Doctor insights on:
Anxiety Instead Barbiturate
Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more
Many: First of all, benzodiazepines replaced barbiturates long time ago. They have all the best of barbiturates (almost) without some of the side effects. Using antidepressants for anxiety became standard of care. In addition, I use mood stabilizers, antiseizure medications, antipsychotics, buspar, (buspirone) atarax, muscle relaxants and even opiates (carefully). A type of anxiety is also important for rx choice. ...Read more
Could you tell me what are some alternative medications to use for anxiety instead of barbiturates?
SSRIs: Barbiturates are actually not the treatment of choice for anxiety. It would be helpful to talk with your doctor about treatment options. The first line agents for anxiety are ssri antidepressant medications. Unfortunately, they do take several weeks before they start working. Therapy can also be quite helpful in the treatment of anxiety. ...Read more
What are good prescription medication to relief anxiety in short term, other than benzos & barbiturates.
You're doing it: Here's a good website on this topic - and it says something I always say. Consider CBT therapy. I can work for some w/o any medications. But it ALWAYS improves their effectiveness. It takes effort on your part - but it is your life and playing your part is important. I hope you can find a good therapist and have it to be thankful for next year. ...Read more
Course of addiction: Typically drug addicts use drugs because of the way it makes them feel. Drugs of abuse are fast acting, hit the reward center of the brain and are thus reinforcing. As tolerance for the drug's effects develop, people take more of the drug in hope of obtaining the same high feeling. Physical dependence occurs and the drug is taken no longer to get high but to try to feel normal & avoid withdrawal. ...Read more
Multiple uses: Barbituates have been used to treat seizures, anxiety, sleep disruptions, and as (combined) abortive treatment for migraine headaches (eg "fioricet"). Barbituates are controlled substances. They are potentially habit forming and extremely dangerous in overdose or in combination with other sedative hypnotic medications (eg benzodiazepines, etc) and/or alcohol. Consult your doctor for more info. ...Read more
Stevens-Johnson: Sjs is an immune mediated reaction where your body is tricked into thinking of itself as the enemy. Some people have livers that can't metabolize barbiturates well, they are "slow acetylators". This leads to an accumulation of metabolite byproducts that may bind to normal tissue ("haptens") and trigger a destructive immune response against the skin ("keratinocytes" in the "epidermis"). ...Read more
DON'T DO IT: Barbiturates are very dangerous drugs and are no longer used in most of the world for that purpose, and except for phenobarbital for seizure disorders and barbiturates used in anesthesia, should not be used for ANY purpose. They are highly dangerous, cause tremendous addiction/physical dependency and have awful withdrawal syndromes. Treat the insomnia with psychotherapy, and brief use of safer med ...Read more
Varies, Dangerous: This can vary from one person to another, due to differences in how people metabolize the medicine. However, it does not take much (usually less than a one month supply), so these medicines are very dangerous in an overdose, especially if combined with alcohol. In addition to abuse potential, this is why these medicines are not used as much as in the past. ...Read more
NO BANNED CONTROLLED: Barbiturates can be found in anti seizure meds like Phenobarbital (not used as much now) and also in the headache meds fiorinal (aspirin butalbital and caffeine) and fioricet. I am unaware of them being actually banned. Th ey are highly controlled due to addvtive/abuse potential. Not a popular in use as in the past for anxiety and sleep. Quualudes are banned but hat is another category. It is just that there are newer safer meds. ...Read more
Barbiturates are only rarely used for IV sedation and are only used by very few people.
Thirty years ago the situation was different. ...Read more
Barbiturates: A barbiturate gives feelings of euphoria and relaxed contentment, thus helping with sleep. The main risks of barbiturate use is respiratory depression. Psychological and physical dependence may also develop with repeated use. Other effects of barbiturate overuse or intoxication include ataxia, drowsiness, vertical and lateral eye twitching, slurred speech, decreased anxiety and loss of inhibition. ...Read more
Possibly: The eeg will show "slowing" or other effects that may be due to phenobarbital. Is this a historically pertinent question- like "i just was thinking? " or is this a contemporaneous problem? If you've not had a seizure in 14 years, you're probably not going to get another. The phenobarb may have influenced the interpretation of the eeg back then. ...Read more
None: Barbiturates for sleep were long gone by the 1990s, having been replaced decades earlier by much safer benzodiazepines ("benzos") and other prescription sleep aids. Barbiturates are still prescribed for certain types of seizure, for migraine headaches, occasionally to treat withdrawal from other drugs, and for other purposes. But not sleep. ...Read more
Can you please tell me why it'sdangerous to combine alcohol with barbiturate or with similar drugs?
Additive risks: Both alcohol and barbiturates are sedatives, and can cause drowsiness, dizziness, and incoordination and imbalance. Of course, any of the above can contribute to a significant injury. Another simple issue involves the risk of respiratory depression, with potential of death from sufficient amounts of these items. Would not combine these items at any time. ...Read more
Prescribed for what?: There is really only one condition for which a barbiturate can be a drug-of-choice, and that is generalized seizures, for which either Phenobarbital or Primidone (which is metabolized into phenobarbital) can be a first line drug. Barbiturates are mostly complexed with tylenol (acetaminophen) and caffeine in migraine pills like Fioricet etc which I believe is an irrational and dangerous drug. Many better choices. ...Read more
Sedatives: Teh class of barbiturates are sedatives and not used as often today as in the past. Newer agents with fewer side effects and less abuse potential are now available. Most use in now limited to hospitals. ...Read more