loss of balance or coordination; or

  • nausea, vomiting, stomach pain, diarrhea.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Diastat Pediatric (diazepam rectal)?

Using diazepam with other drugs that make you sleepy or slow your breathing can cause dangerous or life-threatening side effects. Ask your doctor before using diazepam with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with diazepam, especially:

  • cyclosporine;

  • dexamethasone;

  • theophylline;

  • valproic acid;

  • an antibiotic or antifungal medication;

  • an antidepressant;

  • a barbiturate such as phenobarbital;

  • a blood thinner such as warfarin, Coumadin;

  • heart or blood pressure medication;

  • HIV/AIDS medication;

  • an MAO inhibitor--furazolidone, isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, tranylcypromine;

  • phenothiazines such as chlorpromazine, fluphenazine, perphenazine, prochlorperazine, promethazine, thioridazine, or trifluoperazine;

  • seizure medication; or

  • stomach acid reducers--cimetidine, lansoprazole, omeprazole.

This list is not complete. Other drugs may interact with diazepam, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Where can I get more information?

  • Your pharmacist can provide more information about diazepam rectal.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 4.01. Revision Date: 2013-02-04, 1:32:10 PM.

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