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QuickView for Phenobarbital (compound)


PubChem
Name: Phenobarbital
PubChem Compound ID: 10489854
Description: A barbituric acid derivative that acts as a nonselective central nervous system depressant. It promotes binding to inhibitory GAMMA-AMINOBUTYRIC ACID subtype receptors, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations.
Molecular formula: C12H12N2O3
Molecular weight: 234.222 g/mol
DrugBank
Identification
Name: Phenobarbital
Name (isomeric): DB01174
Drug Type: small molecule
Description: A barbituric acid derivative that acts as a nonselective central nervous system depressant. It promotes binding to inhibitory GAMMA-AMINOBUTYRIC ACID subtype receptors, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations.
Synonyms:
Fenobarbital; Phenylethylbarbiturate; Phenobarbitol; Phenobarbituric Acid; Phenylethylmalonylurea; Phenylethylbarbituric Acid; Phenobarbitone
Brand: Noptil, Sedonettes, Luminal, Somnoletten, Hypnette, Somnosan, Lubergal, Gardenal, Phenemalum, Seda-Tablinen, Solfoton, Lefebar, Codibarbita, Hennoletten, Lumen, Ensodorm, Lepinaletten, Barbiphenyl, Teoloxin, Lubrokal, Sedofen, Aphenylbarbit, Henotal, Cabronal, Gardepanyl, Eskabarb, Dezibarbitur, Neurobarb, Luramin, Fenosed, Sedlyn, Promptonal, Epanal, Pharmetten, Liquital, Somnolens, Lumesyn, Sombutol, Lepinal, Adonal, Aephenal, Phenobal, Sedabar, Ensobarb, Damoral, Duneryl, Bialminal, Epsylone, Sedizorin, Dormina, Phob, Phenomet, Cratecil, Aphenyletten, Hypnolone, Glysoletten, Sedicat, Leonal, Lephebar, Thenobarbital, Dormiral, Phenyral, Haplopan, Parkotal, Etilfen, Phenobarbyl, Hypnaletten, Hypno-Tablinetten, Sinoratox, Blu-Phen, Hysteps, Versomnal, Stental, Teolaxin, Dormital, Calmetten, Epilol, Triabarb, Agrypnal, Stental Extentabs, Bardorm, Zadonal, Zadoletten, Hypnoltol, Tridezibarbitur, Barbinal, Barbenyl, Talpheno, Bartol, Spasepilin, Barbita, Solu-Barb, Sevenal, Starifen, Barbonal, Starilettae, Chinoin, Lumofridetten, Fenbital, Lixophen, Hypnogen, Phenemal, Doscalun, Triphenatol, Phenoluric, Helional, Nunol, Barbivis, Lumesettes, Sedonal, Molinal, Episedal, Euneryl, Calminal, Haplos, Phenaemal, Barbipil, Phenonyl, Phen-Bar, Somonal, Epidorm, Phenoturic, Barbiphen, Coronaletta, Theoloxin, Luphenil, Fenemal, Cardenal, Polcominal, Barbophen, Phenyletten, Phenolurio, Fenylettae, Amylofene, Linasen, Nova-Pheno, Solfoton Talpheno, Nirvonal
Category: GABA Modulators, Hypnotics and Sedatives, Anticonvulsants, Excitatory Amino Acid Antagonists
CAS number: 50-06-6
Pharmacology
Indication: For the treatment of all types of seizures except absence seizures.
Pharmacology: Phenobarbital, the longest-acting barbiturate, is used for its anticonvulsant and sedative-hypnotic properties in the management of all seizure disorders except absence (petit mal).
Mechanism of Action:
Phenobarbital acts on GABAA receptors, increasing synaptic inhibition. This has the effect of elevating seizure threshold and reducing the spread of seizure activity from a seizure focus. Phenobarbital may also inhibit calcium channels, resulting in a decrease in excitatory transmitter release. The sedative-hypnotic effects of phenobarbital are lik...
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Absorption: Absorbed in varying degrees following oral, rectal or parenteral administration. The salts are more rapidly absorbed than are the acids. The rate of absorption is increased if the sodium salt is ingested as a dilute solution or taken on an empty stomach.
Protein binding: 20 to 45%
Biotransformation: Hepatic (mostly via CYP2C19).
Half Life: 53 to 118 hours (mean 79 hours)
Toxicity: CNS and respiratory depression which may progress to Cheyne-Stokes respiration, areflexia, constriction of the pupils to a slight degree (though in severe poisoning they may wshow paralytic dilation), oliguria, tachycardia, hypotension, lowered body temperature, and coma. Typical shock syndrome (apnea, circulatory collapse, respiratory arrest, and death) may occur.
Affected organisms: Humans and other mammals
Interactions
Food interaction:
Avoid alcohol.
Take on an empty stomach for quicker absorption
Increase dietary intake of magnesium, folate, vitamin B6, B12, and/or consider taking a multivitamin.
Avoid excessive quantities of coffee or tea (Caffeine).
Drug interaction:
PrednisoloneThe barbiturate, phenobarbital, may decrease the effect of the corticosteroid, prednisolone.
PrednisoneThe barbiturate, phenobarbital, may decrease the effect of the corticosteroid, prednisone.
Ethinyl EstradiolThis product may cause a slight decrease of contraceptive effect
TramadolPhenobarbital may decrease the effect of Tramadol by increasing Tramadol metabolism and clearance.
Folic AcidFolic acid decreases the effect of anticonvulsant, phenobarbital.
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