Flumazenil |
![]() Last updated: 13/05/2025 |
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(Also known as: flumazepil) |
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A benzodiazipine antidote | |
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Current | |
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1981, first characterised; 1991, first FDA approval | |
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Reverses the effects of benzodiaziine - bemzodiazipine toxicosis. May also improve neurologicalcodition in dogs with hepatic encepholopathy | |
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Approval status |
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Not approved | |
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Not approved |
Chemical structure |
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C₁₅H₁₄FN₃O₃ | |
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CCOC(=O)C1=C2CN(C(=O)C3=C(N2C=N1)C=CC(=C3)F)C | |
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OFBIFZUFASYYRE-UHFFFAOYSA-N | |
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InChI=1S/C15H14FN3O3/c1-3-22-15(21)13-12-7-18(2)14(20)10-6-9(16)4-5-11(10)19(12)8-17-13/h4-6,8H,3,7H2,1-2H3 | |
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Yes |
General status |
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Antedote, Medicinal drug | |
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Imidazobenzodiazepine drug | |
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Synthetic | |
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Works by competitively inhibiting the benzodiazipine site on the GABA/benzodiazipine receptor complex | |
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[Gamma-aminobutyric acid receptor subunit gamma-2, Antagonist], [Gamma-aminobutyric acid receptor subunit alpha-5, Antagonist], [GABA(A) Receptor, Positive allosteric modulator], [Gamma-aminobutyric acid receptor subunit alpha-1, Antagonist], [Gamma-aminobutyric acid receptor subunit gamma-3, Allosteric modulator] | |
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78755-81-4 | |
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616-650-9 | |
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3373 | |
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All other therapeutic products: Antedotes | |
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QV03AB25 | |
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No | |
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Not approved | |
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303.29 | |
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ethyl 8-fluoro-5-methyl-6-oxo-4H-imidazo[1,5-a][1,4]benzodiazepine-3-carboxylate | |
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Solid |
Formulations |
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Romazicon | Hameln pharma ltd | Not licensed | Not licensed | ||||||
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Usually administered by injection |
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16000 | Q3 Q = Miscellaneous data from online sources DMSO3 = Unverified data of known source |
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1000 | Q3 Q = Miscellaneous data from online sources Ethanol3 = Unverified data of known source |
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Degradation |
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As this parameter is not normally measured directly, a surrogate measure is used: ‘Photochemical oxidative DT₅₀’. Where data is available, this can be found in the Fate Indices section below. | ||||||||||
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Soil adsorption and mobility |
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Fate indices |
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Known metabolites |
None
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Terrestrial ecotoxicology |
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4200 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Rat4 = Verified data |
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Aquatic ecotoxicology |
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320 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Poecilia reticulata,i>4 = Verified data |
Low | ||||||||
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25.7 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Danio rerio4 = Verified data |
Moderate | ||||||||
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25.0 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Daphnia magna4 = Verified data |
Moderate | ||||||||
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200 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Scenedesmus quadricauda4 = Verified data |
Low | ||||||||
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General |
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4200 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Rat4 = Verified data |
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Intravenous LD₅₀ > 2.5 mg kg⁻¹ | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Mouse4 = Verified data |
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Metabolised in the livers; mainly excreted in urine | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) 4 = Verified data |
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Health issues |
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May cause anxiety, chills |
Handling issues |
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No information available | |||
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Health: H302, H312, H332 | |||
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Not regulated | |||
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The product is chemically stable under ambient conditions. Keep below 25 DegC. Do not freeze. Shelflife around 3 years. |
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flumazenil | ||
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Record last updated: | 13/05/2025 |
Contact: | aeru@herts.ac.uk |
Please cite as: | Lewis, K.A., Tzilivakis, J., Warner, D. and Green, A. (2016) An international database for pesticide risk assessments and management. Human and Ecological Risk Assessment: An International Journal, 22(4), 1050-1064. DOI: 10.1080/10807039.2015.1133242 |