Midazolam: Risk Groups

Pregnant women:
Even though a correlation between benzodiazepines and malformations is not safely established, midazolam should be avoided if possible.

Nursing mothers:
Midazolam is eliminated through breast milk: better avoided.

Children:
Usual parenteral single dose: 0.08 to 0.15 mg/kg (maximum of 0.20 mg/kg). 0.35 to 0.45 mg/kg can be given rectally.

Elderly people:
Greatest care is indicated in the elderly (and when general condition is impaired): initially no more than 50% of the usual dose!

Renal failure:
Dose reduction may be indicated (individual adjustment).

Liver insufficiency:
Dose reduction may be indicated (individual adjustment).

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