Page last updated: 2024-10-31

midazolam and Obesity

midazolam has been researched along with Obesity in 24 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.

Obesity: A status with BODY WEIGHT that is grossly above the recommended standards, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY).

Research Excerpts

ExcerptRelevanceReference
"In view of the increasing prevalence of obesity in adolescents, the aim of this study was to determine the pharmacokinetics of the CYP3A substrate midazolam and its metabolites in overweight and obese adolescents."7.81Population pharmacokinetics of midazolam and its metabolites in overweight and obese adolescents. ( Barrett, JS; Knibbe, CA; Moorthy, GS; van den Anker, JN; van Rongen, A; Vaughns, JD, 2015)
"The effects of age, sex, and obesity on the kinetics of single intravenous (iv) and oral doses of midazolam were evaluated in healthy volunteers who received 2."7.67Effect of age, gender, and obesity on midazolam kinetics. ( Abernethy, DR; Greenblatt, DJ; Harmatz, JS; Limjuco, RA; Locniskar, A; Shader, RI, 1984)
" access, and blood sampling pain and stress affect hormone values, treatment with N(2)O or midazolam influence the glucose and stress hormone levels differently."5.16Effects of midazolam and nitrous oxide on endocrine and metabolic measurements in children. ( Ekbom, K; Jakobsson, J; Kalman, S; Marcus, C, 2012)
"In view of the increasing prevalence of obesity in adolescents, the aim of this study was to determine the pharmacokinetics of the CYP3A substrate midazolam and its metabolites in overweight and obese adolescents."3.81Population pharmacokinetics of midazolam and its metabolites in overweight and obese adolescents. ( Barrett, JS; Knibbe, CA; Moorthy, GS; van den Anker, JN; van Rongen, A; Vaughns, JD, 2015)
"To investigate the relationship between total body weight (TBW) or body mass index (BMI) and atracurium reversal time."3.70Antagonism of atracurium-induced block in obese patients. ( Kirkegaard-Nielsen, H; Lindholm, P; Petersen, HS; Severinsen, IK, 1998)
" We have previously shown substantial intraindividual variability in midazolam absolute bioavailability and clearance in patients with obesity before and after weight loss induced by gastric bypass or a strict diet."1.91Intraindividual Variability in Absolute Bioavailability and Clearance of Midazolam in Healthy Individuals. ( Åsberg, A; Drevland, OM; Haugli, N; Kvitne, KE; Robertsen, I; Skadberg, E; Zaré, HK, 2023)
" Sedative and analgesic dosing was not clinically significantly higher in obese patients than in non-obese patients."1.43Sedation for Bronchoscopy and Complications in Obese Patients. ( Bellinger, CR; Chatterjee, AB; Haponik, E; Khan, I, 2016)
"The aim of this study is to assess the prevalence of sedation-related adverse events and the independent predictors of sedation requirements in RYGB patients."1.40Conscious sedation for upper endoscopy in the gastric bypass patient: prevalence of cardiopulmonary adverse events and predictors of sedation requirement. ( Abu Dayyeh, BK; Jirapinyo, P; Thompson, CC, 2014)
"40 of 79 patients (51%) developed hypoxemia, which occurred more frequently in the obese (71%; 10/14) than the nonobese (46%; 30/65) group (P=0."1.35Risk factors for hypoxemia during ambulatory gastrointestinal endoscopy in ASA I-II patients. ( Dumot, JA; Qadeer, MA; Rocio Lopez, A; Vargo, JJ, 2009)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-19901 (4.17)18.7374
1990's4 (16.67)18.2507
2000's4 (16.67)29.6817
2010's12 (50.00)24.3611
2020's3 (12.50)2.80

Authors

AuthorsStudies
Kvitne, KE1
Drevland, OM1
Haugli, N1
Skadberg, E1
Zaré, HK1
Åsberg, A1
Robertsen, I1
Verkerk, BS1
Dzierba, AL1
Muir, J1
Der-Nigoghossian, C1
Brodie, D1
Bacchetta, M1
Rietdijk, W1
Bakker, J1
Howie, GC1
Ransford, N1
Russell, SH1
van Rongen, A2
Brill, MJE1
Vaughns, JD2
Välitalo, PAJ1
van Dongen, EPA1
van Ramshorst, B1
Barrett, JS2
van den Anker, JN2
Knibbe, CAJ1
Horwitz, G1
Roncari, D1
Braaten, KP1
Maurer, R1
Fortin, J1
Goldberg, AB1
Döbrönte, Z1
Szenes, M1
Gasztonyi, B1
Csermely, L1
Kovács, M1
Lakatos, L1
Lakner, L1
Mester, G1
Pandur, T1
Patai, A1
Pák, P1
Pécsi, G1
Rácz, I1
Sarang, K1
Stöckert, A1
Székely, A1
Varga Szabó, L1
Li, L1
Feng, J1
Xie, SH1
Geng, LC1
Jirapinyo, P1
Abu Dayyeh, BK1
Thompson, CC1
Chan, LN1
Lin, YS1
Tay-Sontheimer, JC1
Trawick, D1
Oelschlager, BK1
Flum, DR1
Patton, KK1
Shen, DD1
Horn, JR1
Moorthy, GS1
Knibbe, CA1
Khan, I1
Chatterjee, AB1
Bellinger, CR1
Haponik, E1
Qadeer, MA1
Rocio Lopez, A1
Dumot, JA1
Vargo, JJ1
Ekbom, K2
Kalman, S2
Jakobsson, J2
Marcus, C2
Ghose, R1
Omoluabi, O1
Gandhi, A1
Shah, P1
Strohacker, K1
Carpenter, KC1
McFarlin, B1
Guo, T1
Edelman, A1
Munar, M1
Elman, MR1
Koop, D1
Cherala, G1
Compton, R1
Spiller, HA1
Bosse, GM1
Cillo, JE1
Finn, R1
Greenblatt, DJ1
Abernethy, DR1
Locniskar, A1
Harmatz, JS1
Limjuco, RA1
Shader, RI1
Block, R1
Jankowski, J1
Johnston, D1
Colvin, JR1
Wormsley, KG1
Smith, MR1
Bell, GD1
Kirkegaard-Nielsen, H1
Lindholm, P1
Petersen, HS1
Severinsen, IK1
Buczko, GB1
Lindahl, SG1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
High Flow Nasal Cannula (HFNC) Versus Standard Low Flow Nasal Cannula (LFNC) in Patients With Atrial Fibrillation Undergoing Radiofrequency Catheter Ablation (RFCA) Under Deep Desaturation.[NCT04842253]210 participants (Anticipated)Interventional2022-01-04Recruiting
Music Utilization in Sedation and Induction in Colonoscopy[NCT04468048]0 participants (Actual)Observational2019-01-30Withdrawn (stopped due to No participants)
High-Flow Nasal Oxygenation Versus Standard Oxygenation in Gastrointestinal Endoscopy With Sedation. A Prospective Multicenter Randomized Study[NCT03829293]380 participants (Actual)Interventional2019-03-26Completed
Effects of Clonidine and Midazolam Premedication on Bispectral Index and Recovery After Elective Surgery[NCT00638729]60 participants (Actual)Interventional2005-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

2 reviews available for midazolam and Obesity

ArticleYear
Sedation in critically ill patients: a review.
    Medicine and health, Rhode Island, 2001, Volume: 84, Issue:10

    Topics: Adult; Age Factors; Aged; Analgesics; Critical Illness; Electroencephalography; Humans; Hypnotics an

2001
The use of midazolam in premedication.
    Acta anaesthesiologica Scandinavica. Supplementum, 1990, Volume: 92

    Topics: Anxiety; Diazepam; Half-Life; Humans; Midazolam; Obesity; Postoperative Period; Preanesthetic Medica

1990

Trials

4 trials available for midazolam and Obesity

ArticleYear
Efficient intravenous access without distress: a double-blind randomized study of midazolam and nitrous oxide in children and adolescents.
    Archives of pediatrics & adolescent medicine, 2011, Volume: 165, Issue:9

    Topics: Adolescent; Analgesics, Non-Narcotic; Anesthetics, Intravenous; Anesthetics, Local; Chi-Square Distr

2011
Effect of the ethinylestradiol/levonorgestrel combined oral contraceptive on the activity of cytochrome P4503A in obese women.
    British journal of clinical pharmacology, 2012, Volume: 74, Issue:3

    Topics: Adolescent; Adult; Chromatography, Liquid; Contraceptives, Oral, Combined; Cytochrome P-450 CYP3A; D

2012
Effects of midazolam and nitrous oxide on endocrine and metabolic measurements in children.
    Hormone research in paediatrics, 2012, Volume: 77, Issue:5

    Topics: Adolescent; Anesthetics, Local; Blood Glucose; Blood Specimen Collection; Catheterization, Periphera

2012
The administration of supplementary oxygen to prevent hypoxia during upper alimentary endoscopy.
    Endoscopy, 1993, Volume: 25, Issue:4

    Topics: Costs and Cost Analysis; Diazepam; Endoscopy, Gastrointestinal; Female; Humans; Hypoxia; Male; Midaz

1993

Other Studies

18 other studies available for midazolam and Obesity

ArticleYear
Intraindividual Variability in Absolute Bioavailability and Clearance of Midazolam in Healthy Individuals.
    Clinical pharmacokinetics, 2023, Volume: 62, Issue:7

    Topics: Administration, Intravenous; Administration, Oral; Biological Availability; Cytochrome P-450 CYP3A;

2023
Opioid and Benzodiazepine Requirements in Obese Adult Patients Receiving Extracorporeal Membrane Oxygenation.
    The Annals of pharmacotherapy, 2020, Volume: 54, Issue:2

    Topics: Adult; Analgesics, Opioid; Benzodiazepines; Extracorporeal Membrane Oxygenation; Female; Fentanyl; H

2020
Clinical considerations in providing intravenous sedation with midazolam for obese patients in dentistry.
    British dental journal, 2021, Volume: 230, Issue:9

    Topics: Anesthesia, Dental; Capnography; Conscious Sedation; Humans; Hypnotics and Sedatives; Midazolam; Obe

2021
Higher Midazolam Clearance in Obese Adolescents Compared with Morbidly Obese Adults.
    Clinical pharmacokinetics, 2018, Volume: 57, Issue:5

    Topics: Administration, Intravenous; Adolescent; Adult; Child; Cytochrome P-450 CYP3A; Female; Humans; Hypno

2018
Moderate intravenous sedation for first trimester surgical abortion: a comparison of adverse outcomes between obese and normal-weight women.
    Contraception, 2018, Volume: 97, Issue:1

    Topics: Abortion, Induced; Adolescent; Adult; Anesthetics, Intravenous; Body Mass Index; Child; Conscious Se

2018
[Role of pulse oximetric monitoring during gastrointestinal endoscopy. Prospective multicenter study of the Gastroenterology Working Group of the Veszprém Regional Committee of the Hungarian Academy of Sciences (VEAB)].
    Orvosi hetilap, 2013, May-26, Volume: 154, Issue:21

    Topics: Adjuvants, Anesthesia; Age Factors; Aged; Aged, 80 and over; Cardiovascular Diseases; Cholangiopancr

2013
A chin-lift mask produces a patent airway more effectively than an oropharyngeal airway using the EC-clamp technique in obese patients.
    The Journal of international medical research, 2014, Volume: 42, Issue:3

    Topics: Adult; Anesthesia, General; Anesthetics, Intravenous; Atracurium; Chin; Cholecystectomy; Cholecystit

2014
Conscious sedation for upper endoscopy in the gastric bypass patient: prevalence of cardiopulmonary adverse events and predictors of sedation requirement.
    Digestive diseases and sciences, 2014, Volume: 59, Issue:9

    Topics: Adult; Anesthetics, Intravenous; Arrhythmias, Cardiac; Body Mass Index; Conscious Sedation; Endoscop

2014
Proximal Roux-en-Y gastric bypass alters drug absorption pattern but not systemic exposure of CYP3A4 and P-glycoprotein substrates.
    Pharmacotherapy, 2015, Volume: 35, Issue:4

    Topics: Adult; ATP Binding Cassette Transporter, Subfamily B, Member 1; Cytochrome P-450 CYP3A; Digoxin; Fem

2015
Population pharmacokinetics of midazolam and its metabolites in overweight and obese adolescents.
    British journal of clinical pharmacology, 2015, Volume: 80, Issue:5

    Topics: Adolescent; Body Weight; Child; Female; Humans; Hypnotics and Sedatives; Male; Midazolam; Models, Bi

2015
Sedation for Bronchoscopy and Complications in Obese Patients.
    Respiration; international review of thoracic diseases, 2016, Volume: 92, Issue:3

    Topics: Anesthetics, Intravenous; Body Mass Index; Bronchoscopy; Conscious Sedation; Female; Fentanyl; Human

2016
Risk factors for hypoxemia during ambulatory gastrointestinal endoscopy in ASA I-II patients.
    Digestive diseases and sciences, 2009, Volume: 54, Issue:5

    Topics: Age Factors; Aged; Ambulatory Surgical Procedures; Body Mass Index; Conscious Sedation; Dose-Respons

2009
Risk factors for hypoxemia during ambulatory gastrointestinal endoscopy in ASA I-II patients.
    Digestive diseases and sciences, 2009, Volume: 54, Issue:5

    Topics: Age Factors; Aged; Ambulatory Surgical Procedures; Body Mass Index; Conscious Sedation; Dose-Respons

2009
Risk factors for hypoxemia during ambulatory gastrointestinal endoscopy in ASA I-II patients.
    Digestive diseases and sciences, 2009, Volume: 54, Issue:5

    Topics: Age Factors; Aged; Ambulatory Surgical Procedures; Body Mass Index; Conscious Sedation; Dose-Respons

2009
Risk factors for hypoxemia during ambulatory gastrointestinal endoscopy in ASA I-II patients.
    Digestive diseases and sciences, 2009, Volume: 54, Issue:5

    Topics: Age Factors; Aged; Ambulatory Surgical Procedures; Body Mass Index; Conscious Sedation; Dose-Respons

2009
Risk factors for hypoxemia during ambulatory gastrointestinal endoscopy in ASA I-II patients.
    Digestive diseases and sciences, 2009, Volume: 54, Issue:5

    Topics: Age Factors; Aged; Ambulatory Surgical Procedures; Body Mass Index; Conscious Sedation; Dose-Respons

2009
Risk factors for hypoxemia during ambulatory gastrointestinal endoscopy in ASA I-II patients.
    Digestive diseases and sciences, 2009, Volume: 54, Issue:5

    Topics: Age Factors; Aged; Ambulatory Surgical Procedures; Body Mass Index; Conscious Sedation; Dose-Respons

2009
Risk factors for hypoxemia during ambulatory gastrointestinal endoscopy in ASA I-II patients.
    Digestive diseases and sciences, 2009, Volume: 54, Issue:5

    Topics: Age Factors; Aged; Ambulatory Surgical Procedures; Body Mass Index; Conscious Sedation; Dose-Respons

2009
Risk factors for hypoxemia during ambulatory gastrointestinal endoscopy in ASA I-II patients.
    Digestive diseases and sciences, 2009, Volume: 54, Issue:5

    Topics: Age Factors; Aged; Ambulatory Surgical Procedures; Body Mass Index; Conscious Sedation; Dose-Respons

2009
Risk factors for hypoxemia during ambulatory gastrointestinal endoscopy in ASA I-II patients.
    Digestive diseases and sciences, 2009, Volume: 54, Issue:5

    Topics: Age Factors; Aged; Ambulatory Surgical Procedures; Body Mass Index; Conscious Sedation; Dose-Respons

2009
Role of high-fat diet in regulation of gene expression of drug metabolizing enzymes and transporters.
    Life sciences, 2011, Jul-04, Volume: 89, Issue:1-2

    Topics: Animals; Aryl Hydrocarbon Hydroxylases; Arylsulfotransferase; Constitutive Androstane Receptor; Cyto

2011
Fatal fluoxetine ingestion with postmortem blood concentrations.
    Clinical toxicology (Philadelphia, Pa.), 2005, Volume: 43, Issue:4

    Topics: Adult; Anticonvulsants; Antidepressive Agents, Second-Generation; Bradycardia; Child, Preschool; Dia

2005
Correlation and comparison of body mass index on hemodynamics in hypertensive and normotensive patients undergoing intravenous sedation.
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 2006, Volume: 64, Issue:4

    Topics: Adult; Anesthesia, Dental; Anesthetics, Intravenous; Blood Pressure; Body Mass Index; Conscious Seda

2006
Effect of age, gender, and obesity on midazolam kinetics.
    Anesthesiology, 1984, Volume: 61, Issue:1

    Topics: Administration, Oral; Adult; Age Factors; Aged; Anesthetics; Benzodiazepines; Female; Half-Life; Hum

1984
Routine oxygen during endoscopy? An editorial review.
    Endoscopy, 1993, Volume: 25, Issue:4

    Topics: Costs and Cost Analysis; Diazepam; Endoscopy, Gastrointestinal; Humans; Hypoxia; Midazolam; Obesity;

1993
Antagonism of atracurium-induced block in obese patients.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1998, Volume: 45, Issue:1

    Topics: Adult; Anesthetics, Inhalation; Anesthetics, Intravenous; Atracurium; Body Mass Index; Body Weight;

1998