Barbiturates are sedative-hypnotic medications, meaning they cause you to feel relaxed or sleepy. For over a century, they’ve treated many conditions, including seizures, migraines, insomnia and more. They’re less common today because of the risk of misuse and certain side effects. However, they can be a backup treatment when others don’t work.
Barbiturates are medications that cause you to relax or feel drowsy. They can also stop or prevent convulsions and seizures. The most common uses are for anesthesia reasons, treating epilepsy and nonepileptic seizures, insomnia and other conditions.
Barbiturates belong to the sedative-hypnotic class of medications. Sedatives are medications that help you calm down and relax. Hypnotics make you drowsy (their name comes from the word “hypnos,” which means “sleep” in Greek).
Barbiturates affect your brain by increasing a brain chemical called gamma-aminobutyric acid (GABA), which slows down the activity of your brain cells.
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In years past, barbiturates were a common part of general anesthesia in surgeries. That’s because these medications help ease a person into a deep sleep. Today, other medications do this job better.
However, barbiturates are still proven medications for treating many conditions. They also combine well with other medications like acetaminophen (Tylenol® or Paracetamol®) to treat certain conditions.
Barbiturates can treat several conditions.
The most common uses are:
While barbiturates are useful for the above listed, some of these uses are less common in certain countries. For example, barbiturates are less common for pre-anesthesia in the United States because many newer drugs are more effective and have fewer side effects.
Barbiturates aren’t as common as in years past because newer drugs have largely taken their place. However, many of these drugs still see widespread use for specific conditions. Phenobarbital, for example, is common for treating seizures that resist first-line anti-seizure medications.
There are several barbiturates available worldwide, but some of these aren’t available in certain countries. An example is thiopental, which isn’t available in the United States anymore. Some of the most common barbiturates include:
Barbiturates have many advantages. They’re older medications, which means they have decades of research to back them up. They can also serve as backup when the first-line medications don’t work.
One of the most important advantages of barbiturates is how long they last. Some of these medications are only effective for a very brief time. That’s useful during short medical procedures. Others can last for hours or even days, which is one reason healthcare providers still prescribe them to prevent seizures.
Experts divide these medications into groups depending on the timing of their effectiveness.
One of the main reasons barbiturates aren’t in common use anymore is they have higher risks of certain side effects, including:
You should see your healthcare provider as recommended. Most barbiturates aren’t for long-term use, so you might need to see your healthcare provider for follow-up. That will let them determine if you still need treatment or if other options will work better.
You should also see your healthcare provider if you notice that barbiturate medications aren’t working as they should or if the side effects are disrupting your usual routine and activities.
You should go to the emergency room if you have the symptoms of a barbiturate overdose, which can look similar to alcohol intoxication. These include:
Barbiturates and benzodiazepines aren’t the same types of medications, but they’re very similar. They both can stop seizures, cause you to relax and feel less anxious, or can help you feel drowsy and fall asleep when you receive general anesthesia.
For the most part, healthcare providers often prescribe benzodiazepines before trying a barbiturate. Benzodiazepines have fewer side effects and are safer. They’re also less prone to misuse. Combining benzodiazepines and barbiturates can be very dangerous, so you should never combine them unless a doctor prescribes them this way.
No, you shouldn’t drink alcohol if you’re taking barbiturates. Alcohol and barbiturates can interact and cause a much stronger effect. This can cause severe drowsiness, passing out or trouble breathing. In severe cases, this could cause a person to have severe organ damage, or it could be deadly.
Barbiturates have some risks, but these risks should be minimal if you take your medication exactly as prescribed. You also shouldn’t have a problem with barbiturate dependence if you take your medication as your healthcare provider instructs.
Over time, your body develops a dependence on barbiturates. That means your body needs the drug, and if you don’t get it, you can experience withdrawal symptoms. These symptoms include:
Taking these medications as prescribed can reduce the risk of developing dependence, but some people may still have this problem. You shouldn’t ignore the symptoms of barbiturate withdrawal. In severe cases, barbiturate withdrawal is dangerous or even deadly.
You may feel worried or anxious about telling your healthcare provider that you’re experiencing symptoms that might mean you’re developing dependence on these drugs. However, developing a dependence on these medications is common. That’s a major reason why healthcare providers prescribe them less commonly these days.
If you notice withdrawal symptoms when you stop taking barbiturate medications, you should talk to your healthcare provider. Telling them about these symptoms means they can help reduce your dose until these symptoms stop. That can help you avoid problems related to barbiturate misuse, such as barbiturate addiction.
A key reason why healthcare providers don’t prescribe barbiturates as often now is the risk of misusing them. Because of that risk, you should keep these medications under lock and key in a secure place in your home. Keeping them out of the hands of children and teenagers is essential. Acting cautiously can help avoid accidental poisoning or recreational misuse of these medications, both of which can have deadly consequences.
A note from Cleveland Clinic
Barbiturates are medications that cause you to relax or feel drowsy. Barbiturates have been around since the 1860s, and they still see a use for many conditions today. Though they’re not as common anymore, these medications still help people with a wide range of medical conditions. However, you should use them cautiously, taking them exactly as prescribed. Your healthcare provider can tell you more about what to expect and how to use these medications so they help you as they should.
Last reviewed by a Cleveland Clinic medical professional on 06/14/2022.
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