Phenobarbital belongs to the barbiturate class of medications.
It acts by enhancing GABA activity in the brain, producing sedative and anticonvulsant effects.
Clinical uses include:
Long‑term management of epilepsy and seizure disorders.
Short‑term use as a sedative or hypnotic.
Occasionally used in neonatal jaundice to stimulate liver enzymes.
Limitations:
Risk of dependence and tolerance with prolonged use.
Side effects include drowsiness, cognitive impairment, and respiratory depression at high doses.
Safer alternatives (benzodiazepines, newer anticonvulsants) are often preferred, but Gardinal remains widely used in resource‑limited settings.