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Excess use of Barbiturates causes Anemia

  • Barbiturates are sedative hypnotics which causes CNS depression.
  • Excessive use of barbiturate need to catabolize or metabolize this
  • drug in our body Otherwise it can lead to toxicity of drug
  • barbiturate drugs Metabolized / Catabolized By Cytochrome P450
  1. it is an Enzyme
  2. this enzyme needs Haem as Cofactor
  • Drugs like barbiturates induce Haem synthesis.
  • Use of haem here leads to haem deficiency towards heamoglobin
  • So decresed amount of normal erythrocytes
  • Therefore decrease normal haemoglobin level in erythrocytes
  • It leads to decrease oxygen carrying capacity of blood
  • Barbiturates negatively impact the bone marrow’s ability to
  • fulfill its role in erythrocyte production.
  • It leads anaemia in person which use excessive amount of barbiturate
  • Healthcare professionals measure haemoglobin Level and blood cell count of patients Before use of barbiturate as anesthetic drug
  • Excessive use of barbiturates can lead to aplastic anemia and megaloblastic anemia in some cases.
  1. Aplastic Anemia – Barbiturates, particularly phenobarbital, have been linked to bone marrow suppression, which can lead to aplastic anemia.
  2. Megaloblastic Anemia – Long-term barbiturate use can interfere with folate metabolism, leading to a deficiency.This results in megaloblastic anemia, where red blood cells become abnormally large .