Barbiturates Metabolism Analysis

Improved Essays
Metabolism:
The following section will discuss the ways in which the body metabolizes barbiturates, to be more precise, the pharmacokinetics of barbiturates. Pharmacokinetics refers to how the body absorbs, distributes, binds, localizes, stores and excretes a drug (Tripathi, 2013). Factors such as absorption, distribution, and metabolism are variables that determine the drugs onset of effect and duration (Meyer & Quenzer, 2013). Barbiturates come in the form of capsules or antiesthetic, and can be administered orally, intravenously, intramuscularly or rectally. Through oral administration, barbiturates can be absorbed rapidly as a result of the sodium rapidly dissolving and being absorbed faster than corresponding free acids (Moro-Sutherland,
…show more content…
Barbiturates are rapidly distributed throughout the body, appearing in the brain, liver and kidneys (Moro-Sutherland, 2000). The majority of metabolism of barbiturates occurs within the liver, and excreted in the urine. The poorly protein bounded long-acting barbiturates results in a higher excretion by the kidneys, whereas shorter-acting barbiturates are significantly higher protein bound in contrast which results in the redistribution and circulation into the body fat (Moro-Sutherland, 2000). The rate of metabolism is dependent upon varying lipid solubility, age of the person, and other drugs consumed (Korsmeyer & Kranzler, 2009); the effects barbiturates has on the central nervous system ranges from mild sedation to complete coma depending on a number of factors including the type of barbiturate used and its dosage as well as the route of administration (Korsmeyer & …show more content…
The differences within barbiturates revolve around onset and duration of action, as well as their ability to enter the brain and their metabolizing rate (Korsmeyer & Kranzler, 2009). These variabilities in molecular structures determine lipid solubility and the length at which they act, where three general categories exist; ultra-short acting, short intermediate acting and long-acting (Meyer & Quenzer, 2013). Barbiturates that fall under the ultra-short acting include thiopental (Pentotal) and hexobarbital (Evipal) (Meyer & Quenzer, 2013). Hexobarbital was one of the first sort acting intravenous antiesthetic and within the first ten years since its introduction, it was estimated that 10 million people had received its treatments (Dundee & Dundee,

Related Documents

  • Improved Essays

    Part B Q1. The normal dose of paracetamol is very safe to use and it is not over 4g per 24 hours; however, when the patient take more than 6g per 24 hours of paracetamol, the liver necrosis will happen within 10 to 12 hours and liver damage may occur within 24 to 48 hours. For the metabolism, most of the paracetamol is converted to nontoxic metabolites by the phase II conjugation of glucuronide and sulfate and a small amount of paracetamol is oxidized by the Cytochrome P450 (CYP) enzymes in the phase I metabolism. In this phase, CYP1A2 and CYP2E1 enzymes convert paracetamol to N-acetyl-p-benzoquinoneimine (NAPBQI) which is highly toxic substances.…

    • 885 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Albuterol Essay

    • 739 Words
    • 3 Pages

    Albuterol (also known as Salbutamol) is a medication indicated for the treatment of both asthma and chronic obstructive pulmonary disease (COPD). This agent works by activating 훽2-adrenergic receptors in the lungs, causing bronchodilation and improving airway patency. In the acute care setting, albuterol is often given via nebulization.1,2 The tablet formulation of albuterol exists as well. However, with albuterol having a low systemic bioavailability, ordering albuterol in its tablet form is not appropriate.…

    • 739 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The bioavailability or clearance can commonly be altered by a pathophysiologic change or co-administration of a second drug? Give an example of a disease/drug, drug/drug, or drug/food interaction with your molecule. Concurrent use of Fluconazole and Losartan changes the bioavailability of Losartan. Bioavailability of Losartan increases since fluconazole is a potent inhibitor of the cytochrome P450 2C9, which metabolizes Losartan.…

    • 656 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Altered Pharmacodynamics

    • 837 Words
    • 4 Pages

    Pharmacodynamics: Ibuprofen is a NSAID with anti-inflammatory; analgesic and antipyretics effects are the results of the ability to block the cyclooxygenase (COX) enzyme system, leading to the inhibition of the synthesis of prostaglandins [6]. COX is the enzyme used for prostaglandin biosynthesis [3]. Both COX-1 and COX-2 enzymes are involved with prostaglandin production. The inhibition of these enzymes results in decreased synthesis of prostaglandin thus decreasing pain, fever, and swelling [4].…

    • 837 Words
    • 4 Pages
    Great Essays
  • Great Essays

    OBJECTIVE #1 - The clinical manifestation of, and risk factors for, rhabdomyolysis • Rhabdomyolysis is a condition of skeletal muscle breakdown due to the release of intracellular components into the bloodstream, including myoglobin, creatine kinase, aldolase, lactate dehydrogenase, and electrolytes (DynaMed Plus, 2016). • The patient may experience systemic symptoms that may include fever, malaise, nausea, dyspepsia, emesis, muscle pain, weakness and swelling of injured muscles, tea-colored urine (DynaMed Plus, 2016). • High statin dosage and renal disease combined are associated with an increased risk for developing rhabdomyolysis (Wiley, 2006, p. 357). Other high risk factors include the use of drugs and/or alcohol, high body temperature,…

    • 1074 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Rg's Ischaemic Case Study

    • 528 Words
    • 3 Pages

    A patient named RG has ischaemic heart disease with two previous myocardial infarctions (MIs) is admitted to ICU after undergoing coronary artery bypass grafting. After surgery, his preoperative ejection fraction was 45%. He also has controlled hypertension and hypercholesterolaemia. He needs mechanical ventilation and pulmonary artery catheter in place. His blood pressure and urine output have fallen after one hour admission to the ICU.…

    • 528 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Amlodipine: A Case Study

    • 2183 Words
    • 9 Pages

    1. Amlodipine is a medication used to lower blood pressure and prevent chest pain. It belongs to a group of medications known as long acting dihydropyridine-type calcium channel blockers. Amlodipine widen the blood vessels and improves blood flow. Widening of these blood vessels lowers blood pressure.…

    • 2183 Words
    • 9 Pages
    Superior Essays
  • Improved Essays

    Hypoalgesia Summary

    • 653 Words
    • 3 Pages

    In one randomized, double-blind, placebo-controlled, 4-way crossover study in healthy volunteers known to be extensive CYP2D6 metabolizers, the authors studied the effects of paroxetine, a strong CYP2D6 inhibitor, on the stereo-selective and hypoalgesic effects of tramadol. The authors demonstrated the use of paroxetine significantly inhibited the metabolism of tramadol to its active metabolite, M1, and reduced, but did not abolish the hypoalgesic effect of tramadol, particularly in opioid-sensitive tests. This study further supports previous studies on the role of M1 in tramadol’s analgesic properties, as well as the idea that other mechanisms are responsible for some of the hypoalgesia, indicating the effect of drug-drug interactions on tramadol’s analgesic effect. This study also showed higher plasma levels of the parent compounds (-) and (+) tramadol with concurrent paroxetine administration. Bupropion strongly inhibits CYP2D6 and therefore, could reduce the metabolism of medications cleared through this enzyme, such as…

    • 653 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    This narcotic affects the physical body of the user to a drastic, visible extreme as well as on an intellectual level that is not able to be seen through the eyes. The destruction…

    • 931 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Meth Research Paper

    • 772 Words
    • 4 Pages

    Far as the intravenous goes, it takes the drug (15-30 seconds) for the drug to enter the brain. Normally when someone decides to use a drug orally, they usually wrap it in a piece of tissue. Predominately when people decide to use this drug orally, they don’t have the slightest idea that “it slows metabolic functions, thus preventing its own absorption into the bloodstream” (Drugtoxicology). Far as the oral approach goes, it is known to take (20-30 seconds) for the drug to reach the abuser 's brain. This leads me to my next point, the route of administration that reaches the brain the fastest is inhaling.…

    • 772 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Non Rational Suicide

    • 1055 Words
    • 5 Pages

    One of the most common therapies is Palliative Sedation. In palliative sedation therapy, symptom relief is achieved by lessening the pain or eliminating the consciousness of the patient. One of the most common methods to provide palliative care, is through the use of drugs. The drugs that are often used are analgesics and barbiturates. Barbiturates act on the central nervous system by causing drowsiness, relieving everyday anxiety, and make people feel relaxed and calm.…

    • 1055 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Grace Bratlee AUDSLP 581 Swallowing I Midterm 1. Tips on Difficulty Swallowing Pills The normal swallow involves a series of steps that aid an individual when he or she is trying to swallow a variety of substances including liquids, solid foods, and pills. When a substance (food, liquid, etc.) enters the individual’s oral cavity, saliva and mastication form the substance into a bolus. During the oral phase of a normal swallow, the tongue tip touches the alveolar ridge as the tongue pushes the bolus back into the pharynx and the pharyngeal swallow is activated.…

    • 1915 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    In theory the first injection puts you to sleep, the second relaxes you, and the third speeds your heart up so much that it eventually gives out. The problem is the doctors and nurses are not allowed to perform these tasks due to ethical guidelines; which leaves those without specific training to administer the dosing (Motluk). This leaves a large range for error when it comes to the life of the patient. “Even where the same execution protocol and the same blood sampling procedure was used, they found that levels varied dramatically - from 8.2 to 370 milligrams per liter. In other inmates, mere trace levels were recorded” (Motluk).…

    • 1954 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    The studies on dose-response relationships help to assess both qualitative and quantitative characteristics of a drug. In addition, they are important for determination of therapeutic doses, precise dose adjustments and to avoid toxicity due to higher doses. Therefore, a detailed dose-response study is a premier requirement to understand the pharmacodynamic properties of a…

    • 736 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    The purpose of this experiment was to determine the presence of the analgesic compounds acetaminophen, aspirin, caffeine, and salicylamide in the over-the-counter medications Anacin, Bufferin, Excedrin, and Tylenol. Thin-layer chromatography (TLC) was used to analyze solutions of the medications; the TLC plates were visualized using ultraviolet light and iodine staining. The ten micropipets used to spot the TLC plates were made from glass capillary tubes by heating the middle of each tube in a Bunsen burner flame, pulling the ends of the tube away from each other so that the middle was stretched into a thinner tube, and breaking the cooled capillary in the middle to form two micropipets. Two silica-gel TLC plates were spotted with solutions…

    • 1415 Words
    • 6 Pages
    Great Essays