I.V. FLUNITRAZEPAM AND I.V. DIAZEPAM IN CONSERVATIVE DENTISTRY

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Abstract
In a randomized cross-over trial in 82 outpatients aged 15-45 yr undergoing conservative dentistry, a solution of flunitrazepam 0.25 mg/ml i.v. (average dose 0.014 mg/kg) was compared with a solution of diazepam 5 mg/ml i.v. (0.29 mg/kg). Cardiovascular changes, operating conditions and side effects were similar. After the start of injection (40 min), about 85% of all patients could not remember the local anesthetic injection. After the end of treatment (30 min), only 25% of all patients had recovered. A week later, most patients receiving each drug had only vague memories of their treatment; they had felt more relaxed immediately after the i.v. injection than before. Drowsiness was equally common after flunitrazepam and diazepam. Ataxia was more prolonged with flunitrazepam but arm pain and venous thrombophlebitis were less frequent.

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