Emergency Drugs
Flumazenil
Dose
200 mcg IV over 15 s, then 100 mcg q1 min, max 1 mg
Contraindications
- • Mixed overdose with TCA
- • Long-term benzo (seizure risk)
Use
Benzodiazepine reversal — limited indications.
Monitoring
GCS, seizures.
Side effects
- • Seizures
- • Arrhythmias
- • Re-sedation
Always confirm dose against your local formulary / BNF before prescribing.
