Friday 3 June 2011

butabarbital


Generic Name: butabarbital (byoo ta BAR bi tal)

Brand names: Butisol Sodium, Busodium


What is butabarbital?

Butabarbital is in a group of drugs called barbiturates (bar-BIT-chur-ates). Butabarbital slows the activity of your brain and nervous system.


Butabarbital is used short-term to treat insomnia, or as a sedative before surgery.


Butabarbital may also be used for purposes other than those listed in this medication guide.


What is the most important information I should know about butabarbital?


Butabarbital may cause a severe allergic reaction. Stop taking butabarbital and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Take butabarbital only when you are getting ready for several hours of sleep. You may fall asleep very quickly after taking the medicine.

Some people using this medicine have engaged in activity such as driving, eating, or making phone calls and later having no memory of the activity. If this happens to you, stop taking butabarbital and talk with your doctor about another treatment for your sleep disorder.


Do not use butabarbital without telling your doctor if you are pregnant. It could cause harm to the unborn baby. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment. Butabarbital can make birth control pills less effective. Ask your doctor about using a non-hormone method of birth control (such as a condom, diaphragm, spermicide) to prevent pregnancy while taking butabarbital. Butabarbital may be habit-forming and should be used only by the person it was prescribed for. Butabarbital should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.

What should I discuss with my healthcare provider before taking butabarbital?


Some people using this medicine have engaged in activity such as driving, eating, or making phone calls and later having no memory of the activity. If this happens to you, stop taking butabarbital and talk with your doctor about another treatment for your sleep disorder.


Do not take this medication if you are allergic to butabarbital, aspirin, or any kind of yellow dye (coloring in food or medicines).

Before taking butabarbital, tell your doctor if you are allergic to any drugs, or if you have:



  • severe asthma, chronic obstructive pulmonary disorder (COPD), or other breathing disorder;



  • liver disease;


  • anemia (lack of red blood cells);




  • a history of depression, mental illness, or suicide attempt; or




  • a history of drug or alcohol addiction.



If you have any of these conditions, you may not be able to use butabarbital, or you may need a dosage adjustment or special tests during treatment.


Butabarbital may be habit-forming and should be used only by the person it was prescribed for. Butabarbital should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. FDA pregnancy category D. This medication can cause harm to an unborn baby. Do not use butabarbital without your doctor's consent if you are pregnant. Tell your doctor if you become pregnant during treatment. Use an effective form of birth control while you are using this medication. Butabarbital can make birth control pills less effective. Ask your doctor about using a non-hormone method of birth control (such as a condom, diaphragm, spermicide) to prevent pregnancy while taking butabarbital. Butabarbital can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take butabarbital?


Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.


Take butabarbital only when you are getting ready for several hours of sleep. You may fall asleep very quickly after taking the medicine. Take this medicine with a full glass of water. Do not mix butabarbital oral liquid with any type of fruit juice.

Measure the liquid form of butabarbital with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.


If you are taking this medicine to treat insomnia, take it only at bedtime. Call your doctor if your insomnia symptoms do not improve within 7 to 10 days of taking butabarbital.


Do not change your dose of butabarbital without your doctor's advice. Do not use butabarbital for longer than 2 weeks to treat insomnia, unless your doctor has told you to. You may have withdrawal symptoms (such as anxiety, insomnia, or feeling irritable) when you stop using butabarbital after using it over a long period of time. Do not stop using butabarbital suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely. Store butabarbital at room temperature away from moisture and heat.

Keep track of how many pills have been used from each new bottle of this medicine. Butabarbital is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.


See also: Butabarbital dosage (in more detail)

What happens if I miss a dose?


Skip the missed dose and wait until your next regularly scheduled time to take the medicine. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention if you think you have used too much of this medicine. An overdose of butabarbital can be fatal.

Symptoms of a butabarbital overdose may include slow or shallow breathing, blurred vision, extreme drowsiness, feeling light-headed, or fainting.


What should I avoid while taking butabarbital?


Butabarbital can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by butabarbital. Tell your doctor if you need to use any of these other medicines while you are taking butabarbital. Avoid drinking alcohol. It can increase some of the side effects of butabarbital.

Butabarbital side effects


Butabarbital may cause a severe allergic reaction. Stop taking butabarbital and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

  • feeling like you might pass out;




  • a fever or a sore throat;




  • sores in your mouth;




  • easy bruising or bleeding; or




  • trouble breathing or swallowing.



Less serious side effects may be more likely to occur, such as:



  • drowsiness or dizziness;




  • problems with memory or concentration;




  • excitement (especially in children or older adults);




  • joint or muscle pain;




  • nausea, vomiting, upset stomach, constipation; or




  • nightmares or increased dreaming.



This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.


Butabarbital Dosing Information


Usual Adult Dose for Sedation:

Daytime sedation: 15 to 30 mg orally 3 to 4 times daily.

Preoperative sedation: 50 to 100 mg orally 60 to 90 minutes prior to surgery.

Usual Adult Dose for Insomnia:

50 to 100 mg orally once at bedtime

Usual Pediatric Dose for Sedation:

Preoperative sedation: 2 to 6 mg/kg orally, up to a maximum of 100 mg.


What other drugs will affect butabarbital?


The following drugs can interact with butabarbital. Tell your doctor if you are using any of these:



  • a blood thinner such as warfarin (Coumadin);




  • seizure medication;




  • metronidazole (Flagyl);




  • theophylline (Theo-Dur, Theochron, Theolair, Slo-Bid, others);




  • rifampin (Rifadin, Rifamate, Rimactane);




  • a beta-blocker such as metoprolol (Lopressor, Toprol), propranolol (Inderal, InnoPran), and others;




  • an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate);




  • a calcium channel blocker such as felodipine (Plendil) or verapamil (Calan, Covera); or




  • steroids such as prednisone (Orasone, Deltasone), prednisolone (Prelone, Delta Cortef), methylprednisolone (Medrol), and others.



This list is not complete and there may be other drugs that can interact with butabarbital. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.



More butabarbital resources


  • Butabarbital Side Effects (in more detail)
  • Butabarbital Dosage
  • Butabarbital Use in Pregnancy & Breastfeeding
  • Butabarbital Drug Interactions
  • Butabarbital Support Group
  • 1 Review for Butabarbital - Add your own review/rating


  • Butabarbital MedFacts Consumer Leaflet (Wolters Kluwer)

  • Butisol Sodium Advanced Consumer (Micromedex) - Includes Dosage Information



Compare butabarbital with other medications


  • Insomnia
  • Sedation


Where can I get more information?


  • Your pharmacist can provide more information about butabarbital.

See also: butabarbital side effects (in more detail)


No comments:

Post a Comment