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Pentobarbital
Pentobarbital
Pronunciation
(pen toe BAR bi tal)
Brand Names
Nembutal®
Therapeutic Categories
Anticonvulsant; Barbiturate; Sedative
What is this medicine used for?
- This medicine is used as a calming agent or as a short-term sleeping
agent.
How does it work?
- Pentobarbital slows the brain. It causes you to be calm and sleepy.
How is it best taken?
- A liquid (elixir) is available if you cannot swallow pills. Those who have
feeding tubes can also use the liquid. Flush the feeding tube before and after
medicine is given.
- Can give elixir with water, milk, or juice.
- Take 30-60 minutes before bedtime for sleep. Do not take for more than 2
weeks. It loses its effect.
- Use suppository rectally.
What do I do if I miss a dose?
- Take a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed one. Return to your
regular schedule.
- Do not take a double dose or extra doses.
- When taken for sleep may be on an as needed basis.
- If used for sleep, it is taken on an as needed basis.
- Do not change dose or stop medicine without talking with healthcare
provider.
What are the precautions when taking this
medicine?
- Check medicines with healthcare provider. This medicine may not mix well
with other medicines.
- This medicine may be habit-forming with long-term use.
- If you are 65 or older, you may have more side effects. You could feel
sleepy and shaky.
- You may not be alert. Avoid driving, doing other tasks or hobbies until you
see how this medicine affects you.
- Avoid alcohol (includes wine, beer, and liquor) and other medicines that
slow your actions and reactions. This includes sedatives, tranquilizers, mood
stabilizers, or pain medicine. Talk with healthcare provider.
- Limit caffeine (teas, coffee, colas) and chocolate intake.
- Make sure you have enough calcium and vitamin D in your diet. Talk to
nutritionist.
- Tell healthcare provider if you have lung disease. You may be very
sensitive to this medicine.
- Tell healthcare provider if you are allergic to any medicine. Make sure to
tell about the allergy and how it affected you. This includes telling about
rash; hives; itching; shortness of breath; wheezing; cough; swelling of face,
lips, tongue, throat; or any other symptoms involved.
- Do not use in pregnancy and do not get pregnant. Use birth control that you
can trust while taking this medicine.
- Do not use if you are breast-feeding.
What are the common side effects of this
medicine?
- Feeling tired and sleepy. Avoid driving, doing other tasks or hobbies that
require you to be alert until you see how this medicine affects you.
- Unable to think clearly or concentrate on an activity; recent memory loss.
- Dizziness is common. Rise slowly over several minutes from sitting or lying
position. Be careful climbing stairs.
What should I monitor?
- Follow up with healthcare provider.
Reasons to call healthcare provider
immediately
- Signs of a life-threatening reaction. These include wheezing; tightness in
the chest; fever; itching; bad cough; blue skin color; fits; swelling of face,
lips, tongue, or throat.
- Very nervous and excitable.
- Changes in balance, feeling shaky or unsteady.
- Changes in thinking clearly and logically.
- Too tired or sleepy.
- Difficulty breathing.
How should I store this medicine?
- Store capsules and elixir at room temperature.
- Store suppositories in a refrigerator.
General statements
- Do not share your medicine with others and do not take anyone else's
medicine.
- Keep all medicine out of the reach of children and pets.
- Keep a list of all your medicines (prescription, herbal/supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, pharmacist, physician assistant).
- Talk with healthcare provider before starting any new medicine, including
over-the-counter or natural products (herbs, vitamins).
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