Midazolam and Tapentadol Hydrochloride must not be used together. This combination is classified as CONTRAINDICATED.
The concurrent use of tapentadol and midazolam significantly increases the risk of severe adverse outcomes including profound sedation, respiratory depression, coma, and death. Patients may exhibit decreased level of consciousness, hypoventilation, bradycardia, and hypotension.
Mechanism: Both tapentadol, an opioid analgesic, and midazolam, a benzodiazepine, are central nervous system (CNS) depressants. Their co-administration leads to an additive depressant effect on the CNS, primarily impacting the brainstem respiratory centers and leading to profound sedation and respiratory depression.
Midazolam vs. Tapentadol Hydrochloride
Compare Midazolam and Tapentadol Hydrochloride: mechanism of action, indications, side effects, cost, and which may be right for you.
Drug A
Midazolam
Midazolam
Benzodiazepines
RxDrug B
Tapentadol Hydrochloride
Tapentadol Hydrochloride
Opioid Analgesics
RxQuick Comparison
| Category | Midazolam | Tapentadol Hydrochloride |
|---|---|---|
| Drug Class | Benzodiazepines | Opioid Analgesics |
| Rx Status | Rx | Rx |
| Generic Available | No | No |
| Typical Cost | $500–$1,500/month | $300–$800/month |
Midazolam Overview
Midazolam is a type of medicine called a benzodiazepine that helps calm the body and mind. It is primarily used to make you feel relaxed and drowsy before medical procedures, surgeries, or to help you fall asleep for general anesthesia. It works by slowing down brain activity to reduce anxiety and create a state of peacefulness or forgetfulness.
Full Midazolam guide →Tapentadol Hydrochloride Overview
TAPENTADOL HYDROCHLORIDE (brand name: Tapentadol Hydrochloride) is a Opioid Analgesics. 1 INDICATIONS AND USAGE Tapentadol tablets are indicated for the management of acute pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate in adults. Limitations of Use Because of the risks of addiction, abuse, misuse, overdose, and death, which can…
Full Tapentadol Hydrochloride guide →How Each Drug Works
Tapentadol Hydrochloride
Tapentadol is a centrally-acting synthetic analgesic. The exact mechanism of action is unknown. Although the clinical relevance is unclear, preclinical studies have shown that tapentadol is a mu-opioid receptor (MOR) agonist and a norepinephrine reuptake inhibitor (NRI). Analgesia in animal models is derived from both of these properties.
Approved Uses (Indications)
Midazolam
INDICATIONS AND USAGE Midazolam Injection is indicated: intramuscularly or intravenously for preoperative sedation/anxiolysis/amnesia; intravenously as an agent for sedation/anxiolysis/amnesia prior to or during diagnostic, therapeutic or endoscopic procedures, such as bronchoscopy, gastroscopy, cystoscopy, coronary angiography, cardiac catheterization, oncology procedures, radiologic procedures, suture of lacerations and other procedures either alone or in combination with other CNS depressants; intravenously for induction of general anesthesia, before administration of other anesthetic agent…
Tapentadol Hydrochloride
Tapentadol tablets are indicated for the management of acute pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate in adults. Limitations of Use Because of the risks of addiction, abuse, misuse, overdose, and death, which can occur at any dose or duration [see Warnings and Precautions ], and persist over the course of therapy, reserve opioid analgesics, including tapentadol tablets for use in patients for whom alternative treatment options are ineffective, not tolerated, or would be otherwise inadequate to provide su…
Side Effects
Midazolam
Tapentadol Hydrochloride
Cost Comparison
Midazolam
$500–$1,500/month
As Midazolam is a brand-only medication, explore manufacturer patient assistance programs or discount cards like GoodRx to help reduce the high cost. Your insurance plan's coverage will also significantly impact your out-of-pocket expenses.
Tapentadol Hydrochloride
$300–$800/month
Since Tapentadol Hydrochloride is only available as a brand-name drug, look for manufacturer coupons or patient assistance programs to significantly reduce costs. Discount cards like GoodRx can also offer some savings.
Compare prices for Midazolam and Tapentadol Hydrochloride
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Medical Disclaimer
The information on RxGuide is intended for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, pharmacist, or other qualified health provider with any questions you may have regarding a medical condition or medication. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.