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stop using large doses of these suddenly, they may What are sedative-hypnotics? What are ? develop physical withdrawal symptoms ranging from Sedative-hypnotics are drugs which depress or slow Barbiturates are often called “barbs” and “downers”. restlessness, and , to convulsions and down the body’s functions. Often these drugs are Barbiturates that are commonly abused include . When users become psychologically dependent, referred to as tranquilizers and sleeping pills or (Amytal), (Nembutal), and they feel as if they need the to function. Finding sometimes just as . Their effects range from (Seconal). These drugs are sold in capsules and using the drug becomes the main focus in life. calming down anxious people to promoting . Both and tablets or sometimes in a liquid form or tranquilizers and sleeping pills can have either effect, suppositories. depending on how much is taken. At high doses or Is it true that combining sedative- when they are abused, many of these drugs can even hypnotics with is especially What are the effects of barbiturates cause and death. dangerous? when they are abused? What are some of the sedative- Yes. Taken together, alcohol and sedative-hypnotics can The effects of barbiturates are, in many ways, similar to kill. The use of barbiturates and other sedative- the effects of alcohol. Small amounts produce calmness hypnotics? hypnotics with other drugs that slow down the body, and relax muscles. Somewhat larger doses can cause Barbiturates and are the two major such as alcohol, multiplies their effects and greatly slurred speech, staggering gait, poor judgment, and slow, categories of sedative-hypnotics. The drugs in each of increases the risk of death. Overdose can occur uncertain reflexes. These effects make it dangerous to these groups are similar in chemical structure. Some when barbiturates and alcohol are used together, either drive a car or operate machinery. Large doses can cause well-known barbiturates are secobarbital (Seconal) and deliberately or accidentally. unconsciousness and death. pentobarbital (Nembutal). (Valium), (Librium), and chlorazepate Can sedative-hypnotics affect an How dangerous are barbiturates? (Tranxene) are examples of benzodiazepines. overdose is a factor in nearly one-third of all unborn fetus? reported drug-related deaths. These include and A few sedative-hypnotics do not fit in either category. Yes. Babies born to mothers who abuse sedatives accidental drug . Accidental deaths They include (Quaalude), during their pregnancy may be physically dependent of sometimes occur when a user takes one dose, becomes (Placidyl), hydrate (Noctec), and mebrobamate the drugs and show withdrawal symptoms shortly after confused and unintentionally takes additional or larger (Miltown). they are born. Their symptoms may include breathing doses. With barbiturates there is less difference between problems, feeding difficulties, disturbed sleep, sweating, the amount that produces sleep and the amount that kills. All of these drugs can be dangerous when they are not , and fever. Many sedative-hypnotics pass Furthermore, barbiturate withdrawal can be more serious taken according to a physician’s instructions. through the placenta easily and have caused birth defects than withdrawal. and behavioral problems in babies born to women who What is methaqualone? Can sedative-hypnotics cause have abused these drugs during their pregnancy. Methaqualone (“Sopors, ludes”) was originally dependence? prescribed to reduce anxiety during the day and as a Yes. They can cause both physical and psychological sleeping aid. The dangers from abusing methaqualone dependence. Regular use over a long period of time may include injury or death from car accidents caused by result in tolerance, which means people have to take faulty judgment and drowsiness, convulsions, coma and larger doses to get the same effects. When regular users death. What other sedative-hypnotics are

abused? All the other sedative-hypnotics can be abused, Facts including the benzodiazepines. Diazepam (Valium), chlordiazepoxide (Librium), and chlorazepate (Tranxene) are examples of benzodiazepines. These drugs are also sold on the street as downers. As with the About barbiturates, tolerance and dependence can develop if benzodiazepines are taken regularly in high doses over prolonged periods of time. Drugs: What are sedative- “look-

alikes”? These are pills manufactured to look like real sedative- Sedative- hypnotics and mimic their effects. Sometimes look- alikes contain over-the-counter drugs such as and , which tend to cause drowsiness. The negative effects can include , Hypnotics stomach cramps, lack of coordination, temporary memory loss, becoming out of touch with the surroundings, and anxious behavior.

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Source of information provided by: DHHS Publication No. (ADM)86-1309 PROVIDED BY Reprinted 2000 by Work Site Health Services, Drug Testing Program, LSUHSC, 2020 Gravier St., LSUHSC 5th Floor, New Orleans, LA 70112 Worksite Health Services