title: Continuous intravenous flumazenil infusion in a patient with chlordiazepoxide toxicity and hepatic encephalopathy.
abstract: Flumazenil, a benzodiazepine receptor antagonist, is the drug of choice for the diagnosis and treatment of benzodiazepine overdose. We are presenting a patient with chronic alcoholism and alcoholic liver disease, who came with alcohol withdrawal symptoms and treated chlordiazepoxide. Subsequently he developed a prolonged change in mental status that required treatment for benzodiazepine overdose and hepatic encephalopathy with flumazenil infusion for 28 days.
authors.affiliation: Department of Internal Medicine, Saint Michael's Medical Center, Newark, New Jersey, USA.
authors.forename: Moh'd
authors.initials: M
authors.lastname: Al-Halawani
authors.affiliation: Department of Internal Medicine, Saint Michael's Medical Center, Newark, New Jersey, USA.
authors.forename: Parijat
authors.initials: P
authors.lastname: Sen
authors.affiliation: Department of Pulmonary, Saint Michael's Medical Center, Newark, New Jersey, USA.
authors.forename: Yazan
authors.initials: Y
authors.lastname: Abdeen
authors.affiliation: Department of Hematology/Oncology, Saint Michael's Medical Center, Newark, New Jersey, USA.
authors.forename: Hamid
authors.initials: H
authors.lastname: Shaaban
authors.affiliation: Department of Pulmonary, Saint Michael's Medical Center, Newark, New Jersey, USA.
authors.forename: Allan J
authors.initials: AJ
authors.lastname: Klukowicz
authors.affiliation: Department of Pulmonary, Saint Michael's Medical Center, Newark, New Jersey, USA.
authors.forename: Richard A
authors.initials: RA
authors.lastname: Miller
keywords: Chlordiazepoxide; flumazenil; hepatic encephalopathy