Page last updated: 2024-10-31

midazolam and Liver Cirrhosis

midazolam has been researched along with Liver Cirrhosis in 33 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.

Liver Cirrhosis: Liver disease in which the normal microcirculation, the gross vascular anatomy, and the hepatic architecture have been variably destroyed and altered with fibrous septa surrounding regenerated or regenerating parenchymal nodules.

Research Excerpts

ExcerptRelevanceReference
" Reference: YingHao Cao, Ping Chi, Chen Zhou, WenFei Lv, ZheFen Quan, Fu Shan Xue: Remimazolam Tosilate Sedation with Adjuvant Sufentanil in Chinese Patients with Liver Cirrhosis Undergoing Gastroscopy: A Randomized Controlled Study."9.51Errate: Remimazolam Tosilate Sedation with Adjuvant Sufentanil in Chinese Patients with Liver Cirrhosis Undergoing Gastroscopy: A Randomized Controlled Study. ( Cao, Y; Chi, P; Lv, W; Quan, Z; Xue, FS; Zhou, C, 2022)
"Propofol-based sedation exacerbated MHE after EIS similarly to midazolam-based sedation in patients with liver cirrhosis."9.27Propofol is a more effective and safer sedative agent than midazolam in endoscopic injection sclerotherapy for esophageal varices in patients with liver cirrhosis: a randomized controlled trial. ( Hashimoto, M; Hikichi, T; Irie, H; Kikuchi, H; Konno, N; Nakamura, J; Obara, K; Ohira, H; Sato, Y; Sugimoto, M; Suzuki, R; Takagi, T; Takasumi, M; Watanabe, K, 2018)
"Sedation with propofol has a shorter time recovery and a shorter time to discharge than midazolam and does not exacerbate sub-clinical hepatic encephalopathy in patients with compensated liver cirrhosis."9.15Sub-clinical hepatic encephalopathy in cirrhotic patients is not aggravated by sedation with propofol compared to midazolam: a randomized controlled study. ( Alex, I; Kamal, D; Khamaysi, I; Nimer, A; Olga, A; Vladimir, M; William, N, 2011)
"Midazolam sedation for upper gastrointestinal (GI) endoscopy exacerbates minimal hepatic encephalopathy (HE) in patients with liver cirrhosis, therefore an alternative drug regimen for these patients is warranted."9.14Propofol sedation for upper gastrointestinal endoscopy in patients with liver cirrhosis as an alternative to midazolam to avoid acute deterioration of minimal encephalopathy: a randomized, controlled study. ( Frenz, MB; Lechowicz, I; Riphaus, A; Wehrmann, T, 2009)
"BACKGROUND The aim of the present study was to evaluate the effects of different doses of oxycodone during endoscopic injection sclerotherapy (EIS) for esophageal varices with painless sclerosing agents."8.02Different Doses of Oxycodone for Endoscopic Injection Sclerotherapy of Esophageal Varices. ( He, H; Quan, Z; Song, C; Yao, J; Zhou, C, 2021)
"Grapefruit juice inhibits CYP3A4 in the intestinal wall leading to a reduced intestinal first pass metabolism and thereby an increased oral bioavailability of certain drugs."6.70Intestinal first pass metabolism of midazolam in liver cirrhosis --effect of grapefruit juice. ( Andersen, V; Larsen, NE; Larsen, S; Pedersen, N; Sonne, J, 2002)
" Reference: YingHao Cao, Ping Chi, Chen Zhou, WenFei Lv, ZheFen Quan, Fu Shan Xue: Remimazolam Tosilate Sedation with Adjuvant Sufentanil in Chinese Patients with Liver Cirrhosis Undergoing Gastroscopy: A Randomized Controlled Study."5.51Errate: Remimazolam Tosilate Sedation with Adjuvant Sufentanil in Chinese Patients with Liver Cirrhosis Undergoing Gastroscopy: A Randomized Controlled Study. ( Cao, Y; Chi, P; Lv, W; Quan, Z; Xue, FS; Zhou, C, 2022)
"Propofol-based sedation exacerbated MHE after EIS similarly to midazolam-based sedation in patients with liver cirrhosis."5.27Propofol is a more effective and safer sedative agent than midazolam in endoscopic injection sclerotherapy for esophageal varices in patients with liver cirrhosis: a randomized controlled trial. ( Hashimoto, M; Hikichi, T; Irie, H; Kikuchi, H; Konno, N; Nakamura, J; Obara, K; Ohira, H; Sato, Y; Sugimoto, M; Suzuki, R; Takagi, T; Takasumi, M; Watanabe, K, 2018)
"The authors studied the pharmacokinetic behaviour of a new benzodiazepine, midazolam, after a single oral administration in a group of five patients of both sexes, suffering from compensated alcoholic cirrhosis."5.27A pharmacokinetic study on midazolam in compensated liver cirrhosis. ( Ascalone, V; Cisternino, M; Colombi Zinelli, L; Rinetti, M, 1985)
"Midazolam was used as a CYP3A probe and its pharmacokinetics were analyzed in 24 patients with mild to severe liver cirrhosis (n = 4, 10 and 10 with CP class A, B and C, respectively) and six patients without liver disease."5.19CYP3A activity in severe liver cirrhosis correlates with Child-Pugh and model for end-stage liver disease (MELD) scores. ( Albarmawi, A; Burhenne, J; Czock, D; Ehehalt, R; Ganten, TM; Gauss, A; Haefeli, WE; Lorenzo Bermejo, J; Sauer, P, 2014)
"Sedation with propofol has a shorter time recovery and a shorter time to discharge than midazolam and does not exacerbate sub-clinical hepatic encephalopathy in patients with compensated liver cirrhosis."5.15Sub-clinical hepatic encephalopathy in cirrhotic patients is not aggravated by sedation with propofol compared to midazolam: a randomized controlled study. ( Alex, I; Kamal, D; Khamaysi, I; Nimer, A; Olga, A; Vladimir, M; William, N, 2011)
"Midazolam sedation for upper gastrointestinal (GI) endoscopy exacerbates minimal hepatic encephalopathy (HE) in patients with liver cirrhosis, therefore an alternative drug regimen for these patients is warranted."5.14Propofol sedation for upper gastrointestinal endoscopy in patients with liver cirrhosis as an alternative to midazolam to avoid acute deterioration of minimal encephalopathy: a randomized, controlled study. ( Frenz, MB; Lechowicz, I; Riphaus, A; Wehrmann, T, 2009)
"The results of this study indicate that (1) the majority of patients with cirrhosis and suspected portal hypertension have evidence of subclinical hepatic encephalopathy, (2) the extent of encephalopathy correlates with the Child Pugh's score, (3) sedation with midazolam for upper GI endoscopy exacerbates the encephalopathy, and (4) this adverse effect is still evident 2 hours after the procedure."5.09Risk of sedation for upper GI endoscopy exacerbating subclinical hepatic encephalopathy in patients with cirrhosis. ( Assy, N; Grahame, GR; Minuk, GY; Rosser, BG, 1999)
"We assessed the pharmacokinetics of the six compounds and their CYP-specific metabolites of the Basel phenotyping cocktail (CYP1A2: caffeine, CYP2B6: efavirenz, CYP2C9: flurbiprofen, CYP2C19: omeprazole, CYP2D6: metoprolol, CYP3A: midazolam) in patients with liver cirrhosis (n = 16 Child A cirrhosis, n = 15 Child B cirrhosis, n = 5 Child C cirrhosis) and matched control subjects (n = 12)."4.12Liver Cirrhosis Affects the Pharmacokinetics of the Six Substrates of the Basel Phenotyping Cocktail Differently. ( Bachmann, F; Bouitbir, J; Duthaler, U; Grandinetti, T; Haschke, M; Hruz, P; Krähenbühl, S; Pfefferkorn, F; Suenderhauf, C, 2022)
"BACKGROUND The aim of the present study was to evaluate the effects of different doses of oxycodone during endoscopic injection sclerotherapy (EIS) for esophageal varices with painless sclerosing agents."4.02Different Doses of Oxycodone for Endoscopic Injection Sclerotherapy of Esophageal Varices. ( He, H; Quan, Z; Song, C; Yao, J; Zhou, C, 2021)
"The objective of this study was to determine the frequency of clinically overt hepatic encephalopathy (HE) in cirrhotic patients undergoing diagnostic or therapeutic upper gastrointestinal endoscopy (UGE) who received midazolam for sedation."3.78Midazolam for sedation during diagnostic or therapeutic upper gastrointestinal endoscopy in cirrhotic patients. ( Arain, N; Faisal, N; Haq, MM; Haqqi, SA; Khalil, A; Shaikh, H, 2012)
"Patients with liver cirrhosis frequently undergo diagnostic or therapeutic upper GI endoscopy (UGIE), and the liver disease might impair the metabolism of drugs usually administered for sedation."2.76Sedation during upper GI endoscopy in cirrhotic outpatients: a randomized, controlled trial comparing propofol and fentanyl with midazolam and fentanyl. ( Bonilha, DQ; Brito, JR; Correia, LM; Ferrari, AP; Gomes, GF; Lenz, L; Libera, ED; Nakao, FS; Rohr, MR, 2011)
"Grapefruit juice inhibits CYP3A4 in the intestinal wall leading to a reduced intestinal first pass metabolism and thereby an increased oral bioavailability of certain drugs."2.70Intestinal first pass metabolism of midazolam in liver cirrhosis --effect of grapefruit juice. ( Andersen, V; Larsen, NE; Larsen, S; Pedersen, N; Sonne, J, 2002)
" Using this dosage regime, midazolam caused significantly greater impairment in psychomotor function in both cirrhotic and non cirrhotic subjects, and the time taken for recovery of normal function was also significantly prolonged."2.66Sedation for gastroscopy: a comparative study of midazolam and Diazemuls in patients with and without cirrhosis. ( Hamdy, NA; Kennedy, HJ; Nicholl, J; Triger, DR, 1986)
"Patho-physiological changes in liver cirrhosis create portacaval shunts that allow blood flow to bypass the hepatic portal vein into the systemic circulation affecting drug pharmacokinetics (PKs)."1.91Incorporation and Performance Verification of Hepatic Portal Blood Flow Shunting in Minimal and Full PBPK Models of Liver Cirrhosis. ( Gardner, I; Hatley, O; Jamei, M; Johnson, TN; Small, BG, 2023)
"Sedation for upper gastrointestinal endoscopy (UGIE) in patients with cirrhosis is theoretically associated with high incidence of adverse events due to low levels of binding proteins and decreased hepatic clearance of drugs."1.62Safety of balanced propofol and midazolam in upper gastrointestinal endoscopy for sedation in cirrhotic patients. ( Alam, L; Alam, M; Khattak, MA, 2021)
"This retrospective cohort study of cirrhotic patients undergoing endoscopy from a large academic medical center between 2010 and 2014 examined extensive clinical data including the following: past history, physical findings, laboratory results, and procedural adverse events."1.56Sedation During Endoscopy in Patients with Cirrhosis: Safety and Predictors of Adverse Events. ( Edelson, J; Rockey, DC; Suarez, AL; Zhang, J, 2020)
" However, adverse events (AEs) may occur more frequently in patients with cirrhosis due to altered MDZ metabolism."1.48Safety and effectiveness of midazolam for cirrhotic patients undergoing endoscopic variceal ligation. ( Jang, DK; Jo, HB; Kang, HW; Kim, JH; Koh, MS; Lee, JH; Lee, JK; Lim, YJ, 2018)
"Shock was more common in patients with variceal bleeding compared to those with non-variceal bleeding (12."1.43Outcomes of Propofol Sedation During Emergency Endoscopy Performed for Upper Gastrointestinal Bleeding. ( Eun, CS; Han, DS; Jeon, YC; Jeong, JY; Park, CH; Sohn, JH; Yoo, KS, 2016)
" Therefore, patients with advanced cirrhosis may have greater drug exposure following oral dosing as a result of both impaired liver function and decreased intestinal CYP3A expression and activity."1.35Reduced duodenal cytochrome P450 3A protein expression and catalytic activity in patients with cirrhosis. ( Blough, DK; Hashizume, T; Lin, YS; Mathisen, TL; McConn, DJ; Shuhart, MC; Taylor, SL; Thummel, KE; Xu, Y, 2009)
" The bioavailability of midazolam was significantly higher (P <."1.31Hepatic and intestinal cytochrome P450 3A activity in cirrhosis: effects of transjugular intrahepatic portosystemic shunts. ( Chalasani, N; Galinsky, RE; Gorski, JC; Hall, SD; Patel, NH, 2001)
"The antipyrine-half-life was 32."1.28Pharmacokinetics of midazolam following intravenous and oral administration in patients with chronic liver disease and in healthy subjects. ( Crevoisier, C; Himberg, JJ; Pentikäinen, PJ; Välisalmi, L, 1989)
"The authors studied the pharmacokinetic behaviour of a new benzodiazepine, midazolam, after a single oral administration in a group of five patients of both sexes, suffering from compensated alcoholic cirrhosis."1.27A pharmacokinetic study on midazolam in compensated liver cirrhosis. ( Ascalone, V; Cisternino, M; Colombi Zinelli, L; Rinetti, M, 1985)

Research

Studies (33)

TimeframeStudies, this research(%)All Research%
pre-19904 (12.12)18.7374
1990's2 (6.06)18.2507
2000's7 (21.21)29.6817
2010's12 (36.36)24.3611
2020's8 (24.24)2.80

Authors

AuthorsStudies
Duthaler, U1
Bachmann, F1
Suenderhauf, C1
Grandinetti, T1
Pfefferkorn, F1
Haschke, M1
Hruz, P1
Bouitbir, J1
Krähenbühl, S1
Cao, Y1
Chi, P1
Zhou, C2
Lv, W1
Quan, Z2
Xue, FS1
Small, BG1
Hatley, O1
Jamei, M1
Gardner, I1
Johnson, TN1
Edelson, J1
Suarez, AL1
Zhang, J1
Rockey, DC1
Yoo, JJ1
Goong, HJ1
Moon, JE1
Kim, SG1
Kim, YS1
Jeong, J1
Jung, K1
Seo, KI1
Yun, BC1
Han, BH1
Lee, SU1
Moon, W1
Alam, L1
Khattak, MA1
Alam, M1
Yao, J1
Song, C1
He, H1
Jo, HB1
Lee, JK1
Jang, DK1
Kang, HW1
Kim, JH1
Lim, YJ1
Koh, MS1
Lee, JH1
Watanabe, K1
Hikichi, T1
Takagi, T1
Suzuki, R1
Nakamura, J1
Sugimoto, M1
Kikuchi, H1
Konno, N1
Takasumi, M1
Sato, Y1
Hashimoto, M1
Irie, H1
Obara, K1
Ohira, H1
Ünal, HÜ1
Saruç, M1
Albarmawi, A1
Czock, D1
Gauss, A1
Ehehalt, R1
Lorenzo Bermejo, J1
Burhenne, J1
Ganten, TM1
Sauer, P1
Haefeli, WE1
Kim, SI1
Jin, YJ1
Lee, SH1
Lee, JW1
Lee, DH1
Lee, D1
Park, CH1
Han, DS1
Jeong, JY1
Eun, CS1
Yoo, KS1
Jeon, YC1
Sohn, JH1
McConn, DJ1
Lin, YS1
Mathisen, TL1
Blough, DK1
Xu, Y1
Hashizume, T1
Taylor, SL1
Thummel, KE1
Shuhart, MC1
Riphaus, A1
Lechowicz, I1
Frenz, MB1
Wehrmann, T1
Lee, KH1
Nam, SH1
Yoo, SY1
Jung, CW1
Bae, SS1
Lee, JR1
Khamaysi, I1
William, N1
Olga, A1
Alex, I1
Vladimir, M1
Kamal, D1
Nimer, A1
Sharma, P2
Singh, S1
Sharma, BC2
Correia, LM1
Bonilha, DQ1
Gomes, GF1
Brito, JR1
Nakao, FS1
Lenz, L1
Rohr, MR1
Ferrari, AP1
Libera, ED1
Haq, MM1
Faisal, N1
Khalil, A1
Haqqi, SA1
Shaikh, H1
Arain, N1
Agrawal, A1
Uppal, R1
Sarin, SK1
Andersen, V1
Pedersen, N1
Larsen, NE1
Sonne, J1
Larsen, S1
Hourmand-Ollivier, I1
Dao, T1
Weston, BR1
Chadalawada, V1
Chalasani, N2
Kwo, P1
Overley, CA1
Symms, M1
Strahl, E1
Rex, DK1
Assy, N1
Rosser, BG1
Grahame, GR1
Minuk, GY1
Lluch Fernández, M1
Vallejo Uclés, A1
Vallejo Cantarero, F1
Zurita Castro, F1
Huelva Ramírez, E1
Moreno Carmona, C1
Gorski, JC1
Patel, NH1
Hall, SD1
Galinsky, RE1
Ferencz, S1
Batey, R1
Pentikäinen, PJ1
Välisalmi, L1
Himberg, JJ1
Crevoisier, C1
Rinetti, M1
Ascalone, V1
Colombi Zinelli, L1
Cisternino, M1
Hamdy, NA1
Kennedy, HJ1
Nicholl, J1
Triger, DR1
Bryssine, B1
Bouletreau, P1
Balay, C1
Raupp, C1
Seranne, C1
Guiraud, M1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
In Vivo Determination of Cytochrome P450 Activities in Patients With Liver Cirrhosis[NCT03337945]48 participants (Actual)Interventional2018-04-04Completed
Randomized Controlled Trial Comparing Effects of Sedation for Upper Gastrointestinal Endoscopy With Propofol Versus Midazolam on Psychometric Tests and Critical Flicker Frequency in Cirrhotics[NCT01356121]Phase 4120 participants (Anticipated)Interventional2010-11-30Recruiting
Evaluation of Gastroesophageal Varices in Cirrhotic and Non-cirrhotic Patients With Portal Hypertension by Transnasal Endoscopy.[NCT02767206]50 participants (Actual)Observational2016-03-31Enrolling by invitation
A New Technique to Enhance Detection of Small Esophageal Varices by PillCam ESO Capsule Endoscopy[NCT00911131]Phase 30 participants (Actual)InterventionalWithdrawn (stopped due to Loss of funding)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trials

13 trials available for midazolam and Liver Cirrhosis

ArticleYear
Errate: Remimazolam Tosilate Sedation with Adjuvant Sufentanil in Chinese Patients with Liver Cirrhosis Undergoing Gastroscopy: A Randomized Controlled Study.
    Medical science monitor : international medical journal of experimental and clinical research, 2022, Sep-16, Volume: 28

    Topics: Benzodiazepines; China; Double-Blind Method; Gastroscopy; Humans; Hypnotics and Sedatives; Liver Cir

2022
Safety profile of sedative endoscopy including cognitive performance in liver cirrhosis: A double-blind randomized controlled trial.
    Scientific reports, 2019, 11-14, Volume: 9, Issue:1

    Topics: Adult; Aged; Cognition; Double-Blind Method; Endoscopy, Gastrointestinal; Female; Humans; Hypnotics

2019
Propofol is a more effective and safer sedative agent than midazolam in endoscopic injection sclerotherapy for esophageal varices in patients with liver cirrhosis: a randomized controlled trial.
    Fukushima journal of medical science, 2018, Dec-08, Volume: 64, Issue:3

    Topics: Aged; Esophageal and Gastric Varices; Female; Hepatic Encephalopathy; Humans; Hypnotics and Sedative

2018
CYP3A activity in severe liver cirrhosis correlates with Child-Pugh and model for end-stage liver disease (MELD) scores.
    British journal of clinical pharmacology, 2014, Volume: 77, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Animals; Biomarkers, Pharmacological; Cytochrome P-450 CYP3A; Female

2014
Propofol sedation for upper gastrointestinal endoscopy in patients with liver cirrhosis as an alternative to midazolam to avoid acute deterioration of minimal encephalopathy: a randomized, controlled study.
    Scandinavian journal of gastroenterology, 2009, Volume: 44, Issue:10

    Topics: Aged; Endoscopy, Gastrointestinal; Esophageal and Gastric Varices; Female; Hepatic Encephalopathy; H

2009
Sub-clinical hepatic encephalopathy in cirrhotic patients is not aggravated by sedation with propofol compared to midazolam: a randomized controlled study.
    Journal of hepatology, 2011, Volume: 54, Issue:1

    Topics: Adult; Aged; Anesthesia Recovery Period; Cognition; Conscious Sedation; Endoscopy, Gastrointestinal;

2011
Propofol in patients with cirrhosis and minimal hepatic encephalopathy.
    Journal of hepatology, 2011, Volume: 54, Issue:6

    Topics: Anesthetics, Intravenous; Endoscopy, Gastrointestinal; Hepatic Encephalopathy; Humans; Liver Cirrhos

2011
Sedation during upper GI endoscopy in cirrhotic outpatients: a randomized, controlled trial comparing propofol and fentanyl with midazolam and fentanyl.
    Gastrointestinal endoscopy, 2011, Volume: 73, Issue:1

    Topics: Analgesics, Opioid; Anesthesia Recovery Period; Bradycardia; Conscious Sedation; Deep Sedation; Endo

2011
Randomized controlled trial for endoscopy with propofol versus midazolam on psychometric tests and critical flicker frequency in people with cirrhosis.
    Journal of gastroenterology and hepatology, 2012, Volume: 27, Issue:11

    Topics: Adult; Analysis of Variance; Anesthesia Recovery Period; Deep Sedation; Endoscopy, Gastrointestinal;

2012
Intestinal first pass metabolism of midazolam in liver cirrhosis --effect of grapefruit juice.
    British journal of clinical pharmacology, 2002, Volume: 54, Issue:2

    Topics: Adult; Aged; Biological Availability; Citrus; Cross-Over Studies; Cytochrome P-450 Enzyme System; Fe

2002
Nurse-administered propofol versus midazolam and meperidine for upper endoscopy in cirrhotic patients.
    The American journal of gastroenterology, 2003, Volume: 98, Issue:11

    Topics: Aged; Ambulatory Care; Chronic Disease; Conscious Sedation; Dose-Response Relationship, Drug; Drug A

2003
Risk of sedation for upper GI endoscopy exacerbating subclinical hepatic encephalopathy in patients with cirrhosis.
    Gastrointestinal endoscopy, 1999, Volume: 49, Issue:6

    Topics: Adult; Analysis of Variance; Anesthetics, Intravenous; Chi-Square Distribution; Conscious Sedation;

1999
Risk of sedation for upper GI endoscopy exacerbating subclinical hepatic encephalopathy in patients with cirrhosis.
    Gastrointestinal endoscopy, 1999, Volume: 49, Issue:6

    Topics: Adult; Analysis of Variance; Anesthetics, Intravenous; Chi-Square Distribution; Conscious Sedation;

1999
Risk of sedation for upper GI endoscopy exacerbating subclinical hepatic encephalopathy in patients with cirrhosis.
    Gastrointestinal endoscopy, 1999, Volume: 49, Issue:6

    Topics: Adult; Analysis of Variance; Anesthetics, Intravenous; Chi-Square Distribution; Conscious Sedation;

1999
Risk of sedation for upper GI endoscopy exacerbating subclinical hepatic encephalopathy in patients with cirrhosis.
    Gastrointestinal endoscopy, 1999, Volume: 49, Issue:6

    Topics: Adult; Analysis of Variance; Anesthetics, Intravenous; Chi-Square Distribution; Conscious Sedation;

1999
Sedation for gastroscopy: a comparative study of midazolam and Diazemuls in patients with and without cirrhosis.
    British journal of clinical pharmacology, 1986, Volume: 22, Issue:6

    Topics: Adult; Aged; Clinical Trials as Topic; Diazepam; Double-Blind Method; Female; Gastroscopy; Humans; L

1986

Other Studies

20 other studies available for midazolam and Liver Cirrhosis

ArticleYear
Liver Cirrhosis Affects the Pharmacokinetics of the Six Substrates of the Basel Phenotyping Cocktail Differently.
    Clinical pharmacokinetics, 2022, Volume: 61, Issue:7

    Topics: Caffeine; Child; Cytochrome P-450 CYP1A2; Cytochrome P-450 CYP2B6; Cytochrome P-450 CYP2C19; Cytochr

2022
Incorporation and Performance Verification of Hepatic Portal Blood Flow Shunting in Minimal and Full PBPK Models of Liver Cirrhosis.
    Clinical pharmacology and therapeutics, 2023, Volume: 114, Issue:6

    Topics: Buspirone; Humans; Liver Cirrhosis; Midazolam; Models, Biological; Propranolol; Simvastatin

2023
Sedation During Endoscopy in Patients with Cirrhosis: Safety and Predictors of Adverse Events.
    Digestive diseases and sciences, 2020, Volume: 65, Issue:4

    Topics: Adjuvants, Anesthesia; Aged; Analgesics, Opioid; Cohort Studies; Conscious Sedation; Endoscopy; Fema

2020
Propofol alone prevents worsening hepatic encephalopathy rather than midazolam alone or combined sedation after esophagogastroduodenoscopy in compensated or decompensated cirrhotic patients.
    European journal of gastroenterology & hepatology, 2020, Volume: 32, Issue:8

    Topics: Conscious Sedation; Endoscopy, Digestive System; Hepatic Encephalopathy; Humans; Hypnotics and Sedat

2020
Safety of balanced propofol and midazolam in upper gastrointestinal endoscopy for sedation in cirrhotic patients.
    JPMA. The Journal of the Pakistan Medical Association, 2021, Volume: 71, Issue:1(A)

    Topics: Conscious Sedation; Endoscopy, Gastrointestinal; Humans; Hypnotics and Sedatives; Liver Cirrhosis; M

2021
Different Doses of Oxycodone for Endoscopic Injection Sclerotherapy of Esophageal Varices.
    Medical science monitor : international medical journal of experimental and clinical research, 2021, Mar-17, Volume: 27

    Topics: Adult; China; Dose-Response Relationship, Drug; Endoscopy; Esophageal and Gastric Varices; Female; G

2021
Safety and effectiveness of midazolam for cirrhotic patients undergoing endoscopic variceal ligation.
    The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2018, Volume: 29, Issue:4

    Topics: Aged; Esophageal and Gastric Varices; Esophagoscopy; Female; Gastrointestinal Hemorrhage; Humans; Hy

2018
Is midazolam safe for sedation in cirrhotic patients?
    The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2020, Volume: 31, Issue:1

    Topics: Conscious Sedation; Humans; Hypnotics and Sedatives; Liver Cirrhosis; Midazolam

2020
Conscious Sedation Using Midazolam and Sequential Flumazenil in Cirrhotic Patients for Prophylactic Endoscopic Variceal Ligation.
    Digestion, 2015, Volume: 92, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Antidotes; Conscious Sedation; Esophageal and Gastric Varices; Esoph

2015
Outcomes of Propofol Sedation During Emergency Endoscopy Performed for Upper Gastrointestinal Bleeding.
    Digestive diseases and sciences, 2016, Volume: 61, Issue:3

    Topics: Adult; Age Factors; Aged; Anticoagulants; Cerebrovascular Disorders; Cohort Studies; Comorbidity; Di

2016
Reduced duodenal cytochrome P450 3A protein expression and catalytic activity in patients with cirrhosis.
    Clinical pharmacology and therapeutics, 2009, Volume: 85, Issue:4

    Topics: Adult; Aged; Catalysis; Cytochrome P-450 CYP3A; Duodenum; Enzyme Activation; Female; Gene Expression

2009
Vecuronium requirement during liver transplantation under sevoflurane anesthesia.
    Journal of anesthesia, 2010, Volume: 24, Issue:5

    Topics: Aged; Analysis of Variance; Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intravenous;

2010
Midazolam for sedation during diagnostic or therapeutic upper gastrointestinal endoscopy in cirrhotic patients.
    European journal of gastroenterology & hepatology, 2012, Volume: 24, Issue:10

    Topics: Adolescent; Adult; Aged; Anesthesia Recovery Period; Conscious Sedation; Endoscopy, Gastrointestinal

2012
Subclinical encephalopathy after conscious sedation with midazolam in cirrhotic patients?
    The American journal of gastroenterology, 2003, Volume: 98, Issue:6

    Topics: Anesthetics, Intravenous; Conscious Sedation; Humans; Liver Cirrhosis; Midazolam; Neurotoxicity Synd

2003
[Anesthesia and intraoperative treatment in 2 cases of simultaneous liver, pancreas, and kidney transplantation].
    Revista espanola de anestesiologia y reanimacion, 1999, Volume: 46, Issue:5

    Topics: Adult; Anesthesia, General; Cardiomyopathy, Hypertrophic; Diabetes Mellitus, Type 1; Diabetic Nephro

1999
Hepatic and intestinal cytochrome P450 3A activity in cirrhosis: effects of transjugular intrahepatic portosystemic shunts.
    Hepatology (Baltimore, Md.), 2001, Volume: 34, Issue:6

    Topics: Administration, Oral; Adult; Aryl Hydrocarbon Hydroxylases; Biological Availability; Cytochrome P-45

2001
Can pre-emptive analgesia reduce pain experienced after liver biopsy?
    Internal medicine journal, 2002, Volume: 32, Issue:3

    Topics: Analgesia; Biopsy, Needle; Bupivacaine; Hepatitis C, Chronic; Humans; Infusions, Intravenous; Liver

2002
Pharmacokinetics of midazolam following intravenous and oral administration in patients with chronic liver disease and in healthy subjects.
    Journal of clinical pharmacology, 1989, Volume: 29, Issue:3

    Topics: Administration, Oral; Adult; Aged; Antipyrine; Half-Life; Humans; Injections, Intravenous; Liver Cir

1989
A pharmacokinetic study on midazolam in compensated liver cirrhosis.
    International journal of clinical pharmacology research, 1985, Volume: 5, Issue:6

    Topics: Aged; Benzodiazepines; Biotransformation; Female; Half-Life; Humans; Kinetics; Liver Cirrhosis; Live

1985
[Use of midazolam in the cirrhotic patient candidate for visceral surgery. Clinical study apropos of 22 cases].
    Cahiers d'anesthesiologie, 1987, Volume: 35, Issue:4

    Topics: Abdomen; Anesthesia Recovery Period; Anesthesia, General; Humans; Liver Cirrhosis; Midazolam

1987