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Methohexital

 
Drug Info: Methohexital

Brand names: Brevital®

Chemical formula:



Methohexital Sodium Solution for injection

What is this medicine?

METHOHEXITAL is an anesthetic. It is used to cause relaxation and sleep before or during surgery. It does not relieve pain.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

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

They need to know if you have any of these conditions:
• heart disease
• liver disease
• porphyria
• seizures
• an unusual or allergic reaction to methohexital, other barbiturates, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

This medicine is for infusion into a vein or injection into a muscle. This medicine can be diluted and prepared as an enema to be given rectally. It is given by a health care professional in a hospital or clinic setting.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 1 month old for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:
• MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
• St. John's wort
voriconazole

This medicine may also interact with the following medications:
• alcohol
• ethyl alcohol
levodopa
• medicines for seizures like phenobarbital
• medicines for sleep
• medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin
• narcotic medicines for pain
• propylene glycol
• steroid medicines like prednisone or cortisone

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Your condition will be monitored carefully while you are receiving this medicine.

You may get drowsy or dizzy. Do not drive for at least 8 to 12 hours after you are treated with this medicine. Do not use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:
• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• breathing problems
• fast, irregular heartbeat
• feeling faint or lightheaded, falls
• low blood pressure
• muscle twitch
• numbness or tingling in the hands or feet
• pain at site where injected
• seizures

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
• anxietyor confusion
• coughing
• headache
• hiccups
• nausea, vomiting

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

This drug is given in a hospital or clinic and will not be stored at home.

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.

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Wikipedia: Methohexital
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Methohexital
Systematic (IUPAC) name
5-hex-3-yn-2-yl-1- methyl-5-prop-2-enyl-1, 3-diazinane-2,4,6-trione
Identifiers
CAS number 151-83-7
ATC code N01AF01 N05CA15
PubChem 9034
DrugBank APRD00058
Chemical data
Formula C14H18N2O3 
Mol. mass 262.304
Pharmacokinetic data
Bioavailability I.V. ~100%
Rectal ~17%
Metabolism Hepatic
Half life 5.6 ± 2.7 minutes
Excretion  ?
Therapeutic considerations
Pregnancy cat.

B (USA)

Legal status

?

Routes Intravenous, rectal
 Yes check.svgY(what is this?)  (verify)

Methohexital, also called methohexitone, (marketed under the brand name Brevital) is a drug which is a barbiturate derivative. It is classified as short-acting, and has a rapid onset of action. It is similar in its effects to sodium thiopental, a drug with which it competed in the market for anaesthetics.

Contents

Pharmacology

Methohexital binds to a distinct site which is associated with Cl ionophores at GABAA receptors.[1] This increases the length of time which the Cl ionopores are open, thus causing an inhibitory effect.

Metabolism of methohexital is primarily hepatic (i.e., taking place in the liver) via demethylation and oxidation.[citation needed] Side-chain oxidation is the primary means of metabolism involvedtermination of the drug's biological activity.

Protein binding is approximately 73% for methohexital.[citation needed]

Indications

Methohexital is primarily used to induce anesthesia, and is generally provided as a sodium salt (i.e. methohexital sodium). It is only used in hospital or similar settings, under strict supervision.[citation needed] It has been commonly used to induce deep sedation, "twilight sleep" or general anesthesia for oral surgery and dentistry. It is also used to induce anesthesia prior to ECT(electroconvulsive therapy).

References

  1. ^ Katzung, Bertram G., Basic and Clinical Pharmacology, 10th ed., p. 406-407

External links


 
 
Learn More
Methohexital Sodium Solution for injection
Anesthesia, General (surgical term)
Inhalational anaesthetic

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