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Barbiturate use can lead to both addiction and physical dependence, and as such they have a high potential for excess or non-medical use, [2] however, it does not affect all users. Management of barbiturate dependence involves considering the affected person's age, comorbidity and the pharmacological pathways of barbiturates. [3]
Barbiturate overdose may occur by accident or purposefully in an attempt to cause death. [3] The toxic effects are additive to those of alcohol and benzodiazepines. [3] The lethal dose varies with a person's tolerance and how the drug is taken. [3] The effects of barbiturates occur via the GABA neurotransmitter. [2]
Barbituric acid, the parent structure of all barbiturates. Barbiturates [a] are a class of depressant drugs that are chemically derived from barbituric acid. [2] They are effective when used medically as anxiolytics, hypnotics, and anticonvulsants, but have physical and psychological addiction potential as well as overdose potential among other possible adverse effects.
Secobarbital, sold under the brand name Seconal among others, is a short-acting barbiturate drug originally used for the treatment of insomnia. It was patented by Eli Lilly and Company in 1934 in the United States. [3] It possesses anesthetic, anticonvulsant, anxiolytic, sedative, and hypnotic properties.
F13.5 sedatives/hypnotics (barbiturates; [17] [18] benzodiazepines): [19] [20] [21] It is also important to this topic to understand the paradoxical effects of some sedative drugs. [22] Serious complications can occur in conjunction with the use of sedatives creating the opposite effect as to that intended.
Pentobarbital (US) or pentobarbitone (British and Australian) is a short-acting barbiturate typically used as a sedative, a preanesthetic, and to control convulsions in emergencies. [3] It can also be used for short-term treatment of insomnia but has been largely replaced by the benzodiazepine family of drugs.
barbiturates such as phenobarbital, sodium thiopental and secobarbital; benzodiazepines such as diazepam (Valium), lorazepam (Ativan), and alprazolam (Xanax) (see benzodiazepine dependence and benzodiazepine withdrawal syndrome) nonbenzodiazepine hypnotics such as zopiclone and zolpidem. [12] gamma-hydroxybutyric acid (GHB) and 1,4-butanediol [13]
The third edition, published in 1980, was the first to recognize substance abuse (including drug abuse) and substance dependence as conditions separate from substance abuse alone, bringing in social and cultural factors. The definition of dependence emphasised tolerance to drugs, and withdrawal from them as key components to diagnosis, whereas ...