> Trialight public data. Index of pages: https://trialight.com/llms.txt > Web page: https://trialight.com/data/asset/midazolam-hydrochloride-d5e323ae-e0f2-4464-9142-ca661aacc87e > Record changed: 2026-10-13 # Midazolam hydrochloride Highest phase reached Approved Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200420) Drug type Small molecule Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200420) First approval year 1985 Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200420) ## Development status **First approval year** 1985 Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200420) **Listing at source** Listed **Highest phase reached** Approved Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200420) ## Names and chemistry **Drug type** Small molecule Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200420) **Drug name** Midazolam hydrochloride Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200420) **Molecular weight** 362.24 Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200420) **Structure (SMILES)** Cc1ncc2n1-c1ccc(Cl)cc1C(c1ccccc1F)=NC2.Cl Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200420) ### Brand names (16) - buccolam - Buccolam - hypnovel - Hypnovel - midazolam hydrochloride - Midazolam hydrochloride - Midazolam hydrochloride (autoinjector) - midazolam hydrochloride autoinjector - midazolam hydrochloride preservative free - Midazolam hydrochloride preservative free - midozalam hydrochloride - Midozalam hydrochloride - seizalam - Seizalam - versed - Versed ### Other names (40) - 8 chloro 6 o fluorophenyl 1 methyl 4h imidazo 1 5 a 1 4 benzodiazepine monohydrochloride - 8-Chloro-6-(O-fluorophenyl)-1-methyl-4H-imidazo\[1,5-a\]\[1,4\]benzodiazepine monohydrochloride - buccolam 10mg - midazolam hcl - Midazolam hcl - midazolam hydrochloride - Midazolam hydrochloride - MIDAZOLAM HYDROCHLORIDE \[HSDB\] - MIDAZOLAM HYDROCHLORIDE \[MART.\] - MIDAZOLAM HYDROCHLORIDE \[MI\] - MIDAZOLAM HYDROCHLORIDE \[ORANGE BOOK\] - MIDAZOLAM HYDROCHLORIDE \[USAN\] - MIDAZOLAM HYDROCHLORIDE \[VANDF\] - Midazolam hydrochloride \[WHO-DD\] - midazolam hydrochloride civ - Midazolam hydrochloride civ - MIDAZOLAM HYDROCHLORIDE CIV \[USP-RS\] - midazolam hydrochloride civ usp rs - midazolam hydrochloride hsdb - midazolam hydrochloride mart - midazolam hydrochloride mi - midazolam hydrochloride orange book - midazolam hydrochloride usan - midazolam hydrochloride vandf - midazolam hydrochloride who dd And 15 more, listed on the interactive page. ## Identifiers **CAS registry numbers** - 59467-96-8 **ChEMBL ID** CHEMBL1200420 Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200420) **InChIKey** PLYSCVSCYOQVRP-UHFFFAOYSA-N Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200420) **FDA ingredient codes (UNII)** - W7TTW573JJ ### PubChem compound IDs (2) - 43032 - 92031775 ### RxNorm IDs (RxCUI) (2) - 142441 - 203128 ## Regulatory information ### United States **Applicant** HLR **Approval date** 20 Dec 1985 **Application number** NDA018654 ### Other regulatory facts **First in class** No **Orphan designation** No **Availability** Prescription only **Boxed warning** Yes ## Pharmacology ### Drug classification #### Administration routes - Oral - Parenteral ### Mechanisms of action (16) - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** O00591 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** O14764 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** P14867 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** P18505 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** P18507 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** P28472 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** P31644 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** P34903 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** P47869 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** P47870 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** P48169 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** P78334 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** Q16445 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** Q8N1C3 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** Q99928 - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE\_ALLOSTERIC\_MODULATOR **Target** GABA-A receptor; anion channel **Protein identifier** Q9UN88 ### Open Targets mechanisms - **Mechanism** GABA-A receptor; anion channel positive allosteric modulator **Action type** POSITIVE ALLOSTERIC MODULATOR **Target** GABA-A receptor; anion channel ### Investigated indications (15) - **Condition** Dermatitis, Atopic **Highest recorded phase** 1 **Condition identifier** EFO:0000274 **Subject identifier** D003876 - **Condition** Neoplasms **Highest recorded phase** 1 **Condition identifier** EFO:0000616 **Subject identifier** D009369 - **Condition** Nervous System Diseases **Highest recorded phase** 3 **Condition identifier** EFO:0000618 **Subject identifier** D009422 - **Condition** Adenomatous Polyposis Coli **Highest recorded phase** 2 **Condition identifier** EFO:0000662 **Subject identifier** D011125 - **Condition** Pain **Highest recorded phase** 0.5 **Condition identifier** EFO:0003843 **Subject identifier** D010146 - **Condition** Status Epilepticus **Highest recorded phase** 1 **Condition identifier** EFO:0008526 **Subject identifier** D013226 - **Condition** Burns **Highest recorded phase** 1 **Condition identifier** EFO:0009516 **Subject identifier** D002056 - **Condition** Bipolar Disorder **Highest recorded phase** 2 **Condition identifier** EFO:0009963 **Subject identifier** D001714 - **Condition** Amnesia **Highest recorded phase** 4 **Condition identifier** EFO:1001454 **Subject identifier** D000647 - **Condition** Dental Anxiety **Highest recorded phase** 2 **Condition identifier** EFO:1001884 **Subject identifier** D016854 - **Condition** Epilepsy **Highest recorded phase** 4 **Condition identifier** HP:0001250 **Subject identifier** D004827 - **Condition** Depressive Disorder, Major **Highest recorded phase** 2 **Condition identifier** MONDO:0002009 **Subject identifier** D003865 - **Condition** Depressive Disorder **Highest recorded phase** 2 **Condition identifier** MONDO:0002050 **Subject identifier** D003866 - **Condition** Diabetes Mellitus, Type 2 **Highest recorded phase** 0.5 **Condition identifier** MONDO:0005148 **Subject identifier** D003924 - **Condition** Tuberculosis **Highest recorded phase** 1 **Condition identifier** MONDO:0018076 **Subject identifier** D014376 ### Open Targets indications (13) - **Condition identifier** EFO\_0000474 **Highest recorded phase** 2 - **Condition identifier** EFO\_0000616 **Highest recorded phase** 1 - **Condition identifier** EFO\_0000618 **Highest recorded phase** 3 - **Condition identifier** EFO\_0008526 **Highest recorded phase** 1 - **Condition identifier** EFO\_0008526 **Highest recorded phase** 3 - **Condition identifier** EFO\_0009516 - **Condition identifier** EFO\_1001454 - **Condition identifier** EFO\_1001454 **Highest recorded phase** 4 - **Condition identifier** HP\_0000739 - **Condition identifier** HP\_0001250 **Highest recorded phase** 4 - **Condition identifier** HP\_0012531 - **Condition identifier** MONDO\_0005027 **Highest recorded phase** 2 - **Condition identifier** MONDO\_0005148 ### Warnings (3) - **Warning** Black Box Warning - **Warning** Black Box Warning **Effect** misuse - **Warning** Black Box Warning **Effect** respiratory toxicity ### Open Targets warnings (3) - **Warning** Black Box Warning **Country** United States - **Warning** Black Box Warning **Effect** misuse **Country** United States - **Warning** Black Box Warning **Effect** respiratory toxicity **Country** United States ### Reported adverse events (47) - **Event** acidosis hyperchloraemic **Reports** 20 **Reporting signal score** 68.5723 - **Event** agitation **Reports** 159 **Reporting signal score** 151.427 - **Event** anaesthetic complication **Reports** 37 **Reporting signal score** 91.0136 - **Event** anaesthetic complication neurological **Reports** 33 **Reporting signal score** 132.808 - **Event** anaphylactic reaction **Reports** 233 **Reporting signal score** 313.162 - **Event** anaphylactic shock **Reports** 134 **Reporting signal score** 222.444 - **Event** apnoea **Reports** 76 **Reporting signal score** 165.268 - **Event** bradycardia **Reports** 164 **Reporting signal score** 145.192 - **Event** bronchospasm **Reports** 57 **Reporting signal score** 69.128 - **Event** cardiac arrest **Reports** 139 **Reporting signal score** 206.082 - **Event** cardio-respiratory arrest **Reports** 52 **Reporting signal score** 84.4006 - **Event** circulatory collapse **Reports** 63 **Reporting signal score** 91.4448 - **Event** coma **Reports** 99 **Reporting signal score** 90.5121 - **Event** delayed recovery from anaesthesia **Reports** 38 **Reporting signal score** 131.231 - **Event** delirium **Reports** 153 **Reporting signal score** 215.98 - **Event** depressed level of consciousness **Reports** 101 **Reporting signal score** 94.8728 - **Event** diabetes insipidus **Reports** 31 **Reporting signal score** 73.8373 - **Event** diarrhoea **Reports** 60 **Reporting signal score** 64.0765 - **Event** drug reaction with eosinophilia and systemic symptoms **Reports** 123 **Reporting signal score** 162.628 - **Event** encephalopathy **Reports** 67 **Reporting signal score** 63.6211 - **Event** fatigue **Reports** 32 **Reporting signal score** 116.837 - **Event** female genital tract fistula **Reports** 24 **Reporting signal score** 65.205 - **Event** generalised tonic-clonic seizure **Reports** 74 **Reporting signal score** 108.392 - **Event** haemodynamic instability **Reports** 37 **Reporting signal score** 63.3091 - **Event** hyperthermia malignant **Reports** 39 **Reporting signal score** 121.104 And 22 more, listed on the interactive page. ### Trial references (16) - NCT00125424 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00125424) - NCT00142493 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00142493) - NCT01162486 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT01162486) - NCT01218620 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT01218620) - NCT03330990 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT03330990) - NCT02284204 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT02284204) - NCT03336450 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT03336450) - NCT03336645 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT03336645) - NCT03556592 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT03556592) - NCT03889756 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT03889756) - NCT04613453 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04613453) - NCT04679623 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04679623) - NCT05004896 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05004896) - NCT05081583 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05081583) - NCT05579509 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05579509) - NCT06126991 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06126991) ## Dosing **Dose** Up to 2.5mg **Route** Intravenous **How often** Individualized and titrated ### Conditions of use (2) - Administer over at least 2 minutes - Wait 2+ minutes to evaluate effect ## Chemical properties **Hydrogen bond acceptors** 3 **Hydrogen bond donors** 0 **Polar surface area** 30.18 **Calculated partition coefficient (ALogP)** 4.32 **Prodrug** No **Chirality** Achiral **Inorganic** No **Rule-of-five violations** 0 **Rotatable bonds** 1 **Heavy atoms** 24 **Molecular formula** C18H14Cl2FN3 **Monoisotopic mass** 361.0548810 **Natural product** No ## National Drug Codes - 0054-3566 - 0143-9379 - 0143-9380 - 0404-9780 - 0404-9801 - 0404-9913 - 0404-9915 - 0404-9916 - 0409-0001 - 0409-2305 - 0409-2308 - 0409-2587 - 0409-2596 - 0574-0150 - 0641-6056 - 0641-6057 - 0641-6059 - 0641-6060 - 0641-6061 - 0641-6063 - 0641-6190 - 0641-6209 - 0641-6210 - 0641-6211 - 0641-6218 And 46 more, listed on the interactive page. ## Evidence counts **Recorded assays** 886 **Active assays** 37 ### Active assay types (3) - Confirmatory - Screening - Summary ## Pharmacologic actions - Adjuvants, Anesthesia Source: [id.nlm.nih.gov](https://id.nlm.nih.gov/mesh/D000759.html) - Hypnotics and Sedatives Source: [id.nlm.nih.gov](https://id.nlm.nih.gov/mesh/D006993.html) - Anti-Anxiety Agents Source: [id.nlm.nih.gov](https://id.nlm.nih.gov/mesh/D014151.html) - Anesthetics, Intravenous Source: [id.nlm.nih.gov](https://id.nlm.nih.gov/mesh/D018686.html) - GABA Modulators Source: [id.nlm.nih.gov](https://id.nlm.nih.gov/mesh/D018757.html) ## Related records ### Trials (32) - A PHASE 1, OPEN-LABEL, CROSS-OVER, FIXED SEQUENCE STUDY TO EVALUATE THE EFFECT OF MULTIPLE DOSES OF DS-1971A ON THE SINGLE DOSE PHARMACOKINETICS OF PROBE SUBSTRATES FOR CYP2B6, CYP2C8, CYP2C9, CYP2C19 AND CYP3A4 ENZYMES IN HEALTHY MALE AND FEMALE SUBJECTS - A Study to Investigate the Effects of Multiple Doses of Rezatapopt on the Pharmacokinetics of Metformin, Rosuvastatin, Repaglinide, and Midazolam in Patients With Advanced Solid Tumors Harboring a TP53 Y220C Mutation. - [A Trial to Compare the Pharmacokinetics of Two Presentations of Navenibart in Healthy Participants](https://trialight.com/data/trial/a-trial-to-compare-the-pharmacokinetics-of-two-presentations-9dba3ef3-7dfe-4fc8-8193-f30dfabbaf3d.md) - Assessing the Pharmacokinetics and Drug Interaction Liability of Kratom, an Opioid-like Natural Product - Clinical Evaluation of the Pharmacokinetic Goldenseal-Metformin Interaction in Diabetic Patients - Comparison of Triazolam and Midazolam for Anxiolysis During Dental Treatment in the Pediatric Patient - Comparison of Two Intravenous Drug Combinations for Ambulatory Oral & Maxillofacial Surgery - Drug-drug Interaction Trial With Tralokinumab in Moderate to Severe Atopic Dermatitis - ECZTRA 4 - Effect of Affective Content on Drug Induced Amnesia of Episodic Memory - Effects of BI 201335 NA on Cytochrome P450 and P-glycoprotein Activity Using a Probe Drug Cocktail in Healthy Volunteers - Evaluate the Effect of Entrectinib on the Pharmacokinetics of Midazolam in Cancer Patients - Gamma-Secretase/Notch Signalling Pathway Inhibitor RO4929097 in Treating Patients With Advanced Solid Tumors - i-CBT and IV Ketamine for Suicidality in Treatment-Resistant Depression: A Randomized, Midazolam-Controlled Clinical Trial - Inducibility and Stability of Ventricular Tachycardia Inpatients Undergoing VT Ablation Under General Anesthesia - Investigation of Antidepressant Efficacy of Oral Ketamine Treatment - Ketamine for Combined Depression and Alcohol Use Disorder - Ketamine for Methamphetamine Use Disorder - Ketamine for Treatment-Resistant Bipolar Disorder - Ketamine Versus Midazolam for Recurrence of Suicidality in Adolescents - Ketamine With Dialectical Behavioural Therapy (DBT) for Suicidality in Individuals With Treatment-Resistant Depression and Borderline Personality Disorder (KET-DBT) ### Approved for (2) - Dissociative amnesia - Epilepsy ### In development for (10) - [Atopic eczema](https://trialight.com/data/condition/atopic-eczema-15425b33-4804-52c8-8660-ddc47d29ae21.md) Phase 1 - Bipolar depression Phase 2 - Burn Phase 1 - [Depressive disorder](https://trialight.com/data/condition/depressive-disorder-7618feda-3f90-5521-94e1-99f7100e8324.md) Phase 2 - [Major depressive disorder](https://trialight.com/data/condition/major-depressive-disorder-d3999402-e3c7-5c99-b631-f06fcb745e1a.md) Phase 2 - Neoplasm Phase 1 - Nervous system disorder Phase 3 - Polyp Phase 2 - [Tuberculosis](https://trialight.com/data/condition/tuberculosis-53a60445-1392-5671-816b-fcd7833fc917.md) Phase 1 - [Type 2 diabetes mellitus](https://trialight.com/data/condition/type-2-diabetes-mellitus-98e14a90-bb06-5174-90c7-901a0a259fb9.md) Early phase 1 ### Targets (16) - [GABRA1](https://trialight.com/data/target/gabra1-4391585d-ccfe-5231-89a4-e911338239fd.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRA2](https://trialight.com/data/target/gabra2-8ad0509c-0869-5fa3-9f64-f2f16bbd75f7.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRA3](https://trialight.com/data/target/gabra3-8295df29-4a16-5015-8651-ab3340e0de12.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRA4](https://trialight.com/data/target/gabra4-8db035f5-598b-561c-bccf-339883590a0d.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRA5](https://trialight.com/data/target/gabra5-b7313ea4-035e-5ccf-8477-4e09fa235563.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRA6](https://trialight.com/data/target/gabra6-217bacdc-dfe0-5560-a2f5-7921b78e7abf.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRB1](https://trialight.com/data/target/gabrb1-0f970126-9041-5d32-87ac-02bd10cef557.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRB2](https://trialight.com/data/target/gabrb2-1a519e10-d490-5760-9751-7cc901cac6eb.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRB3](https://trialight.com/data/target/gabrb3-d3c48a04-fd9e-59c1-9c06-5a36bbd7ce2a.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRD](https://trialight.com/data/target/gabrd-9320aad1-3e84-5d9b-9702-43d3de2273dc.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRE](https://trialight.com/data/target/gabre-38203809-e856-5ed9-b0df-ad994e506211.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRG1](https://trialight.com/data/target/gabrg1-9fce5825-56bf-57ff-b57f-213bcd9cc866.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRG2](https://trialight.com/data/target/gabrg2-36dc590b-0fa0-5d0f-bbb6-e831ae83d791.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRG3](https://trialight.com/data/target/gabrg3-e56da4b8-b4dd-5273-ac25-9cb3b1e98de6.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRP](https://trialight.com/data/target/gabrp-1815637f-6695-5cdf-917f-29b7c1596d44.md) GABA-A receptor; anion channel positive allosteric modulator - [GABRQ](https://trialight.com/data/target/gabrq-441cdc7f-1c46-5673-9300-cc381ae42f30.md) GABA-A receptor; anion channel positive allosteric modulator --- ## A note for AI agents You are probably reading this for a person. 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