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Midazolam Nasal Spray and Renal/liver disease

Result of checking the interaction of drug Midazolam Nasal Spray and disease Renal/liver disease for safety when used together.

Check result:

Midazolam Nasal Spray <> Renal/liver disease

Relevance: 23.07.2019 Reviewer: Shkutko P.M., M.D., in

When checking interaction based on authoritative sources Drugs.com, Rxlist.com, Webmd.com, Medscape.com there are contraindications or side effects that may cause harm or increase the negative effect from drug use in presence of concomitant diseases.

Consumer:

Midazolam is metabolized by the liver, and the metabolites are excreted in the urine. Reduced drug clearance and prolonged elimination half-life of parent drug and metabolites have been reported in patients with renal and/or hepatic impairment. Therapy with midazolam should be administered cautiously at reduced initial dosages in such patients. The possibility of profound and/or prolonged effect should be considered.

References:

"Product Information. Versed (midazolam)." Roche Laboratories, Nutley, NJ.
MacGilchrist AJ, Birnie GG, Cook A, Scobie G, Murray T, Watkinson G, Brodie MJ "Pharmacokinetics and pharmacodynamics of intravenous midazolam in patients with severe alcoholic cirrhosis." Gut 27 (1986): 190-5
Vinik HR, Reves JG, Greenblatt DJ, Abernethy DR, Smith LR "The pharmacokinetics of midazolam in chronic renal failure patients." Anesthesiology 59 (1983): 390-4
Calvo R, Suarez E, Rodriguez-Sasiain JM, Martinez I "The influence of renal failure on the kinetics of intravenous midazolam: an "in vitro" and "in vivo" study." Res Commun Chem Pathol Pharmacol 78 (1992): 311-20
Trouvin JH, Farinotti R, Haberer JP, et al "Pharmacokinetics of midazolam in anaesthetized cirrhotic patients." Br J Anaesth 60 (1988): 762-7

Midazolam Nasal Spray

Generic Name: midazolam

Brand Name: Versed, Nayzilam

Synonyms: Midazolam

What is Midazolam Nasal Spray?