Proper Use

Drug information provided by: IBM Micromedex

Use this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered.

This medicine comes with a Medication Guide and patient instructions. Read and follow these instructions carefully. Ask your doctor if you have any questions.

A second dose may be needed if the patient's seizure cluster has not stopped 10 minutes after the first dose. Do not use a second dose of this medicine if the patient has difficulty with breathing or excessive sleepiness during a seizure cluster episode.

Do not use this medicine for more than one episode every 3 days and more than 5 episodes per month.

To use the nasal spray:

  • This medicine is for use only in the nose. Do not get any of it into your eyes or on your skin. If it does get on these areas, rinse it off right away.
  • Do not open the blister packaging until you are ready to use it. Do not test or prime the spray before use.
  • Hold the nasal spray with your thumb on the plunger and your middle and pointer fingers on each side of the nozzle.
  • Place the tip of the nozzle into 1 nostril until your fingers on either side of the nozzle touches the bottom of your nose.
  • Press the plunger firmly using 1 motion to get your dose. You do not need to breathe in deeply.
  • Use each nasal spray unit only one time.


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For nasal dosage form (spray):
    • For seizure clusters:
      • Adults and children 12 years of age and older—5 milligrams (mg) or 1 spray into one nostril. A second spray may be taken 10 minutes after the first dose if needed. Do not use a second dose if you have trouble breathing or excessive sleepiness during a seizure cluster episode. Do not use more than 2 doses to treat a single episode.
      • Children younger than 12 years of age—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.