Plasma concentration of diazepam and N-desmethyldiazepam in children after a single rectal or intramuscular dose of diazepam

Eur J Clin Pharmacol. 1978 Dec 1;14(4):273-6. doi: 10.1007/BF00560461.

Abstract

The absorption of diazepam and N-desmethyldiazepam after administration of diazepam solution for parenteral injection per rectum and intramuscularly was studied in 9 children (ages 3--12 years). Rectal administration of diazepam 1 mg/kg led to rapid absorption with plasma levels of 270--320 ng/ml within 5 min, and peak levels of 600--1300 ng/ml 10--60 min after administration. The absorption was comparable to that after intramuscular administration. A second peak in plasma diazepam concentration 6--12 h after dosing was observed in 6 children, which may have been due to mobilization of diazepam from the gastrointestinal mucosa produced by feeding 4 h after administration of the drug. A slowly increasing plasma level of N-desmethyldiazepam was observed during the first 24 h after administration of diazepam.

Publication types

  • Clinical Trial

MeSH terms

  • Child
  • Child, Preschool
  • Clinical Trials as Topic
  • Diazepam / administration & dosage
  • Diazepam / analogs & derivatives*
  • Diazepam / blood*
  • Diazepam / pharmacology
  • Humans
  • Hypnotics and Sedatives
  • Injections, Intramuscular
  • Nordazepam / blood*
  • Rectum
  • Suppositories
  • Time Factors

Substances

  • Hypnotics and Sedatives
  • Suppositories
  • Nordazepam
  • Diazepam