Barbiturates: Mechanism, Uses & Effects
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Questions and Answers

What is the mechanism of action of barbiturates?

Inhibit neuronal impulse conduction in the ascending RAS; depresses the CNS

Which of the following are names of -barbital drugs?

  • Phenobarbital
  • Butobarbital
  • Pentobarbital
  • All of the above (correct)

Which of the following are indications for barbiturates?

  • Anxiety disorders
  • Pre-anesthesia seizures
  • Sedation
  • All of the above (correct)

Which of the following are contraindications for barbiturates?

<p>All of the above (D)</p> Signup and view all the answers

Barbiturates are safe to take during pregnancy.

<p>False (B)</p> Signup and view all the answers

Which of the following is the main route of absorption for barbiturates, according to the image?

<p>GI Tract (D)</p> Signup and view all the answers

What is the approximate peak time for barbiturates after absorption, as indicated in the image?

<p>20 minutes to 1 hour</p> Signup and view all the answers

Which of the following are adverse effects of taking barbiturates?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a listed adverse cardiovascular effect?

<p>All of the above (D)</p> Signup and view all the answers

Respiratory depression is a listed adverse side effect of taking barbiturates.

<p>True (A)</p> Signup and view all the answers

What is a severe adverse effect listed in the image?

<p>Steven Johnson Syndrome</p> Signup and view all the answers

According to the image, which of the following drugs has Drug-Drug interactions with Barbiturates?

<p>All of the above (D)</p> Signup and view all the answers

Flashcards

Barbiturates

Drugs that depress the central nervous system (CNS) and have a longer duration in the body.

Barbiturates: Mechanism of Action

Inhibition of neuronal impulse conduction in the ascending reticular activating system (RAS), leading to CNS depression.

Examples of Barbiturates

Examples include Phenobarbital, Butobarbital, and Pentobarbital.

Barbiturates: Indications

Anxiety disorders, pre-anesthesia, seizures, sedation, acute manic reactions, and insomnia.

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Barbiturates: Absorption

Primarily through the GI tract, peaking in 20 minutes to 1 hour.

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Barbiturates: Contraindications

Latent or manifest Porphyria, liver/kidney dysfunction, respiratory distress, and pregnancy.

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Barbiturates: Adverse Effects

Sedation, drowsiness, somnolence, ataxia, hallucinations and nausea/vomiting.

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Barbiturates: Cardiovascular Effects

Bradycardia, hypotension, syncope.

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Barbiturates: Respiratory Effect

Hypoventilation.

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Barbiturates: Drug Interactions

Increased CNS depression with alcohol and other CNS depressants. Decreased effectiveness of anticoagulants, digoxin and contraceptives.

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Study Notes

Barbiturates

  • High risk of toxicity
  • Lasts longer in body

Mechanism of Action

  • Barbiturates inhibit neuronal impulse conduction in the ascending reticular activating system (RAS).
  • This results in depression of the central nervous system (CNS).

Names

  • Barbitals include Phenobarbital, Butobarbital, and Pentobarbital.

Indications

  • Used for anxiety disorders
  • Used for pre-anesthesia seizures
  • Used for sedation
  • Used for acute manic reactions
  • Used for insomnia

Pharmacokinetics

  • Absorbed in the GI tract
  • Peak occurs 20 minutes to 1 hour after administration.

Contraindications

  • Latent or manifest porphyria is a contraindication
  • Liver/kidney dysfunction is a contraindication
  • Respiratory distress is a contraindication
  • Pregnancy is a contraindication

Adverse Effects

  • Sedation
  • Drowsiness
  • Somnolence
  • Ataxia
  • Hallucinations
  • Nausea/Vomiting (N/V)
  • Cardiovascular effects: Bradycardia, Hypotension, Syncope
  • Respiratory depression (Hypoventilation)
  • Steven Johnson Syndrome

Drug-Drug Interactions

  • Other drugs that depress the CNS such as Alcohol, Anticoagulants, Digoxin, and Contraceptives

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Description

Barbiturates depress the CNS by inhibiting neuronal impulse conduction. They are used for anxiety, seizures, sedation, and insomnia. Adverse effects include sedation, drowsiness, ataxia and respiratory depression.

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