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[Attempted suicide with barbiturates purchased online]
S F Chavoushi1, L Mesman, P G Noordzij
1Meander Medisch Centrum, Amersfoort.
Nederlands Tijdschrift Voor Geneeskunde
|November 17, 2016
Summary
Barbiturate intoxication can be fatal, but prompt supportive care offers a good chance of full recovery. Awareness of potential internet-sourced barbiturate use is crucial for diagnosis.
Area of Science:
- Toxicology
- Emergency Medicine
- Pharmacology
Background:
- Barbiturate intoxication poses a significant lethal risk.
- Decreased use in epilepsy treatment has lowered incidence, but internet purchases for suicide attempts are rising.
- Governmental sources report increased illegal online acquisition of barbiturates.
Observation:
- Two cases of barbiturate intoxication (amobarbital and thiopental) are presented.
- Both patients acquired barbiturates via the Internet.
- Clinical presentation included coma, respiratory depression, and hemodynamic instability in one case.
Findings:
- Both patients recovered fully after intensive supportive therapy.
- Supportive care is key for managing barbiturate overdose.
- Early recognition and intervention improve patient outcomes.
Implications:
- Clinicians should consider barbiturate intoxication in patients with unexplained coma, respiratory depression, or shock.
- This is relevant even without a history of prescription or access.
- Increased vigilance for internet-sourced drug use in overdose cases is warranted.