The dose of diazepam rectal gel is individualized according to weight and age.
For children 2 to 4 years of age, the dose is 0.5 mg per kilogram of body weight. For children 6 to 11 years of age, the dose is 0.3 mg per kilogram. For ages 12 and over, the recommended dose is 0.2 mg per kilogram.
Since the dose of diazepam rectal gel is available in fixed unit doses of 5 mg, 10 mg, 15 mg, and 20 mg only, the prescribed dose is obtained by rounding upward to the next available dose. For seniors, it is recommended that the dosage be rounded downwards.
If a single dose does not adequately treat the seizure, your doctor may wish to prescribe 2 doses of diazepam rectal gel. The second dose may be given 4 to 12 hours after the first dose if seizures continue or are known to recur, or if the patient is known to have seizures that are especially resistant to treatment.
Treatment with diazepam rectal gel should be given no more than every 5 days, and no more than 5 times per month.
Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.
Use the preloaded diazepam rectal gel syringe exactly as prescribed by your doctor and according to package directions. Store the syringe away from children.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.