Page last updated: 2024-10-27

flumazenil and Drug Overdose

flumazenil has been researched along with Drug Overdose in 82 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.

Drug Overdose: Accidental or deliberate use of a medication or street drug in excess of normal dosage.

Research Excerpts

ExcerptRelevanceReference
"To investigate cost effectiveness of administration of flumazenil to patients presenting with suspected acute drug overdose."9.09Flumazenil in drug overdose: randomized, placebo-controlled study to assess cost effectiveness. ( Barnett, R; Boothe, P; Finegan, BA; Grace, M; Latozek, K; Legatt, D; Neal, C, 1999)
"The use of flumazenil, a benzodiazepine antagonist, was studied in two patients with coma of unknown etiology."9.06The diagnostic utility of flumazenil (a benzodiazepine antagonist) in coma of unknown etiology. ( Burkhart, KK; Kulig, KW, 1990)
"Flumazenil is a valuable and safe differential diagnostic tool in unclear cases of multiple drug poisoning."9.06Diagnostic utility of flumazenil in coma with suspected poisoning: a double blind, randomised controlled study. ( Baehrendtz, S; Gustafsson, LL; Höjer, J; Matell, G, 1990)
"Comatose patients with clinical or ECG criteria thought to contraindicate the use of flumazenil have a reasonably high risk of seizures after administration of this drug."7.69Empiric use of flumazenil in comatose patients: limited applicability of criteria to define low risk. ( Baud, FJ; Gueye, PN; Hoffman, JR; Taboulet, P; Vicaut, E, 1996)
"Anterograde amnesia, possibly accompanied by acute brain syndrome, is a potential side-effect of certain benzodiazepines, particularly triazolam."7.68Anterograde amnesia in triazolam overdose despite flumazenil treatment: a case report. ( Deng, JF; Hung, DZ; Tsai, WJ, 1992)
"The Glasgow coma scale and a sedation-level scoring system were checked prior to and at 1, 5, and 30 minutes after the dose eliciting response or on completion of the full dose of flumazenil."5.29Diagnostic and therapeutic utility of flumazenil in comatose patients with drug overdose. ( Chern, TL; Deng, JF; Hu, SC; Lee, CH, 1993)
"The use of flumazenil, a benzodiazepine antagonist, was studied in two patients with coma of unknown etiology."5.06The diagnostic utility of flumazenil (a benzodiazepine antagonist) in coma of unknown etiology. ( Burkhart, KK; Kulig, KW, 1990)
"Flumazenil is a valuable and safe differential diagnostic tool in unclear cases of multiple drug poisoning."5.06Diagnostic utility of flumazenil in coma with suspected poisoning: a double blind, randomised controlled study. ( Baehrendtz, S; Gustafsson, LL; Höjer, J; Matell, G, 1990)
" Flumazenil is an effective antidote but there is a risk of seizures, particularly in those who have co-ingested tricyclic antidepressants."3.78Flumazenil use in benzodiazepine overdose in the UK: a retrospective survey of NPIS data. ( Cooper, G; Dyas, J; Routledge, PA; Thompson, JP; Veiraiah, A, 2012)
"Included patient were those aged 12 years or younger who received flumazenil, who had evidence of clinical poisoning as defined by an altered mental status, and who were reported to the California Poison Control System for the period 1999 to 2008."3.78Flumazenil administration in poisoned pediatric patients. ( Cantrell, FL; Clark, RF; Kreshak, AA; Tomaszewski, CA, 2012)
"Flumazenil is a central antagonist of the sedative effects of benzodiazepines."3.77Topics in clinical pharmacology: flumazenil, a benzodiazepine antagonist. ( Longmire, AW; Seger, DL, 1993)
"Comatose patients with clinical or ECG criteria thought to contraindicate the use of flumazenil have a reasonably high risk of seizures after administration of this drug."3.69Empiric use of flumazenil in comatose patients: limited applicability of criteria to define low risk. ( Baud, FJ; Gueye, PN; Hoffman, JR; Taboulet, P; Vicaut, E, 1996)
" When sedation with benzodiazepines is carried out, the specific antagonist, flumazenil should always be available for use in emergencies such as accidental oversedation, iatrogenic overdose or paradoxical reactions."3.69Use of inhalational and intravenous sedation in dentistry. ( Rodrigo, MR, 1997)
"To report a fatal case of refractory status epilepticus precipitated by flumazenil use in a mixed benzodiazepine-tricyclic antidepressant overdose."3.69Fatal seizures after flumazenil administration in a patient with mixed overdose. ( DiSalvo, RP; Haverkos, GP; Imhoff, TE, 1994)
"Anterograde amnesia, possibly accompanied by acute brain syndrome, is a potential side-effect of certain benzodiazepines, particularly triazolam."3.68Anterograde amnesia in triazolam overdose despite flumazenil treatment: a case report. ( Deng, JF; Hung, DZ; Tsai, WJ, 1992)
"Administration of flumazenil is safe in benzodiazepine-poisoned patients with appropriate indications."3.01Protective effect of flumazenil infusion in severe acute benzodiazepine toxicity: a pilot randomized trial. ( Ebrahimi, S; Hassanian-Moghaddam, H; Razavizadeh, AS; Zamani, N; Ziaeefar, P, 2021)
"1 mg/minute) to avoid complications or withhold the administration with development of first signs of adverse effects."2.82Strategies for the treatment of acute benzodiazepine toxicity in a clinical setting: the role of antidotes. ( Hassanian-Moghaddam, H; Zamani, N, 2022)
"Flumazenil was not given in 55 cases."2.68Emergency department use of flumazenil prior to poison center consultation. ( Aks, S; Burda, T; Fischbein, C; Leikin, JB; Woods, K, 1997)
"Flumazenil acts as an antidote for pharmacological and toxic effects due to benzodiazepines."2.67Efficacy of flumazenil in acute alcohol intoxication: double blind placebo-controlled evaluation. ( Askenasi, R; Lheureux, P, 1991)
" Serious adverse events (SAEs) including seizures and cardiac arrhythmias have been reported in patients treated with flumazenil, and the clinical advantage of flumazenil treatment has been questioned."2.53Adverse Events Associated with Flumazenil Treatment for the Management of Suspected Benzodiazepine Intoxication--A Systematic Review with Meta-Analyses of Randomised Trials. ( Graudal, N; Jürgens, G; Ladekarl, MB; Penninga, EI, 2016)
"Flumazenil has been reported to reverse sedation from all three Z-drugs."2.49The clinical and forensic toxicology of Z-drugs. ( Gunja, N, 2013)
"Flumazenil is a specific and competitive antagonist at the central benzodiazepine receptor, reversing all effects of benzodiazepine agonists without tranquillising or anticonvulsant actions."2.40A risk-benefit assessment of flumazenil in the management of benzodiazepine overdose. ( Flaishon, R; Rudick, V; Sorkine, P; Szold, O; Weinbroum, AA, 1997)
"Flumazenil is a benzodiazepine receptor antagonist used to reverse sedation and respiratory depression induced by benzodiazepines."2.39Seizure after flumazenil administration in a pediatric patient. ( McDuffee, AT; Tobias, JD, 1995)
"Flumazenil has been studied for a variety of indications, including as an antidote to benzodiazepine overdose and for awakening of comatose patients, reversal of sedation after surgery and in critically ill patients, and management of hepatic encephalopathy."2.38Flumazenil: a benzodiazepine antagonist. ( Hoffman, EJ; Warren, EW, 1993)
"Drug overdose is therefore a medical emergency necessitating close observation and support of vital functions."2.38The use of flumazenil in the management of acute drug poisoning--a review. ( Geller, E; Halpern, P; Weinbroum, A, 1991)
"Flumazenil is a recently discovered pharmacologic antagonist of the CNS effects of benzodiazepines."2.38Flumazenil: a new benzodiazepine antagonist. ( Bayer, MJ; Bosse, GM; Hoffman, JR; Votey, SR, 1991)
"Opiate abuse is often associated with benzodiazepine abuse."2.38[Drug emergencies]. ( Monotti, R, 1993)
"The incidence of coma was significantly higher, and the length of hospital stay significantly longer in elderly."1.43Benzodiazepine poisoning in elderly. ( Djordjević, S; Ercegović, GV; Segrt, Z; Stosić, JJ; Vukcević, NP, 2016)
" Considering the long half-life of diazepam and its metabolites, concomitant use of theophylline may reduce the need for repeated dosing of flumazenil in patients with acute diazepam poisoning."1.43Determination of flumazenil in serum by liquid chromatography-mass spectrometry: Application to kinetics study in acute diazepam overdose. ( Djordjević, S; Jović-Stosić, J; Kilibarda, V; Perković-Vukcević, N; Segrt, Z, 2016)
"A 27-year-old man, presented with deep coma, bilateral pinpoint unreactive pupils, acute respiratory failure and hypotension, complicated by hypoxic ischemic changes in the central nervous system."1.43Flubromazolam--A new life-threatening designer benzodiazepine. ( Panieński, P; Sommerfeld, K; Teżyk, A; Żaba, C; Zielińska-Psuja, B; Łukasik-Głębocka, M, 2016)
" Ongoing monitoring of this particular adverse event will be required with a sustained patient safety message to health services to maintain awareness of the issue and reduction in the number of midazolam-related errors."1.42Reducing risk of overdose with midazolam injection in adults: an evaluation of change in clinical practice to improve patient safety in England. ( Flood, C; Lamont, T; Mansaray, M; Marsh, R; Matthew, L; Patel, B, 2015)
"The objective of the study is to assess adverse events and clinical outcomes of flumazenil administration in known and suspected BZD overdose in an ED at a tertiary academic medical center."1.42Lack of adverse effects from flumazenil administration: an ED observational study. ( Cumpston, K; Nguyen, TT; Rose, SR; Troendle, M; Wills, BK, 2015)
"A 10-year-old boy with trisomy 21 presented to the emergency department 1 hour after he was found sedate with several zolpidem 5-mg tablets in his mouth."1.39Pediatric zolpidem ingestion demonstrating zero-order kinetics treated with flumazenil. ( Carstairs, SD; Negus, E; Thornton, SL, 2013)
"Buprenorphine is a partial opioid agonist with a "ceiling effect" for respiratory depression."1.36Prospective comparative assessment of buprenorphine overdose with heroin and methadone: clinical characteristics and response to antidotal treatment. ( Baud, FJ; Buisine, A; Chevillard, L; Jacobs, F; Mégarbane, B; Résière, D; Vicaut, E, 2010)
"She developed generalized seizures shortly after the administration of flumazenil."1.35[Seizure triggered by benzodiazepine receptor antagonist]. ( Pedersen, LM; Petersen, M; Søndergaard, I, 2009)
"Flumazenil was administered as escalating bolus doses followed by a continuous infusion."1.31Mechanism of respiratory insufficiency in pure or mixed drug-induced coma involving benzodiazepines. ( Baud, FJ; Borron, SW; Gueye, PN; Harf, A; Lofaso, F; Mellerio, F; Vicaut, E, 2002)
"The Glasgow coma scale and a sedation-level scoring system were checked prior to and at 1, 5, and 30 minutes after the dose eliciting response or on completion of the full dose of flumazenil."1.29Diagnostic and therapeutic utility of flumazenil in comatose patients with drug overdose. ( Chern, TL; Deng, JF; Hu, SC; Lee, CH, 1993)
"Only one anorectic patient became comatose after ingestion of 0."1.29[Acute overdose of Zolpidem (Stilnox)]. ( Meier-Abt, PJ; Radovanovic, D; Wyss, PA, 1996)
"Midazolam has limited influence on the cardiac toxic effects of amitriptyline."1.28Flumazenil in mixed benzodiazepine/tricyclic antidepressant overdose: a placebo-controlled study in the dog. ( Askenasi, R; Leduc, D; Lheureux, P; Vranckx, M, 1992)
"Flumazenil is a competitive benzodiazepine antagonist."1.28Complete heart block after flumazenil. ( Clarke, F; Herd, B, 1991)

Research

Studies (82)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's47 (57.32)18.2507
2000's12 (14.63)29.6817
2010's20 (24.39)24.3611
2020's3 (3.66)2.80

Authors

AuthorsStudies
Zamani, N3
Hassanian-Moghaddam, H2
Razavizadeh, AS1
Ziaeefar, P1
Ebrahimi, S1
Schult, RF1
Omar, D1
Wiegand, TJ1
Gordetsky, RM1
Acquisto, NM1
Cimolai, N1
Gunja, N1
Thornton, SL1
Negus, E1
Carstairs, SD1
Kyong, YY1
Park, JT1
Choi, KH1
Flood, C1
Matthew, L1
Marsh, R1
Patel, B1
Mansaray, M1
Lamont, T1
Sencion Martinez, GL1
Samillán, K1
Espinosa, JL1
Rodriguez Puyol, D1
Martinez Miguel, P1
Villa, P1
Penninga, EI1
Graudal, N1
Ladekarl, MB1
Jürgens, G1
Nguyen, TT1
Troendle, M1
Cumpston, K1
Rose, SR1
Wills, BK1
Sivilotti, ML1
Łukasik-Głębocka, M1
Sommerfeld, K1
Teżyk, A1
Zielińska-Psuja, B1
Panieński, P1
Żaba, C1
Djordjević, S2
Jović-Stosić, J1
Kilibarda, V1
Segrt, Z2
Perković-Vukcević, N1
Yonel, Z1
Asuni, A1
Taneja, P1
Vukcević, NP1
Ercegović, GV1
Stosić, JJ1
Yagi, K1
An, H1
Godwin, J1
Yang, CC1
Deng, JF3
Pedersen, LM1
Petersen, M1
Søndergaard, I1
Mégarbane, B1
Buisine, A1
Jacobs, F1
Résière, D1
Chevillard, L1
Vicaut, E3
Baud, FJ3
Weaver, JM1
Veiraiah, A1
Dyas, J1
Cooper, G1
Routledge, PA1
Thompson, JP1
Wilson, KE1
Thorpe, RJ1
McCabe, JF1
Girdler, NM1
Kreshak, AA1
Tomaszewski, CA1
Clark, RF1
Cantrell, FL1
Rodenberg, H1
Siddiqi, M1
Jennings, CA1
Bartlett, D1
Tote, S1
Mulleague, L1
Carai, MA1
Colombo, G1
Gessa, GL1
Thomson, JS1
Donald, C1
Lewin, K1
Carvalho, C1
Walker, DA1
McDuffee, AT1
Tobias, JD1
Haverkos, GP1
DiSalvo, RP1
Imhoff, TE1
Weinberg, AD1
Pals, JK1
Marinelli, FC1
Thibault, GE1
Birnbaumer, DM1
Isaacs, SM1
Longmire, AW1
Seger, DL1
Sugarman, JM1
Paul, RI1
Klarlund, R1
Metzger, E1
Spivey, WH1
Roberts, JR1
Derlet, RW1
Hoffman, EJ1
Warren, EW1
Krenzelok, EP2
Krisanda, TJ1
Chern, TL2
Hu, SC1
Lee, CH1
Stahl, MM1
Saldeen, P1
Vinge, E1
Monotti, R1
Gueye, PN2
Hoffman, JR2
Taboulet, P1
Wyss, PA1
Radovanovic, D1
Meier-Abt, PJ1
Perry, HE1
Shannon, MW1
Kwan, A1
Burda, T1
Leikin, JB1
Fischbein, C1
Woods, K1
Aks, S1
Weinbroum, AA1
Flaishon, R1
Sorkine, P1
Szold, O1
Rudick, V1
Goldfrank, LR1
Rodrigo, MR1
Roberge, RJ1
Atchley, B1
Ryan, K1
Shepherd, G1
Barnett, R1
Grace, M1
Boothe, P1
Latozek, K1
Neal, C1
Legatt, D1
Finegan, BA1
Singh, PK1
Richell-Herren, K1
James, M1
Vijayalakshmi, G1
Das, DG1
Buylaert, WA1
Lofaso, F1
Borron, SW1
Mellerio, F1
Harf, A1
Hung, DZ1
Tsai, WJ1
Pietilä, K1
Valve, K1
Bruguerolle, B1
Emperaire, N1
Mordel, A1
Winkler, E1
Almog, S1
Tirosh, M1
Ezra, D1
Lheureux, P4
Vranckx, M2
Leduc, D2
Askenasi, R4
Herd, B1
Clarke, F1
Weinbroum, A1
Halpern, P1
Geller, E2
Höjer, J2
Baehrendtz, S2
Magnusson, A1
Gustafsson, LL2
Crome, P1
Schaller, MD1
Marchant, B1
Ectors, M1
Scollo-Lavizzari, G2
Matell, G1
Votey, SR1
Bosse, GM1
Bayer, MJ1
Vrankx, M1
Passeron, D1
Biboulet, P1
Beauvoir, C1
Burkhart, KK1
Kulig, KW1
Ritz, R1
Zuber, M1
Elsasser, S1
Karavokiros, KA1
Tsipis, GB1
Lopez, A1
Rebollo, J1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effect of Flumazenil on Hypoactive Delirium in the ICU: A Double-Blind, Placebo-Controlled Pilot Study[NCT02899156]Phase 422 participants (Actual)Interventional2016-03-31Terminated (stopped due to A planned interim analysis led to the trial being stopped early based on the observed size effect and power analysis.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Average Duration of Study Infusion

average duration of time patient was randomized to each infusion up to 72 hours (NCT02899156)
Timeframe: up to 72 hours after the start of the infusion

Interventionhours (Mean)
Flumazenil Group54.8
Placebo Group58.2

Average Maximum Rate of Study Infusion

average maximum rate (ml/hr) during the 72 hours after study infusion (NCT02899156)
Timeframe: up to 72 hours after the start of the infusion

Interventionmilliliters per hour (Mean)
Flumazenil Group5
Placebo Group5.2

Intensive Care Unit Length of Stay

length of time that the patient was admitted to an intensive care unit service during the hospital stay (NCT02899156)
Timeframe: duration of admission to the intensive care unit

Interventiondays (Mean)
Flumazenil Group7.8
Placebo Group7

Number of Delirium-free Days

Defined by the number of days in the 14-day period after randomization that the patient was alive and not delirious (i.e. CAM-ICU negative). Zero delirium-free days will be observed for patients that die within the 14-day period. (NCT02899156)
Timeframe: up to 14 days after randomization

Interventiondays (Median)
Flumazenil Group12.7
Placebo Group9.2

Number of Mechanical Ventilator Free Days

number of days within the first 28 days after enrollment that the patient was free from needing mechanical ventilation (NCT02899156)
Timeframe: up to 28 days after randomization

Interventiondays (Mean)
Flumazenil Group23.6
Placebo Group24.9

Number of Participants With Delirium Resolution

defined by the proportion of patients who were delirium free at 14 days after randomization (NCT02899156)
Timeframe: up to 14 days after randomization

InterventionParticipants (Count of Participants)
Flumazenil Group9
Placebo Group7

Occurrence of Agitation Requiring Use of Rescue Sedatives While on Study Infusion

number of times that a RASS score of + 2 to +4 occurred that did not resolve with decreasing study infusion (NCT02899156)
Timeframe: up to 72 hours after the start of the infusion

InterventionParticipants (Count of Participants)
Flumazenil Group0
Placebo Group0

Reviews

20 reviews available for flumazenil and Drug Overdose

ArticleYear
Strategies for the treatment of acute benzodiazepine toxicity in a clinical setting: the role of antidotes.
    Expert opinion on drug metabolism & toxicology, 2022, Volume: 18, Issue:6

    Topics: Antidotes; Benzodiazepines; Drug Overdose; Flumazenil; Humans

2022
The clinical and forensic toxicology of Z-drugs.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2013, Volume: 9, Issue:2

    Topics: Acetamides; Azabicyclo Compounds; Coma; Drug Overdose; Flumazenil; GABA Modulators; GABA-A Receptor

2013
Adverse Events Associated with Flumazenil Treatment for the Management of Suspected Benzodiazepine Intoxication--A Systematic Review with Meta-Analyses of Randomised Trials.
    Basic & clinical pharmacology & toxicology, 2016, Volume: 118, Issue:1

    Topics: Antidotes; Benzodiazepines; Drug Overdose; Flumazenil; Humans; Randomized Controlled Trials as Topic

2016
Flumazenil, naloxone and the 'coma cocktail'.
    British journal of clinical pharmacology, 2016, Volume: 81, Issue:3

    Topics: Analgesics, Opioid; Antidotes; Benzodiazepines; Coma; Drug Overdose; Flumazenil; Humans; Naloxone

2016
Defining Over-Sedation: Literature Review and National Survey of Dental Hospitals Within the United Kingdom.
    SAAD digest, 2016, Volume: 32

    Topics: Antidotes; Conscious Sedation; Consensus; Drug Overdose; Flumazenil; Humans; Hypnotics and Sedatives

2016
[Flumazenil].
    Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology, 2014, Volume: 27, Issue:3

    Topics: Antidotes; Benzodiazepines; Drug Overdose; Flumazenil; GABA-A Receptor Antagonists; Humans

2014
The coma cocktail: indications, contraindications, adverse effects, proper dose, and proper route.
    Journal of emergency nursing, 2004, Volume: 30, Issue:6

    Topics: Adult; Antidotes; Child; Coma; Dose-Response Relationship, Drug; Drug Administration Routes; Drug Ov

2004
Seizure after flumazenil administration in a pediatric patient.
    Pediatric emergency care, 1995, Volume: 11, Issue:3

    Topics: Adolescent; Antidepressive Agents, Tricyclic; Child; Child, Preschool; Drug Overdose; Female; Flumaz

1995
Topics in clinical pharmacology: flumazenil, a benzodiazepine antagonist.
    The American journal of the medical sciences, 1993, Volume: 306, Issue:1

    Topics: Anesthesia, General; Animals; Anti-Anxiety Agents; Benzodiazepines; Drug Interactions; Drug Overdose

1993
Flumazenil: a review.
    Pediatric emergency care, 1994, Volume: 10, Issue:1

    Topics: Adult; Benzodiazepines; Child; Drug Overdose; Flumazenil; Humans

1994
Flumazenil: a benzodiazepine antagonist.
    Clinical pharmacy, 1993, Volume: 12, Issue:9

    Topics: Anesthesia; Benzodiazepines; Drug Interactions; Drug Overdose; Flumazenil; Hepatic Encephalopathy; H

1993
Flumazenil: an antidote for benzodiazepine toxicity.
    American family physician, 1993, Volume: 47, Issue:4

    Topics: Benzodiazepines; Drug Overdose; Flumazenil; Humans

1993
[Drug emergencies].
    Schweizerische medizinische Wochenschrift, 1993, May-01, Volume: 123, Issue:17

    Topics: Acute Disease; Cocaine; Combined Modality Therapy; Critical Care; Drug Overdose; Flumazenil; Humans;

1993
Diagnosis and management of opioid- and benzodiazepine-induced comatose overdose in children.
    Current opinion in pediatrics, 1996, Volume: 8, Issue:3

    Topics: Adolescent; Antidotes; Benzodiazepines; Child; Child, Preschool; Coma; Drug Overdose; Flumazenil; Hu

1996
A risk-benefit assessment of flumazenil in the management of benzodiazepine overdose.
    Drug safety, 1997, Volume: 17, Issue:3

    Topics: Anti-Anxiety Agents; Antidotes; Drug Interactions; Drug Overdose; Female; Flumazenil; GABA Modulator

1997
Coma induced by intoxication.
    Acta neurologica Belgica, 2000, Volume: 100, Issue:4

    Topics: Accidental Falls; Alcohol-Induced Disorders, Nervous System; Alcoholic Intoxication; Antidotes; Brai

2000
The use of flumazenil in the management of acute drug poisoning--a review.
    Intensive care medicine, 1991, Volume: 17 Suppl 1

    Topics: Anti-Anxiety Agents; Drug Overdose; Flumazenil; Humans

1991
Risks and benefits of therapy with flumazenil (Anexate) in mixed drug intoxications.
    European neurology, 1991, Volume: 31, Issue:4

    Topics: Antidepressive Agents, Tricyclic; Benzodiazepines; Coma; Drug Interactions; Drug Overdose; Flumazeni

1991
Flumazenil: a new benzodiazepine antagonist.
    Annals of emergency medicine, 1991, Volume: 20, Issue:2

    Topics: Animals; Benzodiazepines; Drug Overdose; Flumazenil; Humans

1991
Flumazenil: a benzodiazepine antagonist.
    DICP : the annals of pharmacotherapy, 1990, Volume: 24, Issue:10

    Topics: Anesthesia, General; Benzodiazepines; Cerebrovascular Circulation; Drug Overdose; Flumazenil; Half-L

1990

Trials

11 trials available for flumazenil and Drug Overdose

ArticleYear
Protective effect of flumazenil infusion in severe acute benzodiazepine toxicity: a pilot randomized trial.
    European journal of clinical pharmacology, 2021, Volume: 77, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antidotes; Benzodiazepines; Drug Overdose; Female; Fluma

2021
Topics in clinical pharmacology: flumazenil, a benzodiazepine antagonist.
    The American journal of the medical sciences, 1993, Volume: 306, Issue:1

    Topics: Anesthesia, General; Animals; Anti-Anxiety Agents; Benzodiazepines; Drug Interactions; Drug Overdose

1993
A clinical trial of escalating doses of flumazenil for reversal of suspected benzodiazepine overdose in the emergency department.
    Annals of emergency medicine, 1993, Volume: 22, Issue:12

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Benzodiazepines; Dose-Response Relationship, Drug; Doubl

1993
Emergency department use of flumazenil prior to poison center consultation.
    Veterinary and human toxicology, 1997, Volume: 39, Issue:4

    Topics: Antidotes; Benzodiazepines; Contraindications; Drug Overdose; Flumazenil; Humans; Hypnotics and Seda

1997
Flumazenil in drug overdose: randomized, placebo-controlled study to assess cost effectiveness.
    Critical care medicine, 1999, Volume: 27, Issue:1

    Topics: Adolescent; Adult; Alberta; Antidotes; Cost-Benefit Analysis; Double-Blind Method; Drug Overdose; Fe

1999
Efficacy of flumazenil in acute alcohol intoxication: double blind placebo-controlled evaluation.
    Human & experimental toxicology, 1991, Volume: 10, Issue:4

    Topics: Adolescent; Adult; Aged; Alcoholic Intoxication; Benzodiazepines; Coma; Double-Blind Method; Drug Ov

1991
A placebo-controlled trial of flumazenil given by continuous infusion in severe benzodiazepine overdosage.
    Acta anaesthesiologica Scandinavica, 1991, Volume: 35, Issue:7

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anti-Anxiety Agents; Double-Blind Method; Drug Overdose;

1991
Diagnostic utility of flumazenil in coma with suspected poisoning: a double blind, randomised controlled study.
    BMJ (Clinical research ed.), 1990, Dec-08, Volume: 301, Issue:6764

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anti-Anxiety Agents; Antidepressive Agents; Coma; Double

1990
The diagnostic utility of flumazenil (a benzodiazepine antagonist) in coma of unknown etiology.
    Annals of emergency medicine, 1990, Volume: 19, Issue:3

    Topics: Adult; Alprazolam; Carbon Monoxide Poisoning; Clinical Trials as Topic; Coma; Double-Blind Method; D

1990
Use of flumazenil in intoxicated patients with coma. A double-blind placebo-controlled study in ICU.
    Intensive care medicine, 1990, Volume: 16, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Benzodiazepines; Clinical Trials as Topic; Double-Blind

1990
Flumazenil: a benzodiazepine antagonist.
    DICP : the annals of pharmacotherapy, 1990, Volume: 24, Issue:10

    Topics: Anesthesia, General; Benzodiazepines; Cerebrovascular Circulation; Drug Overdose; Flumazenil; Half-L

1990

Other Studies

53 other studies available for flumazenil and Drug Overdose

ArticleYear
Experience with lower dose flumazenil at an academic medical center.
    The American journal of emergency medicine, 2021, Volume: 49

    Topics: Academic Medical Centers; Antidotes; Benzodiazepines; Dose-Response Relationship, Drug; Drug Overdos

2021
Zopiclone overdose and flumazenil rescue.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2017, 04-24, Volume: 189, Issue:16

    Topics: Azabicyclo Compounds; Benzodiazepines; Drug Overdose; Flumazenil; Humans; Piperazines

2017
Pediatric zolpidem ingestion demonstrating zero-order kinetics treated with flumazenil.
    Pediatric emergency care, 2013, Volume: 29, Issue:11

    Topics: Antidotes; Central Nervous System Depressants; Child; Coma; Down Syndrome; Drug Overdose; Emergencie

2013
Serial monitoring of sedation scores in benzodiazepine overdose.
    The American journal of emergency medicine, 2014, Volume: 32, Issue:11

    Topics: Aged; Anticonvulsants; Antidotes; Clonazepam; Drug Overdose; Female; Flumazenil; Humans; Monitoring,

2014
Reducing risk of overdose with midazolam injection in adults: an evaluation of change in clinical practice to improve patient safety in England.
    Journal of evaluation in clinical practice, 2015, Volume: 21, Issue:1

    Topics: Antidotes; Dose-Response Relationship, Drug; Drug Overdose; England; Flumazenil; Health Knowledge, A

2015
[Hemoperfusion with activated charcoal on valproic acid poisoning. A case report].
    Medicina intensiva, 2015, Volume: 39, Issue:7

    Topics: Benzodiazepines; Charcoal; Combined Modality Therapy; Depressive Disorder; Drug Overdose; Female; Fl

2015
Lack of adverse effects from flumazenil administration: an ED observational study.
    The American journal of emergency medicine, 2015, Volume: 33, Issue:11

    Topics: Adult; Aged; Aged, 80 and over; Antidotes; Benzodiazepines; Drug Overdose; Emergency Service, Hospit

2015
Flubromazolam--A new life-threatening designer benzodiazepine.
    Clinical toxicology (Philadelphia, Pa.), 2016, Volume: 54, Issue:1

    Topics: Adult; Antidotes; Benzodiazepines; Coma; Combined Modality Therapy; Designer Drugs; Drug Overdose; F

2016
Determination of flumazenil in serum by liquid chromatography-mass spectrometry: Application to kinetics study in acute diazepam overdose.
    Vojnosanitetski pregled, 2016, Volume: 73, Issue:2

    Topics: Aminophylline; Antidotes; Chromatography, Liquid; Diazepam; Dimensional Measurement Accuracy; Dose-R

2016
Benzodiazepine poisoning in elderly.
    Vojnosanitetski pregled, 2016, Volume: 73, Issue:3

    Topics: Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Antidotes; Benzodiazepines; Bromazepam; Coh

2016
Flumazenil in benzodiazepine overdose.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2016, Dec-06, Volume: 188, Issue:17-18

    Topics: Antidotes; Benzodiazepines; Drug Overdose; Flumazenil; Humans

2016
Utility of flumazenil in zopiclone overdose.
    Clinical toxicology (Philadelphia, Pa.), 2008, Volume: 46, Issue:9

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antidotes; Azabicyclo Compounds; Drug Overdose; Female;

2008
[Seizure triggered by benzodiazepine receptor antagonist].
    Ugeskrift for laeger, 2009, Jun-01, Volume: 171, Issue:23

    Topics: Aged; Antidepressive Agents, Tricyclic; Antidotes; Drug Overdose; Female; Flumazenil; Humans; Seizur

2009
Prospective comparative assessment of buprenorphine overdose with heroin and methadone: clinical characteristics and response to antidotal treatment.
    Journal of substance abuse treatment, 2010, Volume: 38, Issue:4

    Topics: Adult; Antidotes; Buprenorphine; Drug Overdose; Female; Flumazenil; Heroin; Heroin Dependence; Human

2010
The fallacy of a lifesaving sublingual injection of flumazenil.
    Anesthesia progress, 2011,Spring, Volume: 58, Issue:1

    Topics: Anesthesia Recovery Period; Antidotes; Benzodiazepines; Conscious Sedation; Drug Overdose; Flumazeni

2011
Flumazenil use in benzodiazepine overdose in the UK: a retrospective survey of NPIS data.
    Emergency medicine journal : EMJ, 2012, Volume: 29, Issue:7

    Topics: Adult; Antidotes; Benzodiazepines; Drug Overdose; Female; Flumazenil; Humans; Incidence; Male; Middl

2012
Complications associated with intravenous midazolam sedation in anxious dental patients.
    Primary dental care : journal of the Faculty of General Dental Practitioners (UK), 2011, Volume: 18, Issue:4

    Topics: Adolescent; Adult; Aged; Anesthesia, Dental; Anesthetics, Intravenous; Child; Clinical Audit; Consci

2011
Flumazenil administration in poisoned pediatric patients.
    Pediatric emergency care, 2012, Volume: 28, Issue:5

    Topics: Antidotes; California; Child; Child, Preschool; Dose-Response Relationship, Drug; Drug Overdose; Fem

2012
The new toy.
    JEMS : a journal of emergency medical services, 2003, Volume: 28, Issue:10

    Topics: Anti-Anxiety Agents; Antidotes; Benzodiazepines; Drug Overdose; Emergency Medical Services; Emergenc

2003
A near-fatal overdose of carisoprodol (SOMA): case report.
    Journal of toxicology. Clinical toxicology, 2004, Volume: 42, Issue:2

    Topics: Adult; Antidotes; Carisoprodol; Charcoal; Chlordiazepoxide; Clindamycin; Drug Overdose; Drug Therapy

2004
The role of flumazenil in self harm with benzodiazepines: to give or not to give?
    Hospital medicine (London, England : 1998), 2005, Volume: 66, Issue:5

    Topics: Antidotes; Benzodiazepines; Contraindications; Drug Overdose; Flumazenil; GABA Modulators; Humans; S

2005
Resuscitative effect of a gamma-aminobutyric acid B receptor antagonist on gamma-hydroxybutyric acid mortality in mice.
    Annals of emergency medicine, 2005, Volume: 45, Issue:6

    Topics: Animals; Benzocycloheptenes; Bicuculline; Drug Overdose; Flumazenil; GABA Antagonists; gamma-Aminobu

2005
Use of Flumazenil in benzodiazepine overdose.
    Emergency medicine journal : EMJ, 2006, Volume: 23, Issue:2

    Topics: Antidotes; Benzodiazepines; Drug Overdose; Flumazenil; Humans; Practice Guidelines as Topic

2006
Coma cocktail: a role for flumazenil?
    British journal of hospital medicine (London, England : 2005), 2007, Volume: 68, Issue:2

    Topics: Antidotes; Benzodiazepines; Coma; Drug Overdose; Evidence-Based Medicine; Flumazenil; Humans

2007
Fatal seizures after flumazenil administration in a patient with mixed overdose.
    The Annals of pharmacotherapy, 1994, Volume: 28, Issue:12

    Topics: Acute Kidney Injury; Adult; Antidepressive Agents, Tricyclic; Benzodiazepines; Charcoal; Drug Overdo

1994
Oxazepam overdose associated with ethanol ingestion: treatment with a benzodiazepine antagonist.
    American journal of critical care : an official publication, American Association of Critical-Care Nurses, 1994, Volume: 3, Issue:6

    Topics: Alcohol Drinking; Benzodiazepines; Drug Interactions; Drug Overdose; Flumazenil; Humans; Male; Middl

1994
Flumazenil--when is its use appropriate?
    The Western journal of medicine, 1993, Volume: 159, Issue:5

    Topics: Anti-Anxiety Agents; Conscious Sedation; Drug Overdose; Flumazenil; Humans

1993
Flumazenil: an antidotal anecdote.
    The American journal of psychiatry, 1994, Volume: 151, Issue:6

    Topics: Aged; Drug Overdose; Female; Flumazenil; Humans; Lorazepam

1994
Judicious use of flumazenil.
    Clinical pharmacy, 1993, Volume: 12, Issue:9

    Topics: Benzodiazepines; Coma; Drug Overdose; Flumazenil; Humans; Risk Factors

1993
Diagnostic and therapeutic utility of flumazenil in comatose patients with drug overdose.
    The American journal of emergency medicine, 1993, Volume: 11, Issue:2

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Benzodiazepines; Coma; Drug Overdose; Emergencies; Femal

1993
Reversal of fetal benzodiazepine intoxication using flumazenil.
    British journal of obstetrics and gynaecology, 1993, Volume: 100, Issue:2

    Topics: Adult; Cardiotocography; Diazepam; Drug Overdose; Female; Fetal Diseases; Flumazenil; Gastric Lavage

1993
Empiric use of flumazenil in comatose patients: limited applicability of criteria to define low risk.
    Annals of emergency medicine, 1996, Volume: 27, Issue:6

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antidotes; Coma; Drug Overdose; Female; Flumazenil; Huma

1996
[Acute overdose of Zolpidem (Stilnox)].
    Schweizerische medizinische Wochenschrift, 1996, May-04, Volume: 126, Issue:18

    Topics: Adolescent; Adult; Aged; Antidotes; Coma; Drug Overdose; Female; Flumazenil; Humans; Hypnotics and S

1996
Flumazenil-induced seizure accompanying benzodiazepine and baclofen intoxication.
    The American journal of emergency medicine, 1996, Volume: 14, Issue:2

    Topics: Adult; Antidotes; Baclofen; Benzodiazepines; Drug Interactions; Drug Overdose; Female; Flumazenil; H

1996
Flumazenil: a pharmacologic antidote with limited medical toxicology utility, or ... an antidote in search of an overdose.
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 1997, Volume: 4, Issue:10

    Topics: Antidotes; Benzodiazepines; Drug Overdose; Emergency Medicine; Flumazenil; Humans; Risk Assessment

1997
Use of inhalational and intravenous sedation in dentistry.
    International dental journal, 1997, Volume: 47, Issue:1

    Topics: Accidents; Anesthesia, Dental; Anesthesia, Inhalation; Anesthesia, Intravenous; Anesthesia, Local; A

1997
Two chlorzoxazone (Parafon forte) overdoses and coma in one patient: reversal with flumazenil.
    The American journal of emergency medicine, 1998, Volume: 16, Issue:4

    Topics: Antidotes; Chlorzoxazone; Coma; Drug Overdose; Emergency Treatment; Flumazenil; GABA Modulators; Hum

1998
Endotracheal administration of flumazenil.
    The American journal of emergency medicine, 1998, Volume: 16, Issue:4

    Topics: Anti-Anxiety Agents; Antidotes; Drug Overdose; Emergency Treatment; Flumazenil; Humans; Instillation

1998
Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Flumazenil and suspected benzodiazepine overdose.
    Journal of accident & emergency medicine, 2000, Volume: 17, Issue:3

    Topics: Adult; Antidotes; Benzodiazepines; Drug Overdose; Flumazenil; Humans

2000
Massive dose of diazepam poisoning.
    The Journal of the Association of Physicians of India, 1998, Volume: 46, Issue:11

    Topics: Diazepam; Dose-Response Relationship, Drug; Drug Overdose; Flumazenil; Gastric Lavage; Humans; Infus

1998
Mechanism of respiratory insufficiency in pure or mixed drug-induced coma involving benzodiazepines.
    Journal of toxicology. Clinical toxicology, 2002, Volume: 40, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Airway Resistance; Anti-Anxiety Agents; Antidotes; Coma; Drug Overdo

2002
Flumazenil.
    The Medical letter on drugs and therapeutics, 1992, Jul-10, Volume: 34, Issue:874

    Topics: Anesthesia, General; Anti-Anxiety Agents; Conscious Sedation; Drug Overdose; Flumazenil; Humans; Hyp

1992
Anterograde amnesia in triazolam overdose despite flumazenil treatment: a case report.
    Human & experimental toxicology, 1992, Volume: 11, Issue:4

    Topics: Adolescent; Amnesia; Drug Overdose; Flumazenil; Humans; Male; Suicide, Attempted; Triazolam

1992
[Flumazenil-induced contractile seizure in poisoning by a combination of tricyclic antidepressants and benzodiazepine in a young woman].
    Duodecim; laaketieteellinen aikakauskirja, 1991, Volume: 107, Issue:23-24

    Topics: Adult; Antidepressive Agents, Tricyclic; Benzodiazepines; Drug Overdose; Female; Flumazenil; Humans;

1991
Local anesthetic-induced toxicity may be modified by low doses of flumazenil.
    Life sciences, 1992, Volume: 51, Issue:25

    Topics: Anesthesia, Local; Animals; Drug Overdose; Etidocaine; Flumazenil; Lidocaine; Male; Mepivacaine; Mic

1992
Seizures after flumazenil administration in a case of combined benzodiazepine and tricyclic antidepressant overdose.
    Critical care medicine, 1992, Volume: 20, Issue:12

    Topics: Adult; Clonazepam; Diazepam; Drug Overdose; Epilepsy, Tonic-Clonic; Female; Flumazenil; Humans; Imip

1992
Risks of flumazenil in mixed benzodiazepine-tricyclic antidepressant overdose: report of a preliminary study in the dog.
    Journal de toxicologie clinique et experimentale, 1992, Volume: 12, Issue:1

    Topics: Amitriptyline; Animals; Clomipramine; Dogs; Drug Overdose; Female; Flumazenil; Male; Risk Factors

1992
Benzodiazepine antagonist approved by FDA.
    Clinical pharmacy, 1992, Volume: 11, Issue:4

    Topics: Benzodiazepines; Drug Overdose; Drugs, Investigational; Flumazenil; Humans; United States; United St

1992
Flumazenil in mixed benzodiazepine/tricyclic antidepressant overdose: a placebo-controlled study in the dog.
    The American journal of emergency medicine, 1992, Volume: 10, Issue:3

    Topics: Amitriptyline; Animals; Arrhythmias, Cardiac; Dogs; Drug Interactions; Drug Overdose; Electrocardiog

1992
Complete heart block after flumazenil.
    Human & experimental toxicology, 1991, Volume: 10, Issue:4

    Topics: Acetaminophen; Aged; Drug Overdose; Female; Flumazenil; Heart Block; Humans; Temazepam

1991
Administration of flumazenil.
    Annals of emergency medicine, 1991, Volume: 20, Issue:5

    Topics: Animals; Benzodiazepines; Dogs; Drug Overdose; Flumazenil; Humans; Seizures; Swine

1991
[Difficulties in antagonizing dipotassium chlorazepate using flumazenil in cases of acute poisoning].
    Cahiers d'anesthesiologie, 1991, Volume: 39, Issue:1

    Topics: Adult; Clorazepate Dipotassium; Drug Overdose; Female; Flumazenil; Humans; Male; Middle Aged

1991
Benzodiazepine withdrawal syndrome after a benzodiazepine antagonist.
    Critical care medicine, 1990, Volume: 18, Issue:12

    Topics: Adolescent; Akathisia, Drug-Induced; Diazepam; Drug Overdose; Flumazenil; Humans; Injections, Intrav

1990