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Benzodiazepine Pregnancy: D — cleft palate risk (first trimester); neonatal withdrawal

Midazolam

Brand names: Hypnovel

Adult dose

Dose: Sedation: 2–2.5mg IV over 30 sec, titrate 1mg increments. Status epilepticus: 10mg IM / buccal
Route: IV / IM / Buccal / Intranasal
Frequency: PRN or continuous infusion
Max: No fixed maximum — titrate to clinical response
RSI co-induction: 0.03–0.05mg/kg IV. ICU sedation infusion: 0.02–0.1mg/kg/h. Buccal/IN for seizures: 0.5mg/kg max 10mg.

Paediatric dose

Dose: 0.5 mg/kg
Route: Buccal / IM / IN
Frequency: Single dose for status epilepticus
Max: 10mg
Concentration: 5 mg/ml

Dose adjustments

Renal

Reduce dose — active metabolites may accumulate in severe renal impairment.

Hepatic

Reduce dose in severe hepatic impairment.

Paediatric weight-based calculator

Clinical pearls

  • Buccal midazolam is first-line for paediatric seizures in the community and pre-hospital: 0.5mg/kg max 10mg. As effective as IV diazepam.
  • Intranasal midazolam via MAD: 0.2mg/kg max 10mg — avoids IV access in distressed children.
  • In elderly: halve the dose — prolonged sedation and respiratory depression risk.
  • Paradoxical agitation: consider in children and elderly. Treat with small dose physostigmine or wait.

Contraindications

  • Acute narrow-angle glaucoma
  • Severe respiratory failure or apnoea
  • Myasthenia gravis

Side effects

  • Respiratory depression — potentiated by opioids
  • Hypotension
  • Paradoxical agitation (particularly in elderly and children)
  • Anterograde amnesia (useful for procedural sedation)
  • Pain on IV injection

Interactions

  • Opioids: potentiated respiratory depression — reduce both doses by ~30%
  • Flumazenil: reversal — 0.2mg IV increments to max 1mg
  • CYP3A4 inhibitors (erythromycin, fluconazole): markedly increase midazolam levels
  • Alcohol: additive CNS depression

Monitoring

  • Respiratory rate
  • SpO₂
  • sedation level (RASS)
  • BP

Reference: BNFc; NICE BNF 84; APLS 6th Edition; RCPCH Seizure Guidelines. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.