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midazolam Side Effects

Also known as: Versed

Analysis of 24,014 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

24,014

Death-Related

4,573

19.0% of reports

Hospitalizations

11,054

46.0% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INEFFECTIVE
2,984
OFF LABEL USE
2,237
SEIZURE
1,373
HYPOTENSION
1,296
DRUG INTERACTION
1,088
TOXICITY TO VARIOUS AGENTS
846
ACUTE KIDNEY INJURY
845
PYREXIA
813
CARDIAC ARREST
811
DEATH
689
STATUS EPILEPTICUS
629
RESPIRATORY FAILURE
614
CONDITION AGGRAVATED
601
TACHYCARDIA
583
PRODUCT USE IN UNAPPROVED INDICATION
568
DYSPNOEA
560
NAUSEA
556
ANAPHYLACTIC REACTION
555
PNEUMONIA
544
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION
539

Who Reports Side Effects

Gender Distribution

Female 9,980 (48%)
Male 10,856 (52%)
Unknown 160

Age Distribution

0-17 3,562 (19%)
18-44 5,375 (29%)
45-64 5,069 (27%)
65-74 2,766 (15%)
75+ 2,040 (11%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 4,573 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 688
DRUG INEFFECTIVE 430
OFF LABEL USE 424
CARDIAC ARREST 392
TOXICITY TO VARIOUS AGENTS 368
HYPOTENSION 293
MULTIPLE ORGAN DYSFUNCTION SYNDROME 288
PNEUMONIA 273
RESPIRATORY FAILURE 273
ACUTE KIDNEY INJURY 243
RENAL FAILURE 218
SEPSIS 216
DYSPNOEA 193
PYREXIA 178
SEPTIC SHOCK 178
THROMBOCYTOPENIA 158
DRUG INTERACTION 155
METABOLIC ACIDOSIS 154
GENERAL PHYSICAL HEALTH DETERIORATION 148
CARDIO-RESPIRATORY ARREST 145

Reactions in Hospitalization Reports

Top reactions in 11,054 reports where hospitalization was an outcome.

Reaction Reports
DRUG INEFFECTIVE 1,635
OFF LABEL USE 1,127
HYPOTENSION 697
PYREXIA 602
DRUG INTERACTION 593
SEIZURE 563
TOXICITY TO VARIOUS AGENTS 485
ACUTE KIDNEY INJURY 458
ANAEMIA 422
CARDIAC ARREST 401
PNEUMONIA 398
NAUSEA 359
DYSPNOEA 356
RESPIRATORY FAILURE 356
STATUS EPILEPTICUS 352
TACHYCARDIA 352
PAIN 339
VOMITING 338
ABDOMINAL PAIN 336
SEROTONIN SYNDROME 334

Nearby — Related Medications

Compare midazolam vs acamprosate →

What the FAERS Data Reveals About midazolam Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 24,014 voluntary reports linked to midazolam and its brand equivalents (Versed), spanning 2004 through 2025. Of those, 4,573 (19.0%) listed death as an outcome and 11,054 (46.0%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 48% were female and 52% male; age distribution skews toward 18-44, with 5,375 reports in that bracket. The single most reported reaction is drug ineffective with 2,984 submissions, followed by off label use and seizure.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.