Review of intranasally administered medications for use in the emergency department

AM Bailey, RA Baum, K Horn, T Lewis, K Morizio… - The Journal of …, 2017 - Elsevier
Background Intranasal (IN) medication delivery is a viable alternative to other routes of
administration, including intravenous (IV) and intramuscular (IM) administration. The IN route …

Clinical pharmacology of midazolam in neonates and children: effect of disease—a review

GM Pacifici - International journal of pediatrics, 2014 - Wiley Online Library
Midazolam is a benzodiazepine with rapid onset of action and short duration of effect. In
healthy neonates the half‐life (t1/2) and the clearance (Cl) are 3.3‐fold longer and 3.7‐fold …

Trigeminal pathways deliver a low molecular weight drug from the nose to the brain and orofacial structures

NJ Johnson, LR Hanson, WH Frey - Molecular pharmaceutics, 2010 - ACS Publications
Intranasal delivery has been shown to noninvasively deliver drugs from the nose to the brain
in minutes along the olfactory and trigeminal nerve pathways, bypassing the blood− brain …

Pharmacokinetics and pharmacodynamics of midazolam administered as a concentrated intranasal spray. A study in healthy volunteers

PD Knoester, DM Jonker… - British journal of …, 2002 - Wiley Online Library
Aims To investigate the pharmacokinetic and pharmacodynamic profile of midazolam
administered as a concentrated intranasal spray, compared with intravenous midazolam, in …

Cyclodextrin solubilization of benzodiazepines: formulation of midazolam nasal spray

T Loftsson, H Guðmundsdóttir, JF Sigurjonsdottir… - International journal of …, 2001 - Elsevier
The cyclodextrin solubilization of three benzodiazepines, ie alprazolam, midazolam and
triazolam, was investigated. The cyclodextrin solubilization was enhanced through ring …

Bioavailability and pharmacokinetics of lorazepam after intranasal, intravenous, and intramuscular administration

DPH Wermeling, JL Miller, SM Archer… - The Journal of …, 2001 - Wiley Online Library
The purpose of this study was to evaluate the pharmacokinetic profile of intranasal
lorazepam in comparison to currently established administration routes. Eleven healthy …

Can nasal drug delivery bypass the blood-brain barrier? Questioning the direct transport theory

FWHM Merkus, MP van den Berg - Drugs in R & D, 2007 - Springer
The connection between the nasal cavity and the CNS by the olfactory neurones has been
investigated extensively during the last decades with regard to its feasibility to serve as a …

Current oral and non-oral routes of antiepileptic drug delivery

GD Anderson, RP Saneto - Advanced drug delivery reviews, 2012 - Elsevier
Antiepileptic drugs are commonly given orally for chronic treatment of epilepsy. The
treatment of epilepsy requires administration of medications for both acute and chronic …

Intranasal delivery of antiepileptic medications for treatment of seizures

DP Wermeling - Neurotherapeutics, 2009 - Springer
Acute isolated seizure, repetitive or recurrent seizures, and status epilepticus are all deemed
medical emergencies. Mortality and worse neurologic outcome are directly associated with …

A pilot study assessing the bioavailability and pharmacokinetics of diazepam after intranasal and intravenous administration in healthy volunteers

SK Agarwal, RL Kriel, RC Brundage, VD Ivaturi… - Epilepsy research, 2013 - Elsevier
Diazepam rectal gel (Diastat®) is the only FDA-approved product indicated for acute
repetitive seizures. Despite its proven efficacy, most older children and adults object to this …