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Midazolam vs. Propofol

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

 

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Propofol

(Diprivan)

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Summary for Midazolam

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.

Indications for Midazolam

  • Sedation for surgery or other medical procedure
  • Long-lasting seizure (status epilepticus) - Seizalam

Pros and Cons for Midazolam

Pros

  • Works within minutes to help you relax and feel calm before a medical procedure
  • Available as an injection and an oral syrup
  • Can be used in young children for sedation before a procedure

Cons

  • Risk of severe breathing problems so it should only be used in a healthcare facility
  • Can cause hangover effect and raise the risk of falls
  • Not safe to use late in pregnancy

Common Side Effects for Midazolam

Oral syrup

  • Vomiting (8%)
  • Nausea (4%)

Injection for sedation

  • Pain at injection site (4-5%)
  • Hiccups (4%)
  • Nausea (3%)
  • Vomiting (3%)

Injection for long-lasting seizure

  • Upper airway blockage (5%)
  • Agitation (4%)
  • Fever (4%)
  • Confusion (3%)

Warnings for Midazolam

  • Severe difficulty breathing
  • Continued memory problems after procedure
  • Harm to unborn baby if used in late pregnancy
  • Worsening of glaucoma

Summary for Propofol

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.

Indications for Propofol

Pros and Cons for Propofol

Pros

Cons

Prices with our coupons for Midazolam vs. Propofol

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Midazolam1 vial / 2ml of 5mg/ml
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Propofol1 vial / 20ml of 10mg/ml
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