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Barbiturate Abuse

WHAT YOU SHOULD KNOW

Barbiturates, also called sedatives or ""downers,'' are often prescribed to decrease nervousness or to help you sleep better. However, using them for a long time or taking more than the recommended amount can lead to addiction or dependency. You'll begin to feel that you must have more of the drug; and if you abruptly stop taking it, you'll become physically ill. Long-term abuse of barbiturates can interfere with your ability to function. You'll find you have trouble thinking, talking, walking, and remembering things; and you'll run the risk of dying from an overdose. To kick this habit, you need to gradually reduce your intake under medical supervision. Attempting to go ""cold turkey'' on your own could be difficult and even dangerous.

Causes

Taking a barbiturate for several months or years, or taking larger doses than prescribed, will lead to physical addiction. Pregnant women who take these drugs can pass the addiction to their babies.

Signs/Symptoms

If you abuse barbiturates, you may feel sleepy; have trouble thinking, talking and walking; and develop bruises on your arms and legs from falling. The longer you keep taking the drug, the more you will feel you need it. If you stop taking the drug, you'll have symptoms of withdrawal. The first effects of withdrawal are restlessness, weakness, and shakiness. Later, you may feel nervous and develop insomnia, an upset stomach, vomiting, sweating, or sensitivity to bright lights or loud noises. Sudden withdrawal sometimes leads to hallucinations and seizures.

Care

Your doctor may slowly reduce the amount of barbiturates you take each day. During this period, you may need to stay in the hospital. Counseling can help you kick this habit. Your doctor can prescribe medications to ease the withdrawal symptoms.

WHAT YOU SHOULD DO

  • If prescribed a barbiturate, be careful to follow your doctor's instructions. Do not increase the dose or take the drug any longer than absolutely necessary.
  • The first step to quitting is to admit you have a problem. Be honest and open with family and close friends. Ask for their help.
  • Don't try to stop taking the drug all at once. You will need medical help to get you through a gradual withdrawal period.
  • Tell your doctor exactly how much of the drug you have been taking. Also tell your doctor if you are taking any other medications. Don't hesitate to be honest. Doctors are familiar with the problem.
  • Support-group meetings and counseling can help you quit. Take advantage of both.
  • Eat a healthy diet, drink 6 to 8 glasses of water a day, and get plenty of rest.
  • Don't smoke or drink coffee or alcohol. They can make you nervous and increase your withdrawal symptoms.
  • Don't dwell on the problem. Find new things to do. Get out of the house every day. Go for walks outside.

Call Your Doctor If...

  • You cannot fight the need to take more drugs. Call your doctor, a counselor, friend, or family member you trust RIGHT AWAY.
  • You feel your problems are getting the best of you and you can't deal with them on your own.

Seek Care Immediately If...

  • You have chest pain, sweating, or trouble breathing.
  • You develop an urge to hurt yourself or someone else.
  • You get a severe headache or develop pain, a numb or prickly feeling, or burning in your arms or legs.
  • You have hallucinations, pass out, or have a seizure.

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