Medicine Overview

Indication

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Adult Dose

Clinical InformationAdministration Information
Indication: Reversal of Conscious Sedation and General Anesthesia
Dose: Intravenous – 0.2 mg
Frequency: once, then every 1 minute as needed
Note: Administer over 15 seconds. If after 45 seconds no response, administer 0.2 mg again over 1 minute; may repeat at 1 minute intervals; not to exceed 4 doses (1 mg). If resedation occurs, may repeat doses at 20-minute intervals; not to exceed 1 mg/dose or 3 mg/hour.
Indication: Benzodiazepine Overdose
Dose: Intravenous – 0.2 mg
Frequency: once, then every 1 minute as needed
Note: Administer over 15-30 seconds. If no response after 30 seconds, administer 0.3 mg over 30 seconds 1 minute later; if no response, repeat dose of 0.5 mg intravenous over 30 seconds at 1-minute intervals to maximum cumulative dose of 3 mg/hour. In the event of resedation, may repeat dose at 20-minute intervals if needed; not to exceed 1 mg (administered as 0.5 mg/minute) administered at any one time and no more than 3 mg/hour. Rarely patient may require titration up to total dose 5 mg; if no response after 5 minutes, sedation unlikely to be secondary to benzodiazepines.

Child Dose

Clinical InformationAdministration Information
Indication: Reversal of Benzodiazepine Sedation
Dose: Intravenous – 0.01 mg/kg x1 dose
Note: administered over 15 seconds
Indication: Reversal of Benzodiazepine Sedation
Dose: Intravenous – 0.01 mg/kg
Frequency: every minute
Note: may repeat after 45 seconds; not to exceed 4 doses for a maximum 0.05 mg/kg or 1 mg, whichever is lower

Renal Dose

Clinical InformationAdministration Information
Condition: Renal impairment
Dose: Not studied
Note: Renal impairment has not been studied.
Administration
  • For IV use only
  • Give slowly
Side Effect

Drug Interaction

Drug NameRisk Factors
Cyclic Antidepressants (Fluoxetine, Sertraline, Paroxetine, Citalopram, Escitalopram, Venlafaxine, Duloxetine)
Toxic effects
Benzodiazepines (Diazepam, Alprazolam, Lorazepam, Clonazepam, Midazolam)
Reverses effects

Disease Interaction

Disease NameRisk Factors
Patients receiving benzodiazepines for life-threatening conditions
Can trigger severe withdrawal effects
Severe tricyclic antidepressant intoxication
Risk of seizures

Pregnancy

Lactation
Special Use
Precaution
Overdose
Pharmacology
Storage

Details coming soon

Data Sources

Clinical & regulatory information on this page is compiled from the following government sources:

DISCLAIMER: This drug information content is provided for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Patients should always consult their physician with any questions regarding a medical condition and to obtain medical advice and treatment.