Barbiturates Flashcards
What type of group barbiturate?
Sedative-hypnotic
What disease that barbiturates treat?
- Seizure
- Insomnia
- Preoperative Anxiety
- Neonatal withdrawal
What is mechanism of action barbiturate?
- It activate the GABA-alpha receptor
- Open the chloride channel into neuron
- It prolong the opening channel
What is classification of barbiturates?
- Ultra short acting
- Short acting
- Long acting
What are the name of drugs for ultra short acting barbiturate? (20 minutes)
- Methohexital
- Thiopental
(MeThio)
What are the name of drugs for short acting barbiturate? (3-8 hours)
- Secobarbital
- Pentobarbital
“Barbital”
What are the name of drugs for long acting barbiturate?(1-2 days)
- Phenobarbital
- Primidone
Can barbiturate reduce awakening during sleep?
Yes
BUT, tolerance can develop in 2 weeks, if discontinue can cause rebound which in worse insomnia
Can barbiturate treat status epilepticus?
Yes
Can Barbiturate treat tonic-clonic and partial seizure?
Yes
What drug that use for ECT?
Methohexital(short acting)
What is contraindication for barbiturate?
- Acute intermittent porphyria
Adverse effect
-Can barbiturate cause confusion?
Yes
Adverse effect
-Can barbiturate cause nausea?
Yes
Adverse effect
-Can barbiturate cause nystagmus?
Yes
Barbiturate has withdrawal and overdose symptoms?
Yes
The most widely used anxiolytic drug?
Benzodiazepine
Reason?
It is safer and more effective
Can barbiturate do anterograde amnesia?
Yes
Can barbiturate do retrograde amnesia?
No
Higher dose of benzo can cause what?
Muscle relaxant
Low dose of benzo can cause what?
Reduce anxiety
What type of anxiety that can benzodiazepine can be used?
- Generalized anxiety disorder
- Social anxiety
- Performance anxiety
Can benzodiazepine decrease latency(delay) of sleep and increase non- REM sleep?
Yes
What name of benzodiazepine can treat status epilepticus?
Lorazepam & Diazepam
Short acting benzodiazepine? (3-8 hours)
Oxazepam & Triazolam
Intermediate acting benzodiazepine? (10-20 hours)
Lorazepam & Alprazolam
Long acting benzodiazepine? (1-3 days)
Diazepam & Flurazepam?
Two adverse effect benzo?
- Drowsiness
- Confusion