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chloral hydrate

 
Dictionary: chloral hydrate

n.
A colorless crystalline compound, CCl3CH(OH)2, used medicinally as a sedative and hypnotic.


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Chemistry Dictionary: 2,2,2-trichloroethanediol
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Variant: chloral hydrate

A colourless crystalline solid, CCl3CH(OH)2; r.d. 1.91; m.p. 57°C; b.p. 96.3°C. It is made by the hydrolysis of trichloroethanal and is unusual in having two –OH groups on the same carbon atom. Gem diols of this type are usually unstable; in this case the compound is stabilized by the presence of the three Cl atoms. It is used as a sedative.



Dental Dictionary: chloral hydrate
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n

trade names: Aquachloral Supprettes, Novo-chlorhydrate; drug class: sedative-hypnotic chloral derivative, controlled substance schedule IV, schedule F; action: produces central nervous system depression; uses: sedation, treatment of insomnia, anesthesia adjunct.

Drug Info: Chloral Hydrate
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Brand names: Aquachloral®



Chloral Hydrate capsules

What are chloral hydrate capsules?

CHLORAL HYDRATE has two main actions. As a sedative it can relieve tension or anxiety, and may be used with painkillers to reduce pain and anxiety after surgery. As a hypnotic chloral hydrate can help you to sleep, but should only be used as a short-term treatment for insomnia (difficulty sleeping). Chloral hydrate can be given before surgery or dental procedures, especially to children. Tolerance to the effects of chloral hydrate develops quickly, limiting treatment periods to two weeks or less. Federal law prohibits the transfer of chloral hydrate to any person other than the patient for whom it was prescribed. Generic chloral hydrate capsules are available.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
• a drug or alcohol abuse problem
• heart disease
• kidney disease
• liver disease
• mental depression
• porphyria
• stomach or intestinal disease or digestive problems
• an unusual or allergic reaction to chloral hydrate, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take chloral hydrate capsules by mouth. Follow the directions on the prescription label. Swallow the capsules whole with a full glass of water or other liquid, such as fruit juice or ginger ale. Do not crush or chew the capsules because the contents may have an unpleasant taste. Take your doses at regular intervals. Do not take your medicine more often than directed.

What if I miss a dose?

This will not apply if you are taking chloral hydrate before a special procedure. If you are taking chloral hydrate regularly and miss a dose, skip the missed dose and return to your regular schedule with the next dose. Do not take double or extra doses.

What drug(s) may interact with chloral hydrate?

• alcohol
• barbiturate medicines for inducing sleep or treating seizures (convulsions)
disulfiram
furosemide
• medicines for anxiety or sleeping problems, such as diazepam or temazepam
• medicines for hay fever and other allergies
• medicines for mental depression
• medicines for mental problems and psychotic disturbances
• medicines for pain
warfarin

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What should I watch for while taking chloral hydrate?

Visit your prescriber or health care professional for regular checks on your progress. If you have been taking chloral hydrate regularly for a few weeks and suddenly stop taking it, you may get unpleasant withdrawal symptoms. Your prescriber or health care professional may want to gradually reduce the dose. Do not stop taking except on your prescriber's advice.

After taking chloral hydrate you may get a residual hangover effect that leaves you drowsy or dizzy. Until you know how chloral hydrate affects you, do not drive, use machinery, or do anything that needs mental alertness. To reduce dizzy or fainting spells, do not sit or stand up quickly, especially if you are an older patient. Alcohol can increase possible unpleasant effects. It is not safe to drink alcohol while taking chloral hydrate.

While you are taking chloral hydrate, do not take any medicines for hay fever, allergies, or pain without asking your prescriber or health care professional for advice.

What side effects may I notice from taking chloral hydrate?

Side effects that you should report to your prescriber or health care professional as soon as possible:
• confusion
• difficulty breathing or shortness of breath
• extreme irritability or unusual excitement
• fever, chills, or sore throat
• hallucinations, nightmares
• irregular heart beat
• skin rash and itching (hives)
• slurred speech
• slow reflexes
• staggering, tremors
• unusual weakness or tiredness

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
• diarrhea
• dizziness, drowsiness, lightheadedness, or "hangover"
• nausea, vomiting
• stomach upset

Where can I keep my medicine?

Keep out of the reach of children in a container that small children cannot open.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date.


Last updated: 7/1/2002

Important Disclaimer: The drug information provided here is for educational purposes only. It is intended to supplement, not substitute for, the diagnosis, treatment and advice of a medical professional. This drug information does not cover all possible uses, precautions, side effects and interactions. It should not be construed to indicate that this or any drug is safe for you. Consult your medical professional for guidance before using any prescription or over the counter drugs.

 
Columbia Encyclopedia: chloral hydrate
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chloral hydrate (klōr'əl hī'drāt), central nervous system depressant that is widely used as a hypnotic, or sleep-inducing drug. Chloral hydrate is the common ingredient, along with alcohol, in what are popularly known as knockout drops or Mickey Finns; the combination can induce acute intoxication and coma.


Wikipedia: Chloral hydrate
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Chloral hydrate
Chloral-hydrate-montage.png
IUPAC name
Other names Trichloroacetaldehyde monohydrate
Tradenames: Aquachloral, Novo-Chlorhydrate, Somnos, Noctec, Somnote
Identifiers
CAS number 302-17-0 Yes check.svgY
PubChem 2707
SMILES
InChI
InChI key RNFNDJAIBTYOQL-UHFFFAOYAY
ChemSpider ID 2606
Properties
Molecular formula C2H3Cl3O2
Molar mass 165.40 g/mol
Appearance Colorless solid
Density 1.91 g/cm3
Melting point

57 °C, 330 K, 135 °F

Boiling point

98 °C, 371 K, 208 °F

Pharmacology
Bioavailability well absorbed
Routes of
administration
Oral codeine/syrup, rectal suppository
Metabolism converted to trichloroethanol, hepatic and renal
Elimination
half-life
8–10 hours in plasma
Excretion bile, feces, urine (various metabolites not unchanged)
Legal status


Schedule IV(US)

Pregnancy
category
C(US)
Hazards
MSDS External MSDS
EU classification Harmful (Xn)
R-phrases R22 R36 R37 R38
Related compounds
Related compounds Chloral, chlorobutanol
 Yes check.svgY (what is this?)  (verify)
Except where noted otherwise, data are given for materials in their standard state (at 25 °C, 100 kPa)
Infobox references

Chloral hydrate is a sedative and hypnotic drug as well as a chemical reagent and precursor. The name chloral hydrate indicates that it is formed from chloral (trichloroacetaldehyde) by the addition of one molecule of water. Its chemical formula is C2H3Cl3O2.

It was discovered through the chlorination of ethanol in 1832 by Justus von Liebig in Gießen.[1][2] Its sedative properties were first published in 1869 and subsequently, because of its easy synthesis, its use was widespread.[3] It was widely abused and misprescribed in the late 19th century. Chloral hydrate is soluble in both water and alcohol, readily forming concentrated solutions. A solution of chloral hydrate in alcohol called "knockout drops" was used to prepare a Mickey Finn. More reputable uses of chloral hydrate include its use as a clearing agent of chitin (and fibers) and as a key ingredient of Hoyer's mounting medium, which is used for slide-mounted observation of organisms under the microscope.

It is, together with chloroform, a minor side-product of the chlorination of water, if organic residues are present in the water, concentrations rarely exceeding 5 micrograms per litre (µg/L).

Contents

Production

Chloral hydrate is produced from chlorine and ethanol in acidic solution. In basic conditions the haloform reaction takes place and chloroform is produced.

4 Cl2 + C2H5OH + H2O → Cl3CCH(OH)2 + 5 HCl

Uses

Building block

Chloral hydrate is a starting point for the synthesis of more complex chemicals. It is the starting material for the production of chloral, which is produced by the distillation of a mixture of chloral hydrate and sulfuric acid, which serves as the desiccant.

Notably, it is used to synthesize isatin. In this synthesis, chloral hydrate reacts with aniline and hydroxylamine to give a condensation product which cyclicizes in sulfuric acid to give the target compound:[4]

Synthesis of isatin.png

Sedative

Chloral hydrate is used for the short-term treatment of insomnia and as a sedative before minor medical or dental treatment. It was largely displaced in the mid-20th century by barbiturates[5] and subsequently by benzodiazepines. It was also formerly used in veterinary medicine as a general anesthetic. Today, it is commonly used as an ingredient in the veterinary anesthetic Equithesin[citation needed]. It is also still used as a sedative prior to EEG procedures, as it is one of the few available sedatives that does not suppress epileptiform discharges[citation needed].

In therapeutic doses for insomnia chloral hydrate is effective within sixty minutes, it is metabolized within 4 minutes into trichloroethanol by erythrocytes and plasma esterases and many hours later into trichloroacetic acid. Higher doses can depress respiration and blood pressure. An overdose is marked by confusion, convulsions, nausea and vomiting, severe drowsiness, slow and irregular breathing, cardiac arrhythmia and weakness. It may also cause liver damage and is moderately addictive, as chronic use is known to cause dependency and withdrawal symptoms. The chemical can potentiate various anticoagulants and is weakly mutagenic in vitro and in vivo[citation needed].

Chloral hydrate is now illegal in the United States without a prescription. Chloral hydrate is a schedule IV controlled substance in the United States. Its properties have sometimes led to its use as a date rape drug.[6]

Pharmacology

Chloral hydrate exerts its pharmacological properties via enhancing the GABA receptor complex.[7]

Hoyer's Mounting Medium

Chloral hydrate is also an ingredient used for Hoyer's solution, a slide-mounting medium for microscopic observation of diverse organisms such as bryophytes, ferns, seeds, and small arthropods (especially mites). One recipe for making Hoyer's is dissolving gum arabic (30.0 g) in water (50.0 mL), then adding chloral hydrate (200.0 g), and then finally adding glycerol (16.0 mL). An advantage of this medium include an excellent refraction index and clearing (macerating) properties of the small specimens (especially advantageous if specimens require observation with Nomarski optics). The major disadvantage of Hoyer's is its susceptibility to the effects of hydration, which causes the mountant to crystallize and threatening the slide to become unusable. It is therefore absolutely necessary, after drying a mounted specimen, to thoroughly ring (2 layers are best) cover slips with a protective coating (e.g., insulating Glyptol), which prevents rehydration and mountant deterioration. Chloral hydrate reportedly does not effectively clear larger specimens, or arthropods that are more heavily sclerotized (e.g., larger insects). These should first be cleared with another product (e.g., 10% KCl), and then mounted in Hoyer's. Other disadvantages of Hoyer's (principally due to chloral hydrate) include toxicity (see above), and procurement problems due to chloral hydrate being a controlled substance.

See also

  • Jennie Bosschieter (1882–1900) who was murdered with chloral hydrate in Paterson, New Jersey on 12 October 1900.
  • John Tyndall (1820-1893) who died of an accidental overdose.
  • Anna Nicole Smith (1967-2007) who died of an accidental[8] combination of chloral hydrate with three benzodiazepines, as announced by forensic pathologist Dr. Joshua Perper on 26 March 2007. Chloral hydrate was the major factor, but none of these drugs would have been sufficient by itself to cause her death.[9]
  • Marilyn Monroe had chloral hydrate in her possession, and it has been speculated that it contributed to her death.[10]
  • Hank Williams came under the spell of a man calling himself "Doctor" Toby Marshall (actually a paroled forger), who often supplied him with prescriptions and injections of chloral hydrate, which Marshall claimed was a pain reliever.[11]
  • William S. Burroughs was expelled from school for experimenting with chloral hydrate along with another pupil. The incident is detailed in the writer's foreword to Junkie.
  • Mary Todd Lincoln was given chloral hydrate for sleep problems. See Mary Todd Lincoln by Jean Baker and Mary: Mrs. A. Lincoln, by Janis Cooke Newman.
  • André Gide (1869-1951) was given chloral hydrate as a boy for sleep problems by a Doctor named Lizart. Gide states in his autobiography, If It Die... that "all my later weaknesses of will or memory I attribute to him."[12]
  • House of Mirth (published in 1905), a novel whose heroine, Lily Bart, dies of an overdose of chloral hydrate.
  • Dante Gabriel Rossetti (1830-1882), the English painter, was a regular user of chloral hydrate, originally against insomnia. He is quoted as saying to his friend Hall Caine: 'Everyone has skeletons in their cupboards, and this is mine.'

References

  1. ^ Justus Liebig (1832). "Ueber die Zersetzung des Alkohols durch Chlor". Annalen der Pharmacie 1 (1): 31–32. doi:10.1002/jlac.18320010109. 
  2. ^ Justus Liebig (1832). "Ueber die Verbindungen, welche durch die Einwirkung des Chlors auf Alkohol, Aether, ölbildendes Gas und Essiggeist entstehen". Annalen der Pharmacie 1 (2): 182–230. doi:10.1002/jlac.18320010203. 
  3. ^ Liebreich, Oskar (1869). Das Chloralhydrat : ein neues Hypnoticum und Anaestheticum und dessen Anwendung in der Medicin ; eine Arzneimittel-Untersuchung. Müller. 
  4. ^ C. S. Marvel and G. S. Hiers (1941), "Isatin", Org. Synth., http://www.orgsyn.org/orgsyn/orgsyn/prepContent.asp?prep=cv1p0327 ; Coll. Vol. 1: 327 
  5. ^ Tariq, Syed H. and Shailaja Pulisetty; “Pharmacotherapy for Insomnia”, Clinics in Geriatric Medicine (24), 2008 p. 93-105 PMID: 18035234
  6. ^ New York Daily News, 10/25/2008
  7. ^ Lu, J; Greco (2006). "Sleep circuitry and the hypnotic mechanism of GABAA drugs.". Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine 2 (2): S19–26. PMID 17557503. 
  8. ^ Anna Nicole Smith Autopsy Report. XI. Manner of death. A. The Exclusion of Homicide The Smoking Gun
  9. ^ Anna Nicole Smith Autopsy Released. Coroner: Ex-Playmate died from accidental sedative overdose The Smoking Gun
  10. ^ Marily Monroe. Theories Crime Library
  11. ^ Hank Williams summary Book Rags
  12. ^ Gide, André and Dorothy Bussey (trans). If It Die…An Autobiography. New York: Vintage International, 2001. p105

 
 

 

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Dictionary. The American Heritage® Dictionary of the English Language, Fourth Edition Copyright © 2007, 2000 by Houghton Mifflin Company. Updated in 2009. Published by Houghton Mifflin Company. All rights reserved.  Read more
Chemistry Dictionary. A Dictionary of Chemistry. Sixth Edition. Copyright © Market House Books Ltd, 2008. All rights reserved.  Read more
Dental Dictionary. Mosby's Dental Dictionary. Copyright © 2004 by Elsevier, Inc. All rights reserved.  Read more
Drug Info. Gold Standard. Copyright © 2008 by Gold Standard. All rights reserved.  Read more
Columbia Encyclopedia. The Columbia Electronic Encyclopedia, Sixth Edition Copyright © 2003, Columbia University Press. Licensed from Columbia University Press. All rights reserved. www.cc.columbia.edu/cu/cup/ Read more
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