However, a caution was exercised in using propranolol because of its major diazepam overnight actions on the heart. The risk of inadequately prescribing benzodiazepines stems from exaggerating their potential adverse effects and minimizing their beneficial effects. In the present study, it was found that IM midazolam is effective in treatment of acute convulsions due to febrile convulsions which was statistically significant as compared to IV diazepam which may make it an effective tool in the management of febrile convulsions in office practice where intravenous access may often be difficult. The only Diazepam overnight other significant finding was the restriction of neck movements due to cervical spondylosis. None of the patients in either group developed hypotension or respiratory depression though a significant number of diazepam overnight patients in the diazepam group developed thrombophlebitis. Fluid and electrolyte therapy was regulated by noting the clinical condition, urine output and serum electrolyte values. Since diazepam Diazepam overnight is a safer drug, there seems to be no justification for adding chlorpromazine to diazepam. IM midazolam was equally effective in various types of convulsions be it GTC or focal convulsions. CONCLUSION, Intravenous diazepam administration before EGD produces a significant fall in SpO2 during the procedure, and so should be avoided; continuous monitoring of SpO2 should be done during EGD. It was considered logical, therefore, to evaluate the combination of diazepam and propranolol in controlling the spasms. An unbiased junior resident doctor noted time interval from the moment of administration of the drug and cessation of seizures with a stopwatch. In 3 other grade IV cases, the pulse went up by 40 to 70 beats per minute while in the remaining one grade IV Diazepam overnight case the pulse was 100, per minute and remained the same after 48 hours. Midazolam in the dose of 0,1 mg,kg to 0,3 mg,kg is readily available for diazepam overnight intramuscular dose due to its water-soluble nature. The past history revealed that the patient had suffered three myocardial infarctions last attack 22 years earlier and had been asymptomatic since then. Also incidence of thrombophlebitis with diazepam is quite high. The spasms were recorded as mild, moderate and severe according to Diazepam overnight preset criteria. 3 It is not always easy to diazepam overnight identify problem patients. The data was analyzed by t table and compared using chi-square test for proportions. Results, The mean interval to cessation of convulsions with IM midazolam was 97,22 seconds whereas in diazepam group without prior IV access it was 250,35 seconds and in diazepam group with prior IV access it was 119,4 seconds.