Amobarbital and Secobarbital (patient information)

# Why this medication is prescribed
Amobarbital and secobarbital are barbiturates. The combination is used in the short-term treatment of insomnia to help you fall asleep and stay asleep through the night. It also is used as a sedative to relieve anxiety before surgery.
This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

# How this medication should be used
The combination of amobarbital and secobarbital comes as a capsule to take by mouth. It usually is taken at bedtime as needed for sleep. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take amobarbital and secobarbital exactly as directed.
Amobarbital and secobarbital can be habit-forming. Do not use this medication for more than 2 weeks. Do not take a larger dose, take it more often, or for a longer time than your doctor tells you to. Tolerance may develop with long-term or excessive use, making the drug less effective. Do not stop taking this drug without talking to your doctor, especially if you have been taking it for a long time. Stopping this drug suddenly can cause withdrawal symptoms (anxiousness, sleeplessness, and irritability). Your doctor probably will decrease your dose gradually. If your sleep problems continue, talk to your doctor, who will determine whether this drug is right for you.

# Special Precautions
Before taking amobarbital and secobarbital:
- tell your doctor and pharmacist if you are allergic to amobarbital, secobarbital, or any other drugs.
- tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially acetaminophen (Tylenol); anticoagulants ('blood thinners') such as warfarin (Coumadin); antihistamines; carbamazepine (Epitol, Tegretol), clonazepam (Klonopin); disulfiram (Antabuse); felodipine (Plendil); fenoprofen (Nalfon); MAO inhibitors ; medication for depression, seizures, asthma, colds, or allergies; metoprolol (Lopressor, Toprol XL), metronidazole (Flagyl); muscle relaxants; phenylbutazone (Azolid, Butazolidin), propranolol (Inderal); rifampin (Rifadin), sedatives; sleeping pills; steroids; theophylline (Theo-Dur); tranquilizers; valproic acid (Depakene); verapamil (Calan); and vitamins. These medications may add to the drowsiness caused by amobarbital and secobarbital.
- this medication can decrease the effectiveness of oral contraceptives. Use a different method of birth control while taking this medication.
- tell your doctor if you have or have ever had anemia; asthma; seizures; or lung, heart, or liver disease.
- tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking amobarbital and secobarbital, call your doctor immediately.
- if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking amobarbital and secobarbital.
- you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
- remember that alcohol can add to the drowsiness caused by this drug.

# What to do if you forget a dose
Do not take the missed dose when you remember it. Skip it completely; then take the next dose at the regularly scheduled time. Do not take a double dose to make up for a missed one.

# Side Effects

## Minor Side Effects
Side effects from amobarbital and secobarbital are common and include:
- drowsiness
- headache
- dizziness
- depression
- excitement (especially in children)
- upset stomach
- vomiting
Tell your doctor if any of these symptoms are severe or do not go away:
- nightmares
- increased dreaming
- constipation
- joint or muscle pain

## Severe Side Effects
If you experience any of the following symptoms, call your doctor immediately:
- mouth sores
- sore throat
- easy bruising
- bloody nose
- unusual bleeding
- fever
- difficulty breathing or swallowing
- severe skin rash
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online  or by phone .

# Storage conditions needed for this medication
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

# In case of emergency/overdose
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

# Other information
Keep all appointments with your doctor.
Do not let anyone else take your medication.

# Brand names
- Tuinal