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Barbital overdose and abuse.

D N Bailey, P I Jatlow

    American Journal of Clinical Pathology
    |September 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Barbital overdose is a growing concern, with high serum concentrations observed in patients who recovered with conservative care. Urine drug screening detected 16 barbital abusers in 1974.

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    Area of Science:

    • Toxicology
    • Clinical Pathology
    • Forensic Science

    Background:

    • Barbital, primarily used in laboratory buffers, is not a regulated pharmaceutical in the US.
    • Historically, barbital overdose and abuse were rare due to limited availability.

    Observation:

    • Eight recent cases of barbital overdose and abuse were documented.
    • Barbital was often obtained by theft from clinical or research laboratories.
    • Serum barbital concentrations were exceptionally high, exceeding those of other barbiturates.

    Findings:

    • Patients with serum concentrations up to 120.2 mg/dL survived with conservative therapy, including those with levels considered lethal for other barbiturates.
    • Patients regained consciousness when serum concentrations fell below 16.0 mg/dL.

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  • Serum concentrations exceeding 20.0 mg/dL strongly suggest barbital ingestion.
  • Implications:

    • Clinicians should consider barbital poisoning in cases of severe barbiturate intoxication, especially with unusually high serum levels.
    • The findings highlight the need for increased vigilance and screening for barbital abuse.
    • This study underscores the potential for misuse of laboratory chemicals and the importance of secure storage.