Drug Class - Barbiturates (Pharm I)

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Questions and Answers

What are barbiturates primarily used for?

  • Long-term treatment of insomnia
  • Short-term treatment of insomnia (correct)
  • Surgery
  • Chronic pain management

Barbiturates are commonly prescribed for chronic insomnia.

False (B)

What is the most frequently used barbiturate as a hypnotic?

Phenobarbital

What is the mechanism of action of barbiturates?

<p>Depresses CNS activity by enhancing the effects of GABA</p> Signup and view all the answers

Which barbiturate is used as an anesthetic agent?

<p>Secobarbital</p> Signup and view all the answers

Name the barbiturates more commonly used in the operating room.

<p>Phenobarbital, pentobarbital, and secobarbital</p> Signup and view all the answers

What substances interact negatively with barbiturates?

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

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Study Notes

Barbiturates Overview

  • Barbiturates are infrequently prescribed for insomnia, primarily suited for short-term use (up to 2 weeks).
  • Their utilization is limited due to side effects, notably the potential for drug tolerance.

Insomnia Treatment

  • Barbiturates can treat insomnia but are not commonly used for chronic cases due to the availability of less potent alternatives.

Commonly Used Barbiturates

  • Phenobarbital is the most frequently used barbiturate as a hypnotic agent.

Administration of Phenobarbital

  • Available via intravenous (IV) or oral (PO) routes.
  • Continuous infusion is rare in practice.

Mechanism of Action

  • Barbiturates enhance the effects of GABA, the primary inhibitory neurotransmitter, leading to a depression of CNS activity.

Secobarbital Usage

  • Primarily utilized as an anesthetic agent during infusion.

Barbiturates in the Operating Room

  • Commonly used barbiturates include phenobarbital, pentobarbital, and secobarbital, frequently administered in surgical settings.

Drug Interactions

  • Barbiturates interact with various substances, particularly:
    • Alcohol
    • Opioids
    • Other sedative hypnotics

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