Reversal of a Suspected Paradoxical Reaction to Zopiclone with Flumazenil

We describe the care for an elderly woman who was admitted to the intensive care unit (ICU) to receive noninvasive ventilation for acute exacerbation of chronic obstructive pulmonary disease. After administration of the sleeping pill zopiclone, a nonbenzodiazepine receptor agonist (NBRA), the patien...

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Main Authors: Zarah Jordahn, Cheme Andersen, Anne Marie Roust Aaberg, Frank Christian Pott
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2016/3185873
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author Zarah Jordahn
Cheme Andersen
Anne Marie Roust Aaberg
Frank Christian Pott
author_facet Zarah Jordahn
Cheme Andersen
Anne Marie Roust Aaberg
Frank Christian Pott
author_sort Zarah Jordahn
collection DOAJ
description We describe the care for an elderly woman who was admitted to the intensive care unit (ICU) to receive noninvasive ventilation for acute exacerbation of chronic obstructive pulmonary disease. After administration of the sleeping pill zopiclone, a nonbenzodiazepine receptor agonist (NBRA), the patient became agitated and was confused, a possible paradoxical reaction to benzodiazepines. These symptoms were immediately resolved after treatment with flumazenil, usually used to reverse the adverse effects of benzodiazepines or NBRAs and to reverse paradoxical reactions to benzodiazepines. This case indicates that zopiclone induced behavioral changes resembling a paradoxical reaction to benzodiazepines and these symptoms may be treated with flumazenil.
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series Case Reports in Critical Care
spelling doaj-art-17039b67fdfe4f178c2ea7f4040614b12025-02-03T01:25:53ZengWileyCase Reports in Critical Care2090-64202090-64392016-01-01201610.1155/2016/31858733185873Reversal of a Suspected Paradoxical Reaction to Zopiclone with FlumazenilZarah Jordahn0Cheme Andersen1Anne Marie Roust Aaberg2Frank Christian Pott3Department of Anaesthesiology, Rigshospitalet, Glostrup Matriklen, Copenhagen, DenmarkDepartment of Anaesthesiology, Copenhagen University Hospital, Hvidovre, DenmarkDepartment of Anaesthesia and Intensive Care, Bispebjerg Hospital, Copenhagen, DenmarkDepartment of Anaesthesia and Intensive Care, Bispebjerg Hospital, Copenhagen, DenmarkWe describe the care for an elderly woman who was admitted to the intensive care unit (ICU) to receive noninvasive ventilation for acute exacerbation of chronic obstructive pulmonary disease. After administration of the sleeping pill zopiclone, a nonbenzodiazepine receptor agonist (NBRA), the patient became agitated and was confused, a possible paradoxical reaction to benzodiazepines. These symptoms were immediately resolved after treatment with flumazenil, usually used to reverse the adverse effects of benzodiazepines or NBRAs and to reverse paradoxical reactions to benzodiazepines. This case indicates that zopiclone induced behavioral changes resembling a paradoxical reaction to benzodiazepines and these symptoms may be treated with flumazenil.http://dx.doi.org/10.1155/2016/3185873
spellingShingle Zarah Jordahn
Cheme Andersen
Anne Marie Roust Aaberg
Frank Christian Pott
Reversal of a Suspected Paradoxical Reaction to Zopiclone with Flumazenil
Case Reports in Critical Care
title Reversal of a Suspected Paradoxical Reaction to Zopiclone with Flumazenil
title_full Reversal of a Suspected Paradoxical Reaction to Zopiclone with Flumazenil
title_fullStr Reversal of a Suspected Paradoxical Reaction to Zopiclone with Flumazenil
title_full_unstemmed Reversal of a Suspected Paradoxical Reaction to Zopiclone with Flumazenil
title_short Reversal of a Suspected Paradoxical Reaction to Zopiclone with Flumazenil
title_sort reversal of a suspected paradoxical reaction to zopiclone with flumazenil
url http://dx.doi.org/10.1155/2016/3185873
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