See also

Poisoning - Acute Guidelines for initial management

Often taken as part of mixed overdose in adolescents

Assessment

Patients requiring observation

• Ingestion of 3 times recommended dose for age
• All symptomatic patients
• Ingestion of unknown quantity

Management

• Charcoal is not usually of benefit (due to low order of toxicity)
• If depressed state of consciousness, protect airway and contact ICU (5212)
• Antidote available - Flumazenil, not indicated for ingestions and should only be used after discussion with consultant staff.