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Indications ⬇

BEERS REMS


Contraind./Precautions ⬆ ⬇

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects ⬆ ⬇

CV: IVhypotension

Derm: DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS (DRESS), photosensitivity, rash, STEVENS-JOHNSON SYNDROME (SJS), TOXIC EPIDERMAL NECROLYSIS (TEN), urticaria

GI: constipation, diarrhea, nausea, vomiting

Local: phlebitis

MS: arthralgia, myalgia

Neuro: hangover, delirium, depression, drowsiness, excitation, lethargy, neuralgia, vertigo

Resp: respiratory depression, IVLARYNGOSPASM, bronchospasm

Misc: HYPERSENSITIVITY REACTIONS (INCLUDING ANGIOEDEMA AND SERUM SICKNESS), physical dependence, psychological dependence

Interactions ⬆ ⬇

Drug-drug:

Drug-Natural Products:

Availability ⬆ ⬇

(Generic available)

Route/Dosage ⬆ ⬇

Status Epilepticus

Maintenance Anticonvulsant

Sedation

Hypnotic

Hyperbilirubinemia

US Brand Names ⬆ ⬇

Luminal, Sezaby

Action ⬆ ⬇

  • Produces all levels of CNS depression.
  • Depresses the sensory cortex, decreases motor activity, and alters cerebellar function.
  • Inhibits transmission in the nervous system and raises the seizure threshold.
  • Capable of inducing (speeding up) enzymes in the liver that metabolize drugs, bilirubin, and other compounds.
Therapeutic effects:
  • Anticonvulsant activity.
  • Sedation.

Classifications ⬆ ⬇

Therapeutic Classification: anticonvulsants, sedative/hypnotics

Pharmacologic Classification: barbiturates

Pharmacokinetics ⬆ ⬇

Absorption: Absorption is slow but relatively complete (70–90%).

Distribution: Unknown.

Metabolism/Excretion: 75% metabolized by the liver; 25% excreted unchanged by the kidneys.

Half-Life: Neonates: 1.8–8.3 days; Infants: 0.8–5.5 days; Children: 1.5–3 days; Adults: 2–6 days.

Contr. Subst. Schedule ⬆ ⬇

Schedule IV (C-IV)

Time/Action Profile ⬆ ⬇

(sedation‡)
ROUTEONSETPEAKDURATION
PO30–60 minunknown>6 hr
IM, SUBQ10–30 minunknown4–6 hr
IV5 min30 min4–6 hr

‡Full anticonvulsant effects occur after 2–3 wk of chronic dosing unless a loading dose has been used.

Patient/Family Teaching ⬆ ⬇

Pronunciation ⬆ ⬇

fee-noe-BAR-bi-tal

Code ⬆

NDC Code