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Chemistry

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Also known as: 78755-81-4, Anexate, Flumazepil, Romazicon, Lanexat, Mazicon
Molecular Formula
C15H14FN3O3
Molecular Weight
303.29  g/mol
InChI Key
OFBIFZUFASYYRE-UHFFFAOYSA-N
FDA UNII
40P7XK9392

Flumazenil
A potent benzodiazepine receptor antagonist. Since it reverses the sedative and other actions of benzodiazepines, it has been suggested as an antidote to benzodiazepine overdoses.
Flumazenil is a Benzodiazepine Antagonist.
1 2D Structure

Flumazenil

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
ethyl 8-fluoro-5-methyl-6-oxo-4H-imidazo[1,5-a][1,4]benzodiazepine-3-carboxylate
2.1.2 InChI
InChI=1S/C15H14FN3O3/c1-3-22-15(21)13-12-7-18(2)14(20)10-6-9(16)4-5-11(10)19(12)8-17-13/h4-6,8H,3,7H2,1-2H3
2.1.3 InChI Key
OFBIFZUFASYYRE-UHFFFAOYSA-N
2.1.4 Canonical SMILES
CCOC(=O)C1=C2CN(C(=O)C3=C(N2C=N1)C=CC(=C3)F)C
2.2 Other Identifiers
2.2.1 UNII
40P7XK9392
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Anexate

2. Flumazepil

3. Lanexat

4. Ro 15 1788

5. Ro 15-1788

6. Ro 151788

7. Romazicon

2.3.2 Depositor-Supplied Synonyms

1. 78755-81-4

2. Anexate

3. Flumazepil

4. Romazicon

5. Lanexat

6. Mazicon

7. Ro 15-1788

8. Fumazenil

9. Flumazenilum [latin]

10. Flumazenilo [spanish]

11. Ethyl 8-fluoro-5-methyl-6-oxo-5,6-dihydro-4h-benzo[f]imidazo[1,5-a][1,4]diazepine-3-carboxylate

12. Flumazenilo

13. Flumazenilum

14. Ro-15-1788

15. [11c]flumazenil

16. Flumazenil (ro 15-1788)

17. Ro 151788

18. Ethyl 8-fluoro-5-methyl-6-oxo-4h-imidazo[1,5-a][1,4]benzodiazepine-3-carboxylate

19. Ethyl 8-fluoro-5-methyl-6-oxo-5,6-dihydro-4h-imidazo[1,5-a][1,4]benzodiazepine-3-carboxylate

20. Chembl407

21. Nsc-759193

22. Ro15-1788

23. Mls000028850

24. Ro-151788

25. Chebi:5103

26. 4h-imidazo(1,5-a)(1,4)benzodiazepine-3-carboxylic Acid, 8-fluoro-5,6-dihydro-5-methyl-6-oxo-, Ethyl Ester

27. Ethyl 12-fluoro-8-methyl-9-oxo-2,4,8-triazatricyclo[8.4.0.0^{2,6}]tetradeca-1(10),3,5,11,13-pentaene-5-carboxylate

28. Ro 15-1788/000

29. Ethyl 8-fluoro-5,6-dihydro-5-methyl-6-oxo-4h-imidazo(1,5-a)(1,4)benzodiazepine-3-carboxylate

30. 40p7xk9392

31. Ro-1722

32. Ncgc00015439-06

33. Smr000058450

34. Ro-151788000

35. Ro-41-8157

36. Dsstox_cid_3064

37. Ro-15-1788/000

38. Dsstox_rid_76860

39. Dsstox_gsid_23064

40. Flumazil

41. [3h]ro15-1788

42. Ethyl 8-fluoro-5,6-dihydro-5-methyl-6-oxo-4h-imidazo[1,5-a][1,4]benzodiazepine-3-carboxylate

43. Cas-78755-81-4

44. Sr-01000075879

45. Brn 4763661

46. Flumenazil

47. Flunarizin

48. Roma

49. [11c]flumazenil (pet Ligand)

50. Unii-40p7xk9392

51. Flumazenil [usan:usp:inn:ban]

52. Romazicon (tn)

53. Flumazenil Authentic

54. Fyp

55. Flumazenil- Bio-x

56. Mfcd00242764

57. Tocris-1328

58. Flumazenil [mi]

59. Flumazenil [inn]

60. Flumazenil [jan]

61. Opera_id_1516

62. Flumazenil [usan]

63. Lopac-f-6300

64. Flumazenil [vandf]

65. Biomol-nt_000285

66. Upcmld-dp137

67. Flumazenil [mart.]

68. Ethyl 8-fluoro-5-methyl-5,6-dihydro-6-oxo-4h-imidazo(1,5-a)(1,4)benzodiazepine-3-carboxylate

69. Flumazenil [usp-rs]

70. Flumazenil [who-dd]

71. Lopac0_000506

72. Schembl79030

73. Flumazenil (jan/usp/inn)

74. Mls000759529

75. Mls001076354

76. Mls001424108

77. Bidd:gt0766

78. Bpbio1_001190

79. Gtpl4192

80. Gtpl4367

81. Zinc1464

82. Dtxsid2023064

83. Flumazenil [orange Book]

84. Upcmld-dp137:001

85. Bdbm26263

86. Flumazenil [ep Monograph]

87. Flumazenil [usp Monograph]

88. Hms2051d17

89. Hms2089b15

90. Hms2234f06

91. Hms3261f13

92. Hms3267p09

93. Hms3374e10

94. Hms3393d17

95. Hms3412g20

96. Hms3657k11

97. Hms3676g20

98. Hms3884g11

99. Pharmakon1600-01505701

100. Afc-3002

101. Amy39505

102. Bcp07573

103. Hy-b0009

104. Flumazenil, >99% (hplc), Solid

105. Tox21_110148

106. Tox21_500506

107. Nsc759193

108. Pdsp1_001778

109. Pdsp2_001761

110. S1332

111. Akos015888159

112. Tox21_110148_1

113. Ac-6846

114. Ccg-100968

115. Cs-0629

116. Db01205

117. Lp00506

118. Nc00218

119. Nsc 759193

120. Sdccgsbi-0050490.p003

121. Ncgc00015439-01

122. Ncgc00015439-02

123. Ncgc00015439-03

124. Ncgc00015439-04

125. Ncgc00015439-05

126. Ncgc00015439-07

127. Ncgc00015439-08

128. Ncgc00015439-09

129. Ncgc00015439-11

130. Ncgc00015439-14

131. Ncgc00015439-22

132. Ncgc00025116-01

133. Ncgc00025116-02

134. Ncgc00025116-03

135. Ncgc00025116-04

136. Ncgc00025116-05

137. Ncgc00261191-01

138. As-13923

139. Bf164469

140. Flumazenil 100 Microg/ml In Acetonitrile

141. Sbi-0050490.p002

142. Db-056331

143. Eu-0100506

144. F-145

145. F0958

146. Ft-0630863

147. Sw197598-2

148. C07825

149. D00697

150. F 6300

151. Ab00572626-12

152. Ab00572626-13

153. Ab00572626_14

154. Ab00572626_15

155. 755f814

156. A839484

157. Q421920

158. Q-201122

159. Sr-01000075879-1

160. Sr-01000075879-3

161. Sr-01000075879-7

162. Brd-k98769987-001-01-3

163. Brd-k98769987-001-12-0

164. Z1551429735

165. Flumazenil, United States Pharmacopeia (usp) Reference Standard

166. Ethyl 8-fluoro-5-methyl-6-oxo-4h-imidazo[1,5-a][1,4]benzodiazepine-3-carboxylate.

167. 8-fluoro-5,6-dihydro-5-methyl-6-oxo-4h-imidazo[1,5-a][1,4]benzodiazepine-3-carboxylic Acid Ethyl Ester

168. 8-fluoro-5,6-dihydro-5-methyl-6-oxo-4h-imidazo[1,5-a][1,4]benzodiazepine-3-carboxylic Acid, Ethyl Ester

169. 8-fluoro-5-methyl-6-oxo-4h-imidazo[1,5-a][1,4]benzodiazepine-3-carboxylic Acid Ethyl Ester

170. Ethyl 12-fluoro-8-methyl-9-oxo-2,4,8-triazatricyclo[8.4.0.0^{2,6}]tetradeca-1(14),3,5,10,12-pentaene-5-carboxylate

171. Ethyl 8-fluoranyl-5-methyl-6-oxidanylidene-4h-imidazo[1,5-a][1,4]benzodiazepine-3-carboxylate

172. Ethyl 8-fluoro-5,6-dihydro-5-methyl-6-oxo-4h-imidazo[1,5-a][1,4]-benzodiazepine-3-carboxylate

173. Ethyl 8-fluoro-5,6-dihydro-5-methyl-6-oxo-4h-imidazo[1,5-a][1,4]benzodiazepin-3-carboxylate

174. Ethyl 8-fluoro-5-methyl-6-oxo-5,6-dihydro-4h-imidazo[1,5-a][1,4]benzodiazepine-3-carboxylate #

2.4 Create Date
2005-03-25
3 Chemical and Physical Properties
Molecular Weight 303.29 g/mol
Molecular Formula C15H14FN3O3
XLogP31
Hydrogen Bond Donor Count0
Hydrogen Bond Acceptor Count5
Rotatable Bond Count3
Exact Mass303.10191948 g/mol
Monoisotopic Mass303.10191948 g/mol
Topological Polar Surface Area64.4 Ų
Heavy Atom Count22
Formal Charge0
Complexity461
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 2  
Drug NameFlumazenil
PubMed HealthFlumazenil (Injection)
Drug ClassesToxicology-Antidote Agent
Drug LabelROMAZICON (flumazenil) is a benzodiazepine receptor antagonist. Chemically, flumazenil is ethyl 8-fluoro-5,6-dihydro-5-methyl-6-oxo-4H-imidazo[1,5-a](1,4) benzodiazepine-3-carboxylate. Flumazenil has an imidazobenzodiazepine structure, a calculated...
Active IngredientFlumazenil
Dosage FormInjectable
RouteInjection
Strength0.5mg/5ml (0.1mg/ml); 1mg/10ml (0.1mg/ml)
Market StatusPrescription
CompanyHikma Farmaceutica; Sandoz; Fresenius Kabi Usa; Hikma Maple; Sagent Pharms; Bedford Labs; Agila Speclts

2 of 2  
Drug NameFlumazenil
PubMed HealthFlumazenil (Injection)
Drug ClassesToxicology-Antidote Agent
Drug LabelROMAZICON (flumazenil) is a benzodiazepine receptor antagonist. Chemically, flumazenil is ethyl 8-fluoro-5,6-dihydro-5-methyl-6-oxo-4H-imidazo[1,5-a](1,4) benzodiazepine-3-carboxylate. Flumazenil has an imidazobenzodiazepine structure, a calculated...
Active IngredientFlumazenil
Dosage FormInjectable
RouteInjection
Strength0.5mg/5ml (0.1mg/ml); 1mg/10ml (0.1mg/ml)
Market StatusPrescription
CompanyHikma Farmaceutica; Sandoz; Fresenius Kabi Usa; Hikma Maple; Sagent Pharms; Bedford Labs; Agila Speclts

4.2 Drug Indication

For the complete or partial reversal of the sedative effects of benzodiazepines in cases where general anesthesia has been induced and/or maintained with benzodiazepines, and where sedation has been produced with benzodiazepines for diagnostic and therapeutic procedures. Also for the management of benzodiazepine overdose as an adjunct for appropriate supportive and symptomatic measures.


FDA Label


5 Pharmacology and Biochemistry
5.1 Pharmacology

Flumazenil antagonizes the CNS effects produced by benzodiazepines, but does not antagonize the central nervous system effects of drugs affecting GABA-ergic neurons by means other than the benzodiazepine receptor (including ethanol, barbiturates, or general anesthetics) and does not reverse the effects of opioids.


5.2 MeSH Pharmacological Classification

Antidotes

Agents counteracting or neutralizing the action of POISONS. (See all compounds classified as Antidotes.)


GABA Modulators

Substances that do not act as agonists or antagonists but do affect the GAMMA-AMINOBUTYRIC ACID receptor-ionophore complex. GABA-A receptors (RECEPTORS, GABA-A) appear to have at least three allosteric sites at which modulators act: a site at which BENZODIAZEPINES act by increasing the opening frequency of GAMMA-AMINOBUTYRIC ACID-activated chloride channels; a site at which BARBITURATES act to prolong the duration of channel opening; and a site at which some steroids may act. GENERAL ANESTHETICS probably act at least partly by potentiating GABAergic responses, but they are not included here. (See all compounds classified as GABA Modulators.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
FLUMAZENIL
5.3.2 FDA UNII
40P7XK9392
5.3.3 Pharmacological Classes
Benzodiazepine Antagonist [EPC]
5.4 ATC Code

V - Various

V03 - All other therapeutic products

V03A - All other therapeutic products

V03AB - Antidotes

V03AB25 - Flumazenil


5.5 Absorption, Distribution and Excretion

Route of Elimination

Flumazenil is completely (99%) metabolized. Elimination of radiolabeled drug is essentially complete within 72 hours, with 90% to 95% of the radioactivity appearing in urine and 5% to 10% in the feces.


Volume of Distribution

0.9 to 1.1 L/kg


Clearance

1 L/hr/kg [healthy volunteers receiving a 5-minute infusion of a total of 1 mg]


5.6 Metabolism/Metabolites

Hepatic. Flumazenil is completely (99%) metabolized. The major metabolites of flumazenil identified in urine are the de-ethylated free acid and its glucuronide conjugate.


5.7 Biological Half-Life

Initial distribution half-life is 4 to 11 minutes and the terminal half-life is 40 to 80 minutes. Prolongation of the half-life to 1.3 hours in patients with moderate hepatic impairment and 2.4 hours in severely impaired patients. Compared to adults, the elimination half-life in pediatric patients was more variable, averaging 40 minutes (range: 20 to 75 minutes).


5.8 Mechanism of Action

Flumazenil, an imidazobenzodiazepine derivative, is a benzodiazepine antagonist. It competitively inhibits the benzodiazepine binding site on the GABA/benzodiazepine receptor complex. Flumazenil is a weak partial agonist in some animal models of activity, but has little or no agonist activity in man.


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13-May-2024
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DOSAGE - INJECTABLE;INJECTION - 0.5MG/5ML (0....DOSAGE - INJECTABLE;INJECTION - 0.5MG/5ML (0.1MG/ML) **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

USFDA APPLICATION NUMBER - 20073

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DOSAGE - INJECTABLE;INJECTION - 1MG/10ML (0.1...DOSAGE - INJECTABLE;INJECTION - 1MG/10ML (0.1MG/ML) **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

USFDA APPLICATION NUMBER - 20073

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