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ペントバルビタールは、バルビツール酸系の鎮静剤で、抗うつ剤として作用し、不眠症の短期治療に使用されます。また、発作の緊急治療や、手術中の患者の眠気を誘うためにも使用されます。

ペントバルビタールは、ネンブタールという商品名で販売されています。

ペントバルビタールの用量
成人および小児の剤形および含量

注射液:スケジュールII

50mg/mL
用量に関する考慮事項 – 以下のように投与すること:

睡眠薬

成人:

成人、初回投与:100mgを静脈内(IV)投与、または150~200mgを筋肉内(IM)投与
効果が完全に現れるまで、少なくとも1分経過後に薬剤を少量ずつ増量してもよい
500mgを超えないこと
小児:2~6mg/kgを筋肉内(IM)投与、1回投与。100mgを超えないこと

バルビツール酸系昏睡
負荷:10~15mg/kgを30分かけて静脈内(IV)投与。その後、5mg/kgを1時間ごとにIV投与し、3回投与する
維持:1mg/kg/時をIV投与2~4 mg/kg/時間に増量する

腎不全
低用量で投与する
肝不全

低用量で投与する
小児における処置前鎮静

筋肉内(IM)投与:2~6 mg/kg、または
静脈内(IV)投与:1~3 mg/kg
IM投与量100 mgを超えないこと
その他の適応症および用途

急性けいれん発作
投与量に関する考慮事項

高齢者:推奨されません。必要に応じて低用量で投与してください。

ペントバルビタールの使用に伴う副作用は何ですか?
ペントバルビタールの一般的な副作用は以下のとおりです。

皮膚の腫れ(まれ)
心拍数の低下
低血圧
興奮
平衡感覚または協調運動の喪失
中枢神経系の抑制
錯乱
めまい
発熱
頭痛
筋肉のけいれん
悪夢
神経過敏
眠気(頻繁)
失神
皮膚の発疹
スティーブンス・ジョンソン症候群
便秘
吐き気
嘔吐
全身性エリテマトーデス(SLE)
特に睡眠中の一時的な呼吸停止(無呼吸)
低換気
記憶力または集中力の低下
興奮
易怒性
攻撃性(特に小児または高齢者)
眠気
「二日酔い」効果(服用翌日の眠気)
不眠症
不安
低血圧圧迫感
注射部位反応
無顆粒球症(まれ)
長期使用による巨赤芽球性貧血(まれ)
長期使用による肝障害(まれ)
ネンブタールの重篤な副作用:

幻覚
呼吸の弱化または浅化
心拍数の低下
脈拍の減少
失神しそうな気分

ペントバルビタールの警告と注意事項は何ですか?
警告
この薬にはペントバルビタールが含まれています。ペントバルビタールまたはこの薬に含まれる成分にアレルギーがある場合は、ネンブタールを服用しないでください。

小児の手の届かないところに保管してください。過剰摂取した場合は、直ちに医師の診察を受けるか、中毒情報センターに連絡してください。

禁忌
バルビツール酸系薬剤過敏症、ポルフィリン症、肝疾患、重度の呼吸器疾患
薬物乱用の影響
今すぐ
短期的な影響
「ペントバルビタールの使用に関連する副作用は何ですか?」をご覧ください。
長期的影響
「ペントバルビタールの使用に伴う副作用とは?」をご覧ください。
注意事項
幼児および妊婦における全身麻酔薬および鎮静薬

脳の発達

長期または反復曝露は、胎児または幼児の脳の発達に悪影響を及ぼす可能性があります。
3歳未満の小児または妊娠後期の妊婦への手術または処置中の使用には注意が必要です。
これらの集団、特に長時間の処置(3時間以上)または複数の処置については、リスクとベネフィットの比を評価してください。
妊娠と授乳
妊娠中はペントバルビタールを使用しないでください。リスクが潜在的なベネフィットを上回ります。より安全な代替薬があります。 ペントバルビタールとは何か、どのように作用するのか?

妊娠中のペントバルビタールは、より安全な薬剤が利用できない、生命を脅かす緊急事態にのみ使用してください。ヒト胎児へのリスクに関する明確な証拠があります。

ペントバルビタールは母乳中に分泌されるため、授乳中は注意が必要です。

https://www.rxlist.com/ペントバルビタール/ジェネリック医薬品.htm


Pentobarbital is a barbiturate that acts as a depressant, or sedative, used short-term to treat insomnia. Pentobarbital is also used as an emergency treatment for seizures, and to cause patients to fall asleep for surgery.

Pentobarbital is available under the following different brand names: Nembutal.

Dosages of Pentobarbital
Adult and Pediatric Dosage Forms and Strengths

Injectable solution: Schedule II

50 mg/mL
Dosage Considerations – Should be Given as Follows:

Hypnotic

Adult:

Adult, Initial: 100 mg intravenously (IV) OR 150-200 mg intramuscularly (IM)
May give small increments of drug after at least 1 minute to reach full effect
Not to exceed 500 mg
Pediatric: 2-6 mg/kg IM once; not to exceed 100 mg
Barbiturate Coma

Load: 10-15 mg/kg intravenously (IV) over 30 min; follow by 5 mg/kg IV every 1 hour for 3 doses
Maintenance: 1 mg/kg/hour IV; may increase to 2-4 mg/kg/hour
Renal Failure

Use lower dose
Hepatic Failure

Use lower dose
Pre-procedure Sedation, Pediatric

2-6 mg/kg intramuscularly (IM), OR
1-3 mg/kg intravenously (IV)
Not to exceed 100 mg IM
Other Indications and Uses

Acute convulsive episodes
Dosing Considerations

Geriatric: Not recommended; use lower dose if use becomes necessary

What Are Side Effects Associated with Using Pentobarbital?
Common side effects of pentobarbital include:

Skin swelling (rare)
Slow heart rate
Low blood pressure (hypotension)
Agitation
Loss of balance or coordination
Central nervous system (CNS) depression
Confusion
Dizziness
Fever
Headache
Muscle spasm
Nightmares
Nervousness
Somnolence (frequent)
Fainting
Skin rash
Stevens-Johnson syndrome
Constipation
Nausea
Vomiting
Systemic lupus erythematosus (SLE)
Temporary pause in breathing, especially during sleep (apnea)
Hypoventilation
Problems with memory or concentration
Excitement
Irritability
Aggression (especially in children or older adults)
Drowsiness
“Hangover” effect (drowsiness the day after a dose)
Insomnia
Anxiety
Low blood pressure
Injection site reactions
Agranulocytosis (rare)
Megaloblastic anemia with prolonged use (rare)
Injury of liver with prolonged use (rare)
Serious side effects of Nembutal such as:

Hallucinations
Weak or shallow breathing
Slow heart rate
Weak pulse
Feeling like you might pass out

What Are Warnings and Precautions for Pentobarbital?
Warnings
This medication contains pentobarbital. Do not take Nembutal if you are allergic to pentobarbital or any ingredients contained in this drug.

Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center immediately.

Contraindications
Barbiturate sensitivity, porphyria liver disease, severe respiratory disease
Effects of Drug Abuse
None
Short-Term Effects
See “What Are Side Effects Associated with Using Pentobarbital?”
Long-Term Effects
See “What Are Side Effects Associated with Using Pentobarbital?”
Cautions
General anesthetics and sedation drugs in young children and pregnant women

Brain development

Prolonged or repeated exposure may result in negative effects on fetal or young children’s brain development
Caution with use during surgeries or procedures in children younger than 3 years or in pregnant women during their third trimester
Assess the risk:benefit ratio in these populations, especially for prolonged procedures (i.e., greater than 3 hours) or multiple procedures
Pregnancy and Lactation
Do not use pentobarbital in pregnancy. The risks involved outweigh potential benefits. Safer alternatives exist.

Use pentobarbital during pregnancy only in LIFE-THREATENING emergencies when no safer drug is available. There is positive evidence of human fetal risk.

Pentobarbital is secreted in breast milk; use caution if breastfeeding.

https://www.rxlist.com/pentobarbital/generic-drug.htm

ネンブタールとは?
ネンブタール(ペントバルビタールナトリウム)は、バルビツール酸系の鎮静剤で、抗うつ剤として作用し、不眠症の短期治療に使用されます。また、発作の緊急治療や、手術中の患者の眠気を誘う目的でも使用されます。ネンブタールはジェネリック医薬品としても入手可能です。 ネンブタール(ペントバルビタールナトリウム)

ネンブタールの副作用は何ですか?
ネンブタールの一般的な副作用には、以下のものがあります。

記憶力や集中力の低下、
興奮、
易刺激性、
攻撃性(特に小児や高齢者)、
混乱、
平衡感覚や協調運動能力の喪失、
悪夢、
吐き気、
嘔吐、
便秘、
頭痛、
眠気、
「二日酔い」効果(服用翌日の眠気)、
興奮、
神経過敏、
不眠、
不安、
めまい、
低血圧、
注射部位反応、
皮膚の発疹。
ネンブタールの重篤な副作用(以下の場合)が現れた場合は、直ちに医師の診察を受けてください。

幻覚、
呼吸の弱さや浅さ、
心拍数の低下、
脈拍の弱さ、
失神しそうな気分。
ネンブタールの投与量
ネンブタールの投与量は、患者の年齢、体重、および状態によって決定されます。

ネンブタールと相互作用を起こす薬剤、物質、サプリメントは何ですか?
ネンブタールは、血液凝固阻止剤、ドキシサイクリン、他の抗てんかん薬、MAO阻害薬、グリセオフルビン、避妊薬、ホルモン補充療法用エストロゲン、ステロイドなどの薬剤と相互作用を起こす可能性があります。服用しているすべての薬剤を医師に伝えてください。

妊娠中および授乳中のネンブタール
妊娠中はネンブタールを使用しないでください。胎児に害を及ぼす可能性があります。妊娠中に母親がネンブタールを使用すると、新生児に依存性や離脱症状を引き起こす可能性があります。ネンブタールは母乳に移行し、授乳中の乳児に害を及ぼす可能性があります。授乳中の場合は、医師に相談せずにこの薬を使用しないでください。ネンブタールは習慣性がある可能性があります。長期使用後にネンブタールの使用を突然中止しないでください。離脱症状が現れる場合があります。 ネンブタール(ペントバルビタールナトリウム)

追加情報
ネンブタール副作用薬物センターでは、この薬を服用した際に起こりうる副作用に関する包括的な薬物情報を提供しています。

https://www.rxlist.com/nembutal-drug.htm

ネンブタール(ペントバルビタールナトリウム)をオンラインで購入

What Is Nembutal?
Nembutal (pentobarbital sodium) is a barbiturate that acts as a depressant, or sedative, used short-term to treat insomnia. Nembutal is also used as an emergency treatment for seizures, and to cause patients to fall asleep for surgery. Nembutal is available in generic form.

What Are Side Effects of Nembutal?
Common side effects of Nembutal include:

problems with memory or concentration,
excitement,
irritability,
aggression (especially in children or older adults),
confusion,
loss of balance or coordination,
nightmares,
nausea,
vomiting,
constipation,
headache,
drowsiness,
“hangover” effect (drowsiness the day after a dose),
agitation,
nervousness,
insomnia,
anxiety,
dizziness,
low blood pressure,
injection site reactions, or
skin rash.
Seek medical attention immediately if you suffer from any serious side effects of Nembutal such as:

hallucinations,
weak or shallow breathing,
slow heart rate,
weak pulse, or
feeling like you might pass out.
Dosage for Nembutal
Dosage of Nembutal is determined by the patient’s age, weight, and condition.

What Drugs, Substances, or Supplements Interact with Nembutal?
Nembutal may interact with other medications, including blood thinners, doxycycline, other seizure medications, MAO inhibitors, griseofulvin, birth control pills, hormone replacement estrogens, or steroids. Tell your doctor all medications you are taking.

Nembutal During Pregnancy and Breastfeeding
Do not use Nembutal if you are pregnant. It could harm a fetus. Nembutal may cause addiction or withdrawal symptoms in a newborn if the mother uses the medication during pregnancy. Nembutal can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breastfeeding. Nembutal may be habit-forming. Do not stop using Nembutal suddenly after using it long-term, or you could have withdrawal symptoms.

Additional Information
Our Nembutal Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.

Buy Nembutal Powder Online. Sodium pentobarbital is a potent barbiturate widely used in regulated professional settings. Its primary users include

Veterinary clinics and hospitals: for animal anesthesia and euthanasia procedures.

Pharmaceutical R&D companies: for controlled laboratory experiments and research with sedatives/hypnotics. Order Nembutal Powder Online

Government institutions: for humane animal population control and regulated forensic applications.

Chemical processing plants: undergoing synthesis involving CNS depressants.

Medical exporters and distributors: for replenishment under special licenses.

⚙️ Applications of sodium pentobarbital
Veterinary sedation and euthanasia: It is most commonly used in veterinary medicine for the humane euthanasia of large and small animals.

Neuroscience research: a CNS depressant of choice for research on brain and sleep functions.

Toxicological testing: Used in laboratories for dose impact monitoring and forensic analysis.

Laboratory pre-anesthetic: Helps induce deep sedation for surgical procedures in animal trials.

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Buy Nembutal Powder Online. Who Uses Pentobarbital Sodium?
Pentobarbital Sodium is a potent barbiturate widely used in professional and regulated settings. Primary users include:

Veterinary Clinics and Hospitals – For anesthesia and euthanasia procedures in animals.

Pharmaceutical Research and Development Companies – For controlled laboratory experiments and sedative/hypnotic research.

Government Institutions – For population control of untreated animals and regulated forensic applications.

Chemical Processing Plants – In the process of synthesis involving CNS depressants. Buy Nembutal Powder Online

Medical Exporters and Distributors – For replenishment under special licenses.

⚙️ Applications of Pentobarbital Sodium
Veterinary Sedation and Euthanasia: Most commonly used in veterinary medicine for humane euthanasia of large and small animals.

Neuroscience Research: A preferred CNS depressant for brain function and sleep research.

Toxicology Testing: Used in laboratory testing for controlled dose impact and forensic analysis.

Pre-anesthetic in Laboratory Settings: Aids in the induction of deep sedation for surgical procedures in animal testing.

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Buy Nembutal Powder Online in France. Sodium pentobarbital is a potent barbiturate widely used in professional, regulated environments. Who uses sodium pentobarbital?

Primary users include:

Veterinary clinics and hospitals – For animal anesthesia and euthanasia.

Pharmaceutical research and development companies – For controlled laboratory experiments and studies on sedative/hypnotic agents.

Government institutions – For humane animal population control and regulated forensic applications.

Chemical processing plants – In synthetic pathways involving CNS depressants.

Pharmaceutical exporters and distributors – For supply under special licenses.

⚙️ Uses of sodium pentobarbital
Veterinary sedation and euthanasia: Most commonly used in veterinary medicine for humane euthanasia of large and small animals.

Neurological research: The preferred CNS depressant in studies of brain function and sleep.

Toxicology testing: Used in research laboratories for controlled dose effects and forensic analysis.

Pre-anesthesia in laboratory settings: Helps induce deep anesthesia during surgical procedures in animal studies.

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Who uses sodium pentobarbital?
Sodium pentobarbital is a potent barbiturate that is widely used in professional, regulated environments. Primary users include:

Veterinary clinics and hospitals – For animal anesthesia and euthanasia procedures.

Pharmaceutical research R&D companies – For controlled laboratory experiments and research on sedative/hypnotic treatment.

Government institutions – For humane animal population control and regulated forensic applications.

Chemical processing plants – In synthesis routes involving central nervous system agents.

Medical exporters and distributors – For back-filling under special licenses.

⚙️ Sodium Pentobarbital Uses
Veterinary sedation and euthanasia: Most commonly used in veterinary medicine for humane euthanasia of large and small animals.

Neuroscience research: A preferred central nervous system agent for research on brain and sleep functions.

Toxicology Testing: Used in testing laboratories for controlled dose effects and forensic analysis.

Preanesthesia in laboratory settings: Helps induce deep sedation for surgical procedures in animal studies.

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Nembutal) is a barbiturate used in research as an anesthetic in many animal models. The injectable form of this drug has lately become difficult to procure and prohibitively expensive. Also, Due to this lack of availability, researchers have begun to compound injectable sodium pentobarbital. Some oversight agencies have object to this practice. Claiming a lack of quality control and degradation of the drug. We sought with this study to establish both.

1) a protocol for the preparation of injectable sodium pentobarbital.

2) standard operating procedures to monitor the quality of the preparation and degradation of the drug over time.


Methods


Our preparation consists of a mixture of sodium pentobarbital in alkaline aqueous solution, propylene glycol, and ethanol. Pentobarbital content in this preparation was assay by high-pressure liquid chromatography (HPLC). We also assay pentobarbital content over time in preparations of various ages up to 6 years old.


Results


Furthermore, We determine that the drug degrades at a maximum of 0.5% per year in our preparation (alkaline water/propylene glycol/ethanol) when store in the dark at room temperature. A yellow discoloration develope after about 2 years, which we have arbitrarily determine disqualifies the preparation from use as an anesthetic. Attempts to spectroscopically assay this discoloration were not successful.
Chemicals
Pentobarbital sodium (CID: 14075609)


Introduction


Compounds which exert sedative (reduce anxiety with no effect on motor function) or hypnotic (encourage a near-normal state of sleep) effects have been know since antiquity. Also, These compounds have a variety of different chemistries; alcohols (ethanol), ethers (diethyl ether, paraldehyde) and various plant extracts (opium, cannabis, valerian) have all been use at various times as sedatives/hypnotics. The use of barbiturates for this purpose began with the discovery in 1903 that barbital (diethylbarbituric acid) was effective at putting dogs to sleep (Fischer & Von Mering, 1903). Bayer and Co. did market barbital as veronal in 1904 for use as an anesthetic. Then By modifying the side chains and other ring substituents, other barbiturates have been develop which are longer- or shorter-acting, or have other specific properties related to anesthesia that make them desirable in specific circumstances


Sodium pentobarbital was synthesize and introduce as an oral anesthetic by Abbott Laboratories in 1930. Injectable forms were introduced later, and there were even suppositories for use in children fearful of examination. The drug also enjoys a period of popularity as a treatment for schizophrenia and anxiety. Today, sodium pentobarbital is use clinically as a pre-operative sedative, in certain forms of severe insomnia, and for the emergency management of seizures. Buy Nembutal Powder Online in Germany