Age (yrs),
SexDaily Drug Dose Treatment Outcome Concomitant Psychiatric
or Medical Conditions67, M[2] Midazolam 15 mg i.v. Flumazenil 0.5 mg i.v. Restlessness resolved Coronary artery disease, atrial fibrillation 66, M[2] Midazolam 3 mg i.v. Flumazenil 0.3 mg i.v. Restlessness resolved Obstructive lung disease, alcoholism 65, M[2] Midazolam 18 mg i.v. Flumazenil 0.4 mg i.v. Body rocking resolved None noted 73, M[2] Midazolam 6 mg i.v. Flumazenil 0.4 mg i.v. Restlessness resolved Diabetes mellitus 70, M[2] Midazolam 6 mg i.v. Flumazenil 0.3 mg i.v. Restlessness, vocalizations resolved Diabetes mellitus, coronary artery disease 76, M[2] Midazolam 9 mg i.v. Flumazenil 0.3 mg i.v. Restlessness, vocalizations resolved Diabetes mellitus, atrial fibrillation 28, M
(twins)[3]Midazolam 12 mg i.v. None Restlessness resolved and retained amnesia None noted Diazepam 10 mg p.o. None Restlessness resolved and retained amnesia None noted 22, F[4] Midazolam 18 mg i.v. None Abusive, belligerent behavior ceased within 24 hrs Alcoholism, anger management issues 32, F[5] Alprazolam 1.5 mg p.o. Discontinued Racing thoughts, increased energy resolved in 48-72 hrs Depressive bipolar disease 34, M[5] Alprazolam 3 mg p.o. Discontinued Racing thoughts, paranoid feelings resolved in 72 hrs Anxiety, panic attacks 32, F[5] Alprazolam 1 mg p.o. Discontinued Racing thoughts and insomnia resolved in 48 hours Panic attacks 37, M[6] Clonazepam 12 mg p.o. Discontinued Aggressive behavior ceased Bipolar affective disorder 25, M[6] Clonazepam 4.5 mg p.o. Discontinued Hyperactivity, belligerence ceased Bipolar affective disorder 19, M[6] Clonazepam 4 mg p.o. Discontinued Agitation ceased Borderline personality disorder 31, M[7] Midazolam 5 mg i.v. Sodium amobarbital
200 mg i.m.Combative, verbally threatening behavior ceased Anger management issues 22, F[8] Lorazepam 3 mg p.o. Discontinued Hostile behavior resolved Phobia of elevators and escalators 28, F[9] Diazepam 20 mg p.o. Discontinued Improvement of hostile, physical abuse in 48-72 hrs Depression, anxiety 30, F[10] Temazepam 30 mg p.o. at bedtime Discontinued Anger and enraged behavior ceased Manic-depression 30, M[10] Temazepam 30 mg p.o. at bedtime Discontinued Anger and agitation resolved, no recollection of events Chronic insomnia 37, M[10] Temazepam 30 mg p.o. at bedtime Discontinued Anger resolved Schizophrenia 39, F[10] Temazepam 15-30 mg p.o. at bedtime Discontinued Agitation and restlessness resolved Obsessive-compulsive symptoms 75, F[10] Triazolam 0.5 mg p.o. every other night Discontinued Agitation and nervousness resolved Chronic insomnia 40, M[10] Triazolam 1-1.5 mg p.o. at bedtime Discontinued Anger, panic, visual hallucinations ceased Chronic insomnia 60, F[10] Triazolam 0.5-1 mg p.o. at bedtime Discontinued Anger and argumentative behaviors ceased Chronic insomnia 29, F[10] Triazolam 0.5 mg p.o. at bedtime Discontinued Anxiety and agitation resolved Chronic insomnia 64, F[10] Triazolam 0.5 mg p.o. at bedtime Discontinued Bizarre behaviors ceased Chronic insomnia 56, F[10] Triazolam 0.5 mg p.o. at bedtime Discontinued Agitation ceased over 2 days Chronic insomnia 37, M[11] Clonazepam 8 mg p.o. Discontinued Irritability, hyperactivity ceased Manic episodes, panic attacks 50, M[12] Midazolam 6 mg i.v. Haloperidol 10 mg i.v. Patient calmed, retained amnesia Coronary artery disease 49, F[13] Midazolam 12 mg i.v. Flumazenil 0.5 mg i.v. Aggressive behavior ceased, retained amnesia None noted 71, M[14] Midazolam 4 mg i.v. Flumazenil 0.2 mg i.v. Patient calmed, retained amnesia Anger management issues 27, M[15] Midazolam 7 mg i.v. Flumazenil 0.3 mg i.v. Patient calmed, retained amnesia None noted 62, M[16] Midazolam 5 mg i.v. Flumazenil 0.5 mg i.v. Patient calmed, retained amnesia Alcoholism 58, F[16] Midazolam 7.5 mg i.v. Flumazenil 0.5 mg i.v. Patient calmed, retained amnesia Alcoholism 26, M[16] Midazolam 10 mg i.v. Flumazenil 0.5 mg i.v. Patient calmed, retained amnesia None noted 19, F[17] Midazolam 5 mg i.v. Flumazenil 0.2 mg i.v. Crying ceased, retained amnesia None noted 21, F[17] Midazolam 7 mg i.v. Flumazenil 0.4 mg i.v. Crying ceased, retained amnesia None noted
No. of
PatientsAge
(yrs)Sex Drug, Maximum Dose Treatment Outcome 14[18] 2-7 NR Midazolama 0.35 mg/kg (n=4)
Midazolama 0.45 mg/kg (n=10)None Agitation, restlessness resolved 1[19] 26 mos F Midazolam 0.5 mg/kg p.o. Morphine sulfate 0.1 mg/kg i.v. Calmed, ceased crying 1[20] 11 M Midazolam 17.5 mg p.o. Flumazenil 0.15 mg i.v. Confusion, screaming ceased, amnesia retained 36[21] 1-17 19 M
17 FMidazolam 0.1-0.5 mg/kg i.v.
Meperidine 1-2 mg/kg i.v.Flumazenil 0.01 mg/kg i.v. (n=30)
Physostigmine i.v. (dose unknown, n=6)Inconsolable crying, restlessness resolved 25[22] 2.5-18 NR Midazolam 0.1-0.3 mg/kg i.v.
Meperidine 1-2 mg/kg i.v.Flumazenil 0.01 mg/kg i.v. i.v. (n=2) Agitation resolved NR = not reported.
aRoute of administration was per rectum.