|Greater Manchester Accountable Officers
Guidance on Storage and Disposal of Midazolam (Schedule 3 Controlled Drug)
In January 2008 the legal classification of midazolam changed from Schedule 4 to Schedule 3. This affects all those who are required to stock midazolam in their practice for emergency management of status epilepticus. Dentists trained in sedation techniques also use midazolam for conscious sedation.
Following on from the change in legal classification of midazolam members of the Greater Manchester Accountable Officer group had received a significant number of queries relating to correct storage of midazolam. The below information sheet was therefore produced to guide those who stock midazolam in their practices to store and dispose of midazolam in a safe and legal manner.
Midazolam (Schedule 3) does not need to be kept in a controlled drug cabinet and records do not have to be kept in a controlled drug register
When midazolam is indicated for use in emergency or in clinic situations it should be readily accessible and outside of clinic times should be stored safely in a controlled manner.
It is important that stock levels of midazolam be closely monitored to ensure that levels present are sufficient for clinical need but not excessive and liable for abuse.
It is a legal requirement that invoices for Schedule 2 to 5 controlled drugs are kept for a minimum of two years.
All Schedule 2, 3 and 4 (part 1) controlled drugs, including midazolam, must be denatured or rendered irretrievable before they are disposed of.
All practices holding controlled drugs, including midazolam, are legally required to have Standard Operating Procedures (SOPs) to ensure they are safely managed. The PCT Accountable Officer is required by law to ensure that these SOPs are adequate and up to date.
The Care Quality Commission (CQC) will check compliance with CD regulations as part of Outcome 9 – Management of Medicines.
North West Medicines Information Centre (01/06/2011) National Electronic Libraries for Medicines [online] available at URL, last accessed 27/02/2012