Pentobarbital was first synthesized in the early 20th century and quickly became popular as a short-acting barbiturate used for insomnia, anxiety, and epilepsy. It is effective because it enhances the activity of gamma-aminobutyric acid (GABA), a neurotransmitter that inhibits brain activity. This effect produces sedation, hypnosis, and, at higher doses, anesthesia. Over time, however, the dangers associated with barbiturates became apparent. These drugs have a narrow therapeutic index—meaning the difference between a therapeutic dose and a lethal one is very small. For this reason, pentobarbital and similar barbiturates have been largely replaced by safer alternatives like benzodiazepines in human medicine. Today, pentobarbital is most commonly used in veterinary medicine, particularly for anesthesia and euthanasia in animals. It is also used in certain countries for physician-assisted death in terminally ill patients, under strict legal and medical supervision.
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