fee-noh-BAHR-bah-tahl - Pronunciation guide
Phenobarbital is a barbiturate that occurs in a crystalline state. It is most commonly formulated as a tablet or injectable solution.
Phenobarbital is used as an anti-seizure medication or as a sedative for anesthesia. While not as commonly used in horses as in dogs, cats, and humans, it may be used in conjunction with other drugs to break or control seizure activity, particularly in foals.
Dosage and Administration
(click row for calculator)
|IV (Adult Horse)||16-20 mg/kg||Multiple available||Loading dose over 20 min.||Once|
|Oral (Adult Horse)||1-5 mg/kg||Multiple available||Twice daily over 20 min||Maintenance|
|IV (Foal)||16-20 mg/kg||Multiple available||Loading dose over 20 min||Once|
|Oral (Foal)||100-500mg (total dose)||Multiple available||Twice daily over 20 min||Maintenance|
Phenobarbital can cause tiredness, anxiety, and agitation at beginning of treatment.
Phenobarbital may potentiate (make more powerful) or decrease the effect of a wide variety of other drugs. Consultation with your veterinarian is imperative!
Phenobarbital can cause liver damage in higher dosages and may stimulate the production of certain liver enzymes requiring monitoring by a veterinarian.
Sedation and/or ataxia often become significant concerns as serum levels reach the higher ends of the therapeutic range.
Phenobarbital has been shown to interact in various ways with a large number of drugs. While little work has been done to determine adverse effects or interactions in the horse, interactions may mirror those found in other animals.
A complete list of interactions is beyond the scope of this article, however, the following drugs have been shown to have adverse effects when paired with phenobarbital:
- Monamine Oxidase (MAO) Inhibitors (e.g., amitraz, possibly selegiline)
As with drug interactions, adverse effects and toxicity signs are not as well documented in horses as in other species. However, adverse reactions may include: nervous system/behavioral changes such as agitation or increased lethargy, increases in feed and water intake and in urination, liver damage.
Overdose/toxicity signs tend to relate to the central nervous system and present as uncoordination, profound sedation, coma, and potentially death.
Treatment of phenobarbital overdose consists of removal of ingested product from the gut if appropriate and offering respiratory and cardiovascular support. Activated charcoal has been demonstrated to be of considerable benefit in enhancing the clearance of phenobarbital, even when the drug was administered parenterally. Charcoal acts as a “sink” for the drug to diffuse from the vasculature back into the gut.
Phenobarbital injection product label