Barbiturates are sedative-hypnotic drugs primarily used for seizure disorders, anxiety, insomnia, and drug withdrawal symptoms in babies. Using them regularly (especially outside prescription guidelines) can lead to dependence and, eventually, addiction.
Like all other addictions, you can recover from a barbiturate addiction with the appropriate care and support.
Barbiturates are sedative-hypnotics1, meaning they cause sedation and sleepiness. They’re often used to control seizures and unwanted muscle twitches, treat insomnia, and relieve anxiety. Doctors prescribe them; you won’t find barbiturates for sale in grocery stores or pharmacies, like ibuprofen or Tylenol. You need a prescription, including instructions on when to take the pill, how much to take, and potential side effects.
Barbiturates work by slowing down the activity in your brain and depressing your central nervous system2, which can relieve intense anxiety, help you sleep, and control seizures. Some barbiturates are more focused on anxiety, sleep, headaches, pre-surgery calmness, or seizure treatment. Notably, only a tiny difference in dosage produces desired clinical results versus coma and death. It’s difficult to get the dose correct3, and many providers avoid barbiturates for this reason (and its addictive nature and life-threatening withdrawals.)
People may use them outside clinical bounds to feel more disinhibited and to self-medicate unwanted effects of illicit drugs4 like cocaine.
Barbiturates can be addictive, often for those who take more than their prescribed dose and for longer than they should. You can build a tolerance to their effects, meaning you need to take more and more to get the same impact.
Studies have noted people can develop a physical dependence to barbiturates1, which can progress into an addiction requiring drug rehab. Closely monitoring how much people take and for how long can mitigate risks of dependence and addiction.
Certain factors can make addiction more likely, though not a guarantee in any sense.
If you’re on a notably high dose of a barbiturate, it can have a stronger effect that your brain more quickly adapts to and grows dependent on. The same goes for medications like opioids and benzodiazepines.
Your environment and social life also play a role. High-stress environments can encourage mind-altering substance use as a way to escape the situation and cope with how it makes you feel. If other people in your social life regularly use substances you become more likely to use and grow addicted as well5.
Your genes can predispose you to addiction. Epigenetics (changes to how your body reads genetic code) can account for this, or it could simply be the genes you inherit. But it’s vital to note many factors lead to addiction, not just your genes.
Mood and brain changes related to mental health conditions like depression, anxiety, and post-traumatic stress disorder (PTSD) can make people more susceptible to substance use and addiction6. Or, conversely, substance use can make you more likely to develop a mental health condition. For these reasons addiction and mental health conditions often co-occur6.
Signs of an addiction7 to barbiturates and other substances include
With the line between safety and death so thin with barbiturates, developing an addiction to them and consequentially taking higher doses can prove deadly. Comatose and death are the top consequences of barbiturate addiction3.
Other more long-term consequences include job loss, homelessness, physical illness, new or worsening mental health conditions, and an inability to maintain good relationships with loved ones. As addiction takes a stronger hold, other areas of life inevitably fall away.
Treatment can restore these aspects and your overall well-being.
The first step in getting treatment will likely be setting up an appointment with your primary care doctor; or, you can start by reaching out to drug rehab and admit to their program for detox services and therapies targeted at comprehensive recovery.
Medical detox removes toxins from your body. This step is especially important for barbiturates as their withdrawal symptoms can be deadly3. Providers will likely use a tailored blend of medications and to make the detox process safe and comfortable, preparing you for the next step: therapeutic care.
Therapy gets to the heart of addictions, helping you discover what drives it emotionally and how you can cope with distress in new ways. You’ll likely meet with a therapist 1:1 and with other patients in group therapy. Many drug treatment programs also offer family therapy, or you can seek it out yourself. Common therapies include
Attending support groups can maintain your progress once you graduate from drug rehab or outpatient care for addiction. These types of peer support groups can include 12-Step-based groups, like Pills Anonymous (PA), or secular groups not associated with the 12 Steps.
Any social activity can also support your recovery by surrounding you with people who want you to get better and/or maintain your progress. For example, you could schedule regular meetings with friends and commit to calling a loved one every day.
Many rehabs recognize barbiturates as one of the most addictive drugs and offer comprehensive care centered on long-term recovery. At a prescription drug rehab you’ll stay in a recovery-conducive environment for 28+ days, with each structured week filled with therapeutic care, activities, relapse prevention training, aftercare planning, and more.
You can use Recovery.com to find prescription drug rehabs, filtering by your insurance, location, reviews, and more to find the best treatment for you.
Skibiski, Jeanie, et al. “Barbiturates.” StatPearls, StatPearls Publishing, 2024. PubMed, http://www.ncbi.nlm.nih.gov/books/NBK539731/.
Barbiturate - an Overview | ScienceDirect Topics. https://www.sciencedirect.com/topics/chemistry/barbiturate. Accessed 14 Nov. 2024.
“Barbiturate Abuse Symptoms, Treatment & Effects.” eMedicineHealth, https://www.emedicinehealth.com/barbiturate_abuse/article_em.htm. Accessed 14 Nov. 2024.
Orbán, P. T. “Barbiturate Abuse.” Journal of Medical Ethics, vol. 2, no. 2, June 1976, p. 63. pmc.ncbi.nlm.nih.gov, https://pmc.ncbi.nlm.nih.gov/articles/PMC2495124/.
Mennis, Jeremy, et al. “Risky Substance Use Environments and Addiction: A New Frontier for Environmental Justice Research.” International Journal of Environmental Research and Public Health, vol. 13, no. 6, June 2016, p. 607. pmc.ncbi.nlm.nih.gov, https://doi.org/10.3390/ijerph13060607.
Substance Use and Co-Occurring Mental Disorders - National Institute of Mental Health (NIMH). https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health. Accessed 14 Nov. 2024.
Abuse, National Institute on Drug. Drug Misuse and Addiction | National Institute on Drug Abuse (NIDA). --, https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drug-misuse-addiction.
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