Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Midazolam (Seizalam, Versed) and Propofol (Diprivan) are both used for sedation, but they have some key differences. Midazolam is a benzodiazepine that can be given as an injection or oral syrup. It is used for sedation before medical procedures and for treating long-lasting seizures. Propofol is a sedative used to put people to sleep during surgery or other medical procedures and is only available as an injection. Unlike Midazolam, Propofol is not a controlled medication and works by binding to a specific protein in the brain called the GABA receptor. Midazolam can cause severe breathing problems and memory issues, while Propofol can lead to low blood pressure and a rare condition called propofol infusion syndrome (PRIS). Both medications require administration by a healthcare provider in a monitored setting.
Midazolam
Propofol (Diprivan)
Midazolam
Propofol (Diprivan)
Summary of Midazolam vs. Propofol
Summary for Benzodiazepine
Prescription only
Midazolam is used for sedation before surgery and other medical procedures in children and adults, as well as treatment for status epilepticus (long-lasting seizures) in adults. It comes as an injection and oral syrup. The medication is typically given by a healthcare provider in a monitored setting and can't be used at home. Some side effects of midazolam include nausea, agitation, drowsiness, and pain at the injection site for the injection form. And although the brand name Versed has been discontinued, there are many generics still available.
Summary for Sedative
Prescription only
Propofol (Diprivan) is an injectable medication that's a sedative. It's used to put people to sleep during surgery or other medical procedures.