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|Phenobarbital Phenobarbital

Phenobarbital

Generic name:
Brand names: Phenobarbital

Why is Phenobarbital prescribed?

Phenobarbital, a barbiturate, is used as a sleep aid and in the treatment of certain types of epilepsy, including generalized or grand mal seizures and partial seizures.

Most important fact about Phenobarbital

Phenobarbital can be habit-forming. You may become tolerant (needing more and more of the drug to achieve the same effect) and physically and psychologically dependent with continued use. Never increase the amount of phenobarbital you take without checking with your doctor.

How should you take Phenobarbital?

Take Phenobarbital exactly as prescribed.

If you are taking phenobarbital for seizures, do not discontinue it abruptly.

--If you miss a dose...

Take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Never take 2 doses at once.

--Storage instructions...

Store at room temperature in a tightly closed container.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, notify your doctor as soon as possible. Only your doctor can determine whether it is safe for you to continue taking phenobarbital.

• More common side effects may include:
  Allergic reaction, drowsiness, headache, lethargy, nausea, oversedation, sleepiness, slowed or delayed breathing, vertigo, vomiting

Why should Phenobarbital not be prescribed?

Phenobarbital should not be used if you suffer from porphyria (an inherited metabolic disorder), liver disease, or a lung disease that causes blockages or breathing difficulties, or if you have ever had an allergic reaction to or are sensitive to phenobarbital or other barbiturates.

Special warnings about Phenobarbital

Remember that phenobarbital may be habit-forming. Make sure you take the medication exactly as prescribed.

Phenobarbital should be used with extreme caution, or not at all, by people who are depressed, or have a history of drug abuse.

Be sure to tell your doctor if you are in pain, or if you have constant pain, before you take phenobarbital.

Phenobarbital may cause excitement, depression, or confusion in elderly or weakened individuals, and excitement in children.

If you have been diagnosed with liver disease or your adrenal glands are not functioning properly, make sure the doctor knows about it. Phenobarbital should be prescribed with caution.

Barbiturates such as phenobarbital may cause you to become tired or less alert. Be careful driving, operating machinery, or doing any activity that requires full mental alertness until you know how you react to Phenobarbital.

Possible food and drug interactions when taking Phenobarbital

Phenobarbital may increase the effects of alcohol. Avoid alcoholic beverages while taking phenobarbital.

If phenobarbital is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining phenobarbital with the following:

Antidepressant drugs known as MAO inhibitors, including Nardil and Parnate
Antihistamines such as Benadryl
Blood-thinning medications such as Coumadin
Doxycycline (Doryx, Vibramycin)
Griseofulvin (Fulvicin-P/G, Grifulvin V)
Narcotic pain relievers such as Percocet
Oral contraceptives
Other epilepsy drugs such as Dilantin, Depakene, and Depakote
Other sedatives such as Nembutal and Seconal
Steroids such as Medrol and Deltasone
Tranquilizers such as Xanax and Valium

Special information if you are pregnant or breastfeeding

Barbiturates such as phenobarbital may cause damage to the developing baby during pregnancy. Withdrawal symptoms may occur in an infant whose mother took barbiturates during the last 3 months of pregnancy. If you are pregnant or plan to become pregnant, inform your doctor immediately.

Phenobarbital appears in breast milk and could affect a nursing infant. If phenobarbital is essential to your health, your doctor may advise you to stop breastfeeding until your treatment is finished.

Recommended dosage

ADULTS

Sedation

The usual initial dose of phenobarbital is a single dose of 30 to 120 milligrams. Your doctor may repeat this dose at intervals, depending on how you respond to Phenobarbital.

You should not take more than 400 milligrams during a 24-hour period.

Daytime Sedation

The usual dose is 30 to 120 milligrams a day, divided into 2 to 3 doses.

To Induce Sleep

The usual dose is 100 to 200 milligrams.

Anticonvulsant Use

Phenobarbital dosage must be individualized on the basis of specific laboratory tests. Your doctor will determine the exact dose best for you. The usual dose is 60 to 200 milligrams daily.

CHILDREN

Anticonvulsant Use

The phenobarbital dosage must be individualized on the basis of specific laboratory tests. Your doctor will determine the exact dose best for your child.

The usual dose is 3 to 6 milligrams per 2.2 pounds of body weight per day.

DOSAGE ADJUSTMENT

People who are elderly or weak may be prescribed a lower dose. People who have liver or kidney disease may also require a lower dose of phenobarbital.

Overdosage

Barbiturate overdose can be fatal. If you suspect an overdose, seek medical treatment immediately.

• Symptoms of phenobarbital overdose may include:
  Congestive heart failure, diminished breathing, extremely low body temperature, fluid in lungs, involuntary eyeball movements, irregular heartbeat, kidney failure, lack of muscle coordination, low blood pressure, poor reflexes, skin reddening or bloody blisters, slowdown of the central nervous system