Veronal
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Barbital (or barbitone), sold under the brand names Veronal for the pure acid and Medinal for the sodium salt, was the first commercially available
barbiturate Barbiturates are a class of depressant, depressant drugs that are chemically derived from barbituric acid. They are effective when used medication, medically as anxiolytics, hypnotics, and anticonvulsants, but have physical and psychological a ...
. It was used as a sleeping aid (
hypnotic A hypnotic (from Ancient Greek, Greek ''Hypnos'', sleep), also known as a somnifacient or soporific, and commonly known as sleeping pills, are a class of psychoactive drugs whose primary function is to sleep induction, induce sleep and to trea ...
) from 1903 until the mid-1950s. The chemical names for barbital are diethylmalonyl urea or diethylbarbituric acid; hence, the sodium salt is known also as sodium diethylbarbiturate.


Synthesis

Barbital, then called "Veronal", was first synthesized in 1902 by German chemists
Emil Fischer Hermann Emil Louis Fischer (; 9 October 1852 – 15 July 1919) was a German chemist and List of Nobel laureates in Chemistry, 1902 recipient of the Nobel Prize in Chemistry. He discovered the Fischer esterification. He also developed the Fisch ...
and Joseph von Mering, who published their discovery in 1903. Barbital was prepared by condensing diethylmalonic ester with
urea Urea, also called carbamide (because it is a diamide of carbonic acid), is an organic compound with chemical formula . This amide has two Amine, amino groups (–) joined by a carbonyl functional group (–C(=O)–). It is thus the simplest am ...
in the presence of
sodium ethoxide Sodium ethoxide, also referred to as sodium ethanolate, is the Ionic compound, ionic, organic compound with the formula , , or NaOEt (Et = ethyl group, ethyl). It is a white solid, although impure samples appear yellow or brown. It dissolves in p ...
, or by adding at least two molar equivalents of ethyl iodide to the silver salt of malonylurea (barbituric acid) or possibly to a basic solution of the acid. The result was an odorless, slightly bitter, white crystalline powder. Its introduction followed the investigations of Fischer and von Mering on the pharmacological properties of certain open and closed acylureas (then called ureides). Led by the impression that hypnotic action appears to be largely dependent on the presence of ethyl groups, they prepared diethylacetyl urea, diethylmalonyl urea (i.e., Barbital itself), and dipropylmalonyl urea. All three were found to be hypnotics: the first was about equal in power to the already-known sulphonal (now sulfonmethane), whilst the third was four times as powerful, but its use was attended by prolonged after-effects. Veronal was found to be midway. Barbital can also be synthesized in a
condensation reaction In organic chemistry, a condensation reaction is a type of chemical reaction in which two molecules are combined to form a single molecule, usually with the loss of a small molecule such as water. If water is lost, the reaction is also known as a ...
from
urea Urea, also called carbamide (because it is a diamide of carbonic acid), is an organic compound with chemical formula . This amide has two Amine, amino groups (–) joined by a carbonyl functional group (–C(=O)–). It is thus the simplest am ...
and diethyl-2,2-diethylmalonate, a diethyl malonate derivative: :


Marketing

Barbital was marketed in 1904 by
Bayer Bayer AG (English: , commonly pronounced ; ) is a German multinational pharmaceutical and biotechnology company and is one of the largest pharmaceutical companies and biomedical companies in the world. Headquartered in Leverkusen, Bayer' ...
as "Veronal," while the soluble salt of barbital was marketed by Schering as "Medinal." It was dispensed for "
insomnia Insomnia, also known as sleeplessness, is a sleep disorder where people have difficulty sleeping. They may have difficulty falling asleep, or staying asleep for as long as desired. Insomnia is typically followed by daytime sleepiness, low ene ...
induced by nervous excitability." It was provided in either crystal form or in capsules. The therapeutic dose was ten to fifteen
grains A grain is a small, hard, dry fruit ( caryopsis) – with or without an attached hull layer – harvested for human or animal consumption. A grain crop is a grain-producing plant. The two main types of commercial grain crops are cereals and le ...
(0.6–1
gram The gram (originally gramme; SI unit symbol g) is a Physical unit, unit of mass in the International System of Units (SI) equal to one thousandth of a kilogram. Originally defined in 1795 as "the absolute Mass versus weight, weight of a volume ...
s). 3.5 to 4.4 grams (55 to 68 grains) is considered the lethal dose.


Pharmacology

Barbital was considered to be a great improvement over the existing hypnotics. Its taste was slightly bitter, but better than the strong, unpleasant taste of the commonly used
bromide A bromide ion is the negatively charged form (Br−) of the element bromine, a member of the halogens group on the periodic table. Most bromides are colorless. Bromides have many practical roles, being found in anticonvulsants, flame-retard ...
s. It had few side effects, and its therapeutic dose was far below the toxic dose. However, prolonged usage resulted in tolerance to the drug, requiring higher doses to reach the desired effect. "I'm literally saturated with it", the Russian tsarina Alexandra Feodorovna confessed to a friend. Fatal overdoses of this slow-acting hypnotic were common. Pioneering aviator Arthur Whitten Brown (of " transatlantic flight of Alcock and Brown" fame) died of an accidental overdose. A photoswitchable derivative of barbital based on a donor-acceptor Stenhouse adduct (DASA) has been developed for research purposes ( photopharmacology). DASA-barbital shows neuronal activity via GABAA receptors and reversible photoisomerization in water using
cyclodextrin Cyclodextrins are a family of cyclic oligosaccharides, consisting of a macrocycle, macrocyclic ring of glucose subunits joined by α-1,4 glycosidic bonds. Cyclodextrins are produced from starch by enzyme, enzymatic conversion. They are used in ...
.


pH buffer

Solutions of sodium barbital have also been used as pH buffers for biological research, e.g., in immunoelectrophoresis or in fixative solutions. As barbital is a controlled substance, barbital-based buffers have largely been replaced by other substances.


Poisoning

Japanese writer Ryūnosuke Akutagawa deliberately overdosed on the drug in 1927, as did '' Un Chien Andalou'' actor Pierre Batcheff in 1932, Hungarian poet Gyula Juhász in 1937, German
mathematician A mathematician is someone who uses an extensive knowledge of mathematics in their work, typically to solve mathematical problems. Mathematicians are concerned with numbers, data, quantity, mathematical structure, structure, space, Mathematica ...
Felix Hausdorff Felix Hausdorff ( , ; November 8, 1868 – January 26, 1942) was a German mathematician, pseudonym Paul Mongré (''à mogré' (Fr.) = "according to my taste"), who is considered to be one of the founders of modern topology and who contributed sig ...
in 1942, Austrian writer
Stefan Zweig Stefan Zweig ( ; ; 28 November 1881 – 22 February 1942) was an Austrian writer. At the height of his literary career, in the 1920s and 1930s, he was one of the most widely translated and popular writers in the world. Zweig was raised in V ...
in 1942, French
Anarchist Anarchism is a political philosophy and Political movement, movement that seeks to abolish all institutions that perpetuate authority, coercion, or Social hierarchy, hierarchy, primarily targeting the state (polity), state and capitalism. A ...
Germaine Berton in 1942, and Greek musician Attik in 1944. During
the Holocaust The Holocaust (), known in Hebrew language, Hebrew as the (), was the genocide of History of the Jews in Europe, European Jews during World War II. From 1941 to 1945, Nazi Germany and Collaboration with Nazi Germany and Fascist Italy ...
, many Jewish residents of Berlin, Dresden, Wiesbaden, and other German cities used Veronal to take their lives by suicide to avoid deportation to concentration camps by the Nazi Regime. Alfred Kerr, a German theatre critic and essayist, suffered a stroke on a trip to Germany after WWII and decided to end his own life via an overdose of Veronal, which was procured for him by his wife. Eric Mareo, son of playwright Raimund Pechotsch, murdered his wife Thelma with Veronal. Thelma's lesbian lover Freda Stark was a key witness at the trial.


In fiction

In the D. H. Lawrence story, ''The Lovely Lady'', the titular character dies from a self-administered overdose. Barbital, under the name of Veronal, has been used as a plot device in the author
Agatha Christie Dame Agatha Mary Clarissa Christie, Lady Mallowan, (; 15 September 1890 – 12 January 1976) was an English people, English author known for her 66 detective novels and 14 short story collections, particularly those revolving ...
's murder mysteries. Barbital was also used as a plot device in the CBS television legal drama, Perry Mason, in the episode, ''The Case of the Missing Element'' (1963). It was used as a method of
suicide Suicide is the act of intentionally causing one's own death. Risk factors for suicide include mental disorders, physical disorders, and substance abuse. Some suicides are impulsive acts driven by stress (such as from financial or ac ...
in Stephen King’s '' The Stand'' by a character named Perion after her partner Mark dies from appendicitis.


References


Further reading

* {{GABAAR PAMs Barbiturates