For severe anxiety accompanied by palpitations, which benzodiazepine is indicated according to REMAC?

Midazolam is indicated for severe anxiety accompanied by palpitations because it is a fast-acting benzodiazepine, which makes it particularly effective in acute situations. When a patient presents with severe anxiety that may be causing physiological symptoms such as palpitations, a rapid onset of action is crucial for alleviating distress. Midazolam can produce sedative and anxiolytic effects quickly, allowing for immediate relief of symptoms.

Its use in emergency settings is well-supported due to its favorable pharmacological profile, including the ability to provide sedation with minimal cardiovascular effects, which is particularly important for patients experiencing palpitations. In comparison, other benzodiazepines may have longer onset times or may not be as effective in rapidly managing acute anxiety symptoms.