DRUGS AND SUPPLEMENTS

Midazolam

March 21, 2017

Midazolam Hydrochloride Oral syrup

What is this medicine?

MIDAZOLAM (MID ay zoe lam) is a benzodiazepine. It is used to cause relaxation or sleep before surgery and to block the memory of the procedure.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

  • an alcohol or drug abuse problem

  • bipolar disorder, depression, psychosis, or other mental health condition

  • glaucoma

  • heart disease

  • kidney disease

  • liver disease

  • lung or breathing disease, like asthma

  • seizures or a history of seizures

  • suicidal thoughts

  • an unusual or allergic reaction to midazolam, other benzodiazepines, cherries, foods, dyes, or preservatives

  • pregnant or trying to get pregnant

  • breast-feeding

How should I use this medicine?

This medicine is given by a health-care professional in a hospital or clinic setting. It is not prescribed for use at home.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

This does not apply.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

  • certain antiviral medicines for HIV or AIDS

  • grapefruit juice

  • itraconazole

  • ketoconazole

This medicine may also interact with the following medications:

  • cimetidine

  • diltiazem

  • droperidol

  • general anesthetics

  • narcotic medicines for pain

  • rifampin, rifapentine, or rifabutin

  • secobarbital

  • some antibiotics like clarithromycin, erythromycin, and troleandomycin

  • some medicines for seizures like carbamazepine, phenobarbital, phenytoin, and primidone

  • thiopental

  • verapamil

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Your condition will be closely monitored while you receive this medicine.

You may feel dizzy and lightheaded. To reduce the risk of dizzy or fainting spells, do not sit up or stand up quickly, especially if you are an older patient. Alcohol can make you more drowsy or dizzy. Avoid alcoholic drinks for at least 24 hours after you receive this medicine.

The effects of this medicine can last for several hours after use. It can affect your ability to drive or do anything that needs mental alertness. Do not attempt to drive yourself home if you have received this medicine for minor outpatient surgery.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

  • breathing problems

  • confusion

  • dizziness or lightheadedness

  • fast, irregular heartbeat

  • halluninations during recovery

  • numbness or tingling in the hands or feet

  • pain, redness, or swelling at site where injected

  • seizures

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • coughing

  • headache

  • hiccups

  • involuntary eye and muscle movements

  • loss of memory of events just before, during, and after use

  • nausea, vomiting

  • speech problems

  • tiredness

  • trouble sleeping or nightmares

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

This drug is given in a hospital or clinic and will not be stored at home.

Midazolam Hydrochloride Solution for injection

What is this medicine?

MIDAZOLAM (MID ay zoe lam) is a benzodiazepine. It is used to cause relaxation or sleep before surgery and to block memory of the procedure.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

  • an alcohol or drug abuse problem

  • bipolar disorder, depression, psychosis, or other mental health condition

  • glaucoma

  • heart disease

  • kidney disease

  • liver disease

  • lung or breathing disease

  • seizures or a history of seizures

  • suicidal thoughts

  • an unusual or allergic reaction to midazolam, other benzodiazepines, benzyl alcohol, foods, dyes, or preservatives

  • pregnant or trying to get pregnant

  • breast-feeding

How should I use this medicine?

This medicine is for injection into a muscle or vein. It is given by a health care professional in a hospital or clinic setting.

Talk to your pediatrician regarding the use of this medicine in children. While this medicine may be prescribed for children for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

This does not apply.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

  • certain antiviral medicines for HIV or AIDS

  • grapefruit juice

  • itraconazole

  • ketoconazole

This medicine may also interact with the following medications:

  • cimetidine

  • diltiazem

  • droperidol

  • general anesthetics

  • prescription pain medicines

  • rifampin, rifapentine, or rifabutin

  • secobarbital

  • some antibiotics like clarithromycin, erythromycin, and troleandomycin

  • some medicines for seizures like carbamazepine, phenobarbital, phenytoin, and primidone

  • thiopental

  • verapamil

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Your condition will be monitored carefully while you are receiving this medicine.

The effects of this medicine can last for several hours after use. It can affect your ability to drive or do anything that needs mental alertness. Do not attempt to drive yourself home if you have received this medicine for minor outpatient surgery. You may feel dizzy and lightheaded. To reduce the risk of dizzy or fainting spells, do not sit up or stand up quickly, especially if you are an older patient. Alcohol can make you more drowsy or dizzy. Avoid alcoholic drinks for at least 24 hours after you receive this medicine.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

  • difficulty breathing, wheezing

  • disorientation, or hallucinations during recovery

  • dizziness or lightheadedness

  • fast or irregular heartbeat

  • numbness or tingling in the hands or feet

  • pain, redness, or swelling at the injection site

  • seizures

  • skin rash or itching

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • coughing, hiccups

  • difficulty sleeping, nightmares

  • drowsiness

  • headache

  • involuntary eye and muscle movements

  • loss of memory of events just before, during, and after use

  • nausea, vomiting

  • speech difficulty

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

This drug is given in a hospital or clinic and will not be stored at home.

Updated:  

March 21, 2017

Sources:  

U.S. FDA-approved Package Insert