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Second, sedation for uncooperative patients may expedite and simplify special procedures that require little or no movement.Additionally, sedation is often desirable to diminish fear associated with operative procedures.Because of these additive effects, these medications taken with other sedatives or alcohol (also a sedative hypnotic drug) may increase chances for accidental death.In general, most of the medications that induce sedation may alter breathing and cardiac stability.In patients with preexisting lung and/or heart disease, these medications should be monitored closely or not prescribed.The future of anesthetic care involves the simultaneous administration of several drugs including IV medications and inhaled anesthetics.Barbiturates are prescription sedatives or “sleeping pills” and benzodiazepines are prescription tranquilizers. Multi-colored tablets and capsules; some can be in liquid form. Medically, barbiturates are prescribed for acute anxiety, tension and sleep disorders. Prescription sedatives and tranquilizers can cause euphoria. These drugs slow normal brain function, which may result in slurred speech, shallow breathing, sluggishness, fatigue, disorientation and lack of coordination or dilated pupils.Benzodiazepines are prescribed for anxiety, acute stress reactions, and panic attacks. Higher doses cause impaired memory, judgment and coordination; irritability; paranoia; and thoughts of suicide. Using prescription sedatives and tranquilizers with other substances — particularly alcohol — can slow breathing, or slow both the heart and respiration, and possibly lead to death.

Benzodiazepines are generally prescribed to treat anxiety, panic attacks, insomnia, and seizures.An extensive survey of death in 100,000 cases published in 1988 revealed that death within seven days was 2.9 times greater when one or two anesthetic drugs were used than when using three or more medications.As of 2000 this study is accepted as standard practice and multiple IV anesthetics is the preferable recommendation for optimal patient care.Continued use can lead to physical dependence and — when use is reduced or stopped abruptly — withdrawal symptoms may occur.Because all prescription sedatives and tranquilizers work by slowing the brain’s activity, when a person stops taking them, there can be a rebound effect, possibly leading to seizures and other harmful consequences.

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