Indications : התוויות

4.1      Therapeutic indications

Flumazenil is indicated,

Benzodiazepine antagonist for reversal of benzodiazepine anesthesia, as well as for patients with Benzodiazepine intoxication.

In a hospital setting:

In anaesthesiology to neutralise the sedative effects of benzodiazepines on the central nervous system in adults and children older than 6 months:

•     reversal of sedative effect during general anaesthesia induced and maintained by benzodiazepines,
•     reversal of conscious sedation induced by benzodiazepines in short operations with a diagnostic or therapeutic objective.

In intensive care to neutralise the sedative effects of benzodiazepines on the central nervous system and treat a coma of unknown aetiology, in adults and children (including newborns) if the semiology is compatible with the hypothesis of a benzodiazepine or related substance-induced coma: 
•     diagnosis and/or treatment of intentional or accidental benzodiazepine overdose,
•     aetiological diagnosis of an unexplained coma in order to differentiate what is caused by a benzodiazepine from another cause (pharmacological or neurological).
•     specific cancellation of the effects on the central nervous system by excessive benzodiazepine doses (re-establishment of spontaneous ventilation to avoid intubation or interrupt ventilatory assistance).

In an emergency situation or medical transport, in adults and children older than 6 years: 
•     reversal of benzodiazepine-induced conscious sedation in case of respiratory depression or apnoea.