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. 2013 May 7;4:26. doi: 10.3389/fpsyt.2013.00026

Table 3.

Conditions and safety considerations that should preclude specific drug choice during IM treatment of agitation in emergency settings due to fatality risk.

Condition Safety consideration Drug to avoid
Alcohol abuse/intoxication Possible respiratory distress BDZs
Opioid intoxication Possible respiratory distress BDZs
General medical condition affecting resp. funct Possible respiratory distress BDZs
General medical condition affecting card. funct Cardiovascular risk FGAs
No informations Possible cardiovascular/Qtc affect. cond. Haloperidol
Impossible assessment of resp. function Possible respiratory distress BDZs
Delirium Possible worsening BDZs
Stimulants intoxication Cardiovascular risk FGAs
Impaired renal function/cocaine Propylene glycol toxicity lorazepam, diazepam
BDZs pre-treatment Cardiorespiratory depression Olanzapine