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compositionComposition:MIDAZOLAM-1.25%W/V
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Midacip 1.25 mg Nasal Spray 3.5 ml is used to treat Seizure clusters (acute repetitive seizures). It contains Midazolam, which increases GABA activity (a chemical messenger in the brain). Thus, it suppresses the excessive and abnormal activity of nerve cells in the brain and controls Seizures. Common side effects of Midacip 1.25 mg Nasal Spray 3.5 ml are headache, drowsiness, runny nose, throat irritation, and nasal discomfort.

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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

MIDAZOLAM-1.25%W/V

Manufacturer/Marketer :

Cipla Ltd

Consume Type :

Nasal

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Midacip 1.25 mg Nasal Spray 3.5 ml

Midacip 1.25 mg Nasal Spray 3.5 ml is a prescription nasal spray used for the emergency treatment of sudden, repeated seizure episodes, often called seizure clusters. This medicine is designed to stop these active seizures quickly before they can progress into longer, more dangerous events. It is a critical rescue treatment that helps bring rapid control during a medical emergency.

Unlike daily seizure preventatives, this medicine is only used as-needed when a seizure cluster actually occurs. Because it is sprayed directly into the nose, you can use it regardless of whether the patient has eaten. Implementing a consistent sleep schedule and reducing daily stress are key lifestyle adjustments that can also help improve overall seizure control.

While using this medicine, some people may experience mild side effects like nasal discomfort, a runny nose, throat irritation, or minor sleepiness. However, if you notice serious issues like extremely slow breathing, severe dizziness, or signs of an allergic reaction, you must seek medical help immediately. Always keep your doctor informed of any unusual symptoms that develop after use.

Before keeping this rescue medicine on hand, talk to your doctor if you have a history of breathing problems, sleep apnea, or liver damage. Do not take this if you have narrow-angle glaucoma or are allergic to any of the ingredients in the spray. It is vital to discuss your complete health history with your doctor to ensure this medicine is safe for your specific situation.

Using this medicine with alcohol, pain relievers, or sleeping pills can cause dangerous slow breathing and extreme drowsiness. Additionally, smoking can alter how your body processes certain medications, so notify your doctor if you smoke. If you are pregnant, breastfeeding, or are caring for an elderly patient, consult your healthcare provider before using this medicine, as they may require special monitoring.

Uses of Midacip 1.25 mg Nasal Spray 3.5 ml

Midacip 1.25 mg Nasal Spray 3.5 ml is used in the treatment of seizure clusters (acute repetitive seizure episodes). The detailed uses of Midacip 1.25 mg Nasal Spray 3.5 ml are as follows:

  • Seizure clusters: Midacip 1.25 mg Nasal Spray 3.5 ml helps by rapidly interrupting brief, intense episodes of repeated seizures that occur over a short period.
  • Prevention of continuous seizures: By stopping clusters early, this medicine helps prevent the situation from turning into a continuous, life-threatening seizure state.

Key Benefits

Midacip 1.25 mg Nasal Spray 3.5 ml helps quickly stop seizure clusters, providing rapid relief during seizure emergencies. The following are the benefits of this medication:

  • Acts rapidly to help stop ongoing seizure clusters.
  • Reduces the physical strain and potential complications associated with prolonged seizures.
  • Can be easily administered as a nasal spray without the need for injections or swallowing tablets during a seizure.
  • Enables caregivers to provide prompt treatment outside of a hospital setting.
  • May reduce the need for emergency medical visits when used as prescribed.
     
Side effects of Midacip 1.25mg Nasal Spray 3.5ml
  • Get plenty of fresh air.
  • Take regular sips of a cold drink.
  • Take ginger containing foods like ginger tea and ginger biscuits.
  • Do not take heavy meals at a time, take small and frequent meals.
  • Contact your physician right away if you suffer from hypoxia symptoms including chest pain, disorientation, or shortness of breath.
  • Your doctor can monitor your progress and modify treatment programs with the help of routine follow-up sessions.
  • Omega-3 supplements may support the transport of oxygen to tissues.
  • Regular exercise improves cardiovascular health and boosts oxygen delivery to tissues.
  • Quit smoking, as it can worsen hypoxia.

Directions for Use

  • Follow your doctor's instructions regarding the dosage and duration.
  • Blow your nose to clear the nostrils before use. Insert the nozzle into one nostril while closing the other nostril. Spray the medicine while breathing in. Repeat for the other nostril if required.
  • Shake the nasal spray well before each use.

How Midacip 1.25 mg Nasal Spray 3.5 ml Works

During a seizure cluster, the nerve cells in the brain experience a sudden storm of excessive, chaotic electrical activity. This medicine belongs to a class of drugs that work directly on the central nervous system to quiet this electrical storm. It works by boosting the effects of a natural calming chemical in the brain known as gamma-aminobutyric acid (GABA). When GABA activity is enhanced, it acts like a brake system, slowing down the overactive nerve signals and quickly restoring normal, calm brain activity to stop the seizure.
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Alcohol

Unsafe

Avoid consumption of alcohol with Midacip 1.25 mg Nasal Spray 3.5 ml as it may increase drowsiness.

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Pregnancy

Caution

If you are pregnant or planning for pregnancy, inform your doctor before using Midacip 1.25 mg Nasal Spray 3.5 ml. Babies born to mothers receiving Midacip 1.25 mg Nasal Spray 3.5 ml late in pregnancy may be at risk of feeding or breathing problems, withdrawal symptoms or dangerously low body temperature.

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Breast Feeding

Caution

Midacip 1.25 mg Nasal Spray 3.5 ml may be excreted in breast milk and may harm your baby. Therefore, discuss with your doctor the best way to feed your baby if you use Midacip 1.25 mg Nasal Spray 3.5 ml.

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Driving

Caution

Avoid driving or operating machinery until you know how Midacip 1.25 mg Nasal Spray 3.5 ml affects you.

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Liver

Consult your doctor

If you have liver problems, consult your doctor before using Midacip 1.25 mg Nasal Spray 3.5 ml.

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Kidney

Consult your doctor

If you have kidney diseases/conditions, consult your doctor before using Midacip 1.25 mg Nasal Spray 3.5 ml.

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Children

Unsafe

Midacip 1.25 mg Nasal Spray 3.5 ml is not recommended for children below 12 years as the safety and effectiveness were not established.

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Heart

Caution

Midacip 1.25 mg Nasal Spray 3.5 ml is generally safe for heart patients due to its rapid, localized action and low systemic absorption. However, it may cause sedation or breathing issues, so medical supervision is essential.

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Geriatrics

Caution

Geriatric patients can use Midacip 1.25 mg Nasal Spray 3.5 ml, but with caution. Older adults are more sensitive to sedative effects, which may increase the risk of drowsiness, confusion, or slowed breathing. It's important that a healthcare provider supervises its use, especially if there are other medications or health conditions involved.

What if I have taken an overdose of Midacip 1.25 mg Nasal Spray 3.5 ml

If you suspect an overdose, such as if someone is showing signs of extreme sleepiness, slow reflexes, confusion, or very shallow breathing, seek emergency medical attention or contact a poison control centre immediately.

Diet & Lifestyle Advise

  • Prioritise consistent sleep: Lack of sleep is a well-known trigger for seizures. Aim for 7 to 9 hours of quality sleep every night.
  • Avoid alcohol and recreational substances: Alcohol can interfere with your daily seizure medications, lower your seizure threshold, and cause dangerous interactions when combined with Midacip 1.25 mg Nasal Spray 3.5 ml.
  • Manage daily stress: High stress can trigger seizure activity. Practice relaxation techniques like deep breathing, meditation, or gentle yoga.
  • Stay hydrated and eat regular meals: Dehydration and sudden drops in blood sugar can sometimes trigger seizures. Keep water on hand and eat balanced meals.
  • Keep a detailed seizure log: Record the date, time, duration, and triggers of any seizure clusters, along with when you used Midacip 1.25 mg Nasal Spray 3.5 ml. Share this log with your doctor to help them optimise your care.
     
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How Soon It Starts Working

The time required for Midacip 1.25 mg Nasal Spray 3.5 ml to start to work: Midacip 1.25 mg Nasal Spray 3.5 ml shows its action rapidly, its complete effect can be achieved within 10 minutes of administration. The time for which the effects of Midacip 1.25 mg Nasal Spray 3.5 ml last: The duration of Midacip 1.25 mg Nasal Spray 3.5 ml’s effect is clinically not established.

What if you forget to take Midacip 1.25 mg Nasal Spray 3.5 ml

Since this medicine is a rescue treatment used only during an active seizure cluster, there is no daily schedule. Only use it when a seizure cluster occurs, as directed by your doctor.

Storage

.•Store Midacip 1.25 mg Nasal Spray 3.5 ml at room temperature, ideally between 20°C to 25°C (68°F to 77°F). Do not freeze this medication

Drug Warnings

  • Do not test-spray the device: The nasal spray contains only one pre-measured dose. If you press the plunger to test it, the medicine will be lost, and the device cannot be reused.
  • Check the expiration date: Regularly check the expiration date on your rescue spray package and replace it before it expires so it is ready when you need it.
  • Monitor the patient's breathing: After using the spray, watch the patient's breathing closely. Call for emergency medical help immediately if their breathing becomes unusually slow or shallow.
  • Inform close contacts: Make sure your family, friends, coworkers, or school staff know where your rescue medicine is stored and how to use it in an emergency.
  • Avoid driving after use: This medicine causes significant drowsiness. Do not drive, ride a bike, or operate any machinery for at least 24 hours after using it.

Drug-Drug Interactions

verifiedApollotooltip
  • Opioid pain relievers, sleeping pills, or other muscle relaxants(e.g., morphine, zolpidem, baclofen): Taking these medicines alongside Midacip 1.25 mg Nasal Spray 3.5 ml may cause extreme drowsiness, severe breathing problems, coma, or even death.
  • Certain antifungals and antibiotics (e.g., ketoconazole, clarithromycin): These medications can slow down how your body breaks down Midacip 1.25 mg Nasal Spray 3.5 ml, which may increase the risk and severity of side effects.
MidazolamBoceprevir
Critical

Drug-Drug Interactions

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MidazolamBoceprevir
Critical
How does the drug interact with Midacip 1.25mg Nasal Spray 3.5ml:
Boceprevir and Midacip 1.25mg Nasal Spray 3.5ml co-administration may considerably enhance Midacip 1.25mg Nasal Spray 3.5ml blood levels and effects.

How to manage the interaction:
Although taking Boceprevir and Midacip 1.25mg Nasal Spray 3.5ml together may result in an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have excessive or prolonged sleepiness and breathing issues. Do not discontinue any medication without consulting a doctor.
How does the drug interact with Midacip 1.25mg Nasal Spray 3.5ml:
Co-administration of Mifepristone and Midacip 1.25mg Nasal Spray 3.5ml may significantly increase Midacip 1.25mg Nasal Spray 3.5ml blood levels and effects, which increases the risk of side effects.

How to manage the interaction:
Although taking Mifepristone and Midacip 1.25mg Nasal Spray 3.5ml together may result in an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have excessive or prolonged sleepiness and breathing issues. Do not discontinue any medication without consulting a doctor.
MidazolamTelaprevir
Critical
How does the drug interact with Midacip 1.25mg Nasal Spray 3.5ml:
Telaprevir and Midacip 1.25mg Nasal Spray 3.5ml co-administration may considerably enhance Midacip 1.25mg Nasal Spray 3.5ml blood levels and effects.

How to manage the interaction:
Although taking Telaprevir and Midacip 1.25mg Nasal Spray 3.5ml together may result in an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have excessive or prolonged sleepiness and breathing issues. Do not discontinue any medication without consulting a doctor.
MidazolamSodium oxybate
Critical
How does the drug interact with Midacip 1.25mg Nasal Spray 3.5ml:
Sodium oxybate and Midacip 1.25mg Nasal Spray 3.5ml co-administration may considerably enhance Midacip 1.25mg Nasal Spray 3.5ml blood levels and effects.

How to manage the interaction:
Although taking Sodium oxybate and Midacip 1.25mg Nasal Spray 3.5ml together may result in an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have excessive or prolonged sleepiness and breathing issues. Do not discontinue any medication without consulting a doctor.
How does the drug interact with Midacip 1.25mg Nasal Spray 3.5ml:
Indinavir and Midacip 1.25mg Nasal Spray 3.5ml co-administration may considerably enhance Midacip 1.25mg Nasal Spray 3.5ml blood levels and effects.

How to manage the interaction:
Although taking Indinavir and Midacip 1.25mg Nasal Spray 3.5ml together may result in an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have excessive or prolonged sleepiness and breathing issues. Do not discontinue any medication without consulting a doctor.
MidazolamCobicistat
Critical
How does the drug interact with Midacip 1.25mg Nasal Spray 3.5ml:
Cobicistat and Midacip 1.25mg Nasal Spray 3.5ml co-administration may considerably enhance Midacip 1.25mg Nasal Spray 3.5ml blood levels and effects.

How to manage the interaction:
Although taking Cobicistat and Midacip 1.25mg Nasal Spray 3.5ml together may result in an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have excessive or prolonged sleepiness and breathing issues. Do not discontinue any medication without consulting a doctor.
How does the drug interact with Midacip 1.25mg Nasal Spray 3.5ml:
Co-administration of Ketoconazole and Midacip 1.25mg Nasal Spray 3.5ml may increase the risk of side effects.

How to manage the interaction:
Although taking Ketoconazole and Midacip 1.25mg Nasal Spray 3.5ml together is not recommended as it may result in an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have excessive or prolonged sleepiness and breathing issues. Do not discontinue any medication without consulting a doctor.
MidazolamAmprenavir
Critical
How does the drug interact with Midacip 1.25mg Nasal Spray 3.5ml:
Co-administration of Amprenavir and Midacip 1.25mg Nasal Spray 3.5ml may significantly increase the blood levels and effects of Midacip 1.25mg Nasal Spray 3.5ml.

How to manage the interaction:
Although taking Amprenavir along with Midacip 1.25mg Nasal Spray 3.5ml can possibly lead to an interaction, they can be taken if a doctor advices them. In case of increased or prolonged drowsiness and breathing difficulties, consult a doctor. Do not stop using any medications without talking to a doctor.
How does the drug interact with Midacip 1.25mg Nasal Spray 3.5ml:
Atazanavir and Midacip 1.25mg Nasal Spray 3.5ml co-administration may considerably enhance Midacip 1.25mg Nasal Spray 3.5ml blood levels and effects.

How to manage the interaction:
Although taking Atazanavir and Midacip 1.25mg Nasal Spray 3.5ml together may result in an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have excessive or prolonged sleepiness and breathing issues. Do not discontinue any medication without consulting a doctor.
MidazolamIdelalisib
Critical
How does the drug interact with Midacip 1.25mg Nasal Spray 3.5ml:
Idelalisib and Midacip 1.25mg Nasal Spray 3.5ml co-administration may considerably enhance Midacip 1.25mg Nasal Spray 3.5ml blood levels and effects.

How to manage the interaction:
Although taking Idelalisib and Midacip 1.25mg Nasal Spray 3.5ml together may result in an interaction, they can be taken if prescribed by a doctor. Consult a doctor if you have excessive or prolonged sleepiness and breathing issues. Do not discontinue any medication without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
  • Alcohol: Avoid alcohol entirely, as combining it with this medication significantly increases the risk of dangerous, life-threatening breathing suppression and severe drowsiness.
  • Grapefruit: Avoid eating grapefruit or drinking grapefruit juice, as it can raise the levels of this medicine in your body, increasing the risk of side effects.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

Yes

Therapeutic Class

[ANTICONVULSANT]

FAQs

Midacip 1.25 mg Nasal Spray 3.5 ml is used to treat Seizure clusters (acute repetitive seizures).
Midacip 1.25 mg Nasal Spray 3.5 ml contains Midazolam, which works by increasing the activity of GABA (a chemical messenger in the brain that acts as a natural nerve-calming agent). Thereby preventing fits by stabilizing the electrical activity of nerve cells in the brain.
You are not recommended to take Midacip 1.25 mg Nasal Spray 3.5 ml with opioids, alcohol or other central nervous system depressants as it may cause breathing problems, severe drowsiness or coma. Therefore, please consult your doctor before taking Midacip 1.25 mg Nasal Spray 3.5 ml with any other medicines.
You are not recommended to stop using Midacip 1.25 mg Nasal Spray 3.5 ml suddenly without consulting your doctor as it may cause withdrawal symptoms such as hallucinations, nervousness, shaking, muscle pain or cramps. Therefore, use Midacip 1.25 mg Nasal Spray 3.5 ml for as long as your doctor has prescribed it, and if you experience any difficulty while using Midacip 1.25 mg Nasal Spray 3.5 ml, please consult your doctor so that the dose may be reduced gradually.
Yes, Midacip 1.25 mg Nasal Spray 3.5 ml may cause physical dependence if used for prolonged periods. Therefore, use Midacip 1.25 mg Nasal Spray 3.5 ml only in the dose and for the duration as advised by your doctor.
You should only use a second dose if your doctor has explicitly written this step into your personalised rescue plan. If the seizure does not stop after using the recommended dose, call for emergency medical help immediately. Talk to your doctor to ensure you have a clear plan.
No, you should never test-spray or prime the device. Each spray device contains only one single dose of medicine. If you spray it into the air, the medicine will be gone, and the device will be empty when you try to use it. Talk to your pharmacist if you are unsure how the device works.
Yes, drowsiness is a very common effect of this medicine. It is important to rest safely after using it, and you should avoid driving or doing anything that requires alertness for at least 24 hours. Talk to your doctor if you experience severe drowsiness that does not improve.
A blocked or runny nose can sometimes affect how well the medicine is absorbed into your body. If you are experiencing nasal congestion or a cold, talk to your doctor or pharmacist for guidance on how to manage your rescue treatment.
This medicine may pose risks to an unborn baby. However, untreated seizure clusters are also highly dangerous for both the mother and the baby. Talk to your doctor to discuss the risks and benefits of keeping this rescue medicine on hand during pregnancy.
No, you must strictly avoid drinking alcohol after using this medicine. Mixing alcohol with this medication can lead to dangerous, life-threatening breathing difficulties and severe drowsiness. Talk to your doctor if you have any questions.
No, this medicine is not a daily preventative treatment. It is an emergency rescue medicine used only to stop sudden, repeated seizure clusters when they happen. Talk to your doctor about your daily seizure medications to ensure your regular treatment plan is optimised.

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Country of origin

India

Manufacturer/Marketer address

Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013.
Other Info - MID0049
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