Chloral betaine

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A sedative and hypnotic drug


Chloral betaine
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Chloral betaine is a sedative and hypnotic drug that is used to induce sleep and reduce anxiety. It is a derivative of chloral hydrate, a well-known sedative, and is often used in the treatment of insomnia and other sleep disorders.

Chemical Structure

Chloral betaine is a complex formed between chloral hydrate and betaine. The chemical structure of chloral betaine allows it to release chloral hydrate slowly in the body, which contributes to its sedative effects. The molecular formula of chloral betaine is C5H11Cl3O2N.

Chemical structure of chloral betaine

Pharmacology

Chloral betaine acts as a central nervous system depressant. It works by enhancing the effects of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) in the brain, which leads to sedation and hypnosis. The drug is metabolized in the liver to produce chloral hydrate, which is the active form responsible for its pharmacological effects.

Uses

Chloral betaine is primarily used for its sedative and hypnotic properties. It is prescribed for:

  • Insomnia: To help patients fall asleep and stay asleep.
  • Anxiety: To reduce anxiety levels, especially before medical procedures.

Side Effects

Common side effects of chloral betaine include:

In some cases, more severe side effects can occur, such as respiratory depression and allergic reactions.

Precautions

Patients should use chloral betaine with caution, especially if they have a history of:

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Contributors: Prab R. Tumpati, MD