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Chemistry

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Also known as: Amylobarbitone, Barbamyl, Isomytal, Amytal, Amylobarbital, 57-43-2
Molecular Formula
C11H18N2O3
Molecular Weight
226.27  g/mol
InChI Key
VIROVYVQCGLCII-UHFFFAOYSA-N
FDA UNII
GWH6IJ239E

Amobarbital
A barbiturate with hypnotic and sedative properties (but not antianxiety). Adverse effects are mainly a consequence of dose-related CNS depression and the risk of dependence with continued use is high. (From Martindale, The Extra Pharmacopoeia, 30th ed, p565)
1 2D Structure

Amobarbital

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
5-ethyl-5-(3-methylbutyl)-1,3-diazinane-2,4,6-trione
2.1.2 InChI
InChI=1S/C11H18N2O3/c1-4-11(6-5-7(2)3)8(14)12-10(16)13-9(11)15/h7H,4-6H2,1-3H3,(H2,12,13,14,15,16)
2.1.3 InChI Key
VIROVYVQCGLCII-UHFFFAOYSA-N
2.1.4 Canonical SMILES
CCC1(C(=O)NC(=O)NC1=O)CCC(C)C
2.2 Other Identifiers
2.2.1 UNII
GWH6IJ239E
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Amobarbital Sodium

2. Amobarbital, Sodium

3. Amsal

4. Amylbarb Sodium

5. Amylobarbitone

6. Amylobeta

7. Amytal

8. Amytal Sodium

9. Barbamyl

10. Eunoctal

11. Isoamitil Sedante

12. Isonal

13. Neur-amyl

14. Novamobarb

15. Pentymal

16. Placidel

17. Sodium Amobarbital

18. Sodium Amytal

19. Sodium, Amobarbital

20. Transital

2.3.2 Depositor-Supplied Synonyms

1. Amylobarbitone

2. Barbamyl

3. Isomytal

4. Amytal

5. Amylobarbital

6. 57-43-2

7. Barbamil

8. Pentymal

9. Amobarbitone

10. Amylbarbitone

11. Eunoctal

12. Talamo

13. Barbamyl Acid

14. Binoctal

15. Dorlotyn

16. Dormytal

17. Mylodorm

18. Pentymalum

19. Schiwanox

20. Sednotic

21. Stadadorm

22. Amasust

23. Amital

24. Amospan

25. Amybal

26. Robarb

27. Somnal

28. Sumital

29. Isomyl

30. Amal

31. Isoamylethylbarbituric Acid

32. 5-ethyl-5-isopentylbarbituric Acid

33. Ethylisopentylbarbituric Acid

34. 5-ethyl-5-isoamylbarbituric Acid

35. 5-ethyl-5-isoamylmalonyl Urea

36. 5-ethyl-5-(3-methylbutyl)barbituric Acid

37. 5-isoamyl-5-ethylbarbituric Acid

38. Barbituric Acid, 5-ethyl-5-isopentyl-

39. Nsc 10815

40. 5-ethyl-5-(3-methylbutyl)-2,4,6(1h,3h,5h)-pyrimidinetrione

41. 2,4,6(1h,3h,5h)-pyrimidinetrione, 5-ethyl-5-(3-methylbutyl)-

42. Amobarbital Cii

43. 5-ethyl-5-(3-methylbutyl)-1,3-diazinane-2,4,6-trione

44. Component Of Dexamyl

45. Component Of Q-caps

46. Component Of 15-90

47. Nsc-10815

48. Component Of Amo-dextrosule

49. Gwh6ij239e

50. Chebi:2673

51. 5-ethyl-5-(3-methylbutyl)pyrimidine-2,4,6(1h,3h,5h)-trione

52. Ncgc00247711-01

53. Amobarbitale

54. Amobarbitalum

55. Amobarbitale [dcit]

56. Amobarbitalum [inn-latin]

57. 5-ethyl-5-isopentylbarbitursaeure

58. Dea No. 2125

59. Wln: T6vmvmv Fhj F2 F2y1&1

60. Isomytal (tn)

61. Ccris 5454

62. Hsdb 3286

63. Einecs 200-330-7

64. Unii-gwh6ij239e

65. 2,6(1h,3h,5h)-pyrimidinetrione, 5-ethyl-5-(3-methylbutyl)-

66. 5-ethyl-5-(3-methylbutyl)-2,6(1h,3h,5h)-pyrimidinetrione

67. Amobarbital [usp:inn:ban:jan]

68. Dexamyl (salt/mix)

69. Dsstox_cid_81

70. Amobarbital [mi]

71. Amobarbital [inn]

72. Amobarbital [jan]

73. Amobarbital [hsdb]

74. Amobarbital (jp17/inn)

75. Amobarbital [vandf]

76. Amobarbital [mart.]

77. Dsstox_rid_75353

78. Bidd:pxr0091

79. Dsstox_gsid_20081

80. Oprea1_587446

81. Schembl43780

82. Amobarbital [who-dd]

83. Cbdive_006514

84. Divk1c_000994

85. Chembl267894

86. Dtxsid9020081

87. Schembl15364946

88. Component Of Dexamyl (salt/mix)

89. Kbio1_000994

90. Virovyvqcglcii-uhfffaoysa-

91. Amobarbital [ep Impurity]

92. Amobarbital Cii [usp-rs]

93. Component Of Q-caps (salt/mix)

94. Ninds_000994

95. Component Of 15-90 (salt/mix)

96. Amobarbital 0.1 Mg/ml In Methanol

97. Amobarbital 1.0 Mg/ml In Methanol

98. Nsc10815

99. Nsc32406

100. Zinc4811698

101. Tox21_112866

102. Nsc-32406

103. Nsc120800

104. Barbituric Acid, 5-ethyl-5-isoamyl-

105. Db01351

106. Nsc-120800

107. Cas-57-43-2

108. Component Of Amo-dextrosule (salt/mix)

109. Idi1_000994

110. C07536

111. D00555

112. 057a558

113. Q415850

114. 5-ethyl-5-isopentyl-2,4,6(1h,3h,5h)-pyrimidinetrione #

115. Amobarbital Solution, 1.0 Mg/ml In Methanol, Ampule Of 1 Ml, Certified Reference Material

2.4 Create Date
2005-03-25
3 Chemical and Physical Properties
Molecular Weight 226.27 g/mol
Molecular Formula C11H18N2O3
XLogP32.1
Hydrogen Bond Donor Count2
Hydrogen Bond Acceptor Count3
Rotatable Bond Count4
Exact Mass226.13174244 g/mol
Monoisotopic Mass226.13174244 g/mol
Topological Polar Surface Area75.3 Ų
Heavy Atom Count16
Formal Charge0
Complexity303
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Therapeutic Uses

GABA Modulators; Sedatives, Barbiturate

National Library of Medicine's Medical Subject Headings online file (MeSH, 2009)


Amobarbital (no longer commercially available in the US) and amobarbital sodium are used principally as hypnotics in the short-term treatment of insomnia for periods up two two weeks in duration ... The drugs are also used for routine sedation and to relieve anxiety and provide sedation preoperatively.

American Society of Health System Pharmacists; AHFS Drug Information 2009. Bethesda, MD. (2009), p. 2580


Amobarbital sodium may be used ... to control acute episodes of agitated behavior in psychoses such as catatonic, negativistic, or manic reactions, but has little value in longterm management of psychoses. Parenteral amobarbital sodium may also be useful in narcoanalysis, narcotherapy, and as a diagnostic aid in schizophrenia.

American Society of Health System Pharmacists; AHFS Drug Information 2009. Bethesda, MD. (2009), p. 2580


/Experimental Therapy:/ ... Presurgical screening for temporal lobe epilepsy (TLE) includes the intracarotid amobarbital procedure (IAP), consisting of two consecutive injections of amobarbital, ipsilateral and contralateral to the epileptic focus. We studied whether a bilateral IAP has added value to a unilateral, ipsilateral IAP. METHODS: This population-based study included 183 consecutive patients referred for screening for TLE surgery who underwent bilateral IAP. Using multivariable modeling, we assessed the added value of bilateral IAP on the decision for surgery, resection size, amygdalohippocampectomy, post-operative seizure freedom, memory performance, and IQ change. RESULTS: Given the results from the unilateral IAP, the bilateral IAP had added prognostic value for postoperative change in verbal memory (P < 0.01) and verbal IQ (P < 0.01), especially if patients had a left-sided focus. In contrast, information provided by the contralateral IAP was not associated with decision-making or surgical strategy. CONCLUSIONS: A bilateral IAP has added value in predicting post-operative verbal memory and IQ. A bilateral IAP is currently not used to guide surgical strategy, but may be used for this purpose when verbal capacity is of particular concern in patients with a left-sided focus. In other cases, IAP is best performed unilaterally.

PMID:18684215 Uijl SG et al; Acta Neurol Scand 119 (3): 199-206 (2009).


Medication (Vet): ... used primarily for its hypnotic or sedative action. /Amobarbital sodium/

Booth, N.H., L.E. McDonald (eds.). Veterinary Pharmacology and Therapeutics. 5th ed. Ames, Iowa: Iowa State University Press, 1982., p. 257


4.2 Drug Warning

Amobarbital (no longer commercially available in the US) and amobarbital sodium share the toxic potentials of the barbiturates, and the usual precautions of barbiturate administration should be observed.

American Society of Health System Pharmacists; AHFS Drug Information 2009. Bethesda, MD. (2009), p. 2580


Dependence of the barbiturate-alcohol type is liable to occur in susceptible patients given any of the sedatives & hypnotics ... . It is characterized by a strong need to continue taking the drug, a tendency to increase the dose, a psychic dependence on the effects of the drug, and a physical dependence on the effects of the drug for the maintenance of homoeostasis, with a characteristic abstinence syndrome on withdrawal. /Hypnotics & sedatives/

Reynolds, J.E.F., Prasad, A.B. (eds.) Martindale-The Extra Pharmacopoeia. 28th ed. London: The Pharmaceutical Press, 1982., p. 792


Vet: avoid use of simultaneously administered chloramphenicol which has caused a dramatic increase in anesthesia duration in mice.

Rossoff, I.S. Handbook of Veterinary Drugs. New York: Springer Publishing Company, 1974., p. 17


IV administered amobarbital sodium may cause respiratory depression, apnea, or hypotension, particularly if the drug is administered too rapidly. The drug must be administered slowly at a rate not greater than 100 mg/minute, and personnel and equipment should be readily available for administration of artificial respiration. Safety & efficacy of amobarbital & amobarbital sodium in children younger than 6 yr of age have not been established.

American Society of Health System Pharmacists; AHFS Drug Information 2009. Bethesda, MD. (2009), p. 2580


For more Drug Warnings (Complete) data for Amobarbital (29 total), please visit the HSDB record page.


4.3 Minimum/Potential Fatal Human Dose

The toxic dose of barbiturates varies considerably but, in general, a severe reaction is likely to occur when the amount ingested is more than 10 times the usual oral hypnotic dose. Potentially lethal blood concentrations are those in excess of 80 ug/mL for phenobarbital, 50 ug/mL for amobarbital or butabarbital, and approximately 30 ug/mL for secobarbital or pentobarbital; however, some patients have survived much higher blood concentrations. /Barbiturates General Statement/

American Society of Health System Pharmacists; AHFS Drug Information 2009. Bethesda, MD. (2009), p. 2578


5 Pharmacology and Biochemistry
5.1 MeSH Pharmacological Classification

GABA Modulators

Substances that do not act as agonists or antagonists but do affect the GAMMA-AMINOBUTYRIC ACID receptor-ionophore complex. GABA-A receptors (RECEPTORS, GABA-A) appear to have at least three allosteric sites at which modulators act: a site at which BENZODIAZEPINES act by increasing the opening frequency of GAMMA-AMINOBUTYRIC ACID-activated chloride channels; a site at which BARBITURATES act to prolong the duration of channel opening; and a site at which some steroids may act. GENERAL ANESTHETICS probably act at least partly by potentiating GABAergic responses, but they are not included here. (See all compounds classified as GABA Modulators.)


Hypnotics and Sedatives

Drugs used to induce drowsiness or sleep or to reduce psychological excitement or anxiety. (See all compounds classified as Hypnotics and Sedatives.)


5.2 ATC Code

N - Nervous system

N05 - Psycholeptics

N05C - Hypnotics and sedatives

N05CA - Barbiturates, plain

N05CA02 - Amobarbital


5.3 Absorption, Distribution and Excretion

Following oral or rectal admin, the onset of action varies from 10-30 min for ... amobarbital ... Following iv admin of the sodium salts of ... amobarbital, the onset of action ranges from almost immediately for pentobarbital ... .

American Hospital Formulary Service - Drug Information 89. Bethesda, MD: American Society of Hospital Pharmacists, 1989 (Plus Supplements)., p. 1185


About 40 to 60% of amylobarbitone is bound to plasma proteins.

Reynolds, J.E.F., Prasad, A.B. (eds.) Martindale-The Extra Pharmacopoeia. 28th ed. London: The Pharmaceutical Press, 1982., p. 793


Following admin of radioactively labelled amylobarbitone to 2 healthy subjects 79 to 92% was recovered in urine in 6 days and only 4 to 5% in the feces. Unchanged drug was practically absent from both urine and feces.

Reynolds, J.E.F., Prasad, A.B. (eds.) Martindale-The Extra Pharmacopoeia. 28th ed. London: The Pharmaceutical Press, 1982., p. 793


Fluid & tissue specimens collected from 30 subjects at autopsy were assayed for amylobarbitone (amobarbital), butobarbitone (butethal), pentobarbitone (pentobarbital), quinalbarbitone (secobarbital) and the corresponding hydroxylated metabolites by GLC. Where one barbiturate was ingested, an inverse relationship between lipid solubility of the drug and the distribution in fluids and tissues was observed. In most cases the liver, and in the remainder the spleen, contained the highest concn of barbiturate. Bile concn were often in excess of those in the corresponding liver. The metabolites of the 4 sedative barbiturates were usually present in lower amounts than the parent drugs in the fluids and tissues of most subjects, but urine often contained much higher concn of metabolites, sometimes exceeding that of the parent drug in the liver. Admin of 2 or more barbiturates together did not appear to affect the distribution and metabolism of the individual drugs.

PMID:39132 Robinson AE, McDowall RD; J Pharm Pharmacol 31: 357-65 (1979)


For more Absorption, Distribution and Excretion (Complete) data for Amobarbital (17 total), please visit the HSDB record page.


5.4 Metabolism/Metabolites

Amobarbital is metabolized by the liver via penultimate oxidation of the 3-methylbutyl substituent to form a tertiary alcohol, hydroxyamobarbital, which is an inactive metabolite. About 40-50% of an oral hypnotic dose of amobarbital is excreted in urine as hydroxyamobarbital and its glucuronide conjugates. Less than 1% of an oral hypnotic dose of the drug is excreted in urine unchanged. Conjugates of hydroxyamobarbital excreted in feces or urine and/or further oxidation products not yet identified may account for the remainder of the dose.

American Society of Health System Pharmacists; AHFS Drug Information 2009. Bethesda, MD. (2009), p. 2580


Following admin of radioactively labelled amylobarbitone to two healthy subjects ... less than 50% of the dose was identified as 3'-hydroxyamylobarbitone. A second main metabolite was identified as N-hydroxyamylobarbitone and was found to account for up to 30% of the dose.

Reynolds, J.E.F., Prasad, A.B. (eds.) Martindale-The Extra Pharmacopoeia. 28th ed. London: The Pharmaceutical Press, 1982., p. 793


Relative proportion of amobarbital metabolites in urine is highly variable and observations of plasma half-life give no indication of this variability. A valid estimate of a given person's metabolite pattern can be obtained by studying single urine specimen in postdistributive phase. Two metabolites were measured in urine specimen in the postdistributive phase. The 2 metabolites were 3'-hydroxyamobarbital as product of side chain hydroxylation and N-beta-d-glycopyranosyl amobarbital, a glucose conjugate.

PMID:699482 Kalow W et al; Clin Pharmacol Ther 24 (5): 576-82 (1978)


N-Hydroxyamylobarbitone was synthesized and its occurrence as a urinary metabolite was studied in 13 subjects taking 200 mg sodium amobarbital. It was concluded that the excretion of free N-hydroxyamylobarbitone is not significant in the metabolism of amobarbital sodium. /Amobarbital sodium/

Gilbert JN et al; J Pharm Pharmacol 30 (9) 595 (1978)


For more Metabolism/Metabolites (Complete) data for Amobarbital (8 total), please visit the HSDB record page.


5.5 Biological Half-Life

Following bolus iv administration, plasma concentrations of amobarbital decline in a biphasic manner with a half-life of about 40 minutes for the first phase and 20-25 hours for the second phase, although the second phase half-life has ranged from 14-42 hours in individual patients.

American Society of Health System Pharmacists; AHFS Drug Information 2009. Bethesda, MD. (2009), p. 2580


The half-life of amobarbital was investigated in 36 unrelated subjects; half-life (23.8 hr) appeared to be normally distributed.

PMID:975717 Inaba T et al; Clin Pharmacol Ther 20 (4): 439-44 (1976)


Following im injection of amylobarbitone sodium 200 mg to mildly hypertensive women in labor 0.7 to 3.5 hr before delivery, the plasma-half-life of amylobarbitone was 2.5 times as long in the neonates as in the mothers. /Amobarbital sodium/

Reynolds, J.E.F., Prasad, A.B. (eds.) Martindale-The Extra Pharmacopoeia. 28th ed. London: The Pharmaceutical Press, 1982., p. 793


5.6 Mechanism of Action

Amobarbital (like all barbiturates) works by binding to the GABAA receptor at either the alpha or the beta sub unit. These are binding sites that are distinct from GABA itself and also distinct from the benzodiazepine binding site. Like benzodiazepines, barbiturates potentiate the effect of GABA at this receptor. This GABAA receptor binding decreases input resistance, depresses burst and tonic firing, especially in ventrobasal and intralaminar neurons, while at the same time increasing burst duration and mean conductance at individual chloride channels; this increases both the amplitude and decay time of inhibitory postsynaptic currents. In addition to this GABA-ergic effect, barbiturates also block the AMPA receptor, a subtype of glutamate receptor. Glutamate is the principal excitatory neurotransmitter in the mammalian CNS. Amobarbital also appears to bind neuronal nicotinic acetylcholine receptors.


The exact mechanism(s) by which barbiturates exert their effect on the CNS, has not been fully elucidated. However, it is believed that such effects are related, at least partially, to the drugs' ability to enhance the activity of gamma-aminobutyric acid (GABA), the principal inhibitory neurotransmitter in the CNS, by altering inhibitory synaptic transmissions that are mediated by GABAA receptors. /Barbiturates General Statement/

American Society of Health System Pharmacists; AHFS Drug Information 2009. Bethesda, MD. (2009), p. 2579


Although the drugs act throughout the CNS, a site of particular sensitivity is the polysynaptic midbrain reticular formation which is concerned with the arousal mechanism. Barbiturates induce an imbalance in central inhibitory and facilitatory mechanisms influencing the cerebral cortex and the reticular formation. The significance of the effect of barbiturates on neurotransmitters is unclear. It appears that the drugs decrease the excitability of both presynaptic and postsynaptic membranes. It has not been determined which of the various actions of barbiturates at cellular and synaptic levels are responsible for their sedative and hypnotic effects. /Barbiturates General Statement/

American Society of Health System Pharmacists; AHFS Drug Information 2009. Bethesda, MD. (2009), p. 2579


Relatively low doses of the barbiturates depress the sensory cortex, decrease motor activity, and produce sedation and drowsiness. In some patients, however, drowsiness may be preceded by a period of transient elation, confusion, euphoria, or excitement, especially after subhypnotic doses of aprobarbital, pentobarbital, or secobarbital. /Barbiturates General Statement/

American Society of Health System Pharmacists; AHFS Drug Information 2009. Bethesda, MD. (2009), p. 2579


Larger doses distort judgment, cloud perception, suppress motor activity, and produce drowsiness and sleep. Still larger doses induce anesthesia. Barbiturate-induced sleep differs from physiologic sleep. Barbiturates reduce the rapid eye movement (REM) or dreaming stage of sleep. Stages III and IV sleep are also decreased. Although tolerance develops to the REM-suppressant effects during chronic administration, REM rebound occurs when the drugs are withdrawn, and the patient may experience markedly increased dreaming, nightmares, and/or insomnia. /Barbiturates General Statement/

American Society of Health System Pharmacists; AHFS Drug Information 2009. Bethesda, MD. (2009), p. 2579


For more Mechanism of Action (Complete) data for Amobarbital (18 total), please visit the HSDB record page.


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