Midazolam vs. Valium

Are Midazolam and Valium the Same Thing?

Midazolam Injectionand Syrup andValium(diazepam) arebenzodiazepinesused for different purposes.

Midazolam Injection is used as asedativebefore surgery or other medical procedures.Midazolam hydrochloride syrupis used in pediatric patients.

Valium is used for treatment of anxiety, seizures, muscle spasms, and symptoms of alcohol withdrawal.

Brand names for midazolam include Versed.

Side effects of midazolam and Valium that are similar include nausea, dizziness, drowsiness, tiredness/fatigue, or skin rash.

Side effects of midazolam that are different from Valium include vomiting, cough, headache,hiccups, trouble sleeping, breathing difficulties, chestcongestion, agitation, slow heart rate, “oversedation,” or injection site reactions (pain, swelling, redness, stiffness,blood clots, and tenderness).

Side effects of Valium that are different from midazolam include spinning sensation, constipation, loss of balance, memory problems, restlessness, irritability, muscle weakness, drooling,dry mouth, slurred speech, blurred or double vision, itching, or loss of interest in sex.

Both midazolam and Valium may interact with alcohol or drugs that make you drowsy (narcotics, psychiatric medicines, anti-anxiety drugs, anti-seizuredrugs,antihistamines, muscle relaxants, sleeping pills, or sedatives).

Midazolam may also interact with H2 blockers,theophylline, aminophylline, azole antifungals,proteaseinhibitors, calcium channel blockers, antibiotics,rifampin, orphenobarbital.

Withdrawal symptomsmay occur if you suddenly stop taking midazolam or Valium.

What Are Possible Side Effects of Midazolam?

Common side effects of Midazolam include:

  • drowsiness,
  • dizziness,
  • weakness,
  • unsteadiness,
  • depression,
  • loss of orientation,
  • headache,
  • 睡眠障碍,
  • problems with thinking or memory,
  • slurred speech,
  • dry mouth,
  • soregums,
  • runny nose,
  • loss of appetite,
  • diarrhea,
  • 便秘,
  • blurred vision.

What Are Possible Side Effects of Valium?

Common side effects of Valium include:

  • drowsiness,
  • tired feeling,
  • dizziness,
  • spinning sensation,
  • fatigue,
  • constipation,
  • ataxia(loss of balance),
  • memory problems,
  • restlessness,
  • 易怒,
  • muscle weakness,
  • nausea,
  • drooling,
  • dry mouth,
  • slurred speech,
  • blurred or double vision,
  • skin rash,
  • itching, or
  • loss of interest in sex.

What Is Midazolam?

Midazolam HCl Injection is a benzodiazepine used as a sedative before surgery or other medical procedures.

What Is Valium?

Valium is indicated for the management of anxiety disorders or for the short-term relief of the symptoms of anxiety. Anxiety or tension associated with thestressof everyday life usually does not require treatment with an anxiolytic.

What Drugs Interact With Midazolam?

Midazolam may interact with H2 blockers,fluconazole, theophylline, aminophylline,erythromycin, or drugs that make you drowsy, such as: narcotics, psychiatric medicines,anti-anxiety drugs, anti-seizure drugs, antihistamines, muscle relaxants, sleeping pills, or sedatives. Tell your doctor all medications and supplements you use. During pregnancy, Midazolam should be used only if prescribed. It may harm a fetus. Infants born to mothers who have used this drug during pregnancy may have withdrawal symptoms. This drug passes into breast milk. Consult your doctor before breastfeeding. Withdrawal symptoms may occur if you suddenly stop taking this medication.

What Drugs Interact With Valium?

Centrally Acting Agents

If Valium is to be combined with other centrally acting agents, careful consideration should be given to thepharmacologyof the agents employed particularly with compounds that may potentiate or be potentiated by the action of Valium, such as phenothiazines, antipsychotics, anxiolytics/sedatives, hypnotics, anticonvulsants,narcoticanalgesics, anesthetics, sedative antihistamines, narcotics,barbiturates, MAO inhibitors and otherantidepressants.

Alcohol

Concomitant use with alcohol is not recommended due to enhancement of the sedative effect.

Antacids

Diazepam peak concentrations are 30% lower whenantacidsare administered concurrently. However, there is no effect on the extent of absorption. The lower peak concentrations appear due to a slower rate of absorption, with the time required to achieve peak concentrations on average 20 - 25 minutes greater in the presence of antacids. However, this difference was not statistically significant.

How Should Midazolam Be Taken?

Dosing of Midazolam is individualized. The recommended premedication dose of midazolam for low risk adult patients below the age of 60 years is 0.07 to 0.08 mg/kg IM (approximately 5 mg IM) administered up to 1 hour before surgery.

How Should Valium Be Taken?

Take Valium exactly as your healthcare provider tells you to take it. Your healthcare provider will tell you how much Valium to take and when to take it.

Talk to your healthcare provider about slowly stopping Valium to avoid withdrawal symptoms.

If you take too much Valium, call your healthcare provider or go to the nearest hospital emergency room right away.

Disclaimer

All drug information provided on RxList.com is sourced directly from drug monographs published by the U.S. Food and Drug Administration (FDA).

Any drug information published on RxList.com regarding general drug information, drug side effects, drug usage, dosage, and more are sourced from the original drug documentation found in its FDA drug monograph.

Drug information found in the drug comparisons published on RxList.com is primarily sourced from the FDA drug information. The drug comparison information found in this article does not contain any data from clinical trials with human participants or animals performed by any of the drug manufacturers comparing the drugs.

The drug comparisons information provided does not cover every potential use, warning, drug interaction, side effect, or adverse or allergic reaction. RxList.com assumes no responsibility for any healthcare administered to a person based on the information found on this site.

As drug information can and will change at any time, RxList.com makes every effort to update its drug information. Due to the time-sensitive nature of drug information, RxList.com makes no guarantees that the information provided is the most current.

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如果你有关于药物的具体问题safety, side effects, usage, warnings, etc., you should contact your doctor or pharmacist, or refer to the individual drug monograph details found on the FDA.gov or RxList.com websites for more information.

You may also report negative side effects of prescription drugs to the FDA by visiting the FDA MedWatch website or calling 1-800-FDA-1088.

References

FDA. Midazolam (Versed) Prescribing Information.
https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/208878Orig1s000lbl.pdf
FDA. Valium Product Information.
https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/013263s094lbl.pdf

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