
Some examples of the more well known
barbiturates
Barbiturates were first
introduced for medical use in the early
1900s. More than 2,500 barbiturates
have been synthesized, and at the height
of their popularity, about 50 were marketed
for human use. Today, about a dozen
are in medical use. Barbiturates produce
a wide spectrum of central nervous system
depression, from mild sedation to coma,
and have been used as sedatives, hypnotics,
anesthetics, and anticonvulsant's. The
primary differences among many of these
products are how fast they produce an
effect and how long those effects last.
Barbiturates are classified as ultrashort,
short, intermediate, and long-acting.
The ultrashort-acting barbiturates produce
anesthesia within about one minute after
intravenous administration. Those in
current medical use are the Schedule
IV drug methohexital (Brevital®), and
the Schedule III drugs thiamyl (Surital®)
and thiopental (Pentothal®). Barbiturate
abusers prefer the Schedule II short-acting
and intermediate-acting barbiturates
that include amobarbital (Amyta®), pentobarbital
(Nembutal®), secobarbital (Seconal®),
and Tuinal (an amobarbital/secobarbital
combination product). Other short and
intermediate-acting barbiturates are
in Schedule III and include butalbital
(Fiorina®), butabarbital (Butisol®),
talbutal (Lotusate®), and aprobarbital
(Alurate®). After oral administration,
the onset of action is from 15 to 40
minutes, and the effects last up to
six hours. These drugs are primarily
used for insomnia and preoperative sedation.
Veterinarians use pentobarbital for
anesthesia and euthanasia.
Long-acting barbiturates include phenobarbital
(Luminal®) and mephobarbital (Mebaral®),
both of which are in Schedule IV. Effects
of these drugs are realized in about
one hour and last for about 12 hours,
and are used primarily for daytime sedation
and the treatment of seizure disorders.
Learn about barbiturate
effects, how they are abused and what
barbiturates are more susceptible to abuse.
You will learn about dependency, dangers,
withdrawal and tolerance in relation to
barbiturate use