Drugplain

Phenobarbital 20 mg/5mL

phenobarbital · ELIXIR · Strides Pharma Science Limited

10 Recalls on RecordCurrently in Shortage
Plain English

Phenobarbital is a elixir containing phenobarbital at 20 mg/5mL, taken oral. Manufactured by Strides Pharma Science Limited.

Key Facts

Brand Name
Phenobarbital
Generic Name
phenobarbital
NDC Code (Product)
64380-166
Manufacturer
Strides Pharma Science Limited
Strength
20 mg/5mL
Dosage Form
ELIXIR
Route
ORAL
Marketing Status
DEA Schedule
Schedule IV (Controlled)
Marketing Start
04/04/2022

Recall History

10 Recalls on Record
Class II05/16/2013

West-Ward Pharmaceutical Corp.

Presence of Foreign Substance: Belladonna Alkaloids with Phenobarbital Tablets with black specks comprised of degraded organic material on tablets.

TerminatedVoluntary: Firm initiated
Class II07/02/2013

Aidapak Services, LLC

Labeling: Label Mixup: PHENobarbital, Tablet, 64.8 mg may have potentially been mislabeled as the following drug: PREGABALIN, Capsule, 200 mg, NDC 00071101768, Pedigree: AD73518_4, EXP: 5/31/2014.

TerminatedVoluntary: Firm initiated
Class II06/17/2013

Physicians Total Care, Inc.

Presence of Foriegn Substance:The manufacturer, West-ward Pharmaceutical, recalled product because of the presence of black spots on tablets. In response, the repackager initiated its own recall.

TerminatedVoluntary: Firm initiated
Class II10/03/2016

West-Ward Pharmaceuticals Corp.

Failed Dissolution Specifications: Phenobarbital Tablets have an out of specification for dissolution at the 12 month stability time point

TerminatedVoluntary: Firm initiated
Class II07/02/2013

Aidapak Services, LLC

Labeling: Label Mixup: PHENobarbital, Tablet, 97.2 mg may have potentially been mislabeled as the following drug: PHENobarbital, Tablet, 64.8 mg, NDC 00603516721, Pedigree: AD73518_7, EXP: 5/31/2014.

TerminatedVoluntary: Firm initiated
Class I04/20/2017

C. O. Truxton

Labeling: Label Mixup; potentially mislabeled

TerminatedVoluntary: Firm initiated
Class II07/02/2013

Aidapak Services, LLC

Labeling: Label Mixup: PHENobarbital, Tablet, 97.2 mg may have potentially been mislabeled as the following drug: EFAVIRENZ, Capsule, 200 mg, NDC 00056047492, Pedigree: AD46312_31, EXP: 5/16/2014.

TerminatedVoluntary: Firm initiated
Class II03/14/2022

Vitae Enim Vitae Scientific, Inc.

Lack of Assurance of Sterility: deviations from Current Good Manufacturing Practices (CGMP) that call into question the sterility of products intended to be sterile.

TerminatedVoluntary: Firm initiated
Class II03/25/2019

Lohxa LLC

Labeling: Incorrect or Missing Lot and/or Exp Date - the label contains an incorrect Exp Date.

TerminatedVoluntary: Firm initiated
Class II05/29/2013

Lowlite Investments, Inc. D/B/A Olympia Pharmacy

Lack of Assurance of Sterility: FDA inspection findings resulted in concerns regarding quality control processes

OngoingVoluntary: Firm initiated

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

drug ineffective2,468 reports
seizure1,633 reports
off label use1,443 reports
drug interaction651 reports
toxicity to various agents640 reports
status epilepticus510 reports
multiple-drug resistance466 reports
somnolence454 reports
epilepsy431 reports
condition aggravated423 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

INDICATIONS AND USAGE Sedative Anticonvulsant- For the treatment of generalized and partial seizures.

Dosage & Administration

DOSAGE AND ADMINISTRATION The dose of phenobarbital must be individualized with full knowledge of its particular characteristics. Factors of consideration are the patient's age, weight, and condition. ADVERSE REACTIONS The following adverse reactions have been reported: CNS Depression- Residual sedation or "hangover," drowsiness, lethargy, and vertigo. Emotional disturbances and phobias may be accentuated. In some persons, barbiturates such as phenobarbital repeatedly produce excitement rather than depression, and the patient may appear to be inebriated. Irritability and hyperactivity can occur in children. Like other nonanalgesic hypnotic drugs, barbiturates such as phenobarbital, when given in the presence of pain, may cause restlessness, excitement, and even delirium. Rarely, the use of barbiturates results in localized or diffuse myalgic, neuralgic, or arthritic pain, especially in psychoneurotic patients with insomnia. The pain may appear in paroxysms, is most intense in the early morning hours, and is most frequently located in the region of the neck, shoulder girdle, and upper limbs. Symptoms may last for days after the drug is discontinued. Respiratory/Circulatory- Respirat

Warnings

WARNINGS 1. Habit-Forming Phenobarbital may be habit-forming. Tolerance and psychological and physical dependence may occur with continued use ( see Drug Abuse and Dependence and Pharmacokinetics under Clinical Pharmacology ). Patients who have psychologic dependence on barbiturates may increase the dosage or decrease the dosage interval without consulting a physician and may subsequently develop a physical dependence on barbiturates. In order to minimize the possibility of overdosage or the development of dependence, the prescribing and dispensing of sedative-hypnotic barbiturates should be limited to the amount required for the interval until the next appointment. Abrupt cessation after prolonged use in a person who is dependent on the drug may result in withdrawal symptoms, including delirium, convulsions, and possibly death. Barbiturates should be withdrawn gradually from any patient known to be taking excessive doses over long periods of time ( see Drug Abuse and Dependence ). 2. Acute or Chronic Pain Caution should be exercised when barbiturates are administered to patients with acute or chronic pain, because paradoxical excitement could be induced or important symptoms could

Contraindications

CONTRAINDICATIONS Phenobarbital is contraindicated in patients who are hypersensitive to barbiturates, in patients with a history of manifest or latent porphyria, and in patients with marked impairment of liver function or respiratory disease in which dyspnea or obstruction is evident.

Drug Interactions

Drug Interactions Most reports of clinically significant drug interactions occurring with the barbiturates have involved phenobarbital. However, the application of these data to other barbiturates appears valid and warrants serial blood level determinations of the relevant drugs when there are multiple therapies. 1. Anticoagulants Phenobarbital lowers the plasma levels of dicumarol and causes a decrease in anticoagulant activity as measured by the prothrombin time. Barbiturates can induce hepatic microsomal enzymes resulting in increased metabolism and decreased anticoagulant response of oral anticoagulants (eg, warfarin, acenocoumarol, dicumarol, and phenprocoumon). Patients stabilized on anticoagulant therapy may require dosage adjustments if barbiturates are added to or withdrawn from their dosage regimen. 2. Corticosteroids Barbiturates appear to enhance the metabolism of exogenous corticosteroids, probably through the induction of hepatic microsomal enzymes. Patients stabilized on corticosteroid therapy may require dosage adjustments if barbiturates are added to or withdrawn from their dosage regimen. 3. Griseofulvin Phenobarbital appears to interfere with the absorption of or

Adverse Reactions

ADVERSE REACTIONS The following adverse reactions have been reported: CNS Depression- Residual sedation or "hangover," drowsiness, lethargy, and vertigo. Emotional disturbances and phobias may be accentuated. In some persons, barbiturates such as phenobarbital repeatedly produce excitement rather than depression, and the patient may appear to be inebriated. Irritability and hyperactivity can occur in children. Like other nonanalgesic hypnotic drugs, barbiturates such as phenobarbital, when given in the presence of pain, may cause restlessness, excitement, and even delirium. Rarely, the use of barbiturates results in localized or diffuse myalgic, neuralgic, or arthritic pain, especially in psychoneurotic patients with insomnia. The pain may appear in paroxysms, is most intense in the early morning hours, and is most frequently located in the region of the neck, shoulder girdle, and upper limbs. Symptoms may last for days after the drug is discontinued. Respiratory/Circulatory- Respiratory depression, apnea, circulatory collapse. Allergic- Acquired hypersensitivity to barbiturates consists chiefly in allergic reactions that occur especially in persons who tend to have asthma, urticar

Frequently Asked Questions

What is Phenobarbital used for?

Phenobarbital contains phenobarbital. It is a elixir taken oral. Consult your doctor for specific uses.

Is Phenobarbital a controlled substance?

Yes, Phenobarbital is classified as CIV under the DEA Controlled Substances Act.

What is the generic name for Phenobarbital?

The generic name for Phenobarbital is phenobarbital. There are 2 other brand versions of phenobarbital.

What is the NDC code for Phenobarbital 20 mg/5mL?

The NDC (National Drug Code) for Phenobarbital 20 mg/5mL is 64380-166, listed by Strides Pharma Science Limited.