Barbiturates are
drugs that act as
central nervous system depressants, and can therefore produce a wide spectrum of effects, from mild
sedation to total
anesthesia. They are also effective as
anxiolytics,
hypnotics, and
anticonvulsants. Barbiturates also have
analgesic effects; however, these effects are somewhat weak, preventing barbiturates from being used in
surgery in the presence of other analgesics (
opioids or volatile anesthetics such as
halothane). They have addiction potential, both physical and psychological. Barbiturates have largely been replaced by
benzodiazepines in routine medical practice – for example, in the treatment of anxiety and insomnia – mainly because benzodiazepines are significantly less dangerous in
overdose and there is no specific antidote for barbiturate overdose. However, barbiturates are still used in general anesthesia, for
epilepsy, for the treatment of acute migraines and cluster headaches (in the compound drugs
Fioricet and
Fiorinal) (under stringent protocols with mandatory physician monitoring for addiction and abuse), and (where legal) assisted suicide and euthanasia. Barbiturates are derivatives of
barbituric acid.