Why Midazolam?

Midazolam is given to people in NHS hospitals, it suppresses respiratory function. This is genocide. They also gave them morphine and put them on a death pathway, no food or water. They’re giving huge doses to people and it isn’t supposed to be used in over 60s.


… Midazolam is also a drug that has been used in executions by lethal injection in the USA, combined with two other drugs. Midazolam acts as a sedative to make the prisoner unconscious. The other drugs then stop the lungs and heart working. However it has been the source of controversy as several prisoners took a long while to die and appeared to be in pain when midazolam was used.

Midazolam can also cause serious or life-threatening breathing problems such as shallow, slowed, or temporarily stopped breathing that may lead to permanent brain injury or death.


Midazolam is also used before medical procedures and surgery to cause drowsiness, relieve anxiety, and prevent any memory of the event. It is also sometimes given as part of the anesthesia during surgery to produce a loss of consciousness.

Proof we bought it

A spokesperson from Accord Healthcare, one of five manufacturers of the drug, told The Pharmaceutical Journal that it had to gain regulatory approval to sell French-labelled supplies of midazolam injection to the NHS, after having already sold two years’ worth of stock to UK wholesalers “at the request of the NHS” in March 2020.

A spokesperson from Accord Healthcare told The Pharmaceutical Journal on 11 May 2020 that it was out of stock of midazolam injection after the NHS requested it “place all of its stock of midazolam — equivalent to around two year’s forecasted supply — into its wholesale partners”, even though the manufacturer “does not currently have any NHS contracts in England” to supply the drug.



How Does Execution Drug Midazolam Work?

“States can still use the sedative drug midazolam in lethal injections, according to today’s Supreme Court decision. But how exactly does the drug work, and why do some say that it’s unreliable?

In a 5-to-4 vote, the court ruled that using midazolam does not violate the Eighth Amendment, which prohibits “cruel and unusual punishment.” In executions, the drug has been used to induce unconsciousness before other drugs are administered to stop an inmate’s breathing and stop the heart.

However, midazolam was involved in several botched executions last year, including the case of Clayton Lockett from Oklahoma, who lived for about 45 minutes after he was administered drugs for lethal injection, and was seen convulsing and writhing before dying of a heart attack. (It was later determined that the IV line used to deliver the drugs in Lockett’s execution was not properly placed.)”

So the NHS combines it with morphine.

“The defendants who brought the case before the Supreme Court, who are all death row inmates, had argued that midazolam could not reliably induce unconsciousness. The drug is not approved by the Food and Drug Administration for use as an anesthetic by itself. [Mistaken Identity? 10 Contested Death Penalty Cases]”

Try adding morphine?

“According to Lubarsky, midazolam produces a sedative effect because it facilitates the binding of a brain chemical called GABA to brain receptors, which hinders the flow of electrical impulses in the brain. However, other drugs historically used in lethal injections, like sodium thiopental, have a greater effect on the brain because they can also mimic GABA’s effects. Midazolam does not, Lubarsky said.”

“This means that the effect of midazolam “is capped at a lower level of sedation,” wrote the justices who dissented with the decision. Lubarsky cited scientific studies and textbooks to back up his arguments, according to the Court’s dissent, written by Justice Sonia Sotomayor.”

Better stop water, that kills within three days.

“Another expert who testified in the case disagreed, saying that the dose of midazolam that will now be used in Oklahoma, 500 milligrams, would keep a person unconscious throughout an execution, because a very high dose of the drug would effectively paralyze the brain.”

“In the decision made today, five justices on the court sided with Evans, agreeing that a 500milligram dose of the drug would work. But the other four justices disagreed, writing in their dissent: “In reaching this conclusion, the Court sweeps aside substantial evidence showing that, while midazolam may be able to induce unconsciousness, it cannot be utilized to maintain unconsciousness in the face of agonizing stimuli.””



The drug midazolam – a sedative used by several states to cause unconsciousness – has proved so controversial that, in 2017, Alabama inmate Thomas D Arthur asked to be executed by firing squad. Arthur lodged an appeal with the Supreme Court to postpone his execution on the basis that midazolam, one of the drugs in Alabama’s three-drug lethal injection combination, could contribute to ‘prolonged torture’. The Supreme Court denied the appeal, and Arthur was executed (by lethal injection) in May 2017.

The controversy around midazolam became particularly heated at the time of Arkansas’s ‘mass executions’ in April 2017. The state’s plan to execute eight men in 11 days ultimately became the subject of the BBC Three documentary series Life and Death Row: The Mass Execution

Each of these is delivered at a dose that could theoretically kill the inmate; however, each drug has drawbacks. A cocktail of all three is used to mitigate the other drugs’ disadvantages.

Midazolam is a benzodiazepine. At low doses it has an anti-anxiety effect. At around 10mg, it knocks the inmate unconscious. On death row in Arkansas, the dose is 500mg.

What doses did the NHS buy? Four of them was it?

During the 2014 execution of Dennis McGuire in Ohio, which used a combination of 10mg midazolam and 40mg hydromorphone, McGuire was seen ‘gasping‘ for air for 10 to 13 minutes of the 24-minute execution. There were reportedly similar scenes during the execution of Joseph Wood in Arizona.

Separately, in a 2015 legal challenge brought by several death row inmates in Oklahoma, numerous experts testified that midazolam has no pain-relieving properties, and does not produce the deep, coma-like state of unconsciousness necessary to relieve suffering.

To stop the heart, potassium chloride is administered directly after the vecuronium bromide. Without proper sedation, this stage would be extremely painful. The feeling has been likened to ‘liquid fire’ entering veins and snaking towards the heart.

If the procedure goes according to plan, the inmate should be dead less than 10 minutes after the first drug enters their system.

From The BBC


Midazolam can slow or stop your breathing, especially if you have recently used an opioid medication. Midazolam is given in a hospital, dentist office, or other clinic setting where your vital signs can be watched closely.”


MHRA/CHM advice: Benzodiazepines and opioids: reminder of risk of potentially fatal respiratory depression (March 2020)

“The MHRA reminds healthcare professionals that benzodiazepines and benzodiazepine-like drugs co-prescribed with opioids can produce additive CNS depressant effects, thereby increasing the risk of sedation, respiratory depression, coma, and death. Healthcare professionals are advised to only co-prescribe if there is no alternative and, if necessary, the lowest possible doses should be given for the shortest duration. Patients should be closely monitored for signs of respiratory depression at initiation of treatment and when there is any change in prescribing, such as dose adjustments or new interactions. If methadone is co-prescribed with a benzodiazepine or benzodiazepine-like drug, the respiratory depressant effect of methadone may be delayed; patients should be monitored for at least 2 weeks after initiation or changes in prescribing. Patients should be informed of the signs and symptoms of respiratory depression and sedation, and advised to seek urgent medical attention should these occur.”

Higher doses are associated with prolonged sedation and risk of hypoventilation. The co-administration of midazolam with other sedative, hypnotic, or CNS-depressant drugs results in increased sedation. Midazolam accumulates in adipose tissue, which can significantly prolong sedation, especially in patients with obesity, hepatic impairment or renal impairment.

May cause drowsiness, impair judgement and increase reaction time, and so affect ability to drive or perform skilled tasks; effects of alcohol increased. Moreover the hangover effects of a night dose may impair performance on the following day.


The above exchange took place in a parliamentary committee meeting on the 17th April 2020 between Matt Hancock and Dr Evans, who is a fellow Conservative MP.


They knew, the monsters knew.

1. Be civil. 2. Be logical or fair. 3. Do not bore me.

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