Instruction for administration via nasogastric (NG) or percutaneous endoscopic gastrostomy (PEG) tubes:
Rivotril Oral Solution is suitable for use with the following types of NG and PEG tubes:
| Material | External Bore Size (Fr Unit) | Internal Diameter (mm) | Maximum Length (cm) |
| Silicone | 6 | 1.0 | 125 |
| 10 | 2.0 | 125 | |
| Polyurethane | 8 | 1.5 | 100 |
| 12 | 2.6 | 75 | |
| 18 | 4.0 | 75 |
This product is not compatible with PVC or polystyrene and therefore should not be used with NG or PEG tubes made from these materials.
Care should be taken during administration due to the oily nature of the product. It is recommended to administer the dose prior to delivering feed through the NG or PEG tube and to follow the instruction below.
Ensure that the enteral feeding tube is free from obstruction before administration.
1) Flush the enteral tube with water, a minimum flush volume of 10mL is required.
2) Administer the required dose of Rivotril Oral Solution with a suitable measuring device.
3) Flush the enteral tube again by either of the methods below:
i) Flush the enteral tube 3 consecutive times, using a minimum volume of 5mL of water each time.
ii) Flush the enteral tube using a minimum volume of 5mL of water and then immediately deliver a minimum of 10ml of feed.
Healthcare professionals should be aware that if the instructions above cannot be followed (e.g. longer or wider tubes are used or in a specific clinical situations) there is a risk of under dosing (up to 15%) as the oily medicine may adsorb to the wall of the feeding tube. Extra flushing with water or feed may combat this. In these situations the patient should be monitored closely.
Any unused product or waste material should be disposed of in accordance with local requirements.
