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phenobarbital and Alcohol Withdrawal Associated Autonomic Hyperactivity

phenobarbital has been researched along with Alcohol Withdrawal Associated Autonomic Hyperactivity in 27 studies

Phenobarbital: A barbituric acid derivative that acts as a nonselective central nervous system depressant. It potentiates GAMMA-AMINOBUTYRIC ACID action on GABA-A RECEPTORS, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations.
phenobarbital : A member of the class of barbiturates, the structure of which is that of barbituric acid substituted at C-5 by ethyl and phenyl groups.

Research Excerpts

ExcerptRelevanceReference
"Phenobarbital (PB) has been acknowledged among clinicians as a potential alternative to benzodiazepines (BZD) to decrease the need for hospital length of stay and complications associated with alcohol withdrawal syndrome (AWS)."3.01Current evidence and clinical utility of phenobarbital for alcohol withdrawal syndrome. ( Choi, H; Colgan, B; Kistler, H; Mercado, F; Nishimura, Y, 2023)
"Propofol is a viable alternative for patients refractory to benzodiazepines; however, the role of other agents remains unclear."2.53Treatment of Severe Alcohol Withdrawal. ( Cadiz, M; Doshi, MR; Holzhausen, JM; Natavio, A; Schmidt, KJ; Winegardner, JE, 2016)
"There was no incidence of delirium tremens or seizures and no difference in intubation rates ( p = 0."1.91Evaluation of phenobarbital for prevention of alcohol withdrawal in trauma patients. ( Dorfman, JD; Forni, A; Kip, LM; Li, I, 2023)
" The purpose of this study was to compare the incidence of mechanical ventilation in patients with benzodiazepine-resistant alcohol withdrawal between front-loaded and low-intermittent phenobarbital dosing strategies."1.72Front-Loaded Versus Low-Intermittent Phenobarbital Dosing for Benzodiazepine-Resistant Severe Alcohol Withdrawal Syndrome. ( Dodd, KW; Hanif, T; Rachid, M; Shah, P; Stegner-Smith, KL, 2022)
"Phenobarbital has similar pharmacokinetics to select benzodiazepines frequently used for alcohol withdrawal."1.51Benzodiazepines vs barbiturates for alcohol withdrawal: Analysis of 3 different treatment protocols. ( Kaucher, KA; Kehoe, J; Mintzer, D; Nelson, AC; Sankoff, J; Taub, J, 2019)
"Phenobarbital is a safe alternative to diazepam in the treatment of DT."1.36Phenobarbital versus diazepam for delirium tremens--a retrospective study. ( Allerup, P; Anderson, JE; Fink-Jensen, A; Hjermø, I; Ulrichsen, J, 2010)
"The manifestations of delirium tremens persisted with titration of a lorazepam infusion in excess of 40 mg/hour."1.35Phenobarbital treatment in a patient with resistant alcohol withdrawal syndrome. ( Bolton, PJ; Hayner, CE; Wuestefeld, NL, 2009)

Research

Studies (27)

TimeframeStudies, this research(%)All Research%
pre-19903 (11.11)18.7374
1990's3 (11.11)18.2507
2000's9 (33.33)29.6817
2010's8 (29.63)24.3611
2020's4 (14.81)2.80

Authors

AuthorsStudies
Shah, P1
Stegner-Smith, KL1
Rachid, M1
Hanif, T1
Dodd, KW1
Nishimura, Y1
Choi, H1
Colgan, B1
Kistler, H1
Mercado, F1
Kip, LM1
Forni, A1
Dorfman, JD1
Li, I1
Murphy, JA1
Curran, BM1
Gibbons, WA1
Harnica, HM1
Tidwell, WP1
Thomas, TL1
Pouliot, JD1
Canonico, AE1
Webber, AJ1
Sullivan, SM1
Dewey, BN1
Jarrell, DH1
Vadiei, N1
Patanwala, AE1
Nelson, AC1
Kehoe, J1
Sankoff, J1
Mintzer, D1
Taub, J1
Kaucher, KA1
Fenves, AZ1
Mojtahed, A1
Nisavic, M1
Massoth, LR1
Schmidt, KJ1
Doshi, MR1
Holzhausen, JM1
Natavio, A1
Cadiz, M1
Winegardner, JE1
Askgaard, G1
Pottegård, A1
Fink-Jensen, A2
Long, D1
Long, B1
Koyfman, A1
Lützen, L1
Poulsen, LM1
Ulrichsen, J2
Becker, U1
Meyer, CN1
Benjaminsen, SE1
Ruha, AM1
Brooks, DE1
Curry, SC1
Hayner, CE1
Wuestefeld, NL1
Bolton, PJ1
Hjermø, I1
Anderson, JE1
Allerup, P1
Gold, JA1
Rimal, B1
Nolan, A1
Nelson, LS1
Skrobik, Y1
Hayanga, A1
Weiss, E1
Rosenthal, RN1
Perkel, C1
Singh, P1
Anand, O1
Miner, CR1
Prater, CD1
Miller, KE1
Zylstra, RG1
Horsmans, Y1
Larrey, D1
Pessayre, D1
Rueff, B1
Degott, C1
Benhamou, JP1
Crabbe, JC1
Young, ER1
Tam, B1
Kosobud, A1
Belknap, JK1
Laursen, SE1
Young, GP1
Rores, C1
Murphy, C1
Dailey, RH1
Flügel, KA1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phenobarbital Versus Ativan for Refractory Alcohol Withdrawal Treatment in the Intensive Care Unit[NCT04156464]Phase 4142 participants (Anticipated)Interventional2020-07-06Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

6 reviews available for phenobarbital and Alcohol Withdrawal Associated Autonomic Hyperactivity

ArticleYear
Current evidence and clinical utility of phenobarbital for alcohol withdrawal syndrome.
    European journal of internal medicine, 2023, Volume: 112

    Topics: Alcohol Withdrawal Delirium; Alcoholism; Benzodiazepines; Humans; Phenobarbital; Prospective Studies

2023
Adjunctive Phenobarbital for Alcohol Withdrawal Syndrome: A Focused Literature Review.
    The Annals of pharmacotherapy, 2021, Volume: 55, Issue:12

    Topics: Alcohol Withdrawal Delirium; Alcoholism; Humans; Hypnotics and Sedatives; Phenobarbital; Substance W

2021
Treatment of Severe Alcohol Withdrawal.
    The Annals of pharmacotherapy, 2016, Volume: 50, Issue:5

    Topics: Alcohol Withdrawal Delirium; Alcoholism; Benzodiazepines; Critical Care; Dexmedetomidine; Drug Thera

2016
[Benzodiazepines should still be first-line treatment for alcohol withdrawal].
    Ugeskrift for laeger, 2017, Jan-16, Volume: 179, Issue:3

    Topics: Alcohol Withdrawal Delirium; Alcohol Withdrawal Seizures; Barbiturates; Benzodiazepines; Chlordiazep

2017
The emergency medicine management of severe alcohol withdrawal.
    The American journal of emergency medicine, 2017, Volume: 35, Issue:7

    Topics: Alcohol Withdrawal Delirium; Alcoholism; Benzodiazepines; Critical Care; Dose-Response Relationship,

2017
Outpatient detoxification of the addicted or alcoholic patient.
    American family physician, 1999, Sep-15, Volume: 60, Issue:4

    Topics: Alcohol Withdrawal Delirium; Alcoholic Intoxication; Ambulatory Care; Anti-Anxiety Agents; Chlordiaz

1999

Trials

1 trial available for phenobarbital and Alcohol Withdrawal Associated Autonomic Hyperactivity

ArticleYear
A pilot open randomized trial of valproate and phenobarbital in the treatment of acute alcohol withdrawal.
    The American journal on addictions, 1998,Summer, Volume: 7, Issue:3

    Topics: Adult; Affect; Alcohol Withdrawal Delirium; Alcoholism; Anticonvulsants; Dose-Response Relationship,

1998

Other Studies

20 other studies available for phenobarbital and Alcohol Withdrawal Associated Autonomic Hyperactivity

ArticleYear
Front-Loaded Versus Low-Intermittent Phenobarbital Dosing for Benzodiazepine-Resistant Severe Alcohol Withdrawal Syndrome.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2022, Volume: 18, Issue:3

    Topics: Alcohol Withdrawal Delirium; Alcoholism; Benzodiazepines; Ethanol; Humans; Hypnotics and Sedatives;

2022
Evaluation of phenobarbital for prevention of alcohol withdrawal in trauma patients.
    The journal of trauma and acute care surgery, 2023, 10-01, Volume: 95, Issue:4

    Topics: Adult; Alcohol Withdrawal Delirium; Alcoholism; Benzodiazepines; Humans; Phenobarbital; Retrospectiv

2023
Treatment of Alcohol Withdrawal Syndrome: Phenobarbital vs CIWA-Ar Protocol.
    American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2018, Volume: 27, Issue:6

    Topics: Adult; Aged; Alcohol Withdrawal Delirium; Benzodiazepines; Clinical Protocols; Drug Therapy, Combina

2018
Comparison of phenobarbital-adjunct versus benzodiazepine-only approach for alcohol withdrawal syndrome in the ED.
    The American journal of emergency medicine, 2019, Volume: 37, Issue:7

    Topics: Alcohol Withdrawal Delirium; Benzodiazepines; Emergency Service, Hospital; Female; Hospitalization;

2019
Benzodiazepines vs barbiturates for alcohol withdrawal: Analysis of 3 different treatment protocols.
    The American journal of emergency medicine, 2019, Volume: 37, Issue:4

    Topics: Adult; Aged; Alcohol Withdrawal Delirium; Benzodiazepines; Clinical Protocols; Colorado; Drug Therap

2019
Case 13-2019: A 54-Year-Old Man with Alcohol Withdrawal and Altered Mental Status.
    The New England journal of medicine, 2019, Apr-25, Volume: 380, Issue:17

    Topics: 2-Propanol; Acetone; Acid-Base Equilibrium; Acidosis; Alcohol Withdrawal Delirium; Alcoholism; Diagn

2019
[Respiratory depression in delirium tremens patients treated with phenobarbital. A retrospective study].
    Ugeskrift for laeger, 2008, Jun-02, Volume: 170, Issue:23

    Topics: Adult; Alcohol Withdrawal Delirium; Anticonvulsants; Female; Humans; Hypnotics and Sedatives; Male;

2008
[Is the Earth round or flat as a pancake?].
    Ugeskrift for laeger, 2008, Aug-11, Volume: 170, Issue:33

    Topics: Alcohol Withdrawal Delirium; Anticonvulsants; Humans; Hypnotics and Sedatives; Phenobarbital; Respir

2008
[Phenobarbital and delirium tremens].
    Ugeskrift for laeger, 2008, Aug-11, Volume: 170, Issue:33

    Topics: Alcohol Withdrawal Delirium; Anticonvulsants; Humans; Hypnotics and Sedatives; Phenobarbital; Respir

2008
[Phenemal and alcoholic ketoacidosis].
    Ugeskrift for laeger, 2008, Sep-08, Volume: 170, Issue:37

    Topics: Alcohol Withdrawal Delirium; Anticonvulsants; Cause of Death; Humans; Hypnotics and Sedatives; Ketos

2008
Letters on "Predictors of mortality in patients with delerium tremens".
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2009, Volume: 16, Issue:1

    Topics: Alcohol Withdrawal Delirium; Benzodiazepines; Drug Resistance; Ethanol; GABA Modulators; GABA-A Rece

2009
Phenobarbital treatment in a patient with resistant alcohol withdrawal syndrome.
    Pharmacotherapy, 2009, Volume: 29, Issue:7

    Topics: Adult; Alcohol Withdrawal Delirium; Dose-Response Relationship, Drug; Drug Resistance; Humans; Hypno

2009
Phenobarbital versus diazepam for delirium tremens--a retrospective study.
    Danish medical bulletin, 2010, Volume: 57, Issue:8

    Topics: Alcohol Withdrawal Delirium; Diazepam; Female; Humans; Hypnotics and Sedatives; Male; Phenobarbital;

2010
A strategy of escalating doses of benzodiazepines and phenobarbital administration reduces the need for mechanical ventilation in delirium tremens.
    Critical care medicine, 2007, Volume: 35, Issue:3

    Topics: Adult; Alcohol Withdrawal Delirium; Cohort Studies; Cross Infection; Diazepam; Dose-Response Relatio

2007
Protocols, practice, and patients--the case of alcohol withdrawal.
    Critical care medicine, 2007, Volume: 35, Issue:3

    Topics: Alcohol Withdrawal Delirium; Conscious Sedation; Diazepam; Dose-Response Relationship, Drug; Drug Th

2007
A strategy of escalating doses of benzodiazepines and phenobarbital administration reduces the need for mechanical ventilation in delirium tremens.
    Critical care medicine, 2007, Volume: 35, Issue:7

    Topics: Alcohol Withdrawal Delirium; Benzodiazepines; Drug Therapy, Combination; Humans; Hypnotics and Sedat

2007
[Atrium-related hepatitis. Report of four cases].
    Gastroenterologie clinique et biologique, 1991, Volume: 15, Issue:8-9

    Topics: Aged; Aged, 80 and over; Alanine Transaminase; Alcohol Withdrawal Delirium; Aspartate Aminotransfera

1991
Genetic differences in anticonvulsant sensitivity in mouse lines selectively bred for ethanol withdrawal severity.
    The Journal of pharmacology and experimental therapeutics, 1986, Volume: 239, Issue:1

    Topics: Alcohol Withdrawal Delirium; Alcohols; Animals; Anticonvulsants; Diazepam; Disease Susceptibility; E

1986
Intravenous phenobarbital for alcohol withdrawal and convulsions.
    Annals of emergency medicine, 1987, Volume: 16, Issue:8

    Topics: Acute Disease; Adult; Alcohol Withdrawal Delirium; Drug Evaluation; Ethanol; Female; Follow-Up Studi

1987
[Treatment of acute emotional disturbances].
    Deutsche medizinische Wochenschrift (1946), 1974, Oct-18, Volume: 99, Issue:42

    Topics: Alcohol Withdrawal Delirium; Chlormethiazole; Chlorpromazine; Chlorprothixene; Diazepam; Family Char

1974