The major differences are with BAM you don't have the fluctuation in body temp, respirations stay smooth and steady, also the rumen is not paralyzed so it continues working while the animal is sedated. The reversal is much smoother and complete. When you reverse the animal it is up and ready to go, no staggering around. I have sedated hundreds of deer with BAM and as of today have had no problems, sixty in the last two weeks. I know eventually I will encounter an animal who has an adverse reaction to the drug but so far nothing but great results!