Reported Reactions

Drugs › Benzodiazepine

Generic name

Midazolam: adverse event reports filed with FDA

11,299 reports list it as a suspect or interacting product, 2004–2026. Class: Benzodiazepine. Also reported as Midazolam Injection Usp, Midazolam 2mg, Midazolam Injection.

11,299
reports as suspect product
0.1% of all reports · about 504 a year
872
reports, 12 months to June 2026
1,173 in the 12 months before
92.6%
marked serious by the reporter
88.1% across the class
17.6%
record death among outcomes, as reported
1,988 reports · not verified by FDA

Between February 2004 and June 2026, 11,299 adverse event reports received by FDA list midazolam, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (12,982) are left out of every figure here.

In the 12 months to June 2026, 872 reports listed it, down 26% from 1,173 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 504 reports a year and 0.1% of the 20,646,523 reports in the database, and 4.6% of the reports for the benzodiazepine class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are drug ineffective (18.4%), off label use (11.1%) and hypotension (6.3%). A report can list several reactions, so shares add to more than 100%; 1,468 different terms appear across these reports. Drug ineffective is recorded in 18.4% of these reports, a larger share than in the median benzodiazepine drug (9.3%).

92.6% of the reports are marked serious by the reporter (88.1% across the class); 17.6% record death among the outcomes and 43.3% record hospitalisation, as reported. 50.1% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (25.8%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

092183Jul 2021: 145Aug 2021: 105Sep 2021: 117Oct 2021: 70Nov 2021: 75Dec 2021: 742022Jan 2022: 54Feb 2022: 79Mar 2022: 60Apr 2022: 95May 2022: 60Jun 2022: 77Jul 2022: 54Aug 2022: 66Sep 2022: 94Oct 2022: 96Nov 2022: 102Dec 2022: 1002023Jan 2023: 121Feb 2023: 89Mar 2023: 76Apr 2023: 77May 2023: 100Jun 2023: 147Jul 2023: 134Aug 2023: 91Sep 2023: 90Oct 2023: 116Nov 2023: 94Dec 2023: 712024Jan 2024: 101Feb 2024: 107Mar 2024: 85Apr 2024: 93May 2024: 105Jun 2024: 82Jul 2024: 161Aug 2024: 63Sep 2024: 108Oct 2024: 76Nov 2024: 88Dec 2024: 802025Jan 2025: 89Feb 2025: 89Mar 2025: 69Apr 2025: 85May 2025: 82Jun 2025: 183Jul 2025: 101Aug 2025: 57Sep 2025: 84Oct 2025: 50Nov 2025: 79Dec 2025: 962026Jan 2026: 67Feb 2026: 76Mar 2026: 52Apr 2026: 87May 2026: 79Jun 2026: 44

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

06031,2062004: 1320042005: 412006: 412007: 720072008: 72009: 42010: 3920102011: 752012: 2522013: 34120132014: 3502015: 5422016: 41320162017: 5202018: 7432019: 90920192020: 1,0622021: 1,1792022: 93720222023: 1,2062024: 1,1492025: 1,06420252026: 405

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Midazolam reports recording the termmedian drug in benzodiazepine

  1. Drug ineffectivethe medicine did not work as expected18.4%2,078
  2. Off label useused for a purpose or in a way not on the label11.1%1,258
  3. Hypotensionlow blood pressure6.3%717
  4. Drug interactionan interaction between medicines5.2%582
  5. Toxicity to various agentspoisoning or toxic effect of one or more substances5.1%575
  6. Seizurea fit or convulsion4.8%539
  7. Cardiac arrestthe heart stopped3.6%409
  8. Deaththe patient died; cause not stated by this term2.8%319
  9. Condition aggravatedthe condition being treated got worse2.8%318
  10. Pyrexiafever2.8%316
  11. Product use in unapproved indicationused for a purpose not on the label2.6%299
  12. Tachycardiafast heart rate2.6%298
  13. Anaphylactic reactiona severe, sudden allergic reaction2.5%283
  14. Respiratory failurethe lungs could not supply enough oxygen2.4%273
  15. Agitationrestlessness2.3%258
  16. Nauseafeeling sick2.3%256
  17. Hypoxialow oxygen2.2%245
  18. Drug abusemisuse of a medicine2.2%244
  19. Anaemialow red blood cells2.1%238
  20. Overdosea dose above the recommended amount2.1%238
  21. Multiple-drug resistance2.1%236
  22. Maternal exposure during pregnancythe mother took the medicine during pregnancy2%230
  23. Somnolencedrowsiness2%227
  24. Deliriumsudden confusion2%225
  25. Bradycardiaslow heart rate2%224
  26. Foetal exposure during pregnancythe unborn baby was exposed to the medicine2%223

Top 30 of 1,468 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 19 drugs in the benzodiazepine class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death17.6%1,988
Life-threatening17.7%1,997
Hospitalisation (initial or prolonged)43.3%4,898
Disability1%113
Congenital anomaly0.8%88
Other serious62.1%7,018
Not serious7.4%840

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 244,289 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 24.3%488
2 to 116.6%750
12 to 173.8%428
18 to 4425.8%2,916
45 to 6419.2%2,171
65 to 7410.1%1,146
75 and over7.3%825
Age not given22.8%2,575

Patient sex

Female42.6%4,810
Male42.5%4,798
Not given15%1,691

Who reported

Physician31.3%3,534
Pharmacist6.9%782
Other health professional50.1%5,661
Lawyer0.1%10
Consumer or non-health professional8.9%1,006
Not given2.7%306

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 33.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Sedation1,37012.1%
Status epilepticus9618.5%
Seizure8097.2%
Anaesthesia5845.2%
Sedative therapy5454.8%
General anaesthesia2912.6%

The indication field is filled in by the reporter and is often blank; shares are of all 11,299 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Midazolam reports
Propofol4,10136.3%
Fentanyl2,64723.4%
Levetiracetam2,26520%
Ketamine1,30511.5%
Phenobarbital1,21310.7%
Phenytoin1,21010.7%
Lorazepam1,19610.6%
Lacosamide1,14410.1%
Diazepam1,1149.9%
Sufentanil8307.3%

Other products listed in reports where Midazolam is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureMidazolamBenzodiazepineAll reports
Reports as suspect product11,299244,28920,646,523
Share of that pool—4.6%0.1%
Reports, latest 12 months872—1,332,454
Marked serious92.6%88.1%57.4%
Death recorded among outcomes, per 1,000 reports17629791
Hospitalisation recorded, per 1,000 reports433346213
Consumer-filed share8.9%21.3%45.8%
Top term, share of reportsDrug ineffective 18.4%median 9.3%6.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the benzodiazepine class

DrugName typeReportsLatest 12 monthsMarked serious
Alprazolamgeneric48,2632,27190.4%
Diazepamgeneric40,0602,76294.8%
Clonazepamgeneric37,4322,53086.7%
Lorazepamgeneric33,3072,01090%
Xanaxbrand17,44452078.2%
Oxazepamgeneric10,7091,20099.1%
Valiumbrand9,65047784%
Clobazamgeneric8,00571289.1%
Temazepamgeneric7,42230890.7%
Klonopinbrand5,8325656.5%
Ativanbrand5,31825577.8%
Onfibrand3,5434157.5%
Midazolam hydrochloridegeneric1,73112588.6%
Triazolamgeneric1,4796684.3%
Restorilbrand1,0186679.8%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Midazolam reports

How many adverse event reports has FDA received for Midazolam?

11,299 reports list Midazolam as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 872 of them arrived in the latest 12 months. Another 12,982 list it only as a concomitant medication.

What reactions are recorded in Midazolam reports?

drug ineffective (18.4%), off label use (11.1%), hypotension (6.3%), drug interaction (5.2%) and toxicity to various agents (5.1%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Midazolam was responsible.

How serious are the reports?

92.6% are marked serious by the reporter. Among the outcomes recorded, 17.6% of reports include death and 43.3% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

other health professional (50.1%), physician (31.3%) and consumer or non-health professional (8.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Midazolam rising?

872 reports in the 12 months to June 2026, down 26% from 1,173 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Midazolam was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Midazolam?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Midazolam as a suspect or interacting product; reports listing it only as a concomitant medication (12,982) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.