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At a glance

Midazolam is a benzodiazepine used for sedation or conscious sedation before diagnostic or therapeutic procedures.

Indications
  • Conscious sedation before diagnostic or therapeutic procedures
  • Short-term treatment of insomnia
  • Preoperative sedation
Pharmacology

Midazolam's actions are mediated through GABA the major inhibitory neurotransmitter in the CNS. Benzodiazepines increase GABA activity producing sedative effects and relaxing skeletal muscles.

Dosage

Adult Dose (Oral):

  • Insomnia: 7.5-15 mg at bedtime
  • Elderly: 7.5 mg at bedtime
  • Pre-medication: 15 mg 30-60 minutes before procedure

Parenteral:

  • Preoperative Sedation IM: 0.07-0.1 mg/kg
  • Endoscopic Procedures IV: 2.5 mg
  • Anesthesia IV: 10-15 mg

Child Dose: 0.15-0.20 mg/kg IM

Side effects

Common Side Effects:

  • Nasal discomfort
  • Throat irritation
  • Headache
  • Drowsiness
  • Confusion
  • Muscle weakness

Serious Side Effects:

  • Respiratory depression
  • Apnea
  • Blood pressure variations
Use in pregnancy

Unsafe during pregnancy (Category D). Use only in life-threatening situations.

Pregnancy Category: D — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • High habit-forming potential
  • Caution while driving (may cause dizziness)
  • Avoid alcohol
  • Do not stop abruptly
  • Caution in pregnancy and lactation
Overdose effects

Extreme overdosage may lead to coma areflexia cardiorespiratory depression and apnea. Can be controlled with flumazenil.

Storage conditions

Protect from light and moisture. Store in cool and dry place. Keep out of reach of children.

Midazolam — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.