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Phenobarbital

Phenobarbital molecule structurePhenobarbital molecule structure
Phenobarbital
Phenobarbitone, Phenobarb, Luminal, Solfoton

Phenobarbital is a long-acting barbiturate that functions as a nonselective central nervous system depressant1, producing potent anxiolytic, hypnotic, muscle relaxant, and amnesic effects. It is used medically as an anticonvulsant for the management of most seizure disorders except absence seizures2. Compared to other barbiturates, it is distinguished by its extremely slow elimination rate and prolonged duration of actioncitation needed. It is classified as habit-forming.

Dosage & Duration

Dosage

Doses are population estimates that vary widely between individuals.

Threshold~25 mg
Light50-100 mg
Moderate100-150 mg
Strong150-300 mg
Heavy300+ mg
Bioavailability
~90%

Duration

Onset15-60 minutes
Come Up60-120 minutes
Peak4-6 hours
Offset12-24 hours
After Effects1-48 hours
Total13-48 hours
Half-life
53–118 hours

Subjective Effects

Legacy content. A statistically backed ontology from Mindstate Design Labs is coming soon.

The experience is dominated by nonselective central nervous system depression, producing heavy sedation and sleepiness that build steadily and persist for an unusually long time owing to phenobarbital's status as the longest-acting barbiturate. The character of the intoxication resembles alcohol, with drowsiness, cognitive dulling, and impaired coordination rather than any notable sensory alteration. At high doses the depressant effects deepen dangerously, progressing toward respiratory depression, unconsciousness, and coma.

Physical

Pronounced sedation and muscle relaxation define the body load, accompanied by dizziness and unsteady coordination. In overdose, breathing slows, blood pressure and body temperature fall, and the pupils constrict, with severe poisoning capable of ending in circulatory collapse, respiratory arrest, and death.

Depressant

Impairment

Dizziness

Sedation

Cognitive

The headspace is heavy and clouded, marked by slowed thinking, reduced inhibitions, and impaired memory formation; recall of the period under the drug's influence can be patchy or absent at higher doses.

Suppressions

Disinhibition

Reagent Testing

Expected colorimetric results for common reagent tests. Colors show reaction change over 1–2 minutes.

Marquis(MQ)
No reaction
No reaction
Mecke(ME)
No reaction
No reaction
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Pharmacology

Pharmacodynamics

Phenobarbital acts primarily as a positive allosteric modulator at GABA-A receptors, binding at the barbiturate site to extend the duration of chloride ion channel opening and thereby enhancing inhibitory neurotransmission.citation needed It also directly blocks glutamatergic AMPA and kainate receptors, which is believed to contribute to its anticonvulsant properties. Additional targets include NMDA receptors, neuronal nicotinic acetylcholine receptors (α4 and α7 subunits), and possibly voltage-gated calcium channels.

Pharmacokinetics

Phenobarbital has an oral bioavailability of approximately 90%,citation needed with peak plasma concentrations reached 8 to 12 hours after oral administration. It is metabolized hepatically, primarily through hydroxylation and glucuronidation, with CYP2C19 as a major metabolic enzyme. Phenobarbital is a potent inducer of multiple cytochrome P450 isozymes; CYP2B6 is specifically induced via the CAR/RXR nuclear receptor heterodimer. It exhibits low protein binding (20 to 45%) and is excreted primarily by the kidneys, with an elimination half-life ranging from approximately 53 to 118 hours.

Metabolitesnone documented yet

Interactions

Dangerous

Highest risk

These combinations are considered extremely harmful and should always be avoided. Reactions to these drugs taken in combination are highly unpredictable and have a potential to cause death.

DissociativesStimulants

Caution

Use caution

These combinations are not usually physically harmful, but may produce undesirable effects, such as physical discomfort or overstimulation. Extreme use may cause physical health issues. Synergistic effects may be unpredictable. Care should be taken when choosing to use this combination.

1,2-BenzodiazepineAbacavirAbaloparatideAbataceptAbemaciclib
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Tolerance

Tolerance timelines are rules of thumb, not exact schedules, and vary widely between individuals and use patterns.

Full Tolerance
Tolerance develops to the sedative-hypnotic effects after prolonged use. The rate of tolerance development varies between individuals and depends on frequency and dosage of use.
Cross Tolerance

Barbiturates

Baseline Reset
The exact timeframe for tolerance to return to baseline is not well established.

Harm Potential

Addiction & Dependence

Psychological

High

High psychological addiction potential with compulsive redosing commonly reported.citation needed Long-acting barbiturates have moderate to high abuse potential.

Physical

Extremely High

Extremely physically addictive with life-threatening withdrawal potential.citation needed Abrupt discontinuation in dependent individuals may cause seizures, psychosis, and death. Medical supervision is essential for discontinuation.

Toxicity

Respiratory System

Respiratory depression is a primary toxicity concern at high doses and in overdose, potentially progressing to Cheyne-Stokes respiration, apnea, and respiratory arrest.citation needed

Central Nervous System

CNS depression ranging from sedation to coma occurs in a dose-dependent manner; severe overdose can produce EEG patterns mimicking brain death, though this is usually reversible with treatment.citation needed

Hepatic

Phenobarbital is a potent cytochrome P450 enzyme inducer; severe liver failure is a contraindication for use, suggesting potential hepatic burden in those with compromised liver function.citation needed

Renal

Acute renal failure may occur in massive overdose as a consequence of shock and circulatory collapse rather than direct nephrotoxicity.

Cardiovascular

Overdose can cause bradycardia, hypotension, lowered body temperature, and circulatory collapse; typical shock syndrome may develop in severe cases.citation needed

Carcinogenicity
Possible

Studies have linked the use of barbiturates, particularly phenobarbital, with the development of cancer.1

Psychosis Risk

Psychosis is not typical during intoxication but may occur during withdrawal in physically dependent individuals.citation needed Withdrawal-induced psychosis can be severe and life-threatening.

Seizure Risk

Phenobarbital is an anticonvulsant that suppresses seizures during use. However, abrupt discontinuation in dependent individuals may paradoxically trigger severe, potentially life-threatening seizures.citation needed Drugs which lower the seizure threshold should be avoided during withdrawal.

History & Culture

Discovery and Early Development

The barbiturate class emerged in 1902 when German chemists Emil Fischer and Joseph von Mering synthesized barbital, the first compound of its kind, subsequently marketed as Veronal by Bayer.citation needed By 1904, Fischer had synthesized several related compounds including phenobarbital. The

Legality

International

Phenobarbital is not listed in the schedules to the 1961 Single Convention on Narcotic Drugs.

Phenobarbital is listed in Schedule IV of the Convention on Psychotropic Substances 1971. Parties apply the convention’s Schedule IV controls to international trade and domestic handling.

Phenobarbital is not listed in the Tables of the 1988 Convention against Illicit Traffic in Narcotic Drugs and Psychotropic Substances.

By Country

Illegal1
Finland flagFinlandIllegal
Controlled / restricted5
Belgium flagBelgiumRestricted
Canada flagCanadaSchedule IV CDSA
India flagIndiaRestricted
Russia flagRussiaSchedule III
Switzerland flagSwitzerlandRestricted
Prescription25
United States flagUnited StatesPrescription only
Argentina flagArgentinaPrescription only
Australia flagAustraliaPrescription only
Austria flagAustriaPrescription only
Brazil flagBrazilPrescription only
Chile flagChilePrescription only
China flagChinaPrescription only
Colombia flagColombiaPrescription only
Czech Republic flagCzech RepublicPrescription only
Denmark flagDenmarkPrescription only
France flagFrancePrescription only
Germany flagGermanyPrescription only
Ireland flagIrelandPrescription only
Italy flagItalyPrescription only
Japan flagJapanPrescription only
Mexico flagMexicoPrescription only
Netherlands flagNetherlandsPrescription only
Poland flagPolandPrescription only
Singapore flagSingaporePrescription only
South Korea flagSouth KoreaPrescription only
Spain flagSpainPrescription only
Thailand flagThailandPrescription only
Turkey flagTurkeyPrescription only
United Arab Emirates flagUnited Arab EmiratesPrescription only
United Kingdom flagUnited KingdomPrescription only
Legal / decriminalized1
Ukraine flagUkraineLegal (regulated)

References

Source Pages

  1. DrugBank
  2. DrugBank: Barbiturates and Derivatives
  3. DrugBank: Phenobarbital Mechanism
  4. Erowid Experience Vaults: Barbiturates - Phenobarbital
  5. Isomer Design (TiHKAL/PiHKAL)
  6. PsychonautWiki
  7. TripSit Factsheets
  8. Wikipedia

Citations

  1. Phenobarbital tablet — DailyMed (setid 069b92ce). (n.d.). https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=069b92ce-0061-4724-8c25-08d8596770a212
  2. Revisiting phenobarbital for epilepsy: Large gaps in knowledge still exist, but we may be underestimating its clinical value. (n.d.). https://pmc.ncbi.nlm.nih.gov/articles/PMC529354/1
  3. Antiepileptic Overdose — PMC 6996662. (n.d.). https://pmc.ncbi.nlm.nih.gov/articles/PMC6996662/1
  4. Francisco López-Muñoz, Ronaldo Ucha-Udabe, & Cecilio Alamo. (December 2005). The history of barbiturates a century after their clinical introduction. Neuropsychiatric Disease and Treatment, 1(4), 329–343. https://pubmed.ncbi.nlm.nih.gov/18568113/1
  5. Yasiry Z, & Shorvon SD. (December 2012). How phenobarbital revolutionized epilepsy therapy: The story of phenobarbital therapy in epilepsy in the last 100 years. Epilepsia, 53(Suppl 8). https://doi.org/10.1111/epi.120261
  6. Heaven's Gate | UFOs, Mass Suicide, New Religious Movement, Cult & Marshall Applewhite. Encyclopaedia Britannica (n.d.). https://www.britannica.com/topic/Heavens-Gate-religious-group1
  7. Argentina.gob.ar / ANMAT, Disposición 6019/1996 — Especialidades medicinales: venta bajo receta–fenobarbital. argentina.gob.ar (n.d.). https://www.argentina.gob.ar/normativa/nacional/disposici%C3%B3n-6019-1996-410791
  8. Argentina.gob.ar, Disposición 6019/1996 — normas que complementan o modifican. argentina.gob.ar (n.d.). https://www.argentina.gob.ar/normativa/nacional/disposici%C3%B3n-6019-1996-41079/normas-modifican1
  9. Argentina.gob.ar, Ley 19.303 — texto actualizado. argentina.gob.ar (n.d.). https://www.argentina.gob.ar/normativa/nacional/ley-19303-20966/actualizacion1
  10. Therapeutic Goods (Poisons Standard—June 2026) Instrument 2026. legislation.gov.au (n.d.). https://www.legislation.gov.au/F2026L00633/asmade/2026-05-28/text/original/pdf1

Further Reading

  1. Substance Search: Phenobarbital

Article Status

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