16 Facts About Midazolam

1.

Midazolam, sold under the brand name Versed among others, is a benzodiazepine medication used for anesthesia and procedural sedation, and to treat severe agitation.

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2.

Midazolam can be given by mouth, intravenously, by injection into a muscle, by spraying into the nose, or through the cheek.

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3.

Midazolam was patented in 1974 and came into medical use in 1982.

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4.

Midazolam is sometimes used for the acute management of prolonged seizures.

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5.

Midazolam is effective for status epilepticus or when intravenous access cannot be obtained, and has advantages of being water-soluble, having a rapid onset of action and not causing metabolic acidosis from the propylene glycol vehicle, which occurs with other benzodiazepines.

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6.

Midazolam is superior to diazepam in impairing memory of endoscopy procedures, but propofol has a quicker recovery time and a better memory-impairing effect.

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7.

Midazolam is sometimes used in newborns who are receiving mechanical ventilation, although morphine is preferred, owing to its better safety profile for this indication.

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8.

Midazolam overdose is considered a medical emergency and generally requires the immediate attention of medical personnel.

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9.

Midazolam is a short-acting benzodiazepine in adults with an elimination half-life of 1.

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10.

Midazolam is metabolised by cytochrome P450 enzymes and by glucuronide conjugation.

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11.

Midazolam is among about 35 benzodiazepines currently used medically, and was synthesized in 1975 by Walser and Fryer at Hoffmann-LaRoche, Inc in the United States.

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12.

Midazolam is becoming increasingly popular in veterinary medicine due to its water solubility.

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13.

Midazolam is available in the United States as a syrup or as an injectable solution.

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14.

Midazolam is a Schedule IV drug under the Convention on Psychotropic Substances.

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15.

Midazolam has been used as part of a three-drug cocktail, with vecuronium bromide and potassium chloride in Florida and Oklahoma prisons.

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16.

Midazolam has been used along with hydromorphone in a two-drug protocol in Ohio and Arizona.

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