Skip to main content
California Medicine logoLink to California Medicine
. 1952 Dec;77(6):383–386.

ACUTE AND CHRONIC BARBITURATE INTOXICATION—Recent Advances in Therapeutic Management

Eugene A Hargrove, A E Bennett, Frederick R Ford
PMCID: PMC1521533  PMID: 13009498

Abstract

The increase of addiction to barbiturates and in the number of deaths from overdoses constitutes a growing and serious health problem.

Although the symptoms of both acute and chronic barbiturate intoxication resemble those of other drug intoxications, correct diagnosis can be made through an accurate history, a physical examination and the finding of increased nonprotein nitrogen in the blood and of a characteristic fast pattern in an electroencephalogram.

Metrazol® and electrostimulation, with adjuvant therapy, are discussed as the most advantageous methods of treating acute barbiturate intoxication; the addition of emetics to barbiturates to prevent overdosage is considered.

Carefully controlled withdrawal and psychiatric rehabilitation are necessary to treatment of addiction, but as patients are usually uncooperative the prognosis is poor.

Full text

PDF
383

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ISBELL H. Addiction to barbiturates and the barbiturate abstinence syndrome. Ann Intern Med. 1950 Jul;33(1):108–121. doi: 10.7326/0003-4819-33-1-108. [DOI] [PubMed] [Google Scholar]
  2. JONES A. W., DOOLEY J. D., MURPHY J. R. Treatment of choice in barbiturate poisoning; series of twenty-nine cases of barbiturate poisoning treated with pentylenetetrazole (Metrazol) and supportive therapy. J Am Med Assoc. 1950 Jul 8;143(10):884–888. doi: 10.1001/jama.1950.02910450024007. [DOI] [PubMed] [Google Scholar]
  3. MISKIMON R. M., MISKIMON R. R. A method for the prevention of suicidal deaths caused by the barbituric acid derivatives. Va Med Mon (1918) 1950 Mar;77(3):119–122. [PubMed] [Google Scholar]
  4. PINCH C., GEOGHEGAN J. J. Barbiturate poisoning treated with modified electrotherapy. Can Med Assoc J. 1951 Mar;64(3):233–234. [PMC free article] [PubMed] [Google Scholar]
  5. ROBIE T. R. Immediate treatment of barbiturate poisoning; use of electrostimulatory therapy. J Med Soc N J. 1950 Aug;47(8):370–374. [PubMed] [Google Scholar]

Articles from California Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES