Alpha Lipoic Acid and Phenobarbital Sodium

• Generic Name: alpha-lipoic acid
• Dosage Forms: n.a.
• Other Brand Names: Alpha Lipoic Acid, Alpha-Lipoic-Acid-300, Alpha Lipoic

Alpha-lipoic acid is an antioxidant also known as Acetate Replacing Factor, ALA, Biletan, Lipoicin, Thioctan, and many other names.

Alpha-lipoic acid is a naturally occurring fatty acid that can be found in many foods such as yeast, spinach, broccoli, potatoes, and organ meats such as liver or kidney.

Alpha-lipoic acid has been used in alternative medicine as a possibly effective aid in weight loss, treating diabetic nerve pain, healing wounds, lowering blood sugar, improving skin discoloration caused by vitiligo, and decreasing complications of coronary artery bypass graft (CABG) surgery. Alpha-lipoic acid may have been combined with other plants or extracts in a specific preparation to treat these conditions.

Alpha-lipoic acid has also been used to treat rheumatoid arthritis, Alzheimer's disease, alcoholic liver problems, altitude sickness, heart-related nerve problems, HIV-related brain problems, or eye problems caused by diabetes. However, research has shown that alpha-lipoic acid may not be effective in treating these conditions.

Other uses not proven with research have included treating glaucoma, migraine headaches, high blood pressure, heart failure, dementia, carpal tunnel syndrome, leg pain caused by sciatic nerve damage or peripheral artery disease (PAD), anti-aging of the skin, and other conditions.

It is not certain whether alpha-lipoic acid is effective in treating any medical condition. Medicinal use of this product has not been approved by the FDA. Alpha-lipoic acid should not be used in place of medication prescribed for you by your doctor.

Alpha-lipoic acid is often sold as an herbal supplement. There are no regulated manufacturing standards in place for many herbal compounds and some marketed supplements have been found to be contaminated with toxic metals or other drugs. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination.

Alpha-lipoic acid may also be used for purposes not listed in this product guide.

• Generic Name: phenobarbital
• Dosage Forms: n.a.
• Other Brand Names:

  Solfoton, Luminal

Relief of anxiety, tension, and apprehension. However, barbiturates used infrequently for routine sedation, since there are few clinical situations in which oral barbiturates provide a safety or efficacy advantage over nonbarbiturate sedatives/hypnotics.

Short-term treatment of insomnia. However, generally not used orally as a hypnotic because several hours are required to achieve maximal effects and barbiturates have decreased effectiveness for sleep induction and maintenance after 2 weeks.

Withdrawal of barbiturate or nonbarbiturate hypnotics in patients who are physically dependent on these drugs.

Preoperatively, to produce sedation and relieve anxiety.

Management of tonic-clonic seizures and partial seizures; used alone (particularly in infants and young children) or, more commonly, in combination with phenytoin or other anticonvulsants.

Prevention of febrile seizures in infants and young children.

Second-line agent in the termination of status epilepticus; may be useful to prevent seizure recurrence after seizures are initially terminated with other anticonvulsants (e.g., diazepam, phenytoin) or for termination of status epilepticus that does not respond to initial therapy with other anticonvulsants. Usefulness of parenteral phenobarbital in terminating acute seizure episodes is limited by its slow onset of action.

Prophylactic management of epilepsy.

Prevention and treatment of hyperbilirubinemia in neonates.

Has been used to reduce bilirubin concentrations in patients with congenital nonhemolytic unconjugated hyperbilirubinemia or chronic intrahepatic cholestasis.

Has been used in the management of hyperlipemia associated with intrahepatic and extrahepatic cholestasis.