Product image of Midazolam Accord (Midazolam) supplied by GNH India

Midazolam Accord

Active Ingredient:
Midazolam
Origin:
EU

Midazolam Accord (Midazolam)

Midazolam, the active ingredient in Midazolam Accord, is a benzodiazepine presented as a solution for injection for intramuscular and intravenous use. It provides sedation and anxiolysis in various clinical settings, including pre‑operative medication, procedural sedation, induction of anesthesia, and status epilepticus.

GNH India supplies Midazolam Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Accord Healthcare Ireland Limited

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Indications & Clinical Uses

  • Midazolam is a benzodiazepine that acts on the central nervous system to produce sedation and anxiolysis.
  • Sedation: provides controlled sedation for diagnostic or therapeutic procedures.
  • Anxiolysis: reduces anxiety before surgery or invasive procedures.
  • Pre‑operative medication: prepares patients for anesthesia by calming and reducing reflexes.
  • Induction of anesthesia: facilitates rapid onset of general anesthesia.
  • Procedural sedation: enables safe sedation during minor surgeries or endoscopic procedures.
  • Status epilepticus: used as an adjunct to control refractory seizures.

How It Works

  • Midazolam binds to the benzodiazepine site of the GABA‑A receptor complex, acting as a positive allosteric modulator. This enhances the frequency of chloride channel opening in response to GABA, increasing chloride influx, hyperpolarizing neuronal membranes, and producing central nervous system depression that manifests as sedation, anxiolysis, amnesia, and anticonvulsant effects.

Side Effects

Midazolam may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Drowsiness
  • Dizziness
  • Fatigue
  • Nausea

Serious or Rare Side Effects

  • Respiratory depression
  • Severe hypotension
  • Paradoxical agitation
  • Anaphylaxis
  • Cardiac arrhythmia
  • Loss of consciousness

Precautions & Warnings

  • Prior to administration, clinicians should consider several safety measures.
  • Assess respiratory function: monitor breathing and oxygen saturation during and after administration.
  • Evaluate hepatic function: dose may need adjustment in severe liver impairment.
  • Use caution in the elderly: increased sensitivity to sedative effects.
  • Avoid concomitant CNS depressants: risk of additive sedation and respiratory depression.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Midazolam interacts with several drug classes that may alter its safety or efficacy.

Major Interactions (Avoid)

  • Opioids: additive respiratory depression.
  • Barbiturates: profound CNS depression.
  • General anesthetics: enhanced sedative effect.
  • Alcohol: increased sedation and risk of respiratory compromise.

Moderate Interactions (Monitor Closely)

  • Anticonvulsants (e.g., phenytoin): may reduce efficacy.
  • CYP3A4 inhibitors (e.g., ketoconazole): increase plasma levels.
  • CYP3A4 inducers (e.g., rifampin): decrease plasma levels.
  • Antidepressants (e.g., SSRIs): may increase sedation.

Frequently Asked Questions

Midazolam Accord is a sterile injectable solution of the benzodiazepine midazolam. It is used by healthcare professionals to provide sedation, reduce anxiety, facilitate pre‑operative preparation, induce anesthesia, support procedural sedation, and manage status epilepticus in hospital settings.

Midazolam acts as a positive allosteric modulator at the benzodiazepine binding site of the GABA‑A receptor. By enhancing GABA‑mediated chloride influx, it hyperpolarizes neuronal membranes, leading to central nervous system depression that produces sedation, anxiolysis, amnesia, and anticonvulsant effects.

The dose of Midazolam Accord is determined by the prescribing clinician based on the patient’s age, weight, clinical condition, and intended use. Dosage regimens are individualized and should follow local guidelines and the prescriber’s judgment.

Safety data for midazolam in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies the potential risk to the fetus or infant, and decisions should be made by the treating physician in consultation with the patient.

To request Midazolam Accord, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed) and import documentation.

Midazolam is a short‑acting benzodiazepine with rapid onset, making it useful for procedural sedation and induction of anesthesia. Compared with longer‑acting agents such as diazepam, midazolam provides quicker recovery times and more predictable pharmacokinetics, which can be advantageous in short procedures.

Midazolam Accord should be stored at 2‑8 °C in a refrigerator, protected from light. Do not freeze or shake the vial. Keep the product in its original packaging until use to maintain stability and sterility.

Midazolam Accord is administered by a qualified healthcare professional via intramuscular or intravenous injection. The route, rate of administration, and monitoring depend on the clinical indication and patient condition, following institutional protocols.

The most serious risks include respiratory depression, severe hypotension, paradoxical reactions such as agitation, anaphylaxis, and cardiac arrhythmias. Continuous monitoring of respiratory and cardiovascular status is essential, especially when used with other depressant agents.

Midazolam should be avoided in patients with known hypersensitivity to benzodiazepines, severe respiratory insufficiency, acute narrow‑angle glaucoma, or those taking contraindicated CNS depressants without appropriate monitoring. Individual assessment by a healthcare professional is required.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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