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Amobarbital (formerly known as amylobarbitone or sodium amytal as the soluble sodium salt) is a drug that is a derivative. It has - properties. It is a white crystalline powder with no odor and a slightly bitter taste. It was first synthesized in in 1923. It is considered a short to intermediate acting barbiturate.

If amobarbital is taken for extended periods of time, physiological and psychological dependence can develop. Amobarbital withdrawal mimics and may be life-threatening. Amobarbital was manufactured by Eli Lilly and Company in the United States under the brand name Amytal in bright blue bullet shaped capsules (known as Pulvules) or pink tablets (known as Diskets) containing 50, 100, or 200 milligrams of the drug. The drug was also manufactured generically.

Amobarbital was widely misused, known as "Blue Heavens" on the street. Amytal, as well as , a combination drug containing equal quantities of and amobarbital, were both manufactured by Eli Lilly until the late 1990s. However, as the popularity of increased, prescriptions for these medications became increasingly rare beginning in the mid to late 1980s.


Pharmacology
In an study in rat thalamic slices, amobarbital worked by activating GABAA receptors, which decreased input resistance, depressed , especially in , while at the same time increasing burst duration and mean conductance at individual ; this increased both the amplitude and decay time of currents.

Amobarbital has been used in a study to inhibit mitochondrial electron transport in the rat heart in an attempt to preserve mitochondrial function following reperfusion.

A 1988 study found that amobarbital increases benzodiazepine receptor binding with less potency than secobarbital and (in descending order), but greater than and (in descending order). (Secobarbital > pentobarbital > amobarbital > phenobarbital > barbital)

It has an in mice of 212mg/kg s.c.


Metabolism
Amobarbital undergoes both to form 3'-hydroxyamobarbital, and to form 1-(beta-D-glucopyranosyl)-amobarbital.


Indications

Approved


Unapproved/off-label
When given slowly by an intravenous route, sodium amobarbital has a reputation for acting as a so-called . Under the influence, a person will divulge information that under normal circumstances they would block. This was most likely due to loss of inhibition. As such, the drug was first employed clinically by William Bleckwenn at the University of Wisconsin to circumvent inhibitions in psychiatric patients. The use of amobarbital as a truth serum has lost credibility due to the discovery that a subject can be coerced into having a "false memory" of the event.

The drug may be used intravenously to interview patients with , sometimes combined with to prevent sleep.

It was used by the United States armed forces during World War II in an attempt to treat and return soldiers to the front-line duties. This use has since been discontinued as the powerful sedation, cognitive impairment, and dis-coordination induced by the drug greatly reduced soldiers' usefulness in the field.


Contraindications
The following drugs should be avoided when taking amobarbital:


Interactions
Amobarbital has been known to decrease the effects of hormonal birth control.


Overdose
Some side effects of overdose include confusion (severe); decrease in or loss of reflexes; drowsiness (severe); fever; irritability (continuing); low body temperature; poor judgment; shortness of breath or slow or troubled breathing; slow heartbeat; slurred speech; staggering; trouble in sleeping; unusual movements of the eyes; weakness (severe). Severe overdose may result in death without intervention.


Chemistry
Amobarbital (5-ethyl-5-isoamylbarbituric acid), like all barbiturates, is synthesized by reacting derivatives with derivatives. In particular, in order to make amobarbital, α-ethyl-α-isoamylmalonic ester is reacted with urea (in the presence of ).


Society and culture
The drug has been used to gain confessions from murderers such as Andres English-Howard, who strangled his girlfriend to death but claimed innocence. He was surreptitiously administered the drug by his lawyer, and under the influence of it he revealed why he strangled her and under what circumstances.

On the night of August 28, 1951, the housekeeper of actor Robert Walker found him to be in an emotional state. She called Walker's psychiatrist who arrived and administered amobarbital for sedation. Walker was allegedly drinking prior to his emotional outburst, and it is believed the combination of amobarbital and alcohol resulted in a severe reaction. As a result, he passed out and stopped breathing, and all efforts to resuscitate him failed. Walker died at 32 years old.

The British actor and comedian killed himself in Australia in 1968 using the drug in combination with alcohol.

Eli Lilly manufactured amobarbital under the brand name Amytal until it was discontinued in the 1980s and replaced largely by the benzodiazepine family of drugs. Amytal was also widely abused. Street names for amobarbital include "blues", "blue angels", "blue birds", "blue devils", and "blue heavens" due to their blue capsule.


Cultural references
In 's 1967 novel An Expensive Place to Die, a combination of amytal and is used to make the unnamed protagonist respond to questioning about his activities.

In 's 1973 novel Gravity's Rainbow, sodium amytal is used by a military intelligence unit as some kind of truth serum to extract Tyrone Slothrop's (the novel's protagonist) ideas on racism of white Americans against Afro-Americans during the 1930s in his home state of Massachusetts (Chapter 1).

In the 1975 episode "A Deadly State of Mind" the victim Nadia Donner has Amobarbital found in her blood according to the autopsy report.

In 's 1981 novel Red Dragon, it is mentioned that serial killer is able to resist the "truth serum" effects of sodium amytal.

In the 1994 comedic action thriller , the protagonist Harry Tasker (portrayed by Arnold Schwarzenegger) is given sodium amytal as a truth serum, when questioned by terrorists.

In 2001, the episode "Repression" (), a therapist () treats her patient with "sodium amytal". The character Dr. () claims that the drug leaves a patient so susceptible to , that the therapist is able to implant false memories in the patient.

In 2003, the animated series Sealab 2021 season 3, episode 7, "Tourist Season", Dr. Quentin Q. Quinn, voiced by Brett Butler, uses "sodium amytal" to induce amnesia in a group of tourists, in order to prevent them from taking action against Sealab as a result of a hare-brained scheme by Capt. Murphy. He gives the dose in a free alcoholic beverage as a parting gift before the tourists leave, and in quantities he describes that could "make an elephant forget".

In the 2005 movie, , the main antagonist uses "sodium amytal" to secretly anesthetize the people he believes were responsible for his son's death, and induce extreme hallucinations in them.

In 2016, television drama A Fist Within Four Walls episode 14, Man Zeun (portrayed by Princeton Lock) uses sodium amytal in an attempt to force gambling addict Lee Fat into paying debts.

In 2022, in "Diophantine Pseudonym", Episode 06 of 's The Lost Symbol, sodium amytal is used by the CIA as a truth serum.

In the 2024 television series Series 2 Episode 04, sodium amytal is offered to a soldier suffering from PTSD-related insomnia.


See also


Notes
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