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Flumazenil Injection 10 mL Multiple Dose Vials 1.0 mg/mL, 10/Box - Hikma (RX)

Sale 25%
Original price $ 299.95
Current price $ 225.00
SKU 00143-9783-10
*Mountainside Medical does not fill personal prescriptions Medical Professional License Required to Unlock Account

How to Order:

Send an email request to: sales@mountainside-medical.com

You will receive instructions on how to create an account along with Rx Ordering Details.

(Note: Acceptable licenses must have Prescriptive Authority in the license issuing state.)

Flumazenil Injection is a medication used in hospitals and emergency settings to reverse the effects of benzodiazepine drugs (such as diazepam/Valium, lorazepam/Ativan, midazolam/Versed, alprazolam/Xanax, etc.). It is an antidote to benzodiazepine overdose or sedation.

What is Flumazenil?

  • Drug class: Benzodiazepine antagonist
  • Brand name: Romazicon (in the US)
  • How it works: Flumazenil quickly and competitively blocks benzodiazepine receptors in the brain, reversing the sedative and central nervous system (CNS) depressant effects of benzodiazepines.

Uses

  1. Reversal of Benzodiazepine Sedation and Overdose

    • Used when a person has had too much benzodiazepine (accidental or intentional), causing dangerous sedation, respiratory depression, or coma.
    • Used after procedures to reverse benzodiazepine-induced sedation or anesthesia.
  2. Diagnostic Use

    • Sometimes used to help diagnose suspected benzodiazepine overdose in cases of unexplained decreased consciousness.

The Essential Benzodiazepine Overdose Antidote for Hospitals, Emergency Rooms, and Critical Care

Ensure rapid, targeted reversal of benzodiazepine sedation and overdose with Flumazenil Injection 1.0 mg/mL, 10 mL Multiple Dose Vials (10/Box) by Hikma Injectables—the gold-standard antidote trusted by hospitals, emergency departments, and critical care teams. Specially formulated for controlled, consistent IV dosing, Flumazenil provides fast reawakening and recovery from excessive benzodiazepine effects in both adult and pediatric patients.

Key Features & High-Impact Clinical Benefits

  • Powerful Benzodiazepine Overdose Antidote: Clearly reverses CNS and respiratory depression from medications like midazolam, diazepam, lorazepam, alprazolam, and more.
  • Rapid Action, Hospital-Grade Rescue: Onset within 1-2 minutes, making it crucial for code carts, procedural sedation recovery, and poison control readiness.
  • Versatile, Multiple Dose Vials: Each 10 mL vial at 1.0 mg/mL ensures flexible, titratable IV dosing to meet each patient’s situation; box of 10 covers all resuscitation and acute care needs.
  • Essential for All Critical Settings: Must-have medication for ED, ICU, operating rooms, surgical suites, anesthesia recovery, and EMS protocols.
  • Trusted Hikma Injectables Quality: Produced to the highest standards for sterility, potency, and clinical reliability.

Top Uses & Emergency Indications

  • Benzodiazepine overdose reversal (intentional or iatrogenic)
  • Rapid arousal from procedural sedation or general anesthesia
  • Overdose reversal in adults & pediatrics
  • ICU and hospital drug toxicity management
  • Poison control & acute care protocols
  • Crash cart and code blue drug box essential

Why Choose Flumazenil by Hikma Injectables?

  • Immediate patient rescue from benzodiazepine overdose
  • Reduces need for invasive airway or ventilator support
  • Flexible multi-dose vial for titration & redosing
  • Critical addition to every hospital, surgical suite, ICU, and EMS agency
  • Trusted by top medical professionals and pharmacy teams internationally

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Directions for Use

  • Route: Intravenous (IV) administration only, as per hospital or poison control protocol.
  • Adult dosing: Initial 0.2 mg IV over 15 seconds; repeat 0.2 mg every minute as needed to max 1 mg for initial reversal. May titrate further as clinically indicated.
  • Pediatric dosing: 0.01 mg/kg IV over 15 seconds, repeat if necessary. Maximum 0.05 mg/kg or 1 mg total.
  • Monitor for return of sedation or toxicity; may require redosing due to shorter half-life than some benzodiazepines.

Continuous cardiac and respiratory monitoring recommended during and after administration. Only for professional/clinical setting use.

Possible Side Effects

Common:

  • Nausea, vomiting
  • Dizziness, agitation, headache
  • Flushing or injection site pain

Serious (Seek Immediate Help):

  • Seizures, especially in chronic benzodiazepine or mixed overdose
  • Arrhythmias or cardiac events
  • Acute withdrawal symptoms (agitation, confusion, anxiety)
  • Hypersensitivity reactions (rare)

Precautions

  • Contraindicated in patients with cyclic antidepressant overdose or those at risk for seizures.
  • Use extreme caution in benzodiazepine-dependent patients (may precipitate withdrawal, seizures).
  • Not a substitute for airway or respiratory support if needed.
  • Hospital and professional use only—do not use outside of a medical facility.

Stay prepared for any sedation emergency—choose Flumazenil Injection Antidote 1.0 mg/mL, 10 mL Multiple Dose Vials (10/Box) by Hikma Injectables. The premier, hospital-grade benzodiazepine reversal agent for lifesaving results in EDs, ICUs, surgery, anesthesia recovery, and EMS everywhere.

Flumazenil Injection 10 mL Multiple Dose Vials 1.0 mg/mL, 10/Box - Hikma (RX)
Flumazenil Injection 10 mL Multiple Dose Vials 1.0 mg/mL, 10/Box - Hikma (RX)
$ 299.95 $ 225.00
🔒 Medical License Required
FAQ's about Flumazenil Injections
  • What is Flumazenil Injection?

    Flumazenil injection is a prescription medication used as a benzodiazepine antagonist. This life-saving drug is primarily indicated to reverse the effects of benzodiazepine overdose and counteract conscious sedation caused by medications like midazolam, diazepam, or lorazepam during medical procedures. Flumazenil is NOT a narcotic reversal agent like Narcan (naloxone), but is the gold-standard antidote for benzodiazepine toxicity. It is the active ingredient in products such as Romazicon (another name for flumazenil).

  • What is Flumazenil Injection Used For?

    Acute benzodiazepine overdose Reversal of benzodiazepine sedation after surgery or procedures Management of suspected benzodiazepine toxicity in medical settings Part of the "coma cocktail" for unexplained coma (though use is now more selective due to risk-benefit analysis)

  • How to Give Flumazenil Injection? Is Flumazenil IV Only?

    Flumazenil is administered intravenously (IV only), ensuring rapid action and reliable absorption – no oral or intramuscular (IM) forms are recommended. Administration routes must always be through an IV line. Standard Doses for Flumazenil: Adult Initial Dose: 0.2 mg IV over 15 seconds. If desired consciousness is not achieved, incremental doses of 0.2 mg every minute (max total dose: 1 mg/hour in most cases). Pediatric Use: 0.01 mg/kg IV, repeat as needed. Always consult a medical professional for individual dose adjustments.

  • Does Flumazenil Work Like Narcan? What Drugs Can Flumazenil Reverse?

    No, flumazenil is NOT like Narcan (naloxone). Flumazenil only reverses benzodiazepines such as: Diazepam Lorazepam Midazolam Alprazolam Clonazepam It does NOT reverse opioids or narcotic overdose (which are reversed by naloxone/Narcan).

  • Flumazenil Injection Cost

    The cost of flumazenil injection (Romazicon) can range from $30 to $100 per vial, depending on supplier, dosage, and region. Hospital charges may vary. Always check with your pharmacy or healthcare provider for current pricing.

  • How Does Flumazenil Make You Feel? Can Flumazenil Cause Seizures?

    Flumazenil acts rapidly, often restoring alertness within minutes. However, you may feel anxiety, dizziness, headache, nausea, or abnormal (dysphoric) sensations. In rare cases: Flumazenil can cause agitation, emotional lability, or even seizures, especially in those with chronic benzodiazepine use, mixed overdose (e.g., tricyclic antidepressants), or underlying epilepsy.

  • Who Should NOT Get Flumazenil? When Not to Give Flumazenil?

    Patients with chronic benzodiazepine dependence (withdrawal and seizures possible) Seizure disorders Mixed drug overdose (especially tricyclic antidepressants or cocaine) Known hypersensitivity to flumazenil

  • Drug Interactions: What Drugs Does Flumazenil Interact With?

    Tricyclic antidepressants: Increases seizure risk Alcohol: May mask benzodiazepine signs Clozapine, barbiturates, or other CNS depressants: May alter reversal profile Always tell your healthcare provider all medications you use for safe administration

  • Preparation & Administration: Do You Dilute Flumazenil?

    Flumazenil can be administered undiluted. In pediatric or slow titration cases, you may dilute in normal saline or 5% dextrose — consult your pharmacist for exact recommendations.

  • Flumazenil Use in Elderly Patients & Special Populations

    Flumazenil is generally safe for elderly patients but should be used with extra caution due to increased sensitivity and comorbidities. Dose adjustments and continuous monitoring are necessary.

  • Naloxone or Flumazenil: Which Comes First in Emergency?

    In a coma cocktail for unknown coma, Naloxone (opioid reversal) is typically administered BEFORE flumazenil due to the risk of seizure with flumazenil in mixed overdoses. Flumazenil is reserved for proven benzodiazepine toxicity, as its risks can outweigh benefits in unclear cases.

  • Why Is Flumazenil Included in the “Coma Cocktail”?

    It is traditionally used to rapidly reverse sedative effects in comatose patients when benzodiazepine overdose is suspected, as part of a protocol (coma cocktail) that may also include thiamine, glucose, and naloxone.

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