Mexazolam
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Also known as melex, sedoxilTS
Benzodiazepine derivative that has been trialed for anxiety and was found to be effective for anxiety at one week week follow-ups yet after three weeks it had lost its therapeutic anxiolytic properties and becoming no more effective than placebo.TS
Oral
Route dataTripSit
| Threshold | Light | Common | Strong | Heavy |
|---|---|---|---|---|
| — | 0.25–0.5 mg | 0.5–1.5 mg | 1.5–2 mg | 2 mg+ |
| Onset | 5–45 minutes |
|---|---|
| Total | 4–8 hours |
| After-effects | 1–12 hours |
Mechanism of actionPH
Mexazolam is a benzodiazepine that binds to benzodiazepine-type receptors, inhibiting gamma-aminobutyric acid.
Pharmacokinetics
Half-lifePH
Mexazolam follows a 2 compartment model with a first half life of 1.4h and a second half life of 76h.
AbsorptionPH
The active metabolite chloronordiazepam has a Tmax of 1-2h.
Mexazolam is mainly eliminated in the bile and feces, with <10% eliminated as metabolites in the urine. >50% of a dose of mexazolam is eliminated as the metabolite chloroxazepam.
MetabolismPH
Mexazolam is rapidly metabolized to the active metabolites chloronordiazepam and chloroxazepam.
Protein bindingPH
Mexazolam is >90% protein bound in plasma.
Plan a dose of Mexazolam
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