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Active pharmaceutical ingredient

Midazolam Hydrochloride

Midazolam Hydrochloride is a potent benzodiazepine used primarily for its sedative, anxiolytic, and muscle relaxant properties.

Compounded to order
Prescription required

About this ingredient

Midazolam hydrochloride is a benzodiazepine that enhances the inhibitory effects of GABA by binding to a specific benzodiazepine site on the GABA-A receptor complex, producing sedative, anxiolytic, amnestic, and anticonvulsant effects.[1] As a short-acting benzodiazepine with a rapid onset, it is used for procedural sedation, anxiolysis, amnesia, anesthesia induction, seizure management, and maintenance sedation in critically ill patients.[1]

Bayview compounds midazolam hydrochloride preparations on a prescriber's order. Midazolam is formulated as a water-soluble salt, which allows several routes of administration, and it is highly lipid-soluble, allowing it to cross the blood-brain barrier readily.[1]

Midazolam is metabolized primarily in the liver by CYP3A4 to an active metabolite, 1-hydroxy-midazolam, and is excreted mainly by the kidneys as glucuronide conjugates, with an elimination half-life of about 1.5 to 2.5 hours.[1] Dose reduction is needed in patients with hepatic or renal impairment, and elderly patients also require caution.[1]

Available formulations

Formulations and medications containing this ingredient

Each of these is compounded to order at our pharmacy and requires a prescription.

Compounding formulary

Formulas we compound with this ingredient

A sample of preparations from our formulary. Strengths and dose forms are customised to the prescription.

Common questions

Frequently asked questions

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Related

Related active ingredients

Other salt forms of this molecule, and ingredients commonly compounded alongside it.

Important information

This page describes an active pharmaceutical ingredient, not a finished drug product. Bayview Pharmacy compounds preparations containing it only on a prescriber's order for an individual patient.

Compounded preparations are not FDA-approved, and the FDA has not evaluated them for safety, effectiveness, or manufacturing quality. Nothing on this page is a claim that any preparation is effective for any condition.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Talk to a compounding pharmacist

Our pharmacists work with prescribers to build preparations around a patient's dose, form and tolerances. Ask us what is possible with this ingredient.