Elimination half life
10-20 hours
Potency
More potent than diazepam or midazolam
Lipid soluble
Less than diazepam
Absorption
GI & IM
Dissolved in propylene or polyethylene glycol
Clinical effects
May outlast diazepam dissociates from the GABA-a slower
Metabolized
T an inactive metabolite via glucuronide conjugation in the liver to altered by age, liver dysfunction or H2 receptor antagonists
Route
Excellent PO
0.5-2 mg @ night
0.5-2 mg in the morning
50 mcg/kg
Max dose
4 mg
Anterograde amnesia
6 hours
Larger doses
Produce greate sedation without increased amnesia
Elderly
Sensitive to BZDs
Onset
Slow onset limits usefulness as IV PRE-med or Intra-op sedative