Pentobarbital Facts
Depressant;
Dose and durationby route · individual sensitivity varies
Oral(mg)
Threshold< 25 mgLight50 – 100 mgCommon100 – 200 mgStrong200 – 300 mgHeavynot recorded
Starts in 15 – 60 minLasts 4 – 6 hoursAfter-effects 1 – 36 hours
Body and dependence
- Acute toxicity
- High
- Chronic toxicity
- High
- Physical dependence
- Not assessed
- Psychological dependence
- Not assessed
- Withdrawal
- Not assessed
- Compulsive redosing
- Not assessed
Tolerance
Not recorded.
Effectslikely at a common dose
- Perception
- none likely · 1 possible, including Visual acuity suppression
- Body
- none likely · 7 possible, including Motor control impairment, Dizziness
- Thinking
- none likely · 5 possible, including Analysis suppression, Language suppression, Compulsive redosing urge
- Feeling
- none likely · 2 possible
Who shouldn't take it
None recorded. Not listed never means safe to take.
Combinations60 recorded
Lethal (1)
Opioids
Dangerous (21)
Alpha-2 adrenergic receptor antagonist; Antipsychotics; Atypical antipsychotics; Benzodiazepines, Barbiturates; Buprenorphine, Kratom; Cannabis, THC; Gabapentin, Pregabalin; GHB, Baclofen; GHB, GBL; Ketamine, DXM, PCP; Local anesthetics; Naltrexone; Stimulants; Clonidine, Guanfacine; Ibogaine; MAOIs; NSAIDs; Poppers (Alkyl nitrites); Poppers, Nitrates; SNRIs; Synthetic cannabinoids
Caution (30)
See full page: psychedex.org/substances/pentobarbital
Not graded (8)
Not listed never means safe.
Seek help immediately if
- Extreme drowsiness — can't stay awake or be roused
- Confusion, slurred speech, severe loss of coordination
- Slow, shallow, or irregular breathing
- Unconsciousness / unresponsive; limp, floppy body
- Blue lips or fingertips
- Vomiting while sedated (choking / aspiration risk)
- Cold, clammy skin; weak pulse
What to do
- Try to wake them — shout, firm sternal rub
- If unresponsive or breathing is impaired, call emergency services
- Place them in the recovery position — critical, they can choke on vomit
- Monitor breathing continuously; be ready to give rescue breaths / CPR
- Never leave them alone to "sleep it off"
- Do not give other drugs, stimulants, or more depressants
Most depressant overdoses resolve with airway protection, breathing support, and monitoring. The danger is respiratory depression and choking on vomit — sharply worse when combined with opioids or alcohol. GHB/GBL overdoses often involve sudden deep unconsciousness and may self-resolve, but airway protection is essential.
988 Suicide & Crisis LifelineFireside Project: 62-FIRESIDE
psychedex.org/substances/pentobarbital · Version r1 · Not medical adviceValues as of