The aim of this study is to compare the effect of intravenous Rapifen and Lidocaine to control hemodynamic responses in laryngoscopy and intubation. Its applied objective is to use a method that better controls blood pressure and heart rate in laryngoscopy and intubation. The main criterion for patients to include this study was age (15-60 years old). Also, the criteria to exclude this study are patients with narcotics addiction, cardiopulmonary diseases, hypertension (more than 140/90), chronic diseases using narcotics, and pregnant women. Sample population include 120 patients needing endotracheal intubation and surgery, admitting in Shahid Rajaei and Velayat hospitals of Qazvin. Patients divide into four groups (A, B, C, and D), randomly. Induction of anesthesia include; Fentanyl (1 microgram per kilogram) plus Midazolm (0/02 milligram per kilogram), and after two minutes, Nesdonal (5 milligram per kilogram) plus Atracurium (0/5 milligram per kilogram). In addition to induce the routine anesthesia; Group A, receive distilled water.Distilled water is placebo. Group B receive intravenous Lidocaine (1/5 milligram per kilogram), group C receive intravenous Rapifen (10 microgram per kilogram), and group D receive intravenous Lidocaine (1/5 milligram per kilogram) plus Rapifen (10 microgram per kilogram), 1/5 minutes before laryngoscopy and intubation. In each group, blood pressure and heart rate measure before sedation & induction, and 20 seconds & 5 minutes after laryngoscopy, respectively.