The use of ethamivan in the treatment of barbiturate poisoning

Can Med Assoc J. 1963 Jul 6;89(1):20-2.

Abstract

Ethamivan was used as a respiratory analeptic in the treatment of nine cases of severe barbiturate poisoning. Initial intravenous injections of 100 to 150 mg. of ethamivan increased the depth of respirations within a minute. Prolonged respiratory stimulation was achieved by a continuous intravenous infusion of 500 to 3000 mg. of ethamivan per litre of fluid. If hypotension occurred, an intravenous drip of noradrenaline was used; fluid overloading was avoided by adjusting the concentrations of drugs given, so that no more than a total of 125 c.c. of fluid per hour was administered. The chief side effect of overdosage of ethamivan was muscular twitching. This did not prove to be a problem and was of some value in determining the amount of drug given. The nine patients survived. It was concluded that ethamivan is a useful agent in the treatment of barbiturate poisoning.

MeSH terms

  • Barbiturates / toxicity*
  • Benzamides*
  • Central Nervous System Stimulants*
  • Humans
  • Hypotension*
  • Respiration*

Substances

  • Barbiturates
  • Benzamides
  • Central Nervous System Stimulants
  • ethamivan
  • barbituric acid