title: Reappraisal of the "coma cocktail". Dextrose, flumazenil, naloxone, and thiamine.
abstract: Flumazenil is an important adjunct to the diagnosis and treatment of benzodiazepine toxicity. It must be used cautiously with attention to a number of clinical caveats. Currently it is advised that flumazenil should not be used routinely in all patients with altered mental status, but when used selectively, it is a very safe and extremely useful antidote.
authors.affiliation: Department of Emergency Medicine, Mercy Catholic Medical Center, Philadelphia, Pennsylvania.
authors.forename: S
authors.initials: S
authors.lastname: Doyon
authors.forename: J R
authors.initials: JR
authors.lastname: Roberts
mesh_terms: D000818:Animals; D003128:Coma / Q000188:drug therapy*; D004630:Emergencies; D005442:Flumazenil / Q000009:adverse effects / Q000627:therapeutic use*; D005947:Glucose / Q000627:therapeutic use*; D006801:Humans; D009270:Naloxone / Q000627:therapeutic use*; D013831:Thiamine / Q000627:therapeutic use*
chemical_list: D009270:Naloxone; D005442:Flumazenil; D005947:Glucose; D013831:Thiamine