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    Disclaimer
    Benzodiazepines can cause physical dependence with regular use. Withdrawal can be life-threatening. Never combine with opioids or alcohol.

    Midazolam

    Aliases: Versed, Hypnovel, Dormicum

    Summary TheDrug.Wiki TripSit PsychonautWiki

    Midazolam is a Schedule IV controlled substance in the United States and a prescription-only medication in most countries. It should never be combined with other depressants due to extreme risk of fatal respiratory depression. Users with liver or kidney impairment may experience prolonged effects and should avoid use or reduce doses significantly.

    Dose Information TheDrug.Wiki TripSit PsychonautWiki

    ROA Light Common Strong Heavy
    Oral 2.5-5mg 5-15mg 15-30mg 30mg+
    Intranasal 3-7mg 7-15mg 15-25mg 25mg+
    Intramuscular 3-5mg 5-12mg 12-25mg 25mg+
    Intravenous 1-2mg 2-4mg 4-5mg 5mg+
    Insufflated 3-7mg 7-15mg 15-25mg 25mg+
    Rectal 3-7mg 7-15mg - -
    Light Common Strong Heavy

    Benzo Equivalence Calculator

    mg
    10.0 mg Midazolam
    =
    mg Diazepam

    ⚠ These are approximate equivalences for educational and cross-tapering reference. Individual response, tolerance, and half-life differences mean actual equivalence varies. Always consult a healthcare provider for tapering guidance.

    Onset, Duration & After-effects TheDrug.Wiki TripSit PsychonautWiki

    ROA Onset Comeup Peak Offset After Effects Total
    Oral 30-60 min 30-60 min 1-2 hrs 1-2 hrs 6-6 hrs 3-6 hrs
    Intranasal 5-15 min - 10-30 min 1-2 hrs 4-4 hrs 1.2-2.8 hrs
    Intramuscular 2-30 min - 30-60 min 1-2 hrs 6-6 hrs 1.5-3.5 hrs
    Intravenous 1-5 min - 5-15 min 30-90 min 4-4 hrs 0.6-1.8 hrs
    Insufflated 1-5 min - 4-8 hrs - 1-12 hrs 4-8.1 hrs
    Rectal 15-25 min - 4-8 hrs - 1-12 hrs 4.2-8.4 hrs

    Effect Profile

    7 reports

    Scores (1–10) curated from multiple sources:

    • Effect keyword matching from PsychonautWiki catalog
    • Weighted by importance: core (×3), major (×2), minor (×1)

    Full methodology

    Benzodiazepine 6.7
    Strong+ 7/10

    Strong anxiolysis and cognitive impairment with moderate euphoria, mild sedation

    Anxiolysis ×3
    10
    anxiety suppression anxiolytic muscle relaxation muscle relaxant
    Sedation / Relaxation ×2
    5
    sedation muscle relaxation
    Motor / Cognitive Impairment ×1
    9
    motor control loss cognitive impairment amnesia delusions of sobriety
    Euphoria / Mood Lift ×1
    6
    euphoria disinhibition

    Tolerance

    Build-up develops over 1–4 weeks of daily use; hypnotic tolerance faster than anxiolytic tolerance
    Reset weeks to months depending on half-life and duration of use; taper recommended

    Effects Erowid

    Aggregated from 7 Erowid experience reports

    Positive Effects 3

    Euphoria 57.1% 70%
    Sedation 42.9% 70%
    Anxiety Suppression 42.9% 70%

    Adverse Effects 1

    Confusion 42.9% 70%

    Combinations TripSit

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