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Stahl's Essential Psychopharmacology Online
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Stahl's Essential Psychopharmacology

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  • Essential Psychopharmacology
  • Prescriber's Guide
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  • Atomoxetine
  • Paliperidone
  • Cyamemazine
  • Levetiracetam
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  • Midazolam
  • Therapeutics
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Midazolam

THERAPEUTICS

Brands

  • Versed
  • see index for additional brand names

Generic?

  • No

Class

  • Benzodiazepine (hypnotic)

Commonly Prescribed For

  • (bold for FDA approved)
  • Sedation in pediatric patients
  • Sedation (adjunct to anesthesia)
  • Pre-operative anxiolytic
  • Drug-induced amnesia

How The Drug Works

  • Binds to benzodiazepine receptors at the GABA-A ligand-gated chloride channel complex
  • Enhances the inhibitory effects of GABA
  • Boosts chloride conductance through GABA-regulated channels
  • Inhibitory actions in sleep centers may provide sedative hypnotic effects

How Long Until It Works

  • Intravenous injection: onset 3–5 minutes
  • Intramuscular injection: onset 15 minutes, peak 30–60 minutes

If It Works

  • Patients generally recover 2–6 hours after awakening

If It Doesn’t Work

  • Increase the dose
  • Switch to another agent

Best Augmenting Combos for Partial Response or Treatment-Resistance

  • Augmenting agents have not been adequately studied

Tests

  • None for healthy individuals
 

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