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 |