Zolpidem intoxication mimicking narcotic overdose: response to flumazenil

Hum Exp Toxicol. 1990 Mar;9(2):105-7. doi: 10.1177/096032719000900209.

Abstract

Zolpidem is a recently introduced sleep-inducer which is thought to act on the central-type benzodiazepine receptors. This observation is the first report of drug poisoning with this compound. The toxic response was characterized by the development of a profound but short-lasting coma, associated with pin-point pupils and respiratory depression, as observed in a narcotic overdose. These clinical signs were not influenced by the administration of naloxone, but responded dramatically to flumazenil. Some analytical data on zolpidem toxicokinetics are presented.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antidotes / therapeutic use
  • Coma / chemically induced
  • Coma / physiopathology
  • Ethanol / blood
  • Flumazenil / therapeutic use*
  • Humans
  • Hypnotics and Sedatives / poisoning*
  • Male
  • Narcotics / poisoning*
  • Pyridines / poisoning*
  • Zolpidem

Substances

  • Antidotes
  • Hypnotics and Sedatives
  • Narcotics
  • Pyridines
  • Ethanol
  • Flumazenil
  • Zolpidem