Page last updated: 2024-10-31

midazolam and Drug Overdose

midazolam has been researched along with Drug Overdose in 35 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.

Drug Overdose: Accidental or deliberate use of a medication or street drug in excess of normal dosage.

Research Excerpts

ExcerptRelevanceReference
"To report a case of serotonin syndrome (SS) after sibutramine overdose in a child."7.75Serotonin syndrome following sibutramine poisoning in a child, with sequential quantification of sibutramine and its primary and secondary amine metabolites in plasma. ( Barros, RF; Bucaretchi, F; da Costa, JL; de Capitani, EM; Fernandes, LC; Hyslop, S; Lanaro, R; Mello, SM, 2009)
"We report two patients who experienced status epilepticus after carbamazepine overdose."7.71Status epilepticus after massive carbamazepine overdose. ( Carlisle, RD; Spiller, HA, 2002)
" The investigators studied a patient with a nortriptyline HCI level of 1,205 ng/mL who had four generalized grand mal seizures, each lasting between 60 and 90 seconds that were immediately followed by hypotension requiring norepinephrine support."7.69Recurrent hypotension immediately after seizures in nortriptyline overdose. ( Bell, A; Gaynor, B; Lipper, B, 1994)
"A 6-year-old girl displayed symptoms of serotonin syndrome after accidental ingestion of Vyvanse (lisdexamfetamine dimesylate)."3.78Dexmedetomidine to treat lisdexamfetamine overdose and serotonin toxidrome in a 6-year-old girl. ( Akingbola, OA; Singh, D, 2012)
" Initial electrocardiograms revealed sinus tachycardia at a rate of 180 beats per minute, a prolonged QRS of 130 milliseconds (from a baseline of 65 milliseconds), and a positive terminal R wave in aVR, which later resolved after sodium bicarbonate treatment."3.77Wide complex tachycardia in a pediatric diphenhydramine overdose treated with sodium bicarbonate. ( Cole, JB; Gross, EA; Smith, SW; Stellpflug, SJ, 2011)
"To report a case of serotonin syndrome (SS) after sibutramine overdose in a child."3.75Serotonin syndrome following sibutramine poisoning in a child, with sequential quantification of sibutramine and its primary and secondary amine metabolites in plasma. ( Barros, RF; Bucaretchi, F; da Costa, JL; de Capitani, EM; Fernandes, LC; Hyslop, S; Lanaro, R; Mello, SM, 2009)
"We report a case of citalopram poisoning in a 10-month-old infant with refractory seizures, and an absence of cardiovascular events with subsequent excellent outcome."3.73Clinical course and toxicokinetic data following isolated citalopram overdose in an infant. ( Baker, SD; Bose, S; Levsky, M; Masullo, LN; Miller, MA, 2006)
"We report two patients who experienced status epilepticus after carbamazepine overdose."3.71Status epilepticus after massive carbamazepine overdose. ( Carlisle, RD; Spiller, HA, 2002)
" The investigators studied a patient with a nortriptyline HCI level of 1,205 ng/mL who had four generalized grand mal seizures, each lasting between 60 and 90 seconds that were immediately followed by hypotension requiring norepinephrine support."3.69Recurrent hypotension immediately after seizures in nortriptyline overdose. ( Bell, A; Gaynor, B; Lipper, B, 1994)
" When sedation with benzodiazepines is carried out, the specific antagonist, flumazenil should always be available for use in emergencies such as accidental oversedation, iatrogenic overdose or paradoxical reactions."3.69Use of inhalational and intravenous sedation in dentistry. ( Rodrigo, MR, 1997)
" Dosage adjustments must be considered in the elderly, individuals with medical disorders, and patients taking multiple medications."2.38Antianxiety/sedative drugs. The benzodiazepines. ( Giacalone, VF, 1992)
" Each dosing error was reviewed by two investigators."1.91Medication Errors in Pediatric Patients after Implementation of a Field Guide with Volume-Based Dosing. ( Hulac, S; Markowitz, G; Rappaport, LD; Roosevelt, G, 2023)
"Treatment with carisoprodol and phenobarbital provided additional benefit and can be considered in cases of severe carisoprodol withdrawal."1.46Severe Carisoprodol Withdrawal After a 14-Year Addiction and Acute Overdose. ( Benowitz, NL; Horng, H; Smollin, CG; Vo, KT, 2017)
" Ongoing monitoring of this particular adverse event will be required with a sustained patient safety message to health services to maintain awareness of the issue and reduction in the number of midazolam-related errors."1.42Reducing risk of overdose with midazolam injection in adults: an evaluation of change in clinical practice to improve patient safety in England. ( Flood, C; Lamont, T; Mansaray, M; Marsh, R; Matthew, L; Patel, B, 2015)
"Tiagabine (Gabitril) is a unique anticonvulsant that is prescribed for a variety of psychiatric disorders."1.32Intentional overdose with tiagabine: an unusual clinical presentation. ( Cantrell, FL; Himes, E; Ritter, M, 2004)
" However, the situations suggest that we should carefully check the dosage and review the correct procedures, even when using a drug that is considered to be familiar with most practitioners."1.31Accidental overdose of midazolam as intramuscular premedication. ( Hanaoka, K; Nishiyama, T, 2002)
"Flumazenil (Anexate) was an effective antidote in mono- and combined intoxications involving zolpidem."1.29[Acute overdose of Zolpidem (Stilnox)]. ( Meier-Abt, PJ; Radovanovic, D; Wyss, PA, 1996)
"Midazolam was replaced by saline in the other 12."1.28Flumazenil in mixed benzodiazepine/tricyclic antidepressant overdose: a placebo-controlled study in the dog. ( Askenasi, R; Leduc, D; Lheureux, P; Vranckx, M, 1992)

Research

Studies (35)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's10 (28.57)18.2507
2000's13 (37.14)29.6817
2010's11 (31.43)24.3611
2020's1 (2.86)2.80

Authors

AuthorsStudies
Rappaport, LD1
Markowitz, G1
Hulac, S1
Roosevelt, G1
Rech, MA1
Barbas, B1
Chaney, W1
Greenhalgh, E1
Turck, C1
Židková, M1
Horsley, R1
Hloch, O1
Hložek, T1
Ameline, A1
Raul, JS1
Kintz, P1
Selbst, SM1
Flood, C1
Matthew, L2
Marsh, R1
Patel, B1
Mansaray, M1
Lamont, T3
Zhang, P1
Austin, E1
Thompson, M1
Lin, S1
Vo, KT1
Horng, H1
Smollin, CG1
Benowitz, NL1
Morris, E1
Green, D1
Graudins, A1
Bucaretchi, F1
de Capitani, EM1
Mello, SM1
Lanaro, R1
Barros, RF1
Fernandes, LC1
da Costa, JL1
Hyslop, S1
Cousins, D1
Green, J1
Scarpello, J1
Weaver, JM1
Wilson, KE1
Thorpe, RJ1
McCabe, JF1
Girdler, NM1
Cole, JB1
Stellpflug, SJ1
Gross, EA1
Smith, SW1
Akingbola, OA1
Singh, D1
Ranson, D1
Nishiyama, T1
Hanaoka, K1
Caldicott, DG1
Edwards, NA1
Kruys, A1
Kirkbride, KP1
Sims, DN1
Byard, RW1
Prior, M1
Irvine, RJ1
Cantrell, FL1
Ritter, M1
Himes, E1
Masullo, LN1
Miller, MA1
Baker, SD1
Bose, S1
Levsky, M1
Jette, N1
Cappell, J1
VanPassel, L1
Akman, CI1
Kohjitani, A1
Higuchi, H1
Shimada, M1
Miyawaki, T1
Shenkman, Z1
Ornstein, E1
Adler, D1
Hantson, P1
Clemessy, JL1
Baud, FJ1
Lipper, B1
Bell, A1
Gaynor, B1
Wyss, PA1
Radovanovic, D1
Meier-Abt, PJ1
Hoes, MJ1
Zeijpveld, JH1
Rodrigo, MR1
Briassoulis, G1
Kalabalikis, P1
Tamiolaki, M1
Hatzis, T1
Michalodimitrakis, M1
Christodoulou, P1
Tsatsakis, AM1
Askoxilakis, I1
Stiakakis, I1
Mouzas, I1
Sandler, NA1
Sparks, BS1
Spiller, HA1
Carlisle, RD1
Lheureux, P1
Vranckx, M1
Leduc, D1
Askenasi, R1
Giacalone, VF1

Reviews

2 reviews available for midazolam and Drug Overdose

ArticleYear
When to Pick the Nose: Out-of-Hospital and Emergency Department Intranasal Administration of Medications.
    Annals of emergency medicine, 2017, Volume: 70, Issue:2

    Topics: Administration, Intranasal; Analgesics, Opioid; Conscious Sedation; Dexmedetomidine; Drug Overdose;

2017
Antianxiety/sedative drugs. The benzodiazepines.
    Clinics in podiatric medicine and surgery, 1992, Volume: 9, Issue:2

    Topics: Age Factors; Anxiety Disorders; Benzodiazepines; Conscious Sedation; Drug Interactions; Drug Overdos

1992

Trials

1 trial available for midazolam and Drug Overdose

ArticleYear
The use of bispectral analysis in patients undergoing intravenous sedation for third molar extractions.
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 2000, Volume: 58, Issue:4

    Topics: Adolescent; Adult; Anesthesia, Dental; Anesthetics, Intravenous; Anesthetics, Local; Conscious Sedat

2000

Other Studies

32 other studies available for midazolam and Drug Overdose

ArticleYear
Medication Errors in Pediatric Patients after Implementation of a Field Guide with Volume-Based Dosing.
    Prehospital emergency care, 2023, Volume: 27, Issue:2

    Topics: Child; Drug Overdose; Emergency Medical Services; Epinephrine; Humans; Infant; Infant, Newborn; Medi

2023
Near-fatal Intoxication with the "New" Synthetic Opioid U-47700: The First Reported Case in the Czech Republic.
    Journal of forensic sciences, 2019, Volume: 64, Issue:2

    Topics: Adult; Benzamides; Benzodiazepines; Chromatography, Liquid; Citalopram; Czech Republic; Drug Overdos

2019
Testing for midazolam and oxycodone in blood after formalin-embalmment: About a complex medico-legal case.
    Drug testing and analysis, 2019, Volume: 11, Issue:9

    Topics: Adult; Autopsy; Chromatography, High Pressure Liquid; Diagnosis; Drug Monitoring; Drug Overdose; For

2019
Pediatric emergency medicine: legal briefs.
    Pediatric emergency care, 2013, Volume: 29, Issue:6

    Topics: Accidents, Traffic; Amputation, Surgical; Baseball; Brain Damage, Chronic; Child; Colon; Commitment

2013
Reducing risk of overdose with midazolam injection in adults: an evaluation of change in clinical practice to improve patient safety in England.
    Journal of evaluation in clinical practice, 2015, Volume: 21, Issue:1

    Topics: Antidotes; Dose-Response Relationship, Drug; Drug Overdose; England; Flumazenil; Health Knowledge, A

2015
Challenges in a large mixed drug overdose patient.
    BMJ case reports, 2016, Jun-22, Volume: 2016

    Topics: Adult; Anticonvulsants; Body Temperature Regulation; Critical Care; Delirium; Diazepam; Drug Overdos

2016
Severe Carisoprodol Withdrawal After a 14-Year Addiction and Acute Overdose.
    The Journal of emergency medicine, 2017, Volume: 52, Issue:5

    Topics: Adult; Carisoprodol; Dexmedetomidine; Drug Overdose; Fentanyl; Haloperidol; Humans; Hypnotics and Se

2017
Neuroleptic malignant syndrome developing after acute overdose with olanzapine and chlorpromazine.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2009, Volume: 5, Issue:1

    Topics: Adult; Antipsychotic Agents; Benzodiazepines; Bromocriptine; Chlorpromazine; Citalopram; Combined Mo

2009
Serotonin syndrome following sibutramine poisoning in a child, with sequential quantification of sibutramine and its primary and secondary amine metabolites in plasma.
    Clinical toxicology (Philadelphia, Pa.), 2009, Volume: 47, Issue:6

    Topics: Antidotes; Appetite Depressants; Child, Preschool; Chloral Hydrate; Chromatography, High Pressure Li

2009
Avoiding midazolam overdose: summary of a safety report from the National Patient Safety Agency.
    BMJ (Clinical research ed.), 2009, Nov-19, Volume: 339

    Topics: Drug Overdose; Humans; Hypnotics and Sedatives; Medication Errors; Midazolam; Practice Guidelines as

2009
National Patient Safety Agency: combining stories with statistics to minimise harm.
    BMJ (Clinical research ed.), 2009, Nov-19, Volume: 339

    Topics: Drug Information Services; Drug Overdose; Humans; Hypnotics and Sedatives; Medication Errors; Midazo

2009
The fallacy of a lifesaving sublingual injection of flumazenil.
    Anesthesia progress, 2011,Spring, Volume: 58, Issue:1

    Topics: Anesthesia Recovery Period; Antidotes; Benzodiazepines; Conscious Sedation; Drug Overdose; Flumazeni

2011
Complications associated with intravenous midazolam sedation in anxious dental patients.
    Primary dental care : journal of the Faculty of General Dental Practitioners (UK), 2011, Volume: 18, Issue:4

    Topics: Adolescent; Adult; Aged; Anesthesia, Dental; Anesthetics, Intravenous; Child; Clinical Audit; Consci

2011
Wide complex tachycardia in a pediatric diphenhydramine overdose treated with sodium bicarbonate.
    Pediatric emergency care, 2011, Volume: 27, Issue:12

    Topics: Anticonvulsants; Cholinergic Antagonists; Diphenhydramine; Drug Overdose; Electrocardiography; Emerg

2011
Dexmedetomidine to treat lisdexamfetamine overdose and serotonin toxidrome in a 6-year-old girl.
    American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2012, Volume: 21, Issue:6

    Topics: Adrenergic alpha-2 Receptor Agonists; Anti-Anxiety Agents; Central Nervous System Stimulants; Child;

2012
Therapeutic drugs and death.
    Journal of law and medicine, 2001, Volume: 9, Issue:1

    Topics: Aged; Analgesics, Opioid; Anesthetics, Local; Anti-Anxiety Agents; Cocaine; Drug Overdose; Fatal Out

2001
Accidental overdose of midazolam as intramuscular premedication.
    Journal of clinical anesthesia, 2002, Volume: 14, Issue:7

    Topics: Adjuvants, Anesthesia; Aged; Drug Overdose; Humans; Injections, Intramuscular; Male; Medication Erro

2002
Dancing with "death": p-methoxyamphetamine overdose and its acute management.
    Journal of toxicology. Clinical toxicology, 2003, Volume: 41, Issue:2

    Topics: Acute Disease; Adult; Amphetamines; Chromatography, Gas; Drug Overdose; Female; Glasgow Coma Scale;

2003
Intentional overdose with tiagabine: an unusual clinical presentation.
    The Journal of emergency medicine, 2004, Volume: 27, Issue:3

    Topics: Anticonvulsants; Drug Overdose; Female; Humans; Hypnotics and Sedatives; Midazolam; Middle Aged; Ner

2004
Clinical course and toxicokinetic data following isolated citalopram overdose in an infant.
    Clinical toxicology (Philadelphia, Pa.), 2006, Volume: 44, Issue:2

    Topics: Charcoal; Citalopram; Drug Overdose; Female; Humans; Hypnotics and Sedatives; Infant; Intensive Care

2006
Tiagabine-induced nonconvulsive status epilepticus in an adolescent without epilepsy.
    Neurology, 2006, Oct-24, Volume: 67, Issue:8

    Topics: Adolescent; Drug Overdose; Electroencephalography; Female; GABA Modulators; Humans; Infusions, Intra

2006
Oral midazolam for sedation in minor oral operations in children: a retrospective study.
    The British journal of oral & maxillofacial surgery, 2008, Volume: 46, Issue:4

    Topics: Administration, Oral; Age Factors; Anesthesia, Dental; Body Weight; Child; Conscious Sedation; Denta

2008
Drug overdose as a consequence of misuse of a syringe pump.
    Anesthesia and analgesia, 1995, Volume: 81, Issue:3

    Topics: Adult; Drug Overdose; Humans; Infusion Pumps; Injections, Intravenous; Male; Mathematical Computing;

1995
Withdrawal syndrome following midazolam infusion.
    Intensive care medicine, 1995, Volume: 21, Issue:2

    Topics: Adult; Amitriptyline; Drug Overdose; Female; Humans; Midazolam; Seizures; Substance Withdrawal Syndr

1995
Recurrent hypotension immediately after seizures in nortriptyline overdose.
    The American journal of emergency medicine, 1994, Volume: 12, Issue:4

    Topics: Biological Availability; Blood Pressure; Drug Overdose; Female; Heart; Humans; Hypotension; Midazola

1994
[Acute overdose of Zolpidem (Stilnox)].
    Schweizerische medizinische Wochenschrift, 1996, May-04, Volume: 126, Issue:18

    Topics: Adolescent; Adult; Aged; Antidotes; Coma; Drug Overdose; Female; Flumazenil; Humans; Hypnotics and S

1996
First report of mirtazapine overdose.
    International clinical psychopharmacology, 1996, Volume: 11, Issue:2

    Topics: Aged; Aged, 80 and over; Anti-Anxiety Agents; Antidepressive Agents, Tricyclic; Coma; Depressive Dis

1996
Use of inhalational and intravenous sedation in dentistry.
    International dental journal, 1997, Volume: 47, Issue:1

    Topics: Accidents; Anesthesia, Dental; Anesthesia, Inhalation; Anesthesia, Intravenous; Anesthesia, Local; A

1997
Lamotrigine childhood overdose.
    Pediatric neurology, 1998, Volume: 19, Issue:3

    Topics: Anticonvulsants; Child, Preschool; Drug Overdose; Epilepsy, Tonic-Clonic; Gastric Lavage; Humans; La

1998
Death related to midazolam overdose during endoscopic retrograde cholangiopancreatography.
    The American journal of forensic medicine and pathology, 1999, Volume: 20, Issue:1

    Topics: Anti-Anxiety Agents; Cholangiopancreatography, Endoscopic Retrograde; Chromatography, High Pressure

1999
Status epilepticus after massive carbamazepine overdose.
    Journal of toxicology. Clinical toxicology, 2002, Volume: 40, Issue:1

    Topics: Adolescent; Anticonvulsants; Carbamazepine; Drug Overdose; Fatal Outcome; Female; Humans; Hypnotics

2002
Flumazenil in mixed benzodiazepine/tricyclic antidepressant overdose: a placebo-controlled study in the dog.
    The American journal of emergency medicine, 1992, Volume: 10, Issue:3

    Topics: Amitriptyline; Animals; Arrhythmias, Cardiac; Dogs; Drug Interactions; Drug Overdose; Electrocardiog

1992