BUCCOLAM® REQUEST FORM

Form for UK healthcare professionals to request patient support and promotional materials from Neuraxpharm Ltd.

BUCCOLAM^® (midazolam)

MATERIALS REQUEST FORM

Prescribing Information and adverse event reporting can be found below.

BUCCOLAM® (midazolam)
MATERIALS REQUEST FORM

Please use this form to request a BUCCOLAM^® training pack, BUCCOLAM^® literature or a promotional call back from our friendly team.

Submit your details below and we will be in touch as soon as possible.

Please note, we provide UK delivery only.

Buccolam Prescribing Information

Adverse events should be reported. Healthcare professionals are asked to report any suspected adverse reactions. UK reporting forms and information can be found via the Yellow Card Scheme www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in Google Play or Apple App Store. Adverse events should also be reported to Neuraxpharm UK Ltd by emailing pv-uk@neuraxpharm.com

NXUK/E/0326/28 Date of Prep: April 2026