Dosing Guidlines for Adults

Drug Detail for Adult Drugs


Thiopental

Sedatives, Hypnotics, and Other Drugs Used in Psychiatry

Barbiturates


General Toxicity Notes
May cause excessive sedation and increase osteomalacia in ESRD. Charcoal hemoperfusion and hemodialysis more effective than peritoneal dialysis. For poisoning.
Excreted Unchanged %
Hepatic
Half-Life (NormalESRD) hours
3.8/6-18
Plasma Protein Binding %
72-86
Volume of Distribution L/kg
1.0-1.5
Dose for Normal Renal Function
Anesthesia induction (individualized)
Second Dose
Adjustment for Renal Failure Method
D
Adjustment for Renal Failure GFR, mL/min >50 [Recommended Level]
100% [A]
Adjustment for Renal Failure GFR, mL/min 10-50 [Recommended Level]
100% [A]
Adjustment for Renal Failure GFR, mL/min <10 [Recommended Level]
75% [A]
Supplement for Dialysis [Recommendation Level]: IHD
IHD: Not applicable, [D]
Supplement for Dialysis [Recommendation Level]: PD
PD: Not applicable, [D]
Supplement for Dialysis [Recommendation Level]: CRRT
CRRT: Dose for GFR 10-50, [D]
References
Browne TR. The pharmacokinetics of agents used to treat status epilepticus. Neurology. 1990; 40: 28-32. [PMID: 2185438]
Toxicity Notes