Secobarbital
Secobarbital is a short-acting barbiturate that produces potent anxiolytic, hypnotic, muscle relaxant, and amnesic effects.1 Marketed under the brand name Seconal by Eli Lilly, it is used medically for the short-term treatment of insomnia and as an emergency anticonvulsant.1 Compared to longer-acting barbiturates, it is distinguished by its rapid onset, typically taking effect within fifteen minutes.1 It is classified as habit-forming and is internationally scheduled as a controlled substance.12
Contents
Dosage & Duration
Dosage
Duration
Subjective Effects
The secobarbital experience is dominated by dose-dependent central nervous system depression, progressing from relaxation and disinhibited, alcohol-like intoxication at lower doses to heavy sedation and hypnosis at higher ones. The compound carries anaesthetic, anticonvulsant, sedative, and hypnotic properties, and at sufficient doses it simply induces sleep or unconsciousness. Notably, it confers little analgesia; when taken in the presence of pain, paradoxical excitation can occur rather than calm sedation.
Physical
The body load centers on heavy sedation and muscle relaxation, accompanied by sluggishness, incoordination, and a staggering gait as intoxication deepens. At high or overdose-range amounts, breathing becomes shallow and respiratory depression can progress to coma and death.
Sedation
Physical depression is the defining feature of the experience and scales steeply with dose.
Cognitive
The headspace is characterized by slowed, effortful thinking, impaired judgment, and a general blunting of anxiety and inhibition. As doses increase, thinking becomes progressively more difficult, speech slows and slurs, and memory of the period becomes unreliable, culminating in drowsiness or full loss of consciousness.
Emotional
Suppressions
Cognitive effects are broadly suppressive, deepening with dose toward unconsciousness.
Reagent Testing
Loading reagent data
Pharmacology
Pharmacodynamics
Secobarbital acts primarily as a positive allosteric modulator at the GABA-A receptor, binding at the barbiturate site associated with the chloride ionophore.3 This interaction increases the duration for which the chloride channel remains open, prolonging the inhibitory effect of GABA.34 Secobarbital also displays antagonist activity at neuronal nicotinic acetylcholine receptors (α4 and α7 subtypes) and at several ionotropic glutamate receptors, including AMPA, kainate, and NMDA subtypes.3
Pharmacokinetics
Secobarbital is metabolized primarily by hepatic microsomal enzymes, with metabolic products excreted in the urine and less commonly in the feces.1 Approximately 45-60% of the drug binds to plasma proteins. The elimination half-life ranges from 15 to 40 hours.1
Dangerous
Highest riskThese 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.
Caution
Use cautionThese 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.
Tolerance
Barbiturates
Harm Potential
Addiction & Dependence
Psychological
Extremely HighSecobarbital is considered extremely psychologically addictive, with a particularly high risk of abuse and addiction even among barbiturates.1 It was widely abused recreationally in the 1960s-1980s before being largely replaced by benzodiazepines due to its high abuse potential.
Physical
Extremely HighPhysical dependence develops with extended use.1 Barbiturate withdrawal is medically serious and can cause a life-threatening syndrome with symptoms including anxiety, insomnia, decreased appetite, tremors, seizures, and potentially death.1
Toxicity
Studies have linked the use of barbiturates, particularly phenobarbital, with the development of cancer, though evidence specific to secobarbital is limited.5
Psychosis Risk
Delusions and confusion may occur during overdose.1 Psychosis is a documented risk during barbiturate withdrawal syndrome and may accompany life-threatening withdrawal symptoms.6
Seizure Risk
While barbiturates have anticonvulsant properties during use, abrupt discontinuation in dependent individuals can cause life-threatening seizures.1 Drugs that lower seizure threshold should be avoided during withdrawal. Switching to a longer-acting barbiturate such as phenobarbital may be beneficial for managing withdrawal.
History & Culture
Discovery and Development
Secobarbital was first developed in Germany in 1914 as part of ongoing barbiturate research. Eli Lilly and Company subsequently patented the compound in the United States in 19347 and later introduced it to the American pharmaceutical market in 1959 under the brand name
Legality
International
UN Convention on Psychotropic Substances 1971 (Schedule II)
By Country
References
Source Pages
Citations
- (n.d.). SECONAL SODIUM (secobarbital sodium) capsule — Ranbaxy Pharmaceuticals Inc.. DailyMed / U.S. National Library of Medicine. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6698bc44-b971-49cc-a5de-11e569493c59123456789101112
- (2022). The International Drug Control Conventions – Schedules of the Convention on Psychotropic Substances of 1971 (ST/CND/1/Add.2/Rev.8). United Nations Office on Drugs and Crime. https://documents.un.org/doc/undoc/gen/v22/026/80/pdf/v2202680.pdf1
- Harrison NL, Mendelson WB, & de Wit H. (2000). Barbiturates. Neuropsychopharmacology: The Fifth Generation of Progress. https://www.acnp.org/g4/GN401000173/CH169.html123
- (n.d.). GABA Receptor Positive Allosteric Modulators. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK554443/1
- (n.d.). Phenobarbital (Group 2B) — Overall Evaluations of Carcinogenicity, IARC. NCBI Bookshelf / IARC. https://www.ncbi.nlm.nih.gov/books/NBK533499/1
- (n.d.). Barbiturates — StatPearls. NCBI Bookshelf / StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK539731/1
- (n.d.). Propyl-methyl carbinyl allyl barbituric acid and its salts. https://patents.google.com/patent/US1954429A/en1
- Riley SR, Overbeek A, & van der Heide A. (2020). Physician adherence to clinical guidelines in euthanasia and assisted suicide in the Netherlands: a qualitative study. 37(2), 269-275. https://doi.org/10.1093/fampra/cmz0591
- Ganzini L. (2018). Characterizing 18 Years of the Death With Dignity Act in Oregon. https://pmc.ncbi.nlm.nih.gov/articles/PMC5824315/1
- (n.d.). Death with Dignity Act. Washington State Department of Health. https://doh.wa.gov/data-and-statistical-reports/health-statistics/death-dignity-act1
- (n.d.). Vermont Statutes Annotated, Title 18, Chapter 113 — Patient Choice and Control at End of Life (Act 39, 2013). Vermont Legislature. https://legislature.vermont.gov/statutes/fullchapter/18/1131
- Downie J, & Green S. (2017-12-13). A Step Forward for Self-administered MAiD in Canada. Impact Ethics. https://impactethics.ca/2017/12/13/a-step-forward-for-self-administered-maid-in-canada/1
- Dembosky A. (2016-03-28). Pharmaceutical Company Has Hiked Price On Aid-In-Dying Drug. KFF Health News. https://kffhealthnews.org/news/pharmaceutical-company-has-hiked-price-on-aid-in-dying-drug/1
- (n.d.). Controlled Drugs and Substances Act (S.C. 1996, c. 19) — Schedule IV. Government of Canada, Department of Justice. https://laws-lois.justice.gc.ca/eng/acts/c-38.8/page-12.html1
- (2019). Anlage III BtMG. https://www.gesetze-im-internet.de/btmg_1981/anlage_iii.html1
- (n.d.). Misuse of Drugs Act 1971 — Schedule 2, Part II (Class B Drugs). UK National Archives / legislation.gov.uk. https://www.legislation.gov.uk/ukpga/1971/38/schedule/21
- (n.d.). Drugs penalties. https://www.gov.uk/penalties-drug-possession-dealing1
Further Reading
Automated synthesisInformation aggregated and synthesized using an autonomous workflow built by Josie Kins.
Suggest an edit
Spotted a mistake, an outdated claim, or something missing from the Secobarbital article? Send the editors a private note. Feedback lands in a moderation queue and is never shown on the site.