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Anesth Analg 1984; 63:31-34
© 1984 International Anesthesia Research Society
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Placental Transfer of Midazolam and Its Metabolite 1-Hydroxymethylmidazolam in the Pregnant Ewe

Tom B. Vree, PhD, Joke J. Reekers-Ketting, Robert J. Fragen, MD, PhD, and Theo H. M. Arts

Recieved from the Department of Anesthesiology and the Central Animal Laboratory, Sint Radboud Hospital, University of Nijmegen Medical School, Nijmegen, The Netherlands.

Abstract

Plasma concentrations of midazolam and its metabolites were measured in maternal and fetal blood after intravenous administration of 90 mg of midazolam to seven pregnant ewes in whom sampling catheters had been chronically implanted. Midazolam and its metabolite 1-hydroxymethylmidazolam crossed the placenta of the pregnant ewe. The fetal/maternal plasma concentration ratio of midazolam and the metabolite was 0.15. The distribution and elimination half-lives of midazolam and the metabolite were identical in both maternal and fetal circulations. The major compound found in the urine was the metabolite 1-hydroxymethylmidazolam glucuronide.

Key Words: HYPNOTICS, BENZODIAZEPINES—midazolam • ANESTHESIA—obstetrics




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[Abstract] [Full Text] [PDF]




Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1984 by the International Anesthesia Research Society.