Page last updated: 2024-10-31

midazolam and Bilateral Headache

midazolam has been researched along with Bilateral Headache in 10 studies

Midazolam: A short-acting hypnotic-sedative drug with anxiolytic and amnestic properties. It is used in dentistry, cardiac surgery, endoscopic procedures, as preanesthetic medication, and as an adjunct to local anesthesia. The short duration and cardiorespiratory stability makes it useful in poor-risk, elderly, and cardiac patients. It is water-soluble at pH less than 4 and lipid-soluble at physiological pH.
midazolam : An imidazobenzodiazepine that is 4H-imidazo[1,5-a][1,4]benzodiazepine which is substituted by a methyl, 2-fluorophenyl and chloro groups at positions 1, 6 and 8, respectively.

Research Excerpts

ExcerptRelevanceReference
"Midazolam nasal spray (MDZ-NS) is indicated for acute treatment of intermittent, stereotypic episodes of frequent seizure activity (ie, seizure clusters, acute repetitive seizures) that are distinct from a patient's usual seizure pattern, in patients 12 years of age and older with epilepsy."9.34Safety and efficacy of midazolam nasal spray for the treatment of intermittent bouts of increased seizure activity in the epilepsy monitoring unit: A double-blind, randomized, placebo-controlled trial. ( Choi, EJ; Cleveland, JM; King, A; Meng, TC; Pullman, WE; Sequeira, DJ; Sinha, SR; Spencer, DC; Van Ess, PJ; Wheless, JW, 2020)
"Treatment with midazolam is advisable for headaches in patients with MELAS, in the event that L-arginine therapy is unsuccessful."5.40[Effectiveness of midazolam for L-arginine-resistant headaches during stroke-like episodes in MELAS: a case report]. ( Hasegawa, Y; Hoshiyama, M; Tsujikawa, K; Yanagi, T; Yasui, K; Yokoi, S, 2014)
"Midazolam nasal spray (MDZ-NS) is indicated for acute treatment of intermittent, stereotypic episodes of frequent seizure activity (ie, seizure clusters, acute repetitive seizures) that are distinct from a patient's usual seizure pattern, in patients 12 years of age and older with epilepsy."5.34Safety and efficacy of midazolam nasal spray for the treatment of intermittent bouts of increased seizure activity in the epilepsy monitoring unit: A double-blind, randomized, placebo-controlled trial. ( Choi, EJ; Cleveland, JM; King, A; Meng, TC; Pullman, WE; Sequeira, DJ; Sinha, SR; Spencer, DC; Van Ess, PJ; Wheless, JW, 2020)
" Adverse events, oxygen saturation, and vital signs were recorded."2.80Pharmacokinetics, pharmacodynamics, and safety of USL261, a midazolam formulation optimized for intranasal delivery, in a randomized study with healthy volunteers. ( Bancke, LL; Dworak, HA; Gidal, BE; Halvorsen, MB; Rodvold, KA, 2015)
"To add to the evidence base for safe and effective paediatric conscious sedation techniques in primary dental care."2.76The safety and efficacy of using a concentrated intranasal midazolam formulation for paediatric dental sedation. ( Wood, M, 2011)
"Zibotentan (ZD4054) is an oral, specific endothelin A receptor antagonist presently under investigation for the treatment of hormone-resistant prostate cancer."2.75An open-label, randomized, single-center, two-period, phase I, crossover study of the effect of zibotentan (ZD4054) on the pharmacokinetics of midazolam in healthy male volunteers. ( Kemp, JV; Morris, T; Oliver, SD; Tomkinson, HK; Wollseifen, T, 2010)
"She was seizure-free after the surgery."1.40Peri-ictal headache due to epileptiform activity in a disconnected hemisphere. ( Delalande, O; Dvorak, J; Jahodova, A; Komarek, V; Kršek, P; Kyncl, M; Tichy, M; Vydrova, R, 2014)
"Treatment with midazolam is advisable for headaches in patients with MELAS, in the event that L-arginine therapy is unsuccessful."1.40[Effectiveness of midazolam for L-arginine-resistant headaches during stroke-like episodes in MELAS: a case report]. ( Hasegawa, Y; Hoshiyama, M; Tsujikawa, K; Yanagi, T; Yasui, K; Yokoi, S, 2014)
"Withdrawal of midazolam was followed by rebound insomnia, in which sleep latency, total wake time and wake time after sleep onset were increased above baseline."1.26Sleep laboratory study of the effects of midazolam in insomniac patients. ( Alterwain, P; Altier, H; D'Angelo, L; Debellis, J; Gratadoux, E; Monti, JM, 1982)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19901 (10.00)18.7374
1990's3 (30.00)18.2507
2000's0 (0.00)29.6817
2010's5 (50.00)24.3611
2020's1 (10.00)2.80

Authors

AuthorsStudies
Spencer, DC1
Sinha, SR1
Choi, EJ1
Cleveland, JM1
King, A1
Meng, TC1
Pullman, WE1
Sequeira, DJ1
Van Ess, PJ1
Wheless, JW1
Vydrova, R1
Kršek, P1
Kyncl, M1
Jahodova, A1
Dvorak, J1
Komarek, V1
Delalande, O1
Tichy, M1
Tsujikawa, K1
Yokoi, S1
Yasui, K1
Hasegawa, Y1
Hoshiyama, M1
Yanagi, T1
Bancke, LL1
Dworak, HA1
Rodvold, KA1
Halvorsen, MB1
Gidal, BE1
Tomkinson, HK1
Kemp, JV1
Wollseifen, T1
Morris, T1
Oliver, SD1
Wood, M1
Monti, JM1
Debellis, J1
Gratadoux, E1
Alterwain, P1
Altier, H1
D'Angelo, L1
Mainwaring, CJ1
Wong, C1
Lush, RJ1
Smith, JG1
Singer, CR1
Loeb, P1
Adnet, P1
Boittiaux, P1
Forget, AP1
Mille, FX1
Sanders, LD1
Piggott, SE1
Isaac, PA1
Okell, RW1
Roberts, B1
Rosen, M1
Robinson, JO1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized, Double-Blind, Placebo Controlled Trial Examining the Safety and Efficacy of Midazolam Intranasal Spray (USL261) for the Treatment of Intermittent Bouts of Increased Seizure Activity in the Epilepsy Monitoring Unit (EMU)[NCT01999777]Phase 362 participants (Actual)Interventional2013-11-30Completed
A Randomised, Open-label, Crossover, Phase I Study to Assess the Effect of Multiple Oral Doses of ZD4054 (Zibotentan) on the Pharmacokinetics of a CYP450 3A Probe (Midazolam) in Healthy Male Subjects[NCT00709553]Phase 112 participants (Anticipated)Interventional2008-07-31Completed
Comparison of Three Different Pain and Anxiety Reducing Methods in Adult Patients Undergoing Bone Marrow Puncture[NCT00188227]Phase 4748 participants Interventional2001-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants That Were Seizure-free

"A participant was considered seizure-free if he or she completed the 6-hour Treatment Phase without seizures recorded, premature discontinuation of study drug, rescue intervention for acute central respiratory depression adverse event (AE), and alterations to background anti-epileptic drug (AED) therapy. Otherwise, the participant was included in the analysis for seizure-free events with the outcome of seizure." (NCT01999777)
Timeframe: 6 hours

InterventionParticipants (Count of Participants)
USL26117
Placebo12

Time to First Seizure Following Treatment (TFSFT)

Time to first seizure following treatment was defined as time from treatment with study drug to the onset of the next seizure, rescue intervention (for acute central respiratory depression AE) to maintain subject safety, alterations to background AED therapy, early termination, or 6 hours, whichever came first. (NCT01999777)
Timeframe: 6 hours

Interventionhours (Median)
USL261NA
Placebo3.9

Trials

5 trials available for midazolam and Bilateral Headache

ArticleYear
Safety and efficacy of midazolam nasal spray for the treatment of intermittent bouts of increased seizure activity in the epilepsy monitoring unit: A double-blind, randomized, placebo-controlled trial.
    Epilepsia, 2020, Volume: 61, Issue:11

    Topics: Administration, Intranasal; Adolescent; Adult; Anticonvulsants; Child; Double-Blind Method; Epilepsy

2020
Pharmacokinetics, pharmacodynamics, and safety of USL261, a midazolam formulation optimized for intranasal delivery, in a randomized study with healthy volunteers.
    Epilepsia, 2015, Volume: 56, Issue:11

    Topics: Administration, Intranasal; Adolescent; Adult; Chemistry, Pharmaceutical; Cross-Over Studies; Dose-R

2015
An open-label, randomized, single-center, two-period, phase I, crossover study of the effect of zibotentan (ZD4054) on the pharmacokinetics of midazolam in healthy male volunteers.
    Clinical therapeutics, 2010, Volume: 32, Issue:7

    Topics: Adult; Anti-Anxiety Agents; Area Under Curve; Cross-Over Studies; Cytochrome P-450 CYP3A; Cytochrome

2010
The safety and efficacy of using a concentrated intranasal midazolam formulation for paediatric dental sedation.
    SAAD digest, 2011, Volume: 27

    Topics: Administration, Intranasal; Adolescent; Anesthesia, Dental; Anesthetics, Local; Child; Child Behavio

2011
Reversal of benzodiazepine sedation with the antagonist flumazenil.
    British journal of anaesthesia, 1991, Volume: 66, Issue:4

    Topics: Adolescent; Adult; Aged; Ambulatory Care; Anesthesia Recovery Period; Anesthesia, Intravenous; Benzo

1991

Other Studies

5 other studies available for midazolam and Bilateral Headache

ArticleYear
Peri-ictal headache due to epileptiform activity in a disconnected hemisphere.
    Epileptic disorders : international epilepsy journal with videotape, 2014, Volume: 16, Issue:2

    Topics: Anticonvulsants; Brain; Carbamazepine; Child, Preschool; Electroencephalography; Epilepsy; Female; F

2014
[Effectiveness of midazolam for L-arginine-resistant headaches during stroke-like episodes in MELAS: a case report].
    Rinsho shinkeigaku = Clinical neurology, 2014, Volume: 54, Issue:11

    Topics: Adolescent; Anesthetics, Intravenous; Arginine; DNA, Mitochondrial; Drug Resistance; Electroencephal

2014
Sleep laboratory study of the effects of midazolam in insomniac patients.
    European journal of clinical pharmacology, 1982, Volume: 21, Issue:6

    Topics: Adult; Benzodiazepines; Drug Evaluation; Female; Headache; Humans; Male; Midazolam; Middle Aged; Sle

1982
The role of midazolam-induced sedation in bone marrow aspiration/trephine biopsies.
    Clinical and laboratory haematology, 1996, Volume: 18, Issue:4

    Topics: Adolescent; Adult; Aged; Anesthetics, Local; Antidotes; Awareness; Bone Marrow; Conscious Sedation;

1996
[Benzodiazepine withdrawal presenting as pseudo-surgical abdominal pain].
    Annales francaises d'anesthesie et de reanimation, 1997, Volume: 16, Issue:5

    Topics: Abdomen, Acute; Adult; Alprazolam; Anti-Anxiety Agents; Bromazepam; Diagnosis, Differential; Headach

1997