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Molecule

Remimazolam

Also known as remimazolam besylate
Available on requestControlled substancePsychiatry
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Remimazolam is a prescription medicine indicated for the induction and maintenance of procedural sedation in adults undergoing procedures lasting 30 minutes or less. It is available as powder for injection for intravenous use. MedsAcross supplies Remimazolam for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

ATC classification
N05CD14 Remimazolam · Benzodiazepine drug
US FDA first approval
2 July 2020
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Intravenous
Dosage forms
Powder for injection
Identifiers
UNII 280XQ6482HCAS 308242-62-8DrugBank DB12404Q7311799

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

BYFAVO ® is indicated for the induction and maintenance of procedural sedation in adults undergoing procedures lasting 30 minutes or less. BYFAVO (remimazolam) for injection is a benzodiazepine indicated for the induction and maintenance of procedural sedation in adults undergoing procedures lasting 30 minutes or less.

Source: US FDA prescribing information

How it works

BYFAVO is a benzodiazepine. BYFAVO binds to brain benzodiazepine sites (gamma amino butyric acid type A [GABA A ] receptors), while its carboxylic acid metabolite (CNS7054) has a 300 times lower affinity for the receptor. BYFAVO, like other benzodiazepines, did not show clear selectivity between subtypes of the GABA A receptor.

Source: US FDA prescribing information

Dosing overview

Individualize and titrate BYFAVO dosing to desired clinical effect. Adult Patients: Administer an initial dose intravenously as a 5 mg push injection over a 1-minute time period. If necessary, administer supplemental doses of 2.5 mg intravenously over a 15-second time period. At least 2 minutes must elapse prior to the administration of any supplemental dose. ASA III-IV Patients (at the discretion of the physician): Based on the general condition of the patient, administer 2.5 mg to 5 mg over 1-minute time period. If necessary, administer supplemental doses of 1.25 mg to 2.5 mg intravenously over a 15-second time period.

Source: US FDA prescribing information

Contraindications

BYFAVO is contraindicated in patients with a history of severe hypersensitivity reaction to dextran 40 or products containing dextran 40. Hypersensitivity to dextran 40.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning: Only personnel trained in the administration of procedural sedation, and not involved in the conduct of the diagnostic or therapeutic procedure, should administer BYFAVO. Administering personnel must be trained in the detection and management of airway obstruction, hypoventilation, and apnea, including the maintenance of a patent airway, supportive ventilation, and cardiovascular resuscitation. Hypersensitivity Reactions: Hypersensitivity reactions including anaphylaxis may occur. Neonatal Sedation and Withdrawal Syndrome: Receiving benzodiazepines during pregnancy can result in neonatal sedation and/or neonatal withdrawal. Pediatric Neurotoxicity: In developing animals, exposures greater than 3 hours cause neurotoxicity. Weigh benefits against potential risks when considering elective procedures in children under 3 years old.

Source: US FDA prescribing information

Side effects

The following serious adverse reactions are discussed in greater detail in other sections: Neonatal Sedation and Withdrawal Syndrome The most common adverse reactions (>10%) in patients receiving BYFAVO for procedural sedation are hypotension, hypertension, diastolic hypertension, systolic hypertension, hypoxia, and diastolic hypotension.

Source: US FDA prescribing information

Interactions

Opioid Analgesics and Other Sedative-Hypnotics The sedative effect of intravenous BYFAVO can be accentuated by concomitantly administered CNS depressant medications, including opioid analgesics, other benzodiazepines, and propofol. Continuously monitor vital signs during sedation and through the recovery period. Titrate the dose of BYFAVO when administered with opioid analgesics and sedative-hypnotics to the desired clinical response.

Source: US FDA prescribing information

Storage

Store at controlled room temperature 20°C to 25°C (68°F to 77°F) excursions between 15° and 30°C (59° and 86°F) are allowed. Reconstituted BYFAVO can be stored in the vial for up to 8 hours under controlled room temperature at 20°C to 25°C (68°F to 77°F).

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Remimazolam, sorted by availability.

MedicineManufacturerRegisterAvailability
Byfavo 2.5 mg/mL powder for injectionIntravenousAcacia PharmaUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 2 July 2020Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Remimazolam available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Remimazolam and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Remimazolam have?

The catalogue lists 1 brand names for Remimazolam, including Byfavo.

Is Remimazolam approved by the US FDA?

Yes. The US FDA first approved Remimazolam on 2 July 2020, according to Drugs@FDA.

Is Remimazolam authorised in the European Union?

Yes. Remimazolam has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Remimazolam need cold chain shipping?

No listed presentation of Remimazolam is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Remimazolam in?

Remimazolam is classified under ATC code N05CD14 (Remimazolam).

References

  1. BYFAVO prescribing information (Acacia Pharma). U.S. National Library of Medicine, DailyMed. Retrieved 20 February 2025
  2. Byfavo: European public assessment report (EPAR). European Medicines Agency. Retrieved 22 October 2026

Request Remimazolam for export supply

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