Barbiturate overdose

Barbiturate overdose is poisoning due to excessive doses of barbiturates. Symptoms typically include difficulty thinking, poor coordination, decreased level of consciousness, and a decreased effort to breathe (respiratory depression). Complications of overdose can include noncardiogenic pulmonary edema. If death occurs this is typically due to a lack of breathing.

Barbiturate overdose
Other namesBarbiturate poisoning, barbiturate toxicity
Molecular diagram of phenobarbital
SpecialtyEmergency medicine
SymptomsDecreased breathing, decreased level of consciousness
ComplicationsNoncardiogenic pulmonary edema
Duration6–12 hours
CausesAccidental, suicide
Diagnostic methodBlood or urine tests
Treatmentmedical support, activated charcoal
FrequencyUncommon

Barbiturate overdose may occur by accident or purposefully in an attempt to cause death. The toxic effects are additive to those of alcohol and benzodiazepines. The lethal dose varies with a person's tolerance and how the drug is taken. The effects of barbiturates occur via the GABA neurotransmitter. Exposure may be verified by testing the urine or blood.

While once a common cause of overdose, barbiturates are now a rare cause.

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