Secobarbital overdose

Poisonous Ingredient

Secobarbital

Where Found

• Immenoctal
• Seconal
• Seral

This list may not be all-inclusive.

Symptoms

• Airways and lungs
  • Breathing difficulty
  • Slow or stopped breathing
• Heart and blood
  • Low blood pressure
  • Weak pulse
• Nervous system
  • Coma
  • Confusion
  • Delirium
  • Deep sleep
  • Excitement
  • Headache
  • Slurred speech
  • Unsteady gait

Before Calling Emergency

Determine the following information:

• The patient's age, weight, and condition
• The name of the product (ingredients and strengths if known)
• The time it was swallowed
• The amount swallowed
• If the medication was prescribed for the patient

Poison Control

The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

Take the container with you to the hospital, if possible.

See: Poison control center - emergency number

What to Expect at the Emergency Room

The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. The patient may receive:

• Activated charcoal
• Blood test to determine how much of the drug is in the blood
• Breathing tube in severe poisonings
• Laxative
• Tube through the mouth or nose into the stomach to wash out the stomach (gastric lavage)

Outlook (Prognosis)

The outcome depends on the symptoms.

• Mild -- The patient can be aroused. No further treatment will probably be necessary.
• Moderate -- Breathing and other vital signs are normal. The patient cannot be aroused. Recovery will probably occur within 24 - 48 hours with proper care.
• Severe -- Breathing and other vital signs may be abnormal. The patient cannot be aroused. Recovery will probably occur within 3 - 5 days, depending on the amount swallowed.

Alternative Names

Meballymal overdose; Quinalbarbitone sodium overdose

References

Goldfrank LR, ed. Goldfrank's Toxicologic Emergencies. 8th ed. New York, NY: McGraw Hill; 2006.

Update Date: 2/2/2012

Reviewed by: Eric Perez, MD, Department of Emergency Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.