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What the label lists and what reports show

Flumazenil side effects

Flumazenil's FDA label: “Serious adverse events have occurred in all clinical settings, and convulsions are the most common serious adverse events reported.” FAERS holds 849 reports naming it through July 30, 2026; the reaction reported most often, leaving out the conditions it is used for, product-use terms and outcomes, is toxicity to various agents (90 reports).

  • Generic listed
  • Boxed warning

Check it at the source: the flumazenil FDA label on DailyMed (effective June 21, 2024, Hikma Pharmaceuticals USA Inc.); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

Serious adverse events have occurred in all clinical settings, and convulsions are the most common serious adverse events reported.

From the label: adverse reactions, continued

Serious Adverse Reactions Deaths have occurred in patients who received flumazenil in a variety of clinical settings. The majority of deaths occurred in patients with serious underlying disease or in patients who had ingested large amounts of non-benzodiazepine drugs (usually cyclic antidepressants), as part of an overdose. Serious adverse events have occurred in all clinical settings, and convulsions are the most common serious adverse events reported. Flumazenil administration has been associated with the onset of convulsions in patients with severe hepatic impairment and in patients who are relying on benzodiazepine effects to control seizures, are physically dependent on benzodiazepines, or who have ingested large doses of other drugs (mixed-drug overdose) (see WARNINGS ). Two of the 446 patients who received flumazenil in controlled clinical trials for the management of a benzodiazepine overdose had cardiac dysrhythmias (1 ventricular tachycardia, 1 junctional tachycardia). Adverse Events in Clinical Studies The following adverse reactions were considered to be related to flumazenil administration (both alone and for the reversal of benzodiazepine effects) and were reported in studies involving 1875 individuals who received flumazenil in controlled trials. …

Source: FDA drug label, Hikma Pharmaceuticals USA Inc., effective June 21, 2024 (SPL set 436f5616-9626-4b6a-9deb-2986444179d0), via openFDA; the full label on DailyMed

What do FAERS reports show?

849 reports list flumazenil among the medicines taken, each a report of something that happened, not proof the medicine caused it; 170 are coded as a death and 479 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is. Of the 18 reactions below, 5 are named by the same term (in US spelling) in the label's adverse reactions, warnings or patient leaflet; a reaction the label does not name may still be there under another word, and a report does not show that the medicine caused it.

Reports received each year

The 25 most reported reactions

  • Intentional Overdose (a use or a product term, not a reaction)106
  • Drug Ineffective (a use or a product term, not a reaction)91
  • Toxicity To Various Agents90
  • Coma70
  • Off Label Use (a use or a product term, not a reaction)70
  • Depressed Level Of Consciousness64
  • Intentional Product Misuse (a use or a product term, not a reaction)61
  • Drug Dependence57
  • Hypotension55
  • Product Use Issue (a use or a product term, not a reaction)55
  • Seizure (named in the label)47
  • Drug Withdrawal Convulsions44
  • Overdose (a use or a product term, not a reaction)43
  • Somnolence (named in the label)42
  • Drug Interaction (a use or a product term, not a reaction)35
  • Suicide Attempt33
  • Unresponsive To Stimuli33
  • Encephalopathy30
  • Cardiac Arrest29
  • Convulsion (named in the label)29
  • Pyrexia27
  • Bradycardia (named in the label)26
  • Generalised Tonic-Clonic Seizure26
  • Agitation (named in the label)24
  • Hypoxia24

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026; reactions as MedDRA preferred terms

What next?

Flumazenil: the full record
label, generics, price, shortages, recalls
Side effects hub
the most reported medicines and reactions