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Withdrawn from the market (safety)

Glutethimide

DORIDEN

Glutethimide ballicule: receptor binding, kinetics and half-life diagram
Mechanism of action: Glutethimide ballicule

What it isPiperidinedione sedative-hypnotic; withdrawn.

Why this oneIt was promoted as a safer barbiturate alternative.

What limits itIt was not — overdose was notoriously difficult to manage, with cyclical coma. US approval withdrawn in 1993.

Glutethimide molecular structure (skeletal formula)
Molecular structure: Glutethimide

FDA-approved for

NO BOXED WARNINGS

Principal riskWithdrawn; a difficult and cyclical overdose

Classes and tags

Clinical profile

Therapeutic safety burden3 / 4
Overdose danger3 / 4
Sedation liability3 / 4
Direct muscarinic antagonism0 / 4

Defining liabilityDependence and prolonged overdose coma

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