Page last updated: 2024-10-31

midazolam and Cocaine Abuse

midazolam has been researched along with Cocaine Abuse in 7 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
"Thirty-one inhaled-cocaine abusers and 34 normal volunteers received either 1 mg intra-nasal midazolam or active placebo."6.73Abuse liability of intra-nasal midazolam in inhaled-cocaine abusers. ( Bernik, M; Braun, IM; de Nucci, G; Tavares, H, 2008)
" We found that ketamine leads to significantly greater acute mystical-type effects (by Hood Mysticism Scale: HMS), dissociation (by Clinician Administered Dissociative States Scale: CADSS), and near-death experience phenomena (by the Near-Death Experience Scale: NDES), relative to the active control midazolam."5.27A sub-set of psychoactive effects may be critical to the behavioral impact of ketamine on cocaine use disorder: Results from a randomized, controlled laboratory study. ( Dakwar, E; Foltin, RW; Hart, CL; Hu, MC; Levin, FR; Nunes, EV, 2018)
" The mechanism of action analysis revealed that ketamine directly targets multiple CUD-associated genes (BDNF, CNR1, DRD2, GABRA2, GABRB3, GAD1, OPRK1, OPRM1, SLC6A3, SLC6A4) and pathways implicated in neuroactive ligand-receptor interaction, cAMP signaling and cocaine abuse/dependence."4.31Repurposing ketamine to treat cocaine use disorder: integration of artificial intelligence-based prediction, expert evaluation, clinical corroboration and mechanism of action analyses. ( Davis, PB; Gao, Z; Ghitza, UE; Gorenflo, M; Kaelber, DC; Winhusen, TJ; Xu, R, 2023)
"To evaluate the effects of pretreatment, midazolam (M), propofol (P), ziprasidone (Z), and two combinations of [(midazolam plus propofol (MP); midazolam plus ziprasidone (MZ)] in mice models in the prevention of seizures, and death due to acute cocaine toxicity."3.79Assessment of propofol, midazolam and ziprasidone, or the combinations for the prevention of acute cocaine toxicity in a mouse model. ( Erdur, B; Ergin, A; Kortunay, S; Yuksel, A, 2013)
"Cocaine toxicity results in cardiovascular complications, seizures, and death and accounts for approximately 20% of drug-related emergency department visits every year."3.75A bacterial cocaine esterase protects against cocaine-induced epileptogenic activity and lethality. ( Baladi, MG; Cooper, ZD; Jutkiewicz, EM; Narasimhan, D; Sunahara, RK; Woods, JH, 2009)
"The ketamine group was 53% less likely (hazard ratio=0."2.90A Single Ketamine Infusion Combined With Mindfulness-Based Behavioral Modification to Treat Cocaine Dependence: A Randomized Clinical Trial. ( Basaraba, CN; Carpenter, KM; Choi, CJJ; Dakwar, E; Foltin, RW; Hart, CL; Levin, FR; Mathew, SJ; Nunes, EV; Pavlicova, M, 2019)
"Thirty-one inhaled-cocaine abusers and 34 normal volunteers received either 1 mg intra-nasal midazolam or active placebo."2.73Abuse liability of intra-nasal midazolam in inhaled-cocaine abusers. ( Bernik, M; Braun, IM; de Nucci, G; Tavares, H, 2008)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (28.57)29.6817
2010's4 (57.14)24.3611
2020's1 (14.29)2.80

Authors

AuthorsStudies
Gao, Z1
Winhusen, TJ1
Gorenflo, M1
Ghitza, UE1
Davis, PB1
Kaelber, DC1
Xu, R1
Dakwar, E2
Nunes, EV2
Hart, CL2
Hu, MC1
Foltin, RW2
Levin, FR2
Mathew, SJ1
Carpenter, KM1
Choi, CJJ1
Basaraba, CN1
Pavlicova, M1
Braun, IM1
Tavares, H1
de Nucci, G1
Bernik, M1
Jutkiewicz, EM1
Baladi, MG1
Cooper, ZD1
Narasimhan, D1
Sunahara, RK1
Woods, JH1
Shy, BD1
Howland, MA1
Hoffman, RS1
Yuksel, A1
Erdur, B1
Kortunay, S1
Ergin, A1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
[NCT01535937]Phase 1/Phase 255 participants (Actual)Interventional2012-02-29Terminated (stopped due to An analysis demonstrated that running the final participants was unnecessary.)
Using the Behaviour Change Technique Taxonomy v1 to Conceptualize the Clinical Content of a Preliminary Randomised Controlled Study of an Online Mindfulness-based Cognitive Intervention for Chemsex[NCT05929040]29 participants (Actual)Interventional2022-03-05Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Abstinence

Abstinence is defined as 2 or greater weeks of no cocaine use, as ascertained by the TLFB and urine toxicology. (NCT01535937)
Timeframe: Abstinence will be assessed over 4 weeks starting at the last day of week 1 and continuing through the end of study at the last day of week 5

InterventionParticipants (Count of Participants)
Ketamine13
Midazolam3

Number of Participants With Cocaine Use/Drop Out

Number of participants who use cocaine and drop from study. During phase 2, patients will be assessed twice weekly by TLFB and urine toxicology for cocaine use. The day of first use will determine the length of time that transpired from discharge to the first lapse onto cocaine. (NCT01535937)
Timeframe: Over the four week period following discharge from the inpatient unit at Day 5

InterventionParticipants (Count of Participants)
Ketamine16
Midazolam26

Trials

3 trials available for midazolam and Cocaine Abuse

ArticleYear
A sub-set of psychoactive effects may be critical to the behavioral impact of ketamine on cocaine use disorder: Results from a randomized, controlled laboratory study.
    Neuropharmacology, 2018, Volume: 142

    Topics: Cocaine-Related Disorders; Dissociative Disorders; Female; Hallucinogens; Hospitalization; Humans; K

2018
A Single Ketamine Infusion Combined With Mindfulness-Based Behavioral Modification to Treat Cocaine Dependence: A Randomized Clinical Trial.
    The American journal of psychiatry, 2019, 11-01, Volume: 176, Issue:11

    Topics: Cocaine-Related Disorders; Combined Modality Therapy; Excitatory Amino Acid Antagonists; Female; Hum

2019
A Single Ketamine Infusion Combined With Mindfulness-Based Behavioral Modification to Treat Cocaine Dependence: A Randomized Clinical Trial.
    The American journal of psychiatry, 2019, 11-01, Volume: 176, Issue:11

    Topics: Cocaine-Related Disorders; Combined Modality Therapy; Excitatory Amino Acid Antagonists; Female; Hum

2019
A Single Ketamine Infusion Combined With Mindfulness-Based Behavioral Modification to Treat Cocaine Dependence: A Randomized Clinical Trial.
    The American journal of psychiatry, 2019, 11-01, Volume: 176, Issue:11

    Topics: Cocaine-Related Disorders; Combined Modality Therapy; Excitatory Amino Acid Antagonists; Female; Hum

2019
A Single Ketamine Infusion Combined With Mindfulness-Based Behavioral Modification to Treat Cocaine Dependence: A Randomized Clinical Trial.
    The American journal of psychiatry, 2019, 11-01, Volume: 176, Issue:11

    Topics: Cocaine-Related Disorders; Combined Modality Therapy; Excitatory Amino Acid Antagonists; Female; Hum

2019
Abuse liability of intra-nasal midazolam in inhaled-cocaine abusers.
    European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2008, Volume: 18, Issue:10

    Topics: Administration, Intranasal; Adult; Area Under Curve; Case-Control Studies; Cocaine-Related Disorders

2008

Other Studies

4 other studies available for midazolam and Cocaine Abuse

ArticleYear
Repurposing ketamine to treat cocaine use disorder: integration of artificial intelligence-based prediction, expert evaluation, clinical corroboration and mechanism of action analyses.
    Addiction (Abingdon, England), 2023, Volume: 118, Issue:7

    Topics: Antidepressive Agents; Artificial Intelligence; Cocaine; Cocaine-Related Disorders; Drug Repositioni

2023
A bacterial cocaine esterase protects against cocaine-induced epileptogenic activity and lethality.
    Annals of emergency medicine, 2009, Volume: 54, Issue:3

    Topics: Animals; Anticonvulsants; Bacteria; Carboxylic Ester Hydrolases; Cocaine; Cocaine-Related Disorders;

2009
Limited clinical value of bacterial cocaine esterase in cocaine toxicity.
    Annals of emergency medicine, 2010, Volume: 55, Issue:5

    Topics: Animals; Anticonvulsants; Carboxylesterase; Cocaine; Cocaine-Related Disorders; Humans; Midazolam; R

2010
Assessment of propofol, midazolam and ziprasidone, or the combinations for the prevention of acute cocaine toxicity in a mouse model.
    Environmental toxicology and pharmacology, 2013, Volume: 35, Issue:1

    Topics: Animals; Anticonvulsants; Antipsychotic Agents; Cocaine-Related Disorders; Disease Models, Animal; D

2013