Propylbarbital

From WikiMD's medical encyclopedia

Propylbarbital

Chemical structure of Propylbarbital

Propylbarbital is a barbiturate derivative that has been used as a sedative and hypnotic agent. It is a central nervous system depressant that works by enhancing the activity of the neurotransmitter gamma-aminobutyric acid (GABA) at the GABA_A receptor.

Chemical Properties

Propylbarbital is chemically classified as a barbiturate, which is a class of drugs derived from barbituric acid. The chemical structure of propylbarbital includes a pyrimidine ring with various substituents that contribute to its pharmacological activity.

Pharmacology

Propylbarbital acts as a GABA_A receptor agonist, which increases the inhibitory effects of GABA in the central nervous system. This action results in sedation, anxiolysis, and hypnosis. Barbiturates like propylbarbital can also induce anesthesia at higher doses.

Clinical Use

Historically, propylbarbital was used for its sedative and hypnotic properties. It was prescribed to treat insomnia, anxiety, and seizure disorders. However, due to the development of safer alternatives such as benzodiazepines, the use of propylbarbital has declined.

Side Effects

Common side effects of propylbarbital include drowsiness, dizziness, and ataxia. Long-term use can lead to tolerance, dependence, and withdrawal symptoms. Overdose can result in severe respiratory depression and coma.

Legal Status

Due to its potential for abuse and dependence, propylbarbital is classified as a controlled substance in many countries. Its use is restricted to specific medical indications and is subject to regulatory oversight.

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Contributors: Prab R. Tumpati, MD