Page last updated: 2024-10-27

flumazenil and Hepatic Encephalopathy

flumazenil has been researched along with Hepatic Encephalopathy in 109 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.

Hepatic Encephalopathy: A syndrome characterized by central nervous system dysfunction in association with LIVER FAILURE, including portal-systemic shunts. Clinical features include lethargy and CONFUSION (frequently progressing to COMA); ASTERIXIS; NYSTAGMUS, PATHOLOGIC; brisk oculovestibular reflexes; decorticate and decerebrate posturing; MUSCLE SPASTICITY; and bilateral extensor plantar reflexes (see REFLEX, BABINSKI). ELECTROENCEPHALOGRAPHY may demonstrate triphasic waves. (From Adams et al., Principles of Neurology, 6th ed, pp1117-20; Plum & Posner, Diagnosis of Stupor and Coma, 3rd ed, p222-5)

Research Excerpts

ExcerptRelevanceReference
" In the double blind randomized, placebo controlled study, 54 patients with hepatic encephalopathy grade III-IV were randomly assigned to receive either flumazenil 2 mg iv (group A) or placebo (group B); conventional treatment with branched-chain amino acid, saline, glucose, and lactulose was administered in both groups."9.09Flumazenil in the treatment of acute hepatic encephalopathy in cirrhotic patients: a double blind randomized placebo controlled study. ( Balzano, A; Laccetti, M; Lioniello, M; Manes, G; Rabitti, PG; Uomo, G, 2000)
"4-1 mg flumazenil results in a modest but rapid improvement in the EEG grading of hepatic encephalopathy and to a moderate but delayed improvement in the clinical grade of hepatic encephalopathy."9.08Flumazenil therapy for hepatic encephalopathy in cirrhotic patients: a double-blind pragmatic randomized, placebo study. ( Benhamou, Y; Cadranel, JF; el Younsi, M; Opolon, P; Pidoux, B; Valla, D; Zylberberg, P, 1995)
"To evaluate the beneficial and harmful effects of flumazenil versus placebo or no intervention for people with cirrhosis and hepatic encephalopathy."8.95Flumazenil versus placebo or no intervention for people with cirrhosis and hepatic encephalopathy. ( Andersen, ML; Gluud, LL; Goh, ET; Morgan, MY, 2017)
"We found low quality evidence suggesting a short-term beneficial effect of flumazenil on hepatic encephalopathy in people with cirrhosis, but no evidence of an effect on all-cause mortality."8.95Flumazenil versus placebo or no intervention for people with cirrhosis and hepatic encephalopathy. ( Andersen, ML; Gluud, LL; Goh, ET; Morgan, MY, 2017)
" We concluded flumazenil does not reduce mortality in patients with hepatic encephalopathy and it is not clear whether it leads to any clinical improvement because the certainty of the evidence is very low."8.95Is flumazenil an alternative for the treatment of hepatic encephalopathy? ( Barrera, F; Reyes, D, 2017)
"An overview of randomized controlled trials comparing flumazenil and placebo in hepatic encephalopathy in patients with cirrhosis was performed."8.81Flumazenil vs. placebo in hepatic encephalopathy in patients with cirrhosis: a meta-analysis. ( Bernard, B; Cadranel, JF; Di Martino, V; Goulenok, C; Opolon, P; Poynard, T; Thabut, D, 2002)
"Therapeutic modulation of the increased GABAergic tone in chronic hepatic encephalopathy (HE) by the benzodiazepine receptor (BR) antagonist flumazenil (F) has led to conflicting results in humans and animal models for HE."7.70Improvement of chronic hepatic encephalopathy in dogs by the benzodiazepine-receptor partial inverse agonist sarmazenil, but not by the antagonist flumazenil. ( Legemate, DA; Meyer, HP; Rothuizen, J; van den Brom, W, 1998)
"The effect of intravenous administration of flumazenil on hepatic encephalopathy in children with fulminant liver failure is inconsistent."7.69Flumazenil in the treatment of hepatic encephalopathy in children with fulminant liver failure. ( Devictor, D; Durand, P; Lanchier, C; Navelet, Y; Rousset, A; Tahiri, C, 1995)
"The purpose of this report is to describe the use of flumazenil as a diagnostic aid in the differential diagnosis of coma in a patient with an inadvertent overdose of benzodiazepines."7.69Flumazenil as a diagnostic tool in the differential diagnosis of coma in a critically ill patient. ( McLachlan, RS; Sharpe, MD; Sprenger, H, 1994)
" We evaluated the visual EP, brain stem auditory EP, and somatosensory EP (SSEP) and the effect of benzodiazepine receptor antagonist flumazenil in patients with liver cirrhosis."7.69Evoked potentials and the effect of flumazenil in patients with liver cirrhosis. ( Arik, Z; Kahraman, H; Kesim, G; Onar, M; Ozyilkan, E, 1997)
"In animal studies as well as in a few cases in humans, the benzodiazepine antagonist flumazenil has been shown to reverse hepatic encephalopathy."7.68[Treatment of acute hepatic encephalopathy with flumazenil]. ( Bassoul, B; de La Coussaye, JE; Eledjam, JJ; Saissi, G; Viel, E, 1990)
"The effect of flumazenil, a benzodiazepine antagonist, on hepatic encephalopathy was studied in rabbits with acute hepatic failure induced by a two-stage liver devascularization procedure."7.68Flumazenil does not improve hepatic encephalopathy associated with acute ischemic liver failure in the rabbit. ( de Knegt, RJ; Mechelse, K; Schalm, SW; Terpstra, OT; van der Rijt, CC, 1990)
"The effects of the benzodiazepine antagonist flumazenil were studied in 20 episodes of hepatic encephalopathy (HE) in 17 patients with acute (n = 9) or chronic (n = 8) liver failure who had not responded to conventional therapy."7.67Improvement of hepatic encephalopathy treated with flumazenil. ( Ferenci, P; Gangl, A; Grimm, G; Katzenschlager, R; Laggner, AN; Lenz, K; Madl, C; Schneeweiss, B, 1988)
"Treatment of chronic hepatic encephalopathy is difficult."5.29[Chronic hepatic encephalopathy treated by long-term intravenous administration of flumazenil in ambulatory care]. ( Frappa, B; Paolini, O; Péroux, JL; Rampal, P; Tran, A, 1996)
"Flumazenil was not found to induce significant changes in the clinical status or in maps of the cerebral activity of patients with chronic encephalopathy."5.28[Evaluation of the therapeutic effect of flumazenil in hepatic encephalopathy using cerebral cartography]. ( Bello Mimbrera, G; de la Torre Fernández, JM; de la Torre Gutiérrez, S; García de León, M; Montero Vázquez, J; Torres Salcines, J, 1989)
"BZA seems to improve hepatic encephalopathy, especially at an early stage (II)."5.27Treatment of hepatic encephalopathy (HE) with the benzodiazepine antagonist flumazenil: a pilot study. ( Gyr, K; Meier, R, 1988)
"It was concluded that continuous IV infusion of flumazenil had beneficial and safe effects in the treatment of hepatic encephalopathy patients."5.10The efficacy of flumazenil in subclinical to mild hepatic encephalopathic ambulatory patients. A prospective, randomised, double-blind, placebo-controlled study. ( Aluclu, U; Caliskan, M; Canoruc, F; Canoruc, N; Dursun, M; Ertem, M; Isikdogan, A; Tuzcu, A; Yilmaz, S, 2003)
" In the double blind randomized, placebo controlled study, 54 patients with hepatic encephalopathy grade III-IV were randomly assigned to receive either flumazenil 2 mg iv (group A) or placebo (group B); conventional treatment with branched-chain amino acid, saline, glucose, and lactulose was administered in both groups."5.09Flumazenil in the treatment of acute hepatic encephalopathy in cirrhotic patients: a double blind randomized placebo controlled study. ( Balzano, A; Laccetti, M; Lioniello, M; Manes, G; Rabitti, PG; Uomo, G, 2000)
"4-1 mg flumazenil results in a modest but rapid improvement in the EEG grading of hepatic encephalopathy and to a moderate but delayed improvement in the clinical grade of hepatic encephalopathy."5.08Flumazenil therapy for hepatic encephalopathy in cirrhotic patients: a double-blind pragmatic randomized, placebo study. ( Benhamou, Y; Cadranel, JF; el Younsi, M; Opolon, P; Pidoux, B; Valla, D; Zylberberg, P, 1995)
"To evaluate the beneficial and harmful effects of flumazenil versus placebo or no intervention for people with cirrhosis and hepatic encephalopathy."4.95Flumazenil versus placebo or no intervention for people with cirrhosis and hepatic encephalopathy. ( Andersen, ML; Gluud, LL; Goh, ET; Morgan, MY, 2017)
"We found low quality evidence suggesting a short-term beneficial effect of flumazenil on hepatic encephalopathy in people with cirrhosis, but no evidence of an effect on all-cause mortality."4.95Flumazenil versus placebo or no intervention for people with cirrhosis and hepatic encephalopathy. ( Andersen, ML; Gluud, LL; Goh, ET; Morgan, MY, 2017)
" We concluded flumazenil does not reduce mortality in patients with hepatic encephalopathy and it is not clear whether it leads to any clinical improvement because the certainty of the evidence is very low."4.95Is flumazenil an alternative for the treatment of hepatic encephalopathy? ( Barrera, F; Reyes, D, 2017)
"Flumazenil had a significant beneficial effect on short-term improvement of hepatic encephalopathy in patients with cirrhosis and a highly favourable prognosis."4.82Benzodiazepine receptor antagonists for hepatic encephalopathy. ( Als-Nielsen, B; Gluud, C; Gluud, LL, 2004)
"Flumazenil had no significant effect on recovery or survival from hepatic encephalopathy."4.81Benzodiazepine receptor antagonists for acute and chronic hepatic encephalopathy. ( Als-Nielsen, B; Gluud, C; Kjaergard, LL, 2001)
"An overview of randomized controlled trials comparing flumazenil and placebo in hepatic encephalopathy in patients with cirrhosis was performed."4.81Flumazenil vs. placebo in hepatic encephalopathy in patients with cirrhosis: a meta-analysis. ( Bernard, B; Cadranel, JF; Di Martino, V; Goulenok, C; Opolon, P; Poynard, T; Thabut, D, 2002)
"For the first time a causal treatment of hepatic encephalopathy may be possible by the benzodiazepine antagonist flumazenil."4.77[Benzodiazepine antagonists in the treatment of heptic encephalopathy]. ( Ferenci, P; Grimm, G, 1989)
"To assess the possible implication of the allosteric coupling of different modulatory sites at the GABA-A receptor complex in hepatic encephalopathy (HE), we investigated in autopsied frontal cortex of six cirrhotic patients and six appropriately-matched controls, the modulatory effects of the benzodiazepine site agonist flunitrazepam on the binding of [3H]muscimol and the effect of the neurosteroid site agonist allopregnanolone (5alpha-pregnan-3alpha-ol-20-one) on the binding of [3H]muscimol and [3H]flunitrazepam."3.72Normal coupling of brain benzodiazepine and neurosteroid modulatory sites on the GABA-A receptor complex in human hepatic encephalopathy. ( Ahboucha, S; Butterworth, RF; Chatauret, N; Desjardins, P; Pomier-Layrargues, G, 2003)
"Therapeutic modulation of the increased GABAergic tone in chronic hepatic encephalopathy (HE) by the benzodiazepine receptor (BR) antagonist flumazenil (F) has led to conflicting results in humans and animal models for HE."3.70Improvement of chronic hepatic encephalopathy in dogs by the benzodiazepine-receptor partial inverse agonist sarmazenil, but not by the antagonist flumazenil. ( Legemate, DA; Meyer, HP; Rothuizen, J; van den Brom, W, 1998)
"The effect of intravenous administration of flumazenil on hepatic encephalopathy in children with fulminant liver failure is inconsistent."3.69Flumazenil in the treatment of hepatic encephalopathy in children with fulminant liver failure. ( Devictor, D; Durand, P; Lanchier, C; Navelet, Y; Rousset, A; Tahiri, C, 1995)
"The purpose of this report is to describe the use of flumazenil as a diagnostic aid in the differential diagnosis of coma in a patient with an inadvertent overdose of benzodiazepines."3.69Flumazenil as a diagnostic tool in the differential diagnosis of coma in a critically ill patient. ( McLachlan, RS; Sharpe, MD; Sprenger, H, 1994)
" We evaluated the visual EP, brain stem auditory EP, and somatosensory EP (SSEP) and the effect of benzodiazepine receptor antagonist flumazenil in patients with liver cirrhosis."3.69Evoked potentials and the effect of flumazenil in patients with liver cirrhosis. ( Arik, Z; Kahraman, H; Kesim, G; Onar, M; Ozyilkan, E, 1997)
"Two benzodiazepine-receptor partial inverse agonists (Ro 15-4513, Ro 15-3505) and one benzodiazepine-receptor antagonist (flumazenil) were administered to rats with hepatic encephalopathy due to acute liver ischemia."3.68The effects of benzodiazepine-receptor antagonists and partial inverse agonists on acute hepatic encephalopathy in the rat. ( Bosman, DK; Chamuleau, RA; de Haan, JG; Maas, MA; van den Buijs, CA, 1991)
"Brain concentrations of substances inhibiting the binding of [3H]flumazenil to its receptors are increased in some patients with hepatic encephalopathy due to fulminant hepatic failure."3.68Elevated brain concentrations of 1,4-benzodiazepines in fulminant hepatic failure. ( Basile, AS; Harrison, PM; Hughes, RD; Jones, EA; Murata, Y; Pannell, L; Skolnick, P; Williams, R, 1991)
"In animal studies as well as in a few cases in humans, the benzodiazepine antagonist flumazenil has been shown to reverse hepatic encephalopathy."3.68[Treatment of acute hepatic encephalopathy with flumazenil]. ( Bassoul, B; de La Coussaye, JE; Eledjam, JJ; Saissi, G; Viel, E, 1990)
"The effect of flumazenil, a benzodiazepine antagonist, on hepatic encephalopathy was studied in rabbits with acute hepatic failure induced by a two-stage liver devascularization procedure."3.68Flumazenil does not improve hepatic encephalopathy associated with acute ischemic liver failure in the rabbit. ( de Knegt, RJ; Mechelse, K; Schalm, SW; Terpstra, OT; van der Rijt, CC, 1990)
"The involvement of the gamma-aminobutyric acidA (GABAA) receptor complex in the pathogenesis of hepatic encephalopathy was examined in thioacetamide-treated rats with fulminant hepatic failure."3.67GABAA receptor complex in an experimental model of hepatic encephalopathy: evidence for elevated levels of an endogenous benzodiazepine receptor ligand. ( Basile, AS; Gammal, SH; Jones, EA; Skolnick, P, 1989)
"The role of the GABA-benzodiazepine receptor complex in the pathogenesis of hepatic encephalopathy was investigated by recording the electrophysiological responses of single cerebellar Purkinje neurons from rabbits with hepatic encephalopathy due to galactosamine-induced fulminant hepatic failure."3.67Differential responsiveness of cerebellar Purkinje neurons to GABA and benzodiazepine receptor ligands in an animal model of hepatic encephalopathy. ( Basile, AS; Gammal, SH; Jones, EA; Mullen, KD; Skolnick, P, 1988)
"The effects of the benzodiazepine antagonist flumazenil were studied in 20 episodes of hepatic encephalopathy (HE) in 17 patients with acute (n = 9) or chronic (n = 8) liver failure who had not responded to conventional therapy."3.67Improvement of hepatic encephalopathy treated with flumazenil. ( Ferenci, P; Gangl, A; Grimm, G; Katzenschlager, R; Laggner, AN; Lenz, K; Madl, C; Schneeweiss, B, 1988)
"Flumazenil was well tolerated."2.68Evaluation of the efficacy and safety of flumazenil in the treatment of portal systemic encephalopathy: a double blind, randomised, placebo controlled multicentre study. ( Amrein, R; Boulétreau, P; Fleig, WE; Gatta, A; Groeneweg, M; Gyr, K; Häussler, J; Holstege, A; Meier, R; Pomier-Layrargues, G; Schalm, SW; Scollo-Lavizzari, G; Ventura, E; Williams, R; Yoo, Y; Zeneroli, ML, 1996)
"Ten patients with sub-clinical or latent hepatic encephalopathy (LHE) and ten normal controls were cognitively assessed pre- and post-infusion of 0."2.68Benzodiazepine receptor antagonism improves reaction time in latent hepatic encephalopathy. ( Bzeizi, K; Gooday, R; Hayes, PC; O'Carroll, RE, 1995)
"Seventy-seven cirrhotic patients in hepatic coma were evaluated."2.67Flumazenil in cirrhotic patients in hepatic coma: a randomized double-blind placebo-controlled crossover trial. ( Butterworth, RF; D'Amour, M; Gagnon, S; Giguère, JF; Lavoie, J; Perney, P; Pomier-Layrargues, G; Wells, J, 1994)
"Pharmacologic management of hepatic encephalopathy includes a broad range of therapies."2.66Pharmacologic Management of Hepatic Encephalopathy. ( Mahpour, NY; Pioppo-Phelan, L; Reja, M; Rustgi, VK; Tawadros, A, 2020)
"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)
"Therapeutic management in hepatic encephalopathy depends on its etiology as well as progression degree."2.41[Therapeutic management of hepatic encephalopathy]. ( Helewski, KJ; Konecki, JJ; Kowalczyk-Ziomek, GI, 2002)
"Hepatic encephalopathy is a complex neuropsychiatric syndrome associated with acute, subacute and chronic liver failure, involving increased neural inhibition by activation of the GABA/benzodiazepine inhibitory neurotransmitter system."2.38Flumazenil in the treatment of portal systemic encephalopathy--an overview. ( Gyr, K; Meier, R, 1991)
"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)
"In animals and human beings with hepatic encephalopathy, however, benzodiazepine receptor antagonists have induced amelioration of the encephalopathy, and an endogenous substance that competitively binds to benzodiazepine receptors has been found in cerebrospinal fluid."2.37Could an endogenous benzodiazepine ligand contribute to hepatic encephalopathy? ( Bassett, ML; Jones, EA; Martin, JV; Mendelson, WB; Mullen, KD, 1988)
" The oral route is optimized by dosing every hour until stool evacuation appears."1.31Hepatic Encephalopathy. ( Blei, AT; Córdoba, J, 2001)
"Treatment of chronic hepatic encephalopathy is difficult."1.29[Chronic hepatic encephalopathy treated by long-term intravenous administration of flumazenil in ambulatory care]. ( Frappa, B; Paolini, O; Péroux, JL; Rampal, P; Tran, A, 1996)
"When treated with flumazenil all signs of encephalopathy abated in spite of an unrestricted dietary intake of protein."1.28Successful long-term treatment of portal-systemic encephalopathy by the benzodiazepine antagonist flumazenil. ( Ferenci, P; Gangl, A; Grimm, G; Meryn, S, 1989)
"Flumazenil was not found to induce significant changes in the clinical status or in maps of the cerebral activity of patients with chronic encephalopathy."1.28[Evaluation of the therapeutic effect of flumazenil in hepatic encephalopathy using cerebral cartography]. ( Bello Mimbrera, G; de la Torre Fernández, JM; de la Torre Gutiérrez, S; García de León, M; Montero Vázquez, J; Torres Salcines, J, 1989)
"Hepatic encephalopathy is ameliorated by drugs acting on the central GABAA-benzodiazepine receptor complex."1.28Beneficial effect of pharmacological modulation of the GABAA-benzodiazepine receptor on hepatic encephalopathy in the rat: comparison with uremic encephalopathy. ( Druml, W; Ferenci, P; Püspök, A; Steindl, P, 1991)
"Based on the reversal of hepatic encephalopathy in animal models with administration of specific benzodiazepine receptor antagonists, it has been postulated that this syndrome may be mediated by an endogenous benzodiazepine-like compound."1.28Evidence for the presence of a benzodiazepine receptor binding substance in cerebrospinal fluid of a rabbit model of hepatic encephalopathy. ( Jones, EA; Kaminsky-Russ, K; Martin, JV; Mendelson, WB; Mullen, KD, 1989)
"Recently it was suggested that hepatic encephalopathy (HE) is mediated by an increased GABA-ergic tone."1.28Benzodiazepine antagonist in the treatment of human hepatic encephalopathy. ( Ferenci, P; Grimm, G, 1990)
"The evolution of hepatic encephalopathy in this model was sufficiently slow to readily permit the staging of the syndrome."1.28Reversal of the behavioral and electrophysiological abnormalities of an animal model of hepatic encephalopathy by benzodiazepine receptor ligands. ( Basile, AS; Gammal, SH; Geller, D; Jones, EA; Skolnick, P, 1990)
"Rabbits with hepatic encephalopathy exhibited increased resistance to the convulsive effects of bicuculline."1.27Amelioration of hepatic encephalopathy by pharmacologic antagonism of the GABAA-benzodiazepine receptor complex in a rabbit model of fulminant hepatic failure. ( Bassett, ML; Jones, EA; Mullen, KD; Skolnick, P, 1987)
"BZA seems to improve hepatic encephalopathy, especially at an early stage (II)."1.27Treatment of hepatic encephalopathy (HE) with the benzodiazepine antagonist flumazenil: a pilot study. ( Gyr, K; Meier, R, 1988)

Research

Studies (109)

TimeframeStudies, this research(%)All Research%
pre-199021 (19.27)18.7374
1990's56 (51.38)18.2507
2000's24 (22.02)29.6817
2010's6 (5.50)24.3611
2020's2 (1.83)2.80

Authors

AuthorsStudies
Mahpour, NY1
Pioppo-Phelan, L1
Reja, M1
Tawadros, A1
Rustgi, VK1
Alimirah, M1
Sadiq, O1
Gordon, SC1
Goh, ET2
Andersen, ML2
Morgan, MY2
Gluud, LL3
Reyes, D1
Barrera, F1
da Silva, VC1
Bittencourt, PL1
Pinho, S1
Cavalcanti, AR1
Zollinger, CC1
García Martínez, R1
Córdoba Cardona, J1
Butterworth, RF9
Wehbe, E1
Saad, D1
Delgado, F1
Ta, H1
Antoun, SA1
Romero-Gómez, M1
Foster, KJ1
Lin, S1
Turck, CJ1
Helewski, KJ1
Kowalczyk-Ziomek, GI1
Konecki, JJ1
Dursun, M1
Caliskan, M1
Canoruc, F1
Aluclu, U1
Canoruc, N1
Tuzcu, A1
Yilmaz, S1
Isikdogan, A1
Ertem, M1
Ruscito, BJ1
Harrison, NL1
Quero Guillén, JC1
Carmona Soria, I1
García Montes, JM1
Jiménez Sáenz, M1
Herrerías Gutiérrez, JM1
Ahboucha, S4
Desjardins, P1
Chatauret, N1
Pomier-Layrargues, G5
Wettstein, M1
Häussinger, D1
Als-Nielsen, B2
Gluud, C2
Romero Gómez, M1
Bautista, JD1
Grande, L1
Ramos Guerrero, RM1
Sánchez Muñoz, D1
Araqi, F1
Layrargues, GP2
Cortelli, P1
Avallone, R1
Baraldi, M1
Zeneroli, ML2
Mandrioli, J1
Corsi, L1
Riva, R1
Tinuper, P1
Lugaresi, E1
Baruzzi, A1
Montagna, P1
Coyne, L1
Hirakawa, R1
Halliwell, RF1
Scollo-Lavizzari, G3
Cadranel, JF2
el Younsi, M1
Pidoux, B2
Zylberberg, P2
Benhamou, Y1
Valla, D2
Opolon, P3
Gooday, R1
Hayes, PC1
Bzeizi, K1
O'Carroll, RE1
Perney, P3
Devictor, D1
Tahiri, C1
Lanchier, C1
Navelet, Y1
Durand, P1
Rousset, A1
Mullen, KD6
Sterling, RK1
Shiffman, ML1
Schubert, ML1
Bruha, R1
Marecek, Z1
Brodanova, M1
Votruba, M1
Sprenger, H1
Sharpe, MD1
McLachlan, RS1
Jones, EA16
Basile, AS8
Yurdaydin, C1
Skolnich, P1
Giguère, JF1
Lavoie, J2
Gagnon, S1
D'Amour, M1
Wells, J1
Hoffman, EJ1
Warren, EW1
Howard, CD1
Seifert, CF1
Plauth, M1
Egberts, EH1
Groeneweg, M2
Gyr, K5
Amrein, R2
Williams, R3
Yoo, JY1
Schalm, SW3
Péroux, JL1
Paolini, O1
Tran, A1
Frappa, B1
Rampal, P1
McDonald, JW1
Bautista, RE1
Gutmann, DH1
Meier, R4
Häussler, J1
Boulétreau, P1
Fleig, WE1
Gatta, A2
Holstege, A1
Ventura, E1
Yoo, Y1
McArdle, P1
Penning, DH1
Dexter, F1
Reynolds, JD1
Macdonald, GA1
Frey, KA1
Agranoff, BW1
Minoshima, S1
Koeppe, RA1
Kuhl, DE1
Shulkin, BL1
Lucey, MR1
Ozyilkan, E1
Kahraman, H1
Onar, M1
Kesim, G1
Arik, Z1
Weissenborn, K1
Amodio, P1
Marchetti, P1
Del Piccolo, F1
Beghi, A1
Comacchio, F1
Carraro, P1
Campo, G1
Baruzzo, L1
Marchiori, C1
Bañares, R1
Carneros, JA1
Rincón, D1
Barbaro, G2
Di Lorenzo, G2
Soldini, M2
Giancaspro, G1
Bellomo, G2
Belloni, G2
Grisorio, B2
Annese, M2
Bacca, D2
Francavilla, R1
Barbarini, G2
Mousseau, DD1
Fabbro-Peray, P1
Blanc, F1
Meyer, HP1
Legemate, DA1
van den Brom, W1
Rothuizen, J1
Marziali, M1
Hammond, JB1
Ahmad, F1
Amaral, OB1
Quevedo, J1
Walz, R1
Kapczinski, F1
Blei, AT2
Elkjaer, JM1
Jensen, TU1
Emborg, J1
Sand, P1
Kavvadias, D1
Feineis, D1
Riederer, P1
Schreier, P1
Kleinschnitz, M1
Czygan, FC1
Abou-Mandour, A1
Bringmann, G1
Beckmann, H1
Larsen, FS1
Córdoba, J1
Laccetti, M1
Manes, G1
Uomo, G1
Lioniello, M1
Rabitti, PG1
Balzano, A1
Kjaergard, LL1
Giger-Mateeva, VI1
Reits, D1
Riemslag, FC1
Liberov, B1
Spekrijse, H1
Koczorek, M1
Goulenok, C1
Bernard, B1
Thabut, D1
Di Martino, V1
Poynard, T1
Buchali, K1
Seebach, J1
Jost, R1
Sacristán, JA1
Soto, J1
Francis, D1
Sánchez, R1
Hughes, RD1
Harrison, PM1
Murata, Y1
Pannell, L1
Skolnick, P7
Bosman, DK1
van den Buijs, CA1
de Haan, JG1
Maas, MA1
Chamuleau, RA1
Steindl, P1
Püspök, A1
Druml, W2
Ferenci, P6
Baker, BL1
Morrow, AL1
Vergalla, J1
Paul, SM1
Castells, A1
Navasa, M1
Mas, A1
Rodés, J1
Scholer, A1
Frenkel, AL1
Hermant, JL2
Blaise, M1
Volter, F1
Pourriat, JL1
Grimm, G5
Gammal, SH5
Viel, E1
de La Coussaye, JE1
Bassoul, B1
Saissi, G1
Eledjam, JJ1
Marsepoil, T1
Ho, P1
Blin, F1
Levesque, P1
Geller, D1
Pomier Layrargues, G1
Rothstein, JD1
Olasmaa, M1
Meier, PJ2
Bansky, G2
Pintanel, T1
Font, MM1
García-Guasch, R1
van der Rijt, CC1
de Knegt, RJ1
Terpstra, OT1
Mechelse, K1
Meryn, S1
Gangl, A2
Bello Mimbrera, G1
García de León, M1
de la Torre Gutiérrez, S1
Montero Vázquez, J1
Torres Salcines, J1
de la Torre Fernández, JM1
Chesta, J1
Brahm, J1
Poniachik, J1
Riederer, E1
Walser, H1
Ziegler, WH1
Schmid, M1
Martin, JV2
Mendelson, WB2
Kaminsky-Russ, K1
Andresen, M1
Arrese, M1
Dougnac, A1
Godoy, J1
Prat, G1
Chianale, J1
Klotz, U1
Walker, S1
Bassett, ML2
Katzenschlager, R2
Holzner, F1
Schneeweiss, B2
Laggner, A1
Lenz, K2
Madl, C2
Burke, DA1
Mitchell, KW1
al Mardini, H1
Record, CO1
Laggner, AN1
Sutherland, LR1
Minuk, GY1
Martin, P1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Chinese Chronic Liver Failure Consortium Acute-on-Chronic Liver Disease and Failure Study --a Prospective Multi-center Study in China, the Largest Hepatitis B Virus High-endemic Region.[NCT02457637]2,600 participants (Actual)Observational2015-01-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Serum Bilirubin

be collected and reported at 28 or last visit before discharge (NCT02457637)
Timeframe: Up to 28 days

Interventionmg/dL (Median)
Acute-on-Chronic Liver Disease9.3

The Appearance and Number of Organ Failure

The appearance and number of organ failure(including liver, coagulation, renal, circulation, brain, respiratory system) will be evaluated and reported at 1, 4, 7, 14, 21 and 28 days (or last visit)during patients' hospitalization. (NCT02457637)
Timeframe: Up to 28 days

InterventionParticipants (Count of Participants)
Acute-on-Chronic Liver Disease261

180-day Mortality Rate and Liver Transplantation Rate

Mortality will be respectively calculated together with the liver transplantation rate (as the rate of ''incidence'')and independently (as the ''liver transplantation free mortality'') respectively. (NCT02457637)
Timeframe: up to 180 days

InterventionParticipants (Count of Participants)
180-day mortality rate180-day liver transplantation rate180-day liver transplantation free mortality'
Acute-on-Chronic Liver Disease Inpatients403177403

28-day Mortality,28-day Liver-transplantation Free Mortality& 28-day Liver Transplantation Rate

liver-transplantation free mortality refers to number of participants who died in the absence of receiving a liver transplant divided by number of participants without liver transplant. (NCT02457637)
Timeframe: up to 28 days

InterventionParticipants (Count of Participants)
28-day Mortality28-day Liver Transplantation Rate at 28 days28-day liver transplantation free mortality
Acute-on-Chronic Liver Disease7412474

90-day Mortality Rates, 90-day Liver Transplantation Free Mortality and Liver Transplantation Rate

liver-transplantation free mortality refers to number of participants who died in the absence of receiving a liver transplant divided by number of participants without liver transplant. (NCT02457637)
Timeframe: up to 90 days

InterventionParticipants (Count of Participants)
90-day mortality rate90-day liver transplantation rate90-day liver transplantation free mortality
Acute-on-Chronic Liver Disease Inpatients333171333

Reviews

39 reviews available for flumazenil and Hepatic Encephalopathy

ArticleYear
Pharmacologic Management of Hepatic Encephalopathy.
    Clinics in liver disease, 2020, Volume: 24, Issue:2

    Topics: Acarbose; Amino Acids, Branched-Chain; Anti-Bacterial Agents; Dipeptides; Fecal Microbiota Transplan

2020
Novel Therapies in Hepatic Encephalopathy.
    Clinics in liver disease, 2020, Volume: 24, Issue:2

    Topics: Acetylcarnitine; Albumins; Ammonia; Dipeptides; Fecal Microbiota Transplantation; Flumazenil; GABA M

2020
Flumazenil versus placebo or no intervention for people with cirrhosis and hepatic encephalopathy.
    The Cochrane database of systematic reviews, 2017, 07-26, Volume: 7

    Topics: Acute Disease; Antidotes; Cause of Death; Chronic Disease; Flumazenil; GABA Modulators; GABA-A Recep

2017
Flumazenil versus placebo or no intervention for people with cirrhosis and hepatic encephalopathy.
    The Cochrane database of systematic reviews, 2017, 08-10, Volume: 8

    Topics: Cause of Death; Flumazenil; GABA Modulators; Hepatic Encephalopathy; Humans; Liver Cirrhosis; Placeb

2017
Is flumazenil an alternative for the treatment of hepatic encephalopathy?
    Medwave, 2017, Dec-26, Volume: 17, Issue:9

    Topics: Databases, Factual; Flumazenil; GABA Modulators; Hepatic Encephalopathy; Humans; Randomized Controll

2017
[Update on the management of hepatic encephalopathy].
    Revista espanola de enfermedades digestivas, 2008, Volume: 100, Issue:10

    Topics: Aged; Ammonia; Anti-Bacterial Agents; Antidotes; Clinical Trials as Topic; Dialysis; Flumazenil; GAB

2008
Pathophysiology of hepatic encephalopathy: studies in autopsied brain tissue from hepatic coma patients.
    Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion, 1990, Volume: 42 Suppl

    Topics: Amino Acids; Animals; Astrocytes; Biogenic Amines; Brain; Brain Chemistry; Catecholamines; Flumazeni

1990
Brain GABA and benzodiazepine receptors in hepatic encephalopathy.
    Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion, 1990, Volume: 42 Suppl

    Topics: Animals; Astrocytes; Benzodiazepines; Carrier Proteins; Clinical Trials as Topic; Drug Evaluation, P

1990
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
Pharmacotherapy of hepatic encephalopathy in cirrhosis.
    Expert opinion on pharmacotherapy, 2010, Volume: 11, Issue:8

    Topics: Ammonia; Anti-Bacterial Agents; Fluid Therapy; Flumazenil; Hepatic Encephalopathy; Humans; Intestina

2010
Current and emerging strategies for treating hepatic encephalopathy.
    Critical care nursing clinics of North America, 2010, Volume: 22, Issue:3

    Topics: Acarbose; Anti-Bacterial Agents; Carnitine; Dyskinesias; Electroencephalography; Flumazenil; GABA Mo

2010
[Therapeutic management of hepatic encephalopathy].
    Wiadomosci lekarskie (Warsaw, Poland : 1960), 2002, Volume: 55, Issue:5-6

    Topics: Anti-Bacterial Agents; Disease Progression; Flumazenil; Hepatic Encephalopathy; Humans; Lactulose; L

2002
[Hepatic encephalopathy--therapy].
    Deutsche medizinische Wochenschrift (1946), 2003, Dec-12, Volume: 128, Issue:50

    Topics: Administration, Oral; Ammonia; Anti-Bacterial Agents; Diet, Protein-Restricted; Dipeptides; Flumazen

2003
Benzodiazepine receptor antagonists for hepatic encephalopathy.
    The Cochrane database of systematic reviews, 2004, Issue:2

    Topics: Acute Disease; Antidotes; Chronic Disease; Flumazenil; GABA Modulators; GABA-A Receptor Antagonists;

2004
[New concepts in the physiopathology of hepatic encephalopathy and therapeutic prospects].
    Gastroenterologia y hepatologia, 2004, Volume: 27 Suppl 1

    Topics: Ammonia; Brain; Brain Edema; Dipeptides; Flumazenil; Glutaminase; Glutamine; Hepatic Encephalopathy;

2004
Endozepines in recurrent stupor.
    Sleep medicine reviews, 2005, Volume: 9, Issue:6

    Topics: Coma; Diazepam Binding Inhibitor; Electroencephalography; Flumazenil; Hepatic Encephalopathy; Humans

2005
[Hepatic encephalopathy. Physiopathology and treatment].
    Gastroenterologie clinique et biologique, 1994, Volume: 18, Issue:12

    Topics: Amino Acids; Anti-Bacterial Agents; Drug Therapy, Combination; Flumazenil; Hepatic Encephalopathy; H

1994
Do benzodiazepine ligands contribute to hepatic encephalopathy?
    Advances in experimental medicine and biology, 1993, Volume: 341

    Topics: Animals; Azides; Benzodiazepines; Benzodiazepinones; Disease Models, Animal; Flumazenil; GABA-A Rece

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

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

1993
Flumazenil in the treatment of hepatic encephalopathy.
    The Annals of pharmacotherapy, 1993, Volume: 27, Issue:1

    Topics: Clinical Trials as Topic; Flumazenil; gamma-Aminobutyric Acid; Hepatic Encephalopathy; Humans

1993
[What is guaranteed in the therapy of hepatic encephalopathy?].
    Der Internist, 1993, Volume: 34, Issue:1

    Topics: Amino Acids, Branched-Chain; Anti-Bacterial Agents; Combined Modality Therapy; Disaccharides; Flumaz

1993
Neurology and the liver.
    Journal of neurology, neurosurgery, and psychiatry, 1997, Volume: 63, Issue:3

    Topics: Ammonia; Brain Edema; Cholestasis; Diagnosis, Differential; Fatigue; Flumazenil; GABA Modulators; He

1997
[New treatments of hepatic encephalopathy].
    Gastroenterologia y hepatologia, 1998, Volume: 21, Issue:4

    Topics: Amino Acids, Branched-Chain; Animals; Benzoates; Benzoic Acid; Clinical Trials as Topic; Electrocard

1998
Hepatic encephalopathy and role of antibenzodiazepines.
    American journal of therapeutics, 1998, Volume: 5, Issue:1

    Topics: Flumazenil; GABA Antagonists; GABA-A Receptor Antagonists; gamma-Aminobutyric Acid; Hepatic Encephal

1998
Brain edema and portal-systemic encephalopathy.
    Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, 2000, Volume: 6, Issue:4 Suppl 1

    Topics: Brain; Brain Edema; Flumazenil; Glutamine; Hepatic Encephalopathy; Humans; Lactulose; Liver Cirrhosi

2000
[Treatment of hepatic encephalopathy with flumazenil].
    Ugeskrift for laeger, 2000, Aug-28, Volume: 162, Issue:35

    Topics: Antidotes; Flumazenil; GABA Modulators; Hepatic Encephalopathy; Humans; Prognosis

2000
Naturally occurring benzodiazepines: current status of research and clinical implications.
    European archives of psychiatry and clinical neuroscience, 2000, Volume: 250, Issue:4

    Topics: Animals; Anxiety; Benzodiazepines; Brain; Chromatography, High Pressure Liquid; Epilepsy; Flumazenil

2000
Benzodiazepine receptor antagonists for acute and chronic hepatic encephalopathy.
    The Cochrane database of systematic reviews, 2001, Issue:4

    Topics: Acute Disease; Antidotes; Chronic Disease; Flumazenil; GABA Modulators; GABA-A Receptor Antagonists;

2001
Flumazenil vs. placebo in hepatic encephalopathy in patients with cirrhosis: a meta-analysis.
    Alimentary pharmacology & therapeutics, 2002, Volume: 16, Issue:3

    Topics: Coma; Double-Blind Method; Electroencephalography; Female; Flumazenil; Hepatic Encephalopathy; Human

2002
The pathogenesis and treatment of hepatic encephalopathy: evidence for the involvement of benzodiazepine receptor ligands.
    Pharmacological reviews, 1991, Volume: 43, Issue:1

    Topics: Ammonia; Animals; Disease Models, Animal; Flumazenil; Hepatic Encephalopathy; Humans; Ligands; Neuro

1991
Flumazenil in the treatment of portal systemic encephalopathy--an overview.
    Intensive care medicine, 1991, Volume: 17 Suppl 1

    Topics: Animals; Flumazenil; Hepatic Encephalopathy; Humans

1991
Flumazenil: potential implications for hepatic encephalopathy.
    Pharmacology & therapeutics, 1990, Volume: 45, Issue:3

    Topics: Animals; Flumazenil; Hepatic Encephalopathy; Humans

1990
Benzodiazepine receptors and hepatic encephalopathy.
    Hepatology (Baltimore, Md.), 1990, Volume: 11, Issue:3

    Topics: Animals; Flumazenil; Hepatic Encephalopathy; Humans; Receptors, GABA-A

1990
Benzodiazepine receptor ligands and the syndrome of hepatic encephalopathy.
    Progress in liver diseases, 1990, Volume: 9

    Topics: Flumazenil; Hepatic Encephalopathy; Humans; Ligands; Receptors, GABA-A; Synaptic Transmission; Syndr

1990
Endogenous GABAergic modulators in the pathogenesis of hepatic encephalopathy.
    Neurochemical research, 1990, Volume: 15, Issue:2

    Topics: Animals; Benzodiazepines; Diazepam Binding Inhibitor; Flumazenil; Hepatic Encephalopathy; Humans; Ne

1990
[Current possibilities in the therapy of hepatic encephalopathy].
    Schweizerische medizinische Wochenschrift, 1990, Apr-14, Volume: 120, Issue:15

    Topics: Combined Modality Therapy; Flumazenil; Hepatic Encephalopathy; Humans; Neural Inhibition; Receptors,

1990
[Benzodiazepine antagonists in the treatment of heptic encephalopathy].
    Leber, Magen, Darm, 1989, Volume: 19, Issue:6

    Topics: Animals; Anti-Anxiety Agents; Brain; Flumazenil; Hepatic Encephalopathy; Humans; Receptors, GABA-A

1989
Could an endogenous benzodiazepine ligand contribute to hepatic encephalopathy?
    Lancet (London, England), 1988, Feb-27, Volume: 1, Issue:8583

    Topics: Benzodiazepines; Flumazenil; Hepatic Encephalopathy; Humans; Ligands; Pyrazoles; Receptors, GABA-A;

1988
Hepatic encephalopathy: new light on an old problem.
    The Quarterly journal of medicine, 1988, Volume: 69, Issue:259

    Topics: Flumazenil; Hepatic Encephalopathy; Humans

1988

Trials

13 trials available for flumazenil and Hepatic Encephalopathy

ArticleYear
The efficacy of flumazenil in subclinical to mild hepatic encephalopathic ambulatory patients. A prospective, randomised, double-blind, placebo-controlled study.
    Swiss medical weekly, 2003, Feb-22, Volume: 133, Issue:7-8

    Topics: Adult; Aged; Ambulatory Care; Double-Blind Method; Female; Flumazenil; GABA Modulators; Hepatic Ence

2003
Flumazenil therapy for hepatic encephalopathy in cirrhotic patients: a double-blind pragmatic randomized, placebo study.
    European journal of gastroenterology & hepatology, 1995, Volume: 7, Issue:4

    Topics: Adult; Aged; Double-Blind Method; Female; Flumazenil; Hepatic Encephalopathy; Humans; Infusions, Par

1995
Benzodiazepine receptor antagonism improves reaction time in latent hepatic encephalopathy.
    Psychopharmacology, 1995, Volume: 119, Issue:3

    Topics: Carrier Proteins; Cognition; Diazepam Binding Inhibitor; Female; Flumazenil; GABA-A Receptor Antagon

1995
Flumazenil in cirrhotic patients in hepatic coma: a randomized double-blind placebo-controlled crossover trial.
    Hepatology (Baltimore, Md.), 1994, Volume: 19, Issue:1

    Topics: Adolescent; Adult; Aged; Benzodiazepines; Double-Blind Method; Female; Flumazenil; GABA-A Receptor A

1994
Effect of flumazenil on the electroencephalogram of patients with portosystemic encephalopathy. Results of a double blind, randomised, placebo-controlled multicentre trial.
    Electroencephalography and clinical neurophysiology, 1996, Volume: 98, Issue:1

    Topics: Adult; Aged; Double-Blind Method; Electroencephalography; Female; Flumazenil; Hepatic Encephalopathy

1996
Evaluation of the efficacy and safety of flumazenil in the treatment of portal systemic encephalopathy: a double blind, randomised, placebo controlled multicentre study.
    Gut, 1996, Volume: 39, Issue:2

    Topics: Chronic Disease; Double-Blind Method; Electroencephalography; Female; Flumazenil; Hepatic Encephalop

1996
The effect of flumazenil on subclinical psychometric or neurophysiological alterations in cirrhotic patients: a double-blind placebo-controlled study.
    Clinical physiology (Oxford, England), 1997, Volume: 17, Issue:5

    Topics: Cognition; Cognition Disorders; Double-Blind Method; Evoked Potentials, Auditory, Brain Stem; Female

1997
Flumazenil for hepatic encephalopathy grade III and IVa in patients with cirrhosis: an Italian multicenter double-blind, placebo-controlled, cross-over study.
    Hepatology (Baltimore, Md.), 1998, Volume: 28, Issue:2

    Topics: Adult; Aged; Benzodiazepines; Cross-Over Studies; Double-Blind Method; Female; Flumazenil; GABA Modu

1998
Flumazenil for hepatic coma in patients with liver cirrhosis: an Italian multicentre double-blind, placebo-controlled, crossover study.
    European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 1998, Volume: 5, Issue:2

    Topics: Adult; Anti-Anxiety Agents; Antidotes; Cross-Over Studies; Double-Blind Method; Electroencephalograp

1998
Flumazenil in the treatment of acute hepatic encephalopathy in cirrhotic patients: a double blind randomized placebo controlled study.
    Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver, 2000, Volume: 32, Issue:4

    Topics: Coma; Double-Blind Method; Female; Flumazenil; GABA Modulators; Hemorrhage; Hepatic Encephalopathy;

2000
Visual event-related potentials in cirrhotic patients without overt encephalopathy: the effects of flumazenil.
    Metabolic brain disease, 2001, Volume: 16, Issue:1-2

    Topics: Adult; Arousal; Double-Blind Method; Electroencephalography; Event-Related Potentials, P300; Evoked

2001
[Treatment of hepatic encephalopathy with flumazenil].
    Annales francaises d'anesthesie et de reanimation, 1990, Volume: 9, Issue:4

    Topics: Clinical Trials as Topic; Flumazenil; Glasgow Coma Scale; Hepatic Encephalopathy; Humans

1990
Flumazenil and hepatic encephalopathy.
    Lancet (London, England), 1989, Jan-21, Volume: 1, Issue:8630

    Topics: Benzodiazepines; Clinical Trials as Topic; Double-Blind Method; Flumazenil; Hepatic Encephalopathy;

1989

Other Studies

57 other studies available for flumazenil and Hepatic Encephalopathy

ArticleYear
Delayed-onset hepatic encephalopathy induced by zolpidem: a case report.
    Clinics (Sao Paulo, Brazil), 2008, Volume: 63, Issue:4

    Topics: Aged; Delayed-Action Preparations; Female; Flumazenil; GABA Modulators; Hepatic Encephalopathy; Huma

2008
Hemoglobin metabolites mimic benzodiazepines and are possible mediators of hepatic encephalopathy.
    Blood, 2003, Aug-15, Volume: 102, Issue:4

    Topics: Animals; Benzodiazepines; Binding Sites; Cells, Cultured; Cerebral Cortex; Electrophysiology; Flumaz

2003
Hepatic encephalopathy: nomenclature, pathogenesis and treatment.
    Revista espanola de enfermedades digestivas, 2003, Volume: 95, Issue:2

    Topics: Anti-Bacterial Agents; Antifungal Agents; Bromocriptine; Dipeptides; Dopamine Agonists; Electroencep

2003
Normal coupling of brain benzodiazepine and neurosteroid modulatory sites on the GABA-A receptor complex in human hepatic encephalopathy.
    Neurochemistry international, 2003, Volume: 43, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Brain; Female; Flumazenil; Flunitrazepam; Hepatic Encephalopathy; Hu

2003
Increased brain concentrations of endogenous (non-benzodiazepine) GABA-A receptor ligands in human hepatic encephalopathy.
    Metabolic brain disease, 2004, Volume: 19, Issue:3-4

    Topics: Adult; Aged; Aged, 80 and over; Allosteric Regulation; Animals; Benzodiazepines; Binding Sites; Bind

2004
Differential effects of ammonia on the benzodiazepine modulatory site on the GABA-A receptor complex of human brain.
    Neurochemistry international, 2005, Volume: 47, Issue:1-2

    Topics: Ammonia; Binding Sites; Binding, Competitive; Brain; Cell Membrane; Dose-Response Relationship, Drug

2005
An interaction between benzodiazepines and neuroactive steroids at GABA A receptors in cultured hippocampal neurons.
    Neurochemistry international, 2006, Volume: 48, Issue:8

    Topics: Affinity Labels; Allosteric Regulation; Animals; Azides; Benzodiazepines; Cells, Cultured; Chloride

2006
First clinical investigation of the benzodiazepine antagonist Ro 15-1788 in comatose patients.
    European neurology, 1983, Volume: 22, Issue:1

    Topics: Adult; Aged; Anti-Anxiety Agents; Benzodiazepines; Benzodiazepinones; Coma; Diagnosis, Differential;

1983
Flumazenil in the treatment of hepatic encephalopathy in children with fulminant liver failure.
    Intensive care medicine, 1995, Volume: 21, Issue:3

    Topics: Child; Child, Preschool; Electroencephalography; Flumazenil; Hepatic Encephalopathy; Humans; Infant;

1995
Detection of benzodiazepine in hepatic encephalopathy.
    Hepatology (Baltimore, Md.), 1995, Volume: 21, Issue:2

    Topics: Benzodiazepines; False Negative Reactions; Flumazenil; Hepatic Encephalopathy; Humans

1995
Flumazenil for hepatic coma: the elusive wake-up call?
    Gastroenterology, 1994, Volume: 107, Issue:4

    Topics: Cross-Over Studies; Double-Blind Method; Flumazenil; Hepatic Encephalopathy; Humans; Liver Cirrhosis

1994
Flumazenil as a diagnostic test for latent hepatic encephalopathy.
    Journal of hepatology, 1994, Volume: 20, Issue:6

    Topics: Flumazenil; Hepatic Encephalopathy; Humans

1994
Flumazenil as a diagnostic tool in the differential diagnosis of coma in a critically ill patient.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1994, Volume: 41, Issue:1

    Topics: Aged; Bacterial Infections; Coma; Critical Illness; Diagnosis, Differential; Diazepam; Flumazenil; H

1994
[Chronic hepatic encephalopathy treated by long-term intravenous administration of flumazenil in ambulatory care].
    Gastroenterologie clinique et biologique, 1996, Volume: 20, Issue:1

    Topics: Ambulatory Care; Chronic Disease; Esophageal and Gastric Varices; Flumazenil; GABA Modulators; Hepat

1996
Pseudocervical cord syndrome: a deceptive flumazenil reversible manifestation of hepatic encephalopathy.
    Archives of neurology, 1996, Volume: 53, Issue:10

    Topics: Aged; Female; Flumazenil; Hepatic Encephalopathy; Humans; Neck; Spinal Cord Diseases; Syndrome

1996
Flumazenil does not affect the increase in rat hippocampal extracellular glutamate concentration produced during thioacetamide-induced hepatic encephalopathy.
    Metabolic brain disease, 1996, Volume: 11, Issue:4

    Topics: Animals; Flumazenil; Glutamic Acid; Hepatic Encephalopathy; Hippocampus; Male; Rats; Rats, Sprague-D

1996
Cerebral benzodiazepine receptor binding in vivo in patients with recurrent hepatic encephalopathy.
    Hepatology (Baltimore, Md.), 1997, Volume: 26, Issue:2

    Topics: Adult; Brain; Carbon Radioisotopes; Female; Flumazenil; Hepatic Encephalopathy; Humans; Male; Middle

1997
Evoked potentials and the effect of flumazenil in patients with liver cirrhosis.
    East African medical journal, 1997, Volume: 74, Issue:4

    Topics: Adult; Aged; Case-Control Studies; Evoked Potentials, Auditory, Brain Stem; Evoked Potentials, Somat

1997
Plasma and CSF benzodiazepine receptor ligand concentrations in cirrhotic patients with hepatic encephalopathy: relationship to severity of encephalopathy and to pharmaceutical benzodiazepine intake.
    Metabolic brain disease, 1998, Volume: 13, Issue:3

    Topics: Animals; Benzodiazepines; Binding, Competitive; Cell Fractionation; Cerebellum; Chronic Disease; Clo

1998
Improvement of chronic hepatic encephalopathy in dogs by the benzodiazepine-receptor partial inverse agonist sarmazenil, but not by the antagonist flumazenil.
    Metabolic brain disease, 1998, Volume: 13, Issue:3

    Topics: Ammonia; Animals; Benzodiazepines; Chronic Disease; Disease Models, Animal; Dogs; Electroencephalogr

1998
Flumazenil and hepatic encephalopathy.
    Hepatology (Baltimore, Md.), 1999, Volume: 29, Issue:4

    Topics: Benzodiazepines; Flumazenil; Hepatic Encephalopathy; Humans; Liver Cirrhosis; Liver Cirrhosis, Alcoh

1999
[Flumazenil and hepatic failure].
    Ugeskrift for laeger, 2000, Nov-06, Volume: 162, Issue:45

    Topics: Antidotes; Diagnosis, Differential; Flumazenil; GABA Modulators; Hepatic Encephalopathy; Humans

2000
Hepatic Encephalopathy.
    The American journal of gastroenterology, 2001, Volume: 96, Issue:7

    Topics: Adult; Bromocriptine; Dietary Proteins; Digestive System; Flumazenil; Gastrointestinal Agents; Goals

2001
[Chronic liver diseases. The nihilism has gone].
    MMW Fortschritte der Medizin, 2001, Dec-13, Volume: 143, Issue:51-52

    Topics: Amantadine; Antioxidants; Antiviral Agents; Chronic Disease; Dipeptides; Drug Therapy, Combination;

2001
[Results of displacement studies on benzodiazepine receptors (123I-iomazenil and flumazenil)].
    Nuklearmedizin. Nuclear medicine, 1992, Volume: 31, Issue:1

    Topics: Flumazenil; Hepatic Encephalopathy; Humans; Iodine Radioisotopes; Receptors, GABA-A; Tomography, Emi

1992
Flumazenil-induced psychotic disorder in hepatic encephalopathy.
    Lancet (London, England), 1992, Feb-22, Volume: 339, Issue:8791

    Topics: Adult; Female; Flumazenil; Hepatic Encephalopathy; Humans; Psychoses, Substance-Induced

1992
[Flumazenil, hepatic encephalopathy and benzodiazepines].
    Medicina clinica, 1991, Mar-02, Volume: 96, Issue:8

    Topics: Benzodiazepines; Flumazenil; Hepatic Encephalopathy; Humans; Male; Middle Aged; Receptors, GABA-A

1991
Elevated brain concentrations of 1,4-benzodiazepines in fulminant hepatic failure.
    The New England journal of medicine, 1991, Aug-15, Volume: 325, Issue:7

    Topics: Adult; Aged; Benzodiazepines; Brain Chemistry; Chromatography; Diazepam; Flumazenil; Frontal Lobe; g

1991
The effects of benzodiazepine-receptor antagonists and partial inverse agonists on acute hepatic encephalopathy in the rat.
    Gastroenterology, 1991, Volume: 101, Issue:3

    Topics: Animals; Azides; Benzodiazepines; Benzodiazepinones; Electroencephalography; Evoked Potentials, Visu

1991
Benzodiazepine receptor ligands and hepatic encephalopathy: further unfolding of the GABA story.
    Hepatology (Baltimore, Md.), 1991, Volume: 14, Issue:6

    Topics: Animals; Azides; Benzodiazepines; Benzodiazepinones; Brain; Central Nervous System; Flumazenil; gamm

1991
Beneficial effect of pharmacological modulation of the GABAA-benzodiazepine receptor on hepatic encephalopathy in the rat: comparison with uremic encephalopathy.
    Hepatology (Baltimore, Md.), 1991, Volume: 14, Issue:6

    Topics: Animals; Azides; Behavior, Animal; Benzodiazepines; Benzodiazepinones; Coma; Flumazenil; Hepatic Enc

1991
The contribution of endogenous benzodiazepine receptor ligands to the pathogenesis of hepatic encephalopathy.
    Synapse (New York, N.Y.), 1991, Volume: 7, Issue:2

    Topics: Animals; Brain; Bridged Bicyclo Compounds; Bridged Bicyclo Compounds, Heterocyclic; Chromatography,

1991
Gamma-aminobutyric acid (GABAA) receptor-function in a rat model of hepatic encephalopathy.
    Metabolic brain disease, 1990, Volume: 5, Issue:4

    Topics: Animals; Cerebral Cortex; Chlorides; Disease Models, Animal; Flumazenil; Hepatic Encephalopathy; Rad

1990
[Flumazenil for the assessment of the degree of hepatic encephalopathy].
    Medicina clinica, 1991, Jan-26, Volume: 96, Issue:3

    Topics: Adult; Flumazenil; Hepatic Encephalopathy; Humans; Male

1991
Persisting benzodiazepine metabolites responsible for the reaction to the benzodiazepine antagonist flumazenil in patients with hepatic encephalopathy.
    Gastroenterology, 1991, Volume: 101, Issue:1

    Topics: Benzodiazepines; Chlordiazepoxide; Chromatography, High Pressure Liquid; Flumazenil; Hepatic Encepha

1991
[The quantitative electroencephalogram in a case of acute hepatic encephalopathy treated with flumazenil].
    Cahiers d'anesthesiologie, 1991, Volume: 39, Issue:1

    Topics: Acute Disease; Electroencephalography; Female; Flumazenil; Hepatic Encephalopathy; Humans

1991
Benzodiazepine antagonist in the treatment of human hepatic encephalopathy.
    Advances in experimental medicine and biology, 1990, Volume: 272

    Topics: Benzodiazepines; Coma; Evoked Potentials, Somatosensory; Flumazenil; Hepatic Encephalopathy; Humans;

1990
[Treatment of acute hepatic encephalopathy with flumazenil].
    Annales francaises d'anesthesie et de reanimation, 1990, Volume: 9, Issue:4

    Topics: Acute Disease; Flumazenil; Glasgow Coma Scale; Hepatic Encephalopathy; Humans; Liver Cirrhosis, Alco

1990
Reversal of the behavioral and electrophysiological abnormalities of an animal model of hepatic encephalopathy by benzodiazepine receptor ligands.
    Hepatology (Baltimore, Md.), 1990, Volume: 11, Issue:3

    Topics: Animals; Azides; Benzodiazepines; Disease Models, Animal; Electrophysiology; Evoked Potentials, Visu

1990
[Flumazenil in the treatment of hepatic encephalopathy].
    Medicina clinica, 1990, Jun-23, Volume: 95, Issue:4

    Topics: Aged; Flumazenil; Hepatic Encephalopathy; Humans

1990
Flumazenil does not improve hepatic encephalopathy associated with acute ischemic liver failure in the rabbit.
    Metabolic brain disease, 1990, Volume: 5, Issue:3

    Topics: Acute Disease; Animals; Dose-Response Relationship, Drug; Electroencephalography; Flumazenil; Hepati

1990
Successful long-term treatment of portal-systemic encephalopathy by the benzodiazepine antagonist flumazenil.
    Gastroenterology, 1989, Volume: 96, Issue:1

    Topics: Adult; Benzodiazepines; Evoked Potentials; Female; Flumazenil; Hepatic Encephalopathy; Humans

1989
[Evaluation of the therapeutic effect of flumazenil in hepatic encephalopathy using cerebral cartography].
    Revista espanola de las enfermedades del aparato digestivo, 1989, Volume: 75, Issue:3

    Topics: Acute Disease; Aged; Brain Mapping; Chronic Disease; Drug Evaluation; Female; Flumazenil; Hepatic En

1989
[Acute effect of flumazenil in refractory hepatic encephalopathy].
    Revista medica de Chile, 1989, Volume: 117, Issue:9

    Topics: Adult; Flumazenil; Hepatic Encephalopathy; Humans; Middle Aged

1989
Effects of the benzodiazepine receptor antagonist flumazenil in hepatic encephalopathy in humans.
    Gastroenterology, 1989, Volume: 97, Issue:3

    Topics: Adult; Aged; Arousal; Electroencephalography; Female; Flumazenil; Hepatic Encephalopathy; Humans; Ma

1989
GABAA receptor complex in an experimental model of hepatic encephalopathy: evidence for elevated levels of an endogenous benzodiazepine receptor ligand.
    Journal of neurochemistry, 1989, Volume: 53, Issue:4

    Topics: Animals; Binding, Competitive; Brain; Cell Membrane; Cerebellum; Cerebral Cortex; Disease Models, An

1989
Evidence for the presence of a benzodiazepine receptor binding substance in cerebrospinal fluid of a rabbit model of hepatic encephalopathy.
    Metabolic brain disease, 1989, Volume: 4, Issue:4

    Topics: Aminocaproates; Animals; Binding, Competitive; Flumazenil; GABA-A Receptor Antagonists; Galactosamin

1989
[Electroencephalographic study of the effect of a benzodiazepine antagonist in hepatic encephalopathy].
    Neurophysiologie clinique = Clinical neurophysiology, 1989, Volume: 19, Issue:6

    Topics: Adult; Aged; Electroencephalography; Female; Flumazenil; Hepatic Encephalopathy; Humans; Male; Middl

1989
[GABA-benzodiazepine receptor complex: therapeutic role of benzodiazepine antagonists].
    Revista medica de Chile, 1989, Volume: 117, Issue:8

    Topics: Aged; Female; Flumazenil; Hepatic Encephalopathy; Humans; Male; Middle Aged; Receptors, GABA-A

1989
Amelioration of hepatic encephalopathy by pharmacologic antagonism of the GABAA-benzodiazepine receptor complex in a rabbit model of fulminant hepatic failure.
    Gastroenterology, 1987, Volume: 93, Issue:5

    Topics: Animals; Bicuculline; Evoked Potentials, Visual; Flumazenil; Hepatic Encephalopathy; Organophosphoru

1987
Treatment of hepatic encephalopathy (HE) with the benzodiazepine antagonist flumazenil: a pilot study.
    European journal of anaesthesiology. Supplement, 1988, Volume: 2

    Topics: Adult; Drug Evaluation; Female; Flumazenil; Hepatic Encephalopathy; Humans; Male; Middle Aged; Recep

1988
Effect of flumazenil in hepatic encephalopathy.
    European journal of anaesthesiology. Supplement, 1988, Volume: 2

    Topics: Adult; Female; Flumazenil; Hepatic Encephalopathy; Humans; Male; Middle Aged; Receptors, GABA-A

1988
Differential responsiveness of cerebellar Purkinje neurons to GABA and benzodiazepine receptor ligands in an animal model of hepatic encephalopathy.
    The Journal of neuroscience : the official journal of the Society for Neuroscience, 1988, Volume: 8, Issue:7

    Topics: Animals; Benzodiazepines; Flumazenil; Flunitrazepam; GABA Antagonists; Galactosamine; Hepatic Enceph

1988
Reversal of hepatic coma by benzodiazepine antagonist (Ro 15-1788)
    Lancet (London, England), 1985, Jun-08, Volume: 1, Issue:8441

    Topics: Adult; Benzodiazepinones; Convulsants; Female; Flumazenil; Hepatic Encephalopathy; Humans; Middle Ag

1985
Reversal of hepatic coma with flumazenil with improvement in visual evoked potentials.
    Lancet (London, England), 1988, Aug-27, Volume: 2, Issue:8609

    Topics: Adult; Evoked Potentials, Visual; Female; Flumazenil; Hepatic Encephalopathy; Humans

1988
Improvement of hepatic encephalopathy treated with flumazenil.
    Lancet (London, England), 1988, Dec-17, Volume: 2, Issue:8625

    Topics: Acute Disease; Adolescent; Adult; Aged; Brain; Child; Chronic Disease; Evoked Potentials, Somatosens

1988
Ro 15-1788 and hepatic failure.
    Annals of internal medicine, 1988, Volume: 108, Issue:1

    Topics: Acetaminophen; Adult; Female; Flumazenil; Hepatic Encephalopathy; Humans

1988