Pharmacokinetics of midazolam and alpha‐hydroxy‐midazolam following rectal and intravenous administration.
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Open Access
- 1 April 1988
- journal article
- research article
- Published by Wiley in British Journal of Clinical Pharmacology
- Vol. 25 (4) , 457-463
Abstract
1. In an open cross‐over trial, plasma concentrations of midazolam were measured in eight healthy male volunteers following administration of 0.3 mg kg‐1 body weight given by the rectal and intravenous routes. 2. Maximum plasma concentrations of 92‐156 ng ml‐1 (mean 118 ng ml‐1) were recorded from 20 to 50 min (mean 31 min) after rectal application. The rectal bioavailability was 40‐65% (mean 52%) and the terminal half‐life was 114‐305 min (mean 161 min). 3. A substantial first‐pass hepatic effect was observed following rectal administration. 4. No systemic or local intolerance was noted. 5. In conclusion, the rectal route of administration provides a rapid and reliable absorption of midazolam.Keywords
This publication has 12 references indexed in Scilit:
- The Pharmacokinetics of Rectal Midazolam for Premedication in ChildrenAnesthesiology, 1986
- MidazolamAnesthesiology, 1985
- Pharmacokinetics and bioavailability of midazolam in man.British Journal of Clinical Pharmacology, 1983
- Physiologie and temporal variation in hepatic elimination of midazolamClinical Pharmacology & Therapeutics, 1982
- Midazolam kineticsClinical Pharmacology & Therapeutics, 1981
- Determination of midazolam and its α‐hydroxy metabolite in plasma by gas chromatography with electron capture detectionJournal of High Resolution Chromatography, 1981
- The pharmacokinetics of midazolam in manEuropean Journal of Clinical Pharmacology, 1981
- First-pass elimination of some high-clearance drugs following rectal administration to humans and ratsInternational Journal of Clinical Pharmacy, 1980
- Application of Akaike's information criterion (AIC) in the evaluation of linear pharmacokinetic equationsJournal of Pharmacokinetics and Biopharmaceutics, 1978
- A Simplex Method for Function MinimizationThe Computer Journal, 1965