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The Nembutal Injection are nonselective central nervous system depressants which are primarily used as sedative hypnotics and also anticonvulsants in subhypnotic doses. The barbiturates and their sodium salts are subject to control under the Federal Controlled Substances Act (See “Drug Abuse and Dependence” section).
The sodium salts of amobarbital, pentobarbital, phenobarbital, and secobarbital are available as sterile parenteral solutions.
Barbiturates are substituted pyrimidine derivatives in which the basic structure common to these drugs is barbituric acid, a substance which has no central nervous system (CNS) activity. CNS activity is obtained by substituting alkyl, alkenyl, or aryl groups on the pyrimidine ring.
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Pentobarbital is synthesized by methods analogous to that of amobarbital, the only difference being that the alkylation of α-ethylmalonic ester is carried out with 2-bromopentane in place of 1-bromo-3-methylbutane to give pentobarbital.
Pentobarbital can occur as a free acid, but is usually formulated as the sodium salt, pentobarbital sodium. The free acid is only slightly soluble in water and in ethanol while the sodium salt shows better solubility.
One brand name for this drug is Nembutal, coined by John S. Lundy, who started using it in 1930, from the structural formula of the sodium salt—Na (sodium) + ethyl + methyl + butyl + al (common suffix for barbiturates). Nembutal is trademarked and manufactured by the Danish pharmaceutical company
Abbott discontinued its Nembutal brand of pentobarbital capsules in 1999, largely replaced by the benzodiazepine family of drugs. Abbott’s Nembutal, known on the streets as “yellow jackets”, was widely abused. They were available as 30, 50, and 100 mg capsules of yellow, white-orange, and yellow colors, respectively.
Administration of ethanol, benzodiazepines, opioids, antihistamines, other sedative-hypnotics, and other central nervous system depressants will cause possible additive effects.
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Upon administration of intravenous anesthetic, unconsciousness, respiratory then cardiac arrest follow rapidly, usually within 30 seconds.
Some veterinarians perform a two-stage process: an initial injection that simply renders the pet unconscious and a second shot that causes death. This allows the owner the chance to say goodbye to a live pet without their emotions stressing the animal. It also greatly mitigates any tendency toward spasm and other involuntary movement which tends to increase the emotional upset that the pet’s owner experiences.
For large animals, the volumes of barbiturates required are considered by some to be impractical, although this is standard practice in the United States. For horses and cattle, other drugs may be available. Some specially formulated combination products are available, such as Somulose (secobarbital/cinchocaine) and Tributame (embutramide/chloroquine/lidocaine), which cause deep unconsciousness and cardiac arrest independently with a lower volume of injection, thus making the process faster, safer, and more effective.
Occasionally, a horse injected with these mixtures may display apparent seizure activity before death. This may be due to premature cardiac arrest. However, if normal precautions (e.g., sedation with detomidine) are taken, this is rarely a problem. Anecdotal reports that long-term use of phenylbutazone increases the risk of this reaction are unverified.
After the animal has died, it is not uncommon for the body to have posthumous body jerks or a sudden bladder outburst.