• 대한약학회:학술대회논문집
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• 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2-2
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• pp.118.3-119
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• 2003

Diazepam (DZ) is one of the most frequently prescribed drugs as an antianxiety agent, muscle relaxant, and anticovulsant and sometimes causes intoxication due to accidental overdose, misuse or abuse. Screening or confirmation methods for DZ and NDZ in plasma are very important for clinical and toxicological studies and in forensic cases. GC/MS assay with SPE was developed for the determination of diazepam and its metabolite, nordiazepam in human plasma. Diazepam in plasma was extracted by a rapid and sensitive procedure based on C18 bonded-phase extraction. (omitted)

• 대한수의학회지
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• 제61권4호
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• pp.35.1-35.4
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• 2021

Following intravenous (IV) administration of diazepam as a preanesthetic agent, sudden balance impairment, such as falling, leaning, and rolling, was identified in 2 canine cases. The 2 dogs were anesthetized for brain magnetic resonance scan to diagnose about a history of head tilt. After end of the diagnostic procedures, during the anesthetic recovery period, balance impairment was also observed. However, the symptoms gradually ceased by IV administration of flumazenil. These 2 canine cases indicated that diazepam premedication was responsible for the acute balance impairment.

• 대한약리학회지
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• 제18권2호
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• pp.45-50
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• 1982

Yeum et al. formulated a new hot-plate method using the threshold temperature, and there are some controversies on the effects of naloxone and diazepam on the antinociceptive action. In this paper, the comparison of three methods registering analgesic activity and the application of the new hot-plate method formulated by Yeum et al. on the study of the influences of naloxone and diazepam on the analgesic effect of morphine were tried in male mice. The results obtained were summarized as follows; 1) The least-square regression lines of the morphine analgesia plotted against log-dose showed the correlation coefficient of above 0.90, but the competitive antagonism produced by naloxone (0.1 mg/kg) against the analgesia was more prominently demonstated by the new hot-plate method than the other methods: original hot-plate method and electrical stimulation method. 2) In the experiment using the new hot-plate method, the log dose-response curve of morphine (y=7.30 x+49.80, r=0.998) was shifted to the right by the pretreatment of naloxone (0.1 mg/kg), but was slightly shifted to the left by the pretreatment of diazepam (2.5 mg/kg). This study suggests that for the analgesia experiment, the new hot-plate method is superior to the original hot-plate method or the electrical stimulation method, and that the potentiative effect of diazepam on the morphine anagesia is not significant.

• Journal of Yeungnam Medical Science
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• 제10권2호
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• pp.451-474
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• 1993

전신마취, 부위 또는 국소 마취시, 그리고 향부정맥제로 술중 및 중환자실에서 흔히 쓰이는 lidocaine의 용량과, 국소 마취제로 인한 중추 신경계의 독성을 예방 또는 중단시키기 위해 사용되는 diazepam의 전투여시 이로 인한 심혈관계 변화 및 lidocaine의 혈중농도를 관찰, 측정하여 환자의 관리 및 치료에 도움을 얻고자 본 실험을 하였다. Nitrous oxide, halothane으로 마취된 개에서 근육이완제 사용 후 조절호흡하에서 혈중 이산화탄소를 35-45mmHg로 유지하면서 국소 마취체인 lidocaine의 용량을 100 mcg/kg/min, 200 mcg/kg/min, 300 mcg/kg/min로 각각 30분간 지속적 침제하면서, diazepam 전투여 유무에 따른 심혈 역학치의 변화 및 lidocaine의 혈중농도를 측정하고, 억제된 심혈관계에 $CaCl_2$를 투여하여 회복 정도를 관찰하였던 바 아래와 같은 결과를 얻었다. Lidocaine의 지속적 침제량이 증가됨에 따라 심혈관계의 억제가 심하게 나타났으며 평균 동맥압, 심장지수, 일회 박출지수, 좌심실 박출 작업지수, 우심실 박출 작업지수 등은 감소하였고 (p<0.05), 폐동맥 쐐기압, 중심 정맥압, 전신혈관 저항지수 등은 증가하였으나 (p<0.05), 심박동수, 평균 폐동맥압, 폐혈관 저항지수의 변화는 거의 없었다. Lidocaine 100 mcg/kg/min 지속적 침제시는 diazepam을 투여한 II군에서만 평균 동맥압의 의의있는 감소를 보였으며 (p<0.05), lidocaine의 혈중농도는 diazepam투여하지 않은 I군에서는 $3.97{\pm}0.22$에서 $4.48{\pm}0.36$ mcg/ml 범위였고 II 군에서는 $3.70{\pm}0.32$에서 $4.10{\pm}0.22$ mcg/ml범위였다. Lidocaine 200 mcg/kg/min의 지속적 침제시는 I군에서는 평균 동맥압의 감소, 중심정액압의 증가를 나타내었고 (p<0.05), II 군에서는 심장지수의 감소, 폐동백 쐐기압의 증가를 나타내었으며 (p<0.05), lidocaine의 혈중농도는 I군은 $7.50{\pm}0.66$에서 $7.91{\pm}0.77$ mcg/ml, II군에서는 $7.64{\pm}0.79$에서 $8.23{\pm}1.18$ mcg/ml범위로 증가하였다. Lidocaine 300 mcg/kg/min의 지속적 침제시는 I군에서는 평균동맥압, 일회 박출지수, 좌심실 박출 작업지수의 감소가 있었고 (p<0.05), 폐동맥 쐐기압, 중심 정맥압, 전신혈관 저항지수의 증가를 나타내었다 (p<0.05). II군에서는 심장지수, 일회 박출지수, 좌심실 박출 작업지수의 감소가 있었으며 (p<0.05), 폐동맥 쐐기압, 중심 정맥압, 전신혈관 저항지수의 증가를 나타내었다 (p<0.05). 그러나 심박동수, 폐동맥압의 변화는 거의 관찰할 수 없었다. 또한 이때의 혈중 lidocaine의 농도는 I군에서는 $11.30{\pm}2.11$에서 $11.83{\pm}0.59$ mcg/ml범위 로, II군에서는 $12.95{\pm}0.71$에서 $13.79{\pm}0.82$mcg/ml의 범위로 나타내었다. $CaCl_2$ 투여 후는 억제된 심장지수, 일회 박출지수, 전신혈관 저항지수, 폐혈관 저항지수, 좌심실 박출작업지수 및 우심실 박출 작업지수는 회복시켰으나 (p<0.05), 폐동맥 쐐기압, 중심정맥압 등은 오히려 억제시켰다 (p<0.05). 이상에서 자율신경계에 손상이 없으며 산혈증 및 과탄산증이 없는 개에서는 lidocaine의 높은 혈중 농도치에서도 혈역학에 내성이 있었으며, ljdocaine의 중추신경계 독성의 예방 및 치료 목적으로 사용되는 diazepam의 전투여 시에도 추가적인 심혈관계의 억제가 없음을 알 수 있었다. 그러나 자율신경계 이상이 있거나 자율신경계를 억압할 수 있는 약을 사용할 때 또는 산혈증, 과탄산증 및 저산소증이 동반된 환자에 사용할 때에는 세심한 주의가 요할 것으로 생각된다.

• Archives of Pharmacal Research
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• 제24권4호
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• pp.263-269
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• 2001

Diazepamoxadiazoles 4,5,6,12,14 and 22 were prepared with the binary form system. Diazepamthiadiazoles 15,20 and Diazepamtriazoles 7,8,9,17,18,19 and 21 were also shapely synthesized. Some of these compounds were screened to test their antibacterial activity against E. coli and B. subtilis compounds 15 and 20 show potent activity against these bacteria.

• 한국임상수의학회지
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• 제23권4권
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• pp.447-452
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• 2006

This study was performed to compare propofol, thiopental, etomidate and diazepam plus ketamin as induction agents for the isoflurane anesthesia in dogs. Experimental groups were divided into low groups (thiopental group: thiopental 15 mg/kg IV, propofol group: propofol mg/kg IV, etomidate group: etomidate 1.5 mg/kg IV, DZP+KET group: diazepam 0.5 mg/kg + ketamine 5 mg/kg, IV) and each group was consisted of 4 dogs. Cardiorespiratory changes (heart rate, $SpO_2$, respiratory rate, End-tidal $CO_2$ and body temperature), blood serum chemistry values (alkaline phosphatase, alanine aminotransforase, and total protein), and recovery and walking time were measured. The end tidal carbon dioxide level was significantly increased in the thiopental group (P<0.05). Heart rate and respiratory rate higher in the DZP+KET groups. There was hypothermia in all groups and significant decrease in body temperature was showed in thiopental group (p<0.05). Mean arousal time and mean walking time were significantly longer in thiopental group (P<0.05). Cardiovascular stimulating effects were minimal in etomidate group. Etomidate provides uneventful and rapid recovery.

• 한국임상수의학회지
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• 제38권3호
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• pp.143-146
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• 2021

A 2-year-old intact female Maltese dog was presented with generalized involuntary tremors and nystagmus without regular direction. The dog was conscious the whole time while it was trembling. Its involuntary tremors were alleviated at rest or during sleep. Magnetic resonance imaging (MRI) revealed asymmetric hydrocephalus and caudal occipital malformation. In cerebrospinal fluid (CSF) analysis, a trace of protein was found and total nucleated cell count (TNCC) was slightly increased. However, infectious pathogens were not found. In complete blood count, there was a mild leukocytosis. After the patient received anticonvulsants (midazolam, phenobarbital, KBr), diuretics (furosemide) with an anti-inflammatory drug (prednisolone, 0.5 mg/kg PO bid), and a proton-pump inhibitor (omeprazole), it showed no improvement. The patient was tentatively diagnosed with corticosteroid responsive tremor syndrome. So the anticonvulsants and diuretics were discontinued and the dose of prednisolone was increased to an immunosuppressive dose (1 mg/kg PO bid). After administering the immunosuppressive dose of prednisolone, the patient did not show nystagmus. Its tremors were much alleviated. However, they did not disappear. Five weeks later, the patient showed gradual improvement but still was trembling when moving around. Nine weeks later, its tremors were similar to before. So diazepam (0.3 mg/kg PO sid) was added to the treatment. After that, its tremors were alleviated more. Prednisolone and diazepam were maintained for about five months, with tapering of the dose of prednisolone (until 0.5 mg/kg PO sid). About 7 months later after the treatment was started, the dog was trembling rarely except when it was excited. Therefore, diazepam was discontinued. This case describes a refractory white dog shaker syndrome successfully managed with long-term administration of a steroid and diazepam.

• Toxicological Research
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• 제12권2호
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• pp.181-194
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• 1996

The effects of Sanjoinine-A, an alkaloid isolated from Zizyphus spinosus semens, on central nervous system and general pharmacology were studied. In summary, Sanjoinine-A depress the spontaneous locomotor activity without motor incoordination and it has slight analgesic effect. Those effects are qualitatively similar to that of diazepam but its potency is much lower than diazepam(20 times). Sanjoinine-A does not depress the electric or pentylenetetrazole induced convulsion. Those effects are dissimilar with that of diazepam. Sanjoinine-A slightly depress the spontaneous or acethylchollne induced motility of smooth muscles but degree of depressant effect was variable to tissues. Sanjoinine-A does not show any effects on digestive system, blood, kidney fuction and neural ganglion.

• Bulletin of the Korean Chemical Society
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• 제11권1호
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• pp.54-58
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• 1990

Acid-base equilibria and spectroscopic properties of diazepam and chlorodiazepoxide were investigated in sodium dodecyl sulfate (SDS) micellar solutions as functions of pH. The results were compared with the behaviors in homogeneous aqueous media. The presence of SDS increased the $pK_a$ of chlorodiazepoxide to 6.3 from 4.7, while it has little effect on the $pK_a$ of diazepam. The acidic protonated form of diazepam was moderately fluorescent when the solution was excited at 350 nm, and emissnion intensity of the species was enhanced about 5 fold by the presence of SDS. On the other hand, the acidic solution of chlorodiazepoxide was non-fluorescent, but the neutral solution of the compound was fluorescent upon excitation at 350 nm. The emission peak of the neutral chlorodiazepoxide shifted to shorter wavelength region without significant change in the emission intensity upon the addition of SDS. Procedures for assay of the individual drugs from their mixture by the use of SDS micelle were discussed.

• Journal of Dental Anesthesia and Pain Medicine
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• 제21권4호
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• pp.369-376
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• 2021

In adult patients with dental phobia, dental treatment may be difficult, or may not be possible. Depending on the level of fear or anxiety, non-pharmacological or pharmacological behavior management techniques are used in the dental treatment of such patients. Among the pharmacological behavior management techniques, minimal sedation, that is, the lowest depth of sedation, can be easily obtained in adult patients using oral sedatives, does not require special equipment or tools, and does not affect ventilatory and cardiovascular function. Diazepam is an anxiolytic drug belonging to the benzodiazepine family that, in addition to relieving anxiety, produces muscle relaxation, and is a representative drug used in adult patients with fear of dental treatment. Herein, we report the case of a 50-year-old woman with severe dental fear who successfully underwent long-term dental treatment in approximately 20 visits with minimal sedation using oral diazepam. In addition, we reviewed the considerations for the use of benzodiazepines for minimal sedation.