Atropine and Midazolam Interaction

Drug interaction information between Atropine and Midazolam.

Atropine and Midazolam have a documented minor interaction in FDA labeling.

FDA drug labeling documents a minor-severity interaction between Atropine and Midazolam. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Atropine

Anticholinergic

Drug B

Midazolam

Benzodiazepine

How They Interact

These medications do not cause any significant bad reactions when they are given at the same time for surgery.

FDA Label Information

No significant adverse interactions with commonly used premedications or drugs used during anesthesia and surgery (including atropine, scopolamine, glycopyrrolate, diazepam, hydroxyzine, d-tubocurarine, succinylcholine and other nondepolarizing muscle relaxants) or topical local anesthetics (including lidocaine, dyclonine HCl and Cetacaine) have been observed in adults or pediatric patients.

Frequently Asked Questions

What SPL severity band is on file for Atropine + Midazolam?

Compiled FDA labeling labels this pair minor. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Midazolam has 39 labeled pairs on file vs Atropine's 6. In the minor band specifically: Atropine has 6 (also Mexiletine, Metoclopramide, Imipramine, Nabilone); Midazolam has 27 (also Hydroxyzine, Nifedipine, Morphine, Diazepam).

What mechanism field is on file for Atropine and Midazolam?

These medications do not cause any significant bad reactions when they are given at the same time for surgery.

Midazolam carries more major-labeled pairs than Atropine

SPL source-record counts only. This page's band is minor · classes on file: Atropine (Anticholinergic); Midazolam (Benzodiazepine).

Midazolam has 3 major-labeled pairs vs Atropine's 0. This page itself is in the minor band, not the major band.

Atropine

0 major · 0 moderate · 6 minor · 6 total

Midazolam

3 major · 9 moderate · 27 minor · 39 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.