Page last updated: 2024-10-27

flumazenil and Alcohol Abuse

flumazenil has been researched along with Alcohol Abuse in 23 studies

Flumazenil: A potent benzodiazepine receptor antagonist. Since it reverses the sedative and other actions of benzodiazepines, it has been suggested as an antidote to benzodiazepine overdoses.
flumazenil : An organic heterotricyclic compound that is 5,6-dihydro-4H-imidazo[1,5-a][1,4]benzodiazepine which is substituted at positions 3, 5, 6, and 8 by ethoxycarbonyl, methyl, oxo, and fluoro groups, respectively. It is used as an antidote to benzodiazepine overdose.

Research Excerpts

ExcerptRelevanceReference
"The benzodiazepine receptor antagonist flumazenil reduces anxiety-like behavior and sensitization of anxiety-like behavior in various models of ethanol withdrawal in rodents."7.74The amygdala regulates the antianxiety sensitization effect of flumazenil during repeated chronic ethanol or repeated stress. ( Angel, RA; Breese, GR; Knapp, DJ; Navarro, M; Overstreet, DH, 2007)
"Disulfiram is an aldehyde dehydrogenase inhibitor that is widely used as an adjunctive agent in the treatment of patients with severe chronic alcoholism."7.69Effects of disulfiram on positron emission tomography and neuropsychological studies in severe chronic alcoholism. ( Adams, KM; Gilman, S; Heumann, M; Hill, E; Johnson-Greene, D; Junck, L; Kluin, KJ; Koeppe, RA; Martorello, S, 1996)
"The benzodiazepine receptor antagonist flumazenil reduces anxiety-like behavior and sensitization of anxiety-like behavior in various models of ethanol withdrawal in rodents."3.74The amygdala regulates the antianxiety sensitization effect of flumazenil during repeated chronic ethanol or repeated stress. ( Angel, RA; Breese, GR; Knapp, DJ; Navarro, M; Overstreet, DH, 2007)
"Disulfiram is an aldehyde dehydrogenase inhibitor that is widely used as an adjunctive agent in the treatment of patients with severe chronic alcoholism."3.69Effects of disulfiram on positron emission tomography and neuropsychological studies in severe chronic alcoholism. ( Adams, KM; Gilman, S; Heumann, M; Hill, E; Johnson-Greene, D; Junck, L; Kluin, KJ; Koeppe, RA; Martorello, S, 1996)
" Flumazenil was efficient for leading out from coma in 86% of cases with poisoning only by benzodiazepines and 13% of cases with mixed intoxications mainly containing benzodiazepines and alcohol or carbamazepine."3.69[Suicidal poisoning with benzodiazepines]. ( Chodorowski, Z; Sein Anand, J, 1997)
"Improved treatment of alcohol dependence is a high priority, including defining subtypes that might respond differently."2.74Efficacy of a combination of flumazenil and gabapentin in the treatment of alcohol dependence: relationship to alcohol withdrawal symptoms. ( Anton, RF; Baros, AM; Latham, PK; Malcolm, R; Myrick, H; Randall, PK; Stewart, SH; Waid, R; Wright, TM, 2009)
"Abstinent male alcohol dependent subjects underwent [11C]flumazenil PET to measure occupancy of BDZ receptors by midazolam whilst recording its pharmacodynamic effects on behavioural and physiological measures."2.71GABA-benzodiazepine receptor function in alcohol dependence: a combined 11C-flumazenil PET and pharmacodynamic study. ( Brooks, DJ; Cunningham, VJ; Feeney, A; Lingford-Hughes, AR; Nutt, DJ; Stevenson, B; Wilson, SJ, 2005)
"He was treated for hepatic encephalopathy with complete recovery and resolution of the neurologic findings."2.46Reversible hepatic decerebration: a case report and review of the literature. ( Antoun, SA; Delgado, F; Saad, D; Ta, H; Wehbe, E, 2010)
"Men with alcohol dependence (n = 27) and a matched healthy comparison group (n = 15)."1.33Cortical gamma-aminobutyric acid type A-benzodiazepine receptors in recovery from alcohol dependence: relationship to features of alcohol dependence and cigarette smoking. ( Baldwin, R; Frohlich, E; Gottschalk, C; Gueorguieva, R; Innis, RB; Jatlow, P; Krystal, JH; O'Malley, S; Perry, E; Petrakis, IL; Ruff, E; Seibyl, JP; Staley, JK; van Dyck, CH; Verhoeff, NP; Weinzimmer, D, 2005)
"Although alcohol dependence in women is an increasing problem, little is known about the effects of alcohol on the female brain."1.31Levels of gamma-aminobutyric acid-benzodiazepine receptors in abstinent, alcohol-dependent women: preliminary findings from an 123I-iomazenil single photon emission tomography study. ( Acton, PD; Boddington, SJ; Costa, DC; Ell, PJ; Gacinovic, S; Kerwin, RW; Lingford-Hughes, AR; Marshall, EJ; Pilowsky, LS, 2000)
"[11C]Flumazenil binding was quantified by applying a saturation procedure with two PET experiments, the first with high (400-3400 Ci/mmol) and the second with low (approximately 1 Ci/mmol) specific radioactivity."1.29PET analysis of [11C]flumazenil binding to benzodiazepine receptors in chronic alcohol-dependent men and healthy controls. ( Farde, L; Halldin, C; Hindmarsh, T; Litton, JE; Neiman, J; Pauli, S; Sedvall, G, 1993)
"Flumazenil treatment of ethanol-dependent mice 14 hr before isolation of brain membrane vesicles partially reversed the augmentation of Ro15-4513 inhibition of muscimol-stimulated 36Cl- uptake in vitro."1.28Reversal of alcohol dependence and tolerance by a single administration of flumazenil. ( Buck, KJ; Harris, RA; Heim, H, 1991)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19902 (8.70)18.7374
1990's7 (30.43)18.2507
2000's6 (26.09)29.6817
2010's7 (30.43)24.3611
2020's1 (4.35)2.80

Authors

AuthorsStudies
Yin, W1
Majumder, S1
Clayton, T1
Petrou, S1
VanLinn, ML1
Namjoshi, OA1
Ma, C1
Cromer, BA1
Roth, BL1
Platt, DM1
Cook, JM1
Lucyk, S1
von Schweinitz, BA1
Hoffman, RS1
Moore, PW1
Hieger, MA1
Donovan, JW1
Wehbe, E1
Saad, D1
Delgado, F1
Ta, H1
Antoun, SA1
Anton, RF3
Myrick, H3
Baros, AM2
Latham, PK2
Randall, PK3
Wright, TM2
Stewart, SH1
Waid, R1
Malcolm, R1
Schacht, JP2
Waid, LR1
Li, X1
Henderson, S1
Lingford-Hughes, AR2
Wilson, SJ1
Cunningham, VJ1
Feeney, A1
Stevenson, B1
Brooks, DJ1
Nutt, DJ1
Staley, JK1
Gottschalk, C1
Petrakis, IL2
Gueorguieva, R1
O'Malley, S1
Baldwin, R1
Jatlow, P1
Verhoeff, NP1
Perry, E1
Weinzimmer, D1
Frohlich, E1
Ruff, E1
van Dyck, CH1
Seibyl, JP2
Innis, RB2
Krystal, JH2
Knapp, DJ1
Overstreet, DH1
Angel, RA1
Navarro, M1
Breese, GR1
Farde, L2
Pauli, S2
Litton, JE2
Halldin, C2
Neiman, J2
Sedvall, G2
Hindmarsh, T1
Gilman, S1
Adams, KM1
Johnson-Greene, D1
Koeppe, RA1
Junck, L1
Kluin, KJ1
Martorello, S1
Heumann, M1
Hill, E1
Chodorowski, Z1
Sein Anand, J1
Abi-Dargham, A1
Anjilvel, S1
Scanley, BE1
Zoghbi, S1
Baldwin, RM1
Rajeevan, N1
Ellis, S1
Charney, DS1
Laruelle, M1
Acton, PD1
Gacinovic, S1
Boddington, SJ1
Costa, DC1
Pilowsky, LS1
Ell, PJ1
Marshall, EJ1
Kerwin, RW1
Buck, KJ1
Heim, H1
Harris, RA1
López Soriano, F1
García Basterrechea, JM1
Hallal Hachem, H1
Alguacil García, GF1
Mhatre, M1
Ticku, MK1
Chan, AW1
Kurshed, AAM1
Vincze, F2
Pikó, P1
Kósa, Z1
Sándor, J2
Ádány, R2
Diószegi, J1
Nagy, A1
Földvári, A1
Szabó, E1
Csenteri, O1
Sipos, V1
Kovács, N1
Pálinkás, A1
Papp, M1
Fürjes, G1
Ekuklu, G1
Deveci, S1
Eskiocak, M1
Berberoglu, U1
Saltik, A1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Double Blind Evaluation of Flumazenil and Gabapentin for the Treatment of Alcohol Withdrawal and Relapse Prevention[NCT00262639]Phase 2/Phase 360 participants (Actual)Interventional2005-12-31Completed
Imaging Framework for Testing GABAergic/Glutamatergic Drugs in Bipolar Alcoholics[NCT03220776]Phase 254 participants (Actual)Interventional2017-08-07Completed
Neurocognitive and Neurobehavioral Mechanisms of Change Following Psychological[NCT03842670]140 participants (Anticipated)Interventional2018-11-14Active, not recruiting
Characterization of [11C]Flumazenil to Image GABA Transmission in Healthy Adult Subjects and Subjects With Alcohol Dependence[NCT01904487]Phase 111 participants (Actual)Interventional2011-04-19Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percent Days Abstinent

percent days abstinent during treatment (NCT00262639)
Timeframe: Weeks 1 to 6

Interventionpercent days (Mean)
Low CIWA Flumazenil/Gabapentin70.8
Low CIWAar Placebo86.1
High CIWAar Placebo75.9
High CIWAar Flumazenil/Gabapentin95.9

Percent Subjects Completely Abstinent

percent of subjects completely abstinent during the six week medication study study (NCT00262639)
Timeframe: 6 week trial

Interventionpercent of participants (Number)
Low CIWA Flumazenil/Gabapentin44
Low CIWAar Placebo19
High CIWAar Placebo33
High CIWAar Flumazenil/Gabapentin71

Prefrontal GABA+ Concentrations

Concentrations of GABA+, referenced to unsuppressed water and corrected for within-voxel CSF proportion, in dorsal anterior cingulate cortex measured via Proton Magnetic Resonance Spectroscopy (i.e., MEGA-PRESS). (NCT03220776)
Timeframe: Day 5 of each experimental condition

Interventionmmol/kg (Mean)
N-Acetylcysteine3.90
Gabapentin3.93
Placebo Oral Tablet3.73

Prefrontal Glx Concentrations

Concentrations of Glx (i.e., glutamate + glutamine), referenced to unsuppressed water and corrected for within-voxel CSF proportion, in dorsal anterior cingulate cortex measured via Proton Magnetic Resonance Spectroscopy. (NCT03220776)
Timeframe: Day 5 of each experimental condition

Interventionmmol/kg (Mean)
N-Acetylcysteine21.59
Gabapentin21.69
Placebo Oral Tablet22.25

Reviews

1 review available for flumazenil and Alcohol Abuse

ArticleYear
Reversible hepatic decerebration: a case report and review of the literature.
    European journal of gastroenterology & hepatology, 2010, Volume: 22, Issue:6

    Topics: Alcoholism; Decerebrate State; Flumazenil; Hepatic Encephalopathy; Humans; Liver Cirrhosis, Alcoholi

2010

Trials

4 trials available for flumazenil and Alcohol Abuse

ArticleYear
Efficacy of a combination of flumazenil and gabapentin in the treatment of alcohol dependence: relationship to alcohol withdrawal symptoms.
    Journal of clinical psychopharmacology, 2009, Volume: 29, Issue:4

    Topics: Administration, Oral; Adult; Alcohol Drinking; Alcoholism; Amines; Cyclohexanecarboxylic Acids; Doub

2009
Efficacy of a combination of flumazenil and gabapentin in the treatment of alcohol dependence: relationship to alcohol withdrawal symptoms.
    Journal of clinical psychopharmacology, 2009, Volume: 29, Issue:4

    Topics: Administration, Oral; Adult; Alcohol Drinking; Alcoholism; Amines; Cyclohexanecarboxylic Acids; Doub

2009
Efficacy of a combination of flumazenil and gabapentin in the treatment of alcohol dependence: relationship to alcohol withdrawal symptoms.
    Journal of clinical psychopharmacology, 2009, Volume: 29, Issue:4

    Topics: Administration, Oral; Adult; Alcohol Drinking; Alcoholism; Amines; Cyclohexanecarboxylic Acids; Doub

2009
Efficacy of a combination of flumazenil and gabapentin in the treatment of alcohol dependence: relationship to alcohol withdrawal symptoms.
    Journal of clinical psychopharmacology, 2009, Volume: 29, Issue:4

    Topics: Administration, Oral; Adult; Alcohol Drinking; Alcoholism; Amines; Cyclohexanecarboxylic Acids; Doub

2009
Neurocognitive performance, alcohol withdrawal, and effects of a combination of flumazenil and gabapentin in alcohol dependence.
    Alcoholism, clinical and experimental research, 2011, Volume: 35, Issue:11

    Topics: Adult; Alcohol Drinking; Alcoholism; Amines; Cognition; Cyclohexanecarboxylic Acids; Drug Therapy, C

2011
Neurocognitive performance, alcohol withdrawal, and effects of a combination of flumazenil and gabapentin in alcohol dependence.
    Alcoholism, clinical and experimental research, 2011, Volume: 35, Issue:11

    Topics: Adult; Alcohol Drinking; Alcoholism; Amines; Cognition; Cyclohexanecarboxylic Acids; Drug Therapy, C

2011
Neurocognitive performance, alcohol withdrawal, and effects of a combination of flumazenil and gabapentin in alcohol dependence.
    Alcoholism, clinical and experimental research, 2011, Volume: 35, Issue:11

    Topics: Adult; Alcohol Drinking; Alcoholism; Amines; Cognition; Cyclohexanecarboxylic Acids; Drug Therapy, C

2011
Neurocognitive performance, alcohol withdrawal, and effects of a combination of flumazenil and gabapentin in alcohol dependence.
    Alcoholism, clinical and experimental research, 2011, Volume: 35, Issue:11

    Topics: Adult; Alcohol Drinking; Alcoholism; Amines; Cognition; Cyclohexanecarboxylic Acids; Drug Therapy, C

2011
Effects of a GABA-ergic medication combination and initial alcohol withdrawal severity on cue-elicited brain activation among treatment-seeking alcoholics.
    Psychopharmacology, 2013, Volume: 227, Issue:4

    Topics: Adult; Alcohol Drinking; Alcoholism; Amines; Brain; Cues; Cyclohexanecarboxylic Acids; Drug Therapy,

2013
GABA-benzodiazepine receptor function in alcohol dependence: a combined 11C-flumazenil PET and pharmacodynamic study.
    Psychopharmacology, 2005, Volume: 180, Issue:4

    Topics: Adult; Alcoholism; Analysis of Variance; Blood Pressure; Brain; Case-Control Studies; Competitive Bi

2005

Other Studies

18 other studies available for flumazenil and Alcohol Abuse

ArticleYear
Design, synthesis, and subtype selectivity of 3,6-disubstituted β-carbolines at Bz/GABA(A)ergic receptors. SAR and studies directed toward agents for treatment of alcohol abuse.
    Bioorganic & medicinal chemistry, 2010, Nov-01, Volume: 18, Issue:21

    Topics: Alcoholism; Animals; Benzodiazepines; Binding Sites; Carbolines; Cell Line; Computer Simulation; GAB

2010
In response to: safety and efficacy of flumazenil for reversal of iatrogenic benzodiazepine-associated delirium toxicity during treatment of alcohol withdrawal, a retrospective review at one center.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2014, Volume: 10, Issue:4

    Topics: Alcoholism; Antidotes; Benzodiazepines; Delirium; Flumazenil; Humans; Retrospective Studies; Substan

2014
The toxicologist and delirium: flumazenil as a diagnostic and therapeutic tool for delirium during the course of alcohol withdrawal.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2014, Volume: 10, Issue:4

    Topics: Alcoholism; Benzodiazepines; Delirium; Flumazenil; Humans; Substance Withdrawal Syndrome

2014
Cortical gamma-aminobutyric acid type A-benzodiazepine receptors in recovery from alcohol dependence: relationship to features of alcohol dependence and cigarette smoking.
    Archives of general psychiatry, 2005, Volume: 62, Issue:8

    Topics: Adult; Alcoholism; Cerebral Cortex; Comorbidity; Ethanol; Flumazenil; Humans; Iodine Radioisotopes;

2005
The amygdala regulates the antianxiety sensitization effect of flumazenil during repeated chronic ethanol or repeated stress.
    Alcoholism, clinical and experimental research, 2007, Volume: 31, Issue:11

    Topics: Alcohol Drinking; Alcoholism; Amygdala; Animals; Anxiety; Behavior, Animal; Body Weight; Disease Mod

2007
PET-determination of benzodiazepine receptor binding in studies on alcoholism.
    EXS, 1994, Volume: 71

    Topics: Adult; Alcoholism; Brain; Carbon Radioisotopes; Cerebellum; Cerebral Cortex; Flumazenil; Humans; Mal

1994
PET analysis of [11C]flumazenil binding to benzodiazepine receptors in chronic alcohol-dependent men and healthy controls.
    Psychiatry research, 1993, Volume: 50, Issue:1

    Topics: Adult; Alcoholism; Brain; Carbon Radioisotopes; Flumazenil; Humans; Kinetics; Magnetic Resonance Ima

1993
Effects of disulfiram on positron emission tomography and neuropsychological studies in severe chronic alcoholism.
    Alcoholism, clinical and experimental research, 1996, Volume: 20, Issue:8

    Topics: Adult; Aged; Alcohol Deterrents; Alcoholism; Blood Glucose; Brain; Deoxyglucose; Disulfiram; Energy

1996
[Suicidal poisoning with benzodiazepines].
    Przeglad lekarski, 1997, Volume: 54, Issue:6

    Topics: Adolescent; Adult; Aged; Alcoholism; Benzodiazepines; Carbamazepine; Coma; Ethanol; Female; Flumazen

1997
Alterations of benzodiazepine receptors in type II alcoholic subjects measured with SPECT and [123I]iomazenil.
    The American journal of psychiatry, 1998, Volume: 155, Issue:11

    Topics: Adult; Alcoholism; Brain; Cerebellum; Cerebral Cortex; Flumazenil; Frontal Lobe; Gyrus Cinguli; Huma

1998
Levels of gamma-aminobutyric acid-benzodiazepine receptors in abstinent, alcohol-dependent women: preliminary findings from an 123I-iomazenil single photon emission tomography study.
    Alcoholism, clinical and experimental research, 2000, Volume: 24, Issue:9

    Topics: Adult; Alcoholism; Brain; Brain Chemistry; Cerebellum; Female; Flumazenil; Humans; Male; Middle Aged

2000
Reversal of alcohol dependence and tolerance by a single administration of flumazenil.
    The Journal of pharmacology and experimental therapeutics, 1991, Volume: 257, Issue:3

    Topics: Alcoholism; Animals; Ataxia; Behavior, Animal; Brain; Carbolines; Chlorides; Drug Administration Sch

1991
[Can flumazenil counteract the central effects of alcohol?].
    Anales de medicina interna (Madrid, Spain : 1984), 1990, Volume: 7, Issue:10

    Topics: Adult; Alcoholism; Ethanol; Female; Flumazenil; Humans; Male

1990
Chronic ethanol treatment selectively increases the binding of inverse agonists for benzodiazepine binding sites in cultured spinal cord neurons.
    The Journal of pharmacology and experimental therapeutics, 1989, Volume: 251, Issue:1

    Topics: Alcoholism; Animals; Azides; Benzodiazepines; Cells, Cultured; Female; Flumazenil; Flunitrazepam; Ma

1989
Ethanol and chlordiazepoxide cross-dependence.
    Alcohol and alcoholism (Oxford, Oxfordshire). Supplement, 1987, Volume: 1

    Topics: Alcoholism; Animals; Chlordiazepoxide; Flumazenil; Male; Mice; Mice, Inbred C57BL; Substance Withdra

1987
Taste Preference-Related Genetic Polymorphisms Modify Alcohol Consumption Behavior of the Hungarian General and Roma Populations.
    Genes, 2023, 03-07, Volume: 14, Issue:3

    Topics: Alcohol Drinking; Alcoholism; Humans; Hungary; Polymorphism, Genetic; Roma; Taste

2023
Delivery of cardio-metabolic preventive services to Hungarian Roma of different socio-economic strata.
    Family practice, 2017, Volume: 34, Issue:1

    Topics: Adult; Alcoholism; Blood Glucose; Cholesterol; Cross-Sectional Studies; Delivery of Health Care; Edu

2017
Alcoholism prevalence and some related factors in Edirne, Turkey.
    Yonsei medical journal, 2004, Apr-30, Volume: 45, Issue:2

    Topics: Adolescent; Adult; Alcoholism; Female; Humans; Male; Middle Aged; Prevalence; Risk Factors; Roma; Tu

2004