Midolam 15 mg (Tablet)

Unit Price: ৳ 15.06 (2 x 10: ৳ 301.20)
Strip Price: ৳ 150.60

Medicine Details

Title and Categories

  • Midolam
  • Medicine
  • Benzodiazepine Hypnotic
  • Benzodiazepine Sedative

Indications

  • Short-term treatment of insomnia
  • Sedation in premedication before surgical or diagnostic procedures

Description

  • Sleep-inducing agent
  • Rapid onset of action
  • Short duration of action
  • Anxiolytic effect
  • Anticonvulsant effect
  • Muscle-relaxant effect

Mode of Action

  • Mediated through GABA (gamma-aminobutyric acid)
  • Increases GABA activity
  • Sedative effect
  • Relaxes skeletal muscles
  • Induces sleep, anesthesia, and amnesia
  • Binds to the benzodiazepine site on GABA-A receptors

Dosage & Administration

  • Oral dosage for adults: 7.5-15 mg daily
  • Oral dosage in elderly and debilitated patients: 7.5 mg
  • Intravenous administration for endoscopic or cardiovascular procedures: 2.5 mg in healthy adults
  • Intravenous administration for induction of anesthesia: 10-15 mg
  • Intramuscular administration for adults: 0.07-0.1 mg/kg body weight
  • Rectal administration in children for preoperative sedation: 0.35-0.45 mg/kg

Interaction

  • Enhances the central sedative effect of various drugs

Contraindications

  • Severe respiratory insufficiency
  • Severe hepatic insufficiency
  • Myasthenia gravis
  • Sleep apnea syndrome
  • Known hypersensitivity to benzodiazepines

Side Effects

  • Drowsiness
  • Confusion
  • Fatigue
  • Headache
  • Muscle weakness
  • Fluctuations in vital signs
  • Respiratory depression
  • Apnea
  • Variations in blood pressure
  • Pulse rate variations

Pregnancy & Lactation

  • Avoid during pregnancy unless no safer alternative
  • Should not be administered to breast-feeding mothers

Precautions & Warnings

  • Administer IV very slowly

Overdose Effects

  • Coma
  • Areflexia
  • Cardiorespiratory depression
  • Apnea
  • Controlled with benzodiazepine antagonist flumazenil

Therapeutic Class

  • Benzodiazepine hypnotics
  • Benzodiazepine sedatives

Storage Conditions

  • Protect from light and moisture
  • Store in a cool and dry place
  • Keep out of the reach of children

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