Barbiturates absorption

Absorption. Barbiturates are well absorbed after oral administration usually given as sodium salts. They have a long duration of action, usually 6-10 h. Peak plasma levels occur in 2-12 h and are dose related. 

The analysis of clinical samples is often complicated by the complexity of the sample matrix, which may contribute a significant background absorption at the desired wavelength. The determination of serum barbiturates provides one example of how this problem is overcome. The barbiturates are extracted from a sample of serum with CHCI3, and extracted from the CHCI3 into 0.45 M NaOH (pH 13). The absorbance of the aqueous extract is measured at 260 nm and includes contributions from the barbiturates as well as other components extracted from the serum sample. The pH of the sample is then lowered to approximately 10 by adding NH4CI, and the absorbance remeasured. Since the barbiturates do not absorb at this pH, the absorbance at pH 10 is used to correct the absorbance at pH 13 thus... 

Benzodiazepines are the evidence-based treatment of choice for uncomplicated alcohol withdrawal.17 Barbiturates are not recommended because of their low therapeutic index due to respiratory depression. Some of the anticonvulsants have also been used to treat uncomplicated withdrawal (particularly car-bamazepine and sodium valproate). Although anticonvulsants provide an alternative to benzodiazepines, they are not as well studied and are less commonly used. The most commonly employed benzodiazepines are chlordiazepoxide, diazepam, lorazepam, and oxazepam. They differ in three major ways (1) their pharmacokinetic properties, (2) the available routes for their administration, and (3) the rapidity of their onset of action due to the rate of gastrointestinal absorption and rate of crossing the blood-brain barrier. 

P Singh, JK Guillory, TD Sokoloski, LZ Benet, YN Bhatia. Effect of inert tablet ingredients on drug absorption. I. Effect of polyethylene glycol 4000 on the intestinal absorption of four barbiturates. J Pharm Sci 55 63-68, 1966. 

Kakemi, K. Arita, T. Hori, R. Konishi, R., Absorption and excretion of drugs. XXX. Absorption of barbituric acid derivatives from rat stomach, Chem. Pharm. Bull. 17, 1534-1539 (1967). 

It is sometimes possible to improve detection by changing the pH of the eluent, or by the use of photochemical reactions. The common barbiturates used in therapy are weak acids that are easily separated in their acid (unionised) forms. Because the conjugate bases are much stronger chromophores than the acids, barbiturates have been detected by post-column mixing with a pH 10 borate buffer followed by uv absorption at 254 nm. An example of the second approach is the detection of cannabis derivatives in body fluids involving the conversion of cannabis alcohols to fluorescent derivatives on subjecting the column effluent to intense uv radiation. 

A series of symmetrical and unsymmetrical, hydrophobic and hydrophilic squaraine probes such as 41 (Table 1) with substituted squaraine ring oxygen was developed and compared to conventional oxo-squaraines 10a,b and 13b [18, 50, 98, 107]. The substituent on the squaraine ring have a strong influence on the spectral properties. Substitution of the squaraine oxygen by S, C(CN)2> C(CN)COOR, N(CN), N(OH), C(CN)[PO(OEt)2], indanedione, barbituric, and thiobarbituric acid causes red-shifted absorption and emission spectra [50]. 

AT1 cm ). and therefore, these dyes are excitable not only with red (635 or 670-nm) but also with blue (380, 405, and 470 nm) diode lasers or LEDs (Fig. 1). Carbonyl containing substituents such as 1,3-indanedione, cyanoacetic ester, barbituric, and thiobarbituric acid form intramolecular H-bond with the polymethine hydrogens of the squaraine bridge. As a result, the molar absorptivities and quantum yields of these dyes are substantially decreased. 

Might antagonize verapamil Might induce hypercalcemia with thiazide diuretics Fiber laxatives (variable), oxalates, phytates, and sulfates can decrease calcium absorption if given concomitantiy Phenytoin, barbiturates, carbamazepine, rifampin increase vitamin D metabolism... 

Water (drinking, surface, saline, domestic, and industrial waste) (EPA Method 335.1) Chlorination of sample at pH 11-12 and CICN driven off reflux-distillation of residual sample absorption of released HCN in NaOH treatment with chloramine-T and pyridine-pyrazolone or pyridine-barbituric acid Spectrophotometry (cyanide amenable to chlorination) No data No data EPA 1983a... 

Waste or leachate (EPA Method 901OA) Reflux-distillation of acidified sample absorption of released HCN in NaOH treatment with AgNOs and an indicator (titrimetric) or chloramine-T/pyridine-barbituric acid (colorimetric) Titrimetric or colorimetric detection (total and amenable cyanide) 0.1-0.2 mg/L titrimetric) 0.02 mg/L (colorimetric) (Titrimetric) 94-99 (total cyanide), 87-97 (amenable cyanide) EPA1992d... 

Gentian (Oentiono lutea) Uses t Appetite, treat digestive disorders such as colitis, IBS, flatulence Actions Chemical components stimulate digestive juices Available forms Liq extract 2-4g PO OD, tine 1-3 g PO OD, dried root 2-4 g PO OD Contra Do not use PRO, lactation, HTN Notes/SE N/V, HA Interactions t CNS sedation W/ barbiturates, benzodiaz ines, EtOH if extract/tinc contains alcohol -1- absorption OF Fe salts EMS many preps contain up to 60% EtOH... 

The complexation of calcium of the mucosal cells reduces the absorption of certain drugs e.g. the barbiturates and sulfonamides. Presence of EDTA increases the absorption of mannitol. 

The rates of oral absorption of sedative-hypnotics differ depending on a number of factors, including lipophilicity. For example, the absorption of triazolam is extremely rapid, and that of diazepam and the active metabolite of clorazepate is more rapid than other commonly used benzodiazepines. Clorazepate, a prodrug, is converted to its active form, desmethyldiazepam (nordiazepam), by acid hydrolysis in the stomach. Most of the barbiturates and other older sedative-hypnotics, as well as the newer hypnotics (eszopiclone, zaleplon, zolpidem), are absorbed rapidly into the blood following oral administration. 

Barbiturates and rifampin cause a marked decrease of the anticoagulant effect by induction of the hepatic enzymes that transform racemic warfarin. Cholestyramine binds warfarin in the intestine and reduces its absorption and bioavailability. 

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