Phenobarbital for Alcohol Withdrawal: Difference between revisions

From Guide to YKHC Medical Practices

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Phenobarbital is a barbiturate which was first synthesized in 1911 and was marketed by Bayer as a sedative (originally named Luminal) in 1912.  PB's anti-seizure effects were quickly recognized in that same year.   
Phenobarbital is a barbiturate which was first synthesized in 1911 and was marketed by Bayer as a sedative in 1912 under the brand name ''Luminal''.  PB's anti-seizure effects were quickly recognized in that same year, and it is now the oldest anti-seizure medication on the marketDue to its age, a wealth of pharmacologic data exists for the drug.
 
PB was first used for alcohol withdrawal syndrome (AWS) in 1912, and it has remained in use for this purpose ever since.


PB is a GABA-agonist which has been known to be effective for treating alcohol withdrawal syndrome (AWS) since 1972.
PB is a GABA-agonist which has been known to be effective for treating alcohol withdrawal syndrome (AWS) since 1972.


When PB is used for outpatient treatment of AWS, it should be titrated to effect in a monitored setting.  Patients should ''never'' be discharged with a supply of oral PB for symptom-triggered dosing.
When PB is used for outpatient treatment of AWS, it should be titrated to effect in a monitored setting.  Patients should ''never'' be discharged with a supply of oral PB for symptom-triggered dosing.

Revision as of 16:24, 28 August 2019

Phenobarbital is a barbiturate which was first synthesized in 1911 and was marketed by Bayer as a sedative in 1912 under the brand name Luminal. PB's anti-seizure effects were quickly recognized in that same year, and it is now the oldest anti-seizure medication on the market. Due to its age, a wealth of pharmacologic data exists for the drug.

PB was first used for alcohol withdrawal syndrome (AWS) in 1912, and it has remained in use for this purpose ever since.

PB is a GABA-agonist which has been known to be effective for treating alcohol withdrawal syndrome (AWS) since 1972.

When PB is used for outpatient treatment of AWS, it should be titrated to effect in a monitored setting. Patients should never be discharged with a supply of oral PB for symptom-triggered dosing.